WT'ES ~~~LS~ MVIS Living Standards :Yu Ie. Measurement Study Working Paper No. 130 Model Living Standards Measurement Study Survey Questionnaire for the Countries of the Former Soviet Union Model Living Standards Measurement Study Survey Questionnaire for the Countries of the Former Soviet Union The Living Standards Measurement Study The Living Standards Measurement Study (LSMS) was established by the World Bank in 1980 to explore ways of improving the type and quality of household data collected by statistical offices in developing countries. Its goal is to foster increased use of household data as a basis for policy decisionmaking. Specifically, the LSMs is working to develop new methods to monitor progress in raising levels of living, to identify the consequences for households of past and proposed government policies, and to improve communications between survey statisticians, analysts, and policymakers. The LSMS Working Paper series was started to disseminate intermediate prod- ucts from the LSMS. Publications in the series include critical surveys covering dif- ferent aspects of the LSMS data collection program and reports on improved methodologies for using Living Standards Survey (LSS) data. More recent publica- tions recommend specific survey, questionnaire, and data processing designs and demonstrate the breadth of policy analysis that can be carried out using LSS data. LSMS Working Paper Number 130 Model Living Standards Measurement Study Survey Questionnaire for the Countries of the Former Soviet Union Raylynn Oliver The World Bank Washington, D.C. Copyright C 1997 The International Bank for Reconstruction and Development/THE WORLD BANK 1818 H Street, N.W. Washington, D.C. 20433, U.S.A. All rights reserved Manufactured in the United States of America First printing June 1997 To present the results of the Living Standards Measurement Study with the least possible delay, the typescript of this paper has not been prepared in accordance with the procedures appropriate to formal printed texts, and the World Bank accepts no responsibility for errors. Some sources cited in this paper may be informal documents that are not readily available. The findings, interpretations, and conclusions expressed in this paper are entirely those of the author(s) and should not be attributed in any manner to the World Bank, to its affiliated organizations, or to members of its Board of Execulive Directors or the countries they represent. The World Bank does not guarantee the accuracy of the data included in this publication and accepts no responsibility whatsoever for any consequence of their use. The boundaries, colors, denominations, and other information shown on any map in this volume do not imply on the part of the World Bank Group any judgment on the legal status of any territory or the endorsement or acceptance of such boundaries. The material in this publication is copyrighted. Requests for permission to reproduce portions of it should be sent to the Office of the Publisher at the address shown in the copyright notice above. The World Bank encourages dissemination of its work and will normally give permission promptly and, when the repro- duction is for noncommercial purposes, without asking a fee. Permission to copy portions for classroom use is granted through the Copyright Clearance Center, Inc., Suite 910, 222 Rosewood Drive, Danvers, Massachusetts 01923, U.S.A. ISBN: 0-8213-3934-6 ISSN: 0253-451,7 Raylynn Oliver is a consultant in the Poverty and Human Resources Division of the Policy Research Department of the World Bank. Library of Congress Cataloging-in-Publication Data Oliver, Raylynn, 1960- Model living standards measurement study survey questionnaire for the countries; of the former Soviet Union / Raylynn Oliver. p. cm. - (LSMS working paper, ISSN 0253-4517; no. 130) ISBN 0-8213-3934-6 1. Social surveys-Former Soviet republics. 2. Cost and standard of living-Former Soviet republics. 3. Former Soviet republics- Social conditions. I. Title. II. Series. HN29.049 -1997 300'.7'23-dc21 97-19577 CIP Contents Foreword .................................................... vii Abstract .................................................... ix Acknowledgments .................................................. xi 1. Introduction ........................................................ 1 2. Objectives of the LSMS Surveys .......................................... 2 3. Adapting the Questionnaires for a Specific Country .............................. 4 3.1 Maldng the Questionnaires Relevant to Policy ............................ 4 3.2 Field Testing the Questionnaires ..................................... 5 4. Guidelines for Adapting the Household Questionnaire ............................ 7 4.1 Translation of the Questionnaire ......................... 7 4.2 Format of the Household Questionnaire .......................... 8 4.3 Adapting Specific Questions .......................... 9 4.4 Revising Entire Sections ........................... 9 4.5 Topic Specific Guidelines ................... ...................... 10 Section 0. Information on the Survey and Interviewer Instructions .... ........ 10 Section 1. Household Roster .................................... 11 Section 2. Dwelling .......................................... 13 Section 3. Education ......................................... 14 Section 4. Health ........................................... 15 Section 5. Economic Activities ................................... 17 Section 6. Migration ......................................... 19 Section 7. Respondents for Round Two ............................. 19 Section 8. Displaced Persons and Refugees ........................... 20 Section 9. Agro-Pastoral Activities ................................ 20 Section 10. Non-farm Self-employment .............................. 21 Section 11. Expenditures and Durable Goods .......................... 21 Section 12. Food Expenditure and Consumption ........................ 22 Section 13. Childbearing ....................................... 22 Section 14. Other Sources of Income ............................... 23 Section 15. Loans and Savings .................................... 23 5. Adapting the Population Point and Price Questionnaire ........................... 24 6. Conclusion ....................................................... 26 Appendix 1. LSMS Household Questionnaire for the Countries of the Former Soviet Union .... 27 Appendix 2. LSMS Population Point Questionnaire for the Countries of the Former Soviet Union . 107 v I Foreword The Poverty and Human Resources Division of the Policy Research Department (PRDPH) of the World Bank is making a concerted effort to disseminate the lessons of the first ten years of Living Standard Measurement Study (LSMS) survey field experience, so that the growing number of surveys with similar purposes can learn from them. The need to measure poverty and guide policy during the economic transition has created demand for LSMS surveys in the newly independent states of the former Soviet Union. However, working from existing materials has been difficult because questionnaires were not available in Russian and because questionnaires from other regions reflected situations that were not applicable in the former Soviet Union. To facilitate the use of LSMS surveys in the countries of the former Soviet Union, PRDPH developed household, community and price questionnaires that reflect the basic institutions and policy concerns of the countries of the former Soviet Union. These questionnaires have been translated into Russian. This represents an important starting point for conducting an LSMS survey. However, the basic questionnaires will have to be tailored for any specific country. This document presents the questionnaires and describes the process required to adapt the questionnaires to local conditions. 4'1l, S Lyn Squire, Director Policy Research Department vii I Abstract This document presents a set of Living Standard Measurement Study questionnaires that have been developed for use in the Russian-speaking countries of the former Soviet Union. These questionnaires are available in English and in Russian. They are also available in electronic form. This document also describes in detail the procedure that should be followed to modify the questionnaires for use in any specific country. Without careful tailoring, the questionnaires will be frustrating for interviewers and respondents. More importantly, if existing policies, policy concerns, and institutions are not taken into consideration, the survey data will not be sufficient to address the questions for which the survey is undertaken in the first place. To guide the questionnaire writer through the modification process, this document describes the important aspects of LSMS surveys, general modifications that will be required, translation and field testing procedures, and finally a section by section description of the type of modifications that are likely to be required to suit goals and circumstances. ix I Acknowledgments This document draws heavily on Guidelines for Adapting the LSMS Living Standards Questionnaires to Local Conditions, Ainsworth, Martha and Jacques van der Gaag. Living Standards Measurement Study Working Paper No. 34, 1988. In addition, this document and the questionnaires have benefitted from the experience of the staff of PRDPH, especially Kinnon Scott, Margaret Grosh and Carlo del Ninno. In developing, translating and field testing the questionnaires and understanding the institutions of the former Soviet Union I was aided by Boris Gitman, Djamila Kerimkulova, Luba Logenitsina, Fatima Mamedova, Vugar Matadov, Julia Maronuk, and Elena Pasportnikova. xi 1. INTRODUCTION Living Standards Measurement Study (LSMS) surveys were developed by the World Bank to provide the data necessary to evaluate policies that affect the living standards of the population. For this purpose the questionnaires aim to collect the data necessary to measure all major aspects of economic well-being at the level of the household and the population point.' LSMS surveys have been conducted in nearly thirty countries in the course of the last 10 years. Data from LSMS surveys have been used to measure the extent of poverty, analyze labor market conditions and wage determinants, estimate the impact of schooling on birth rate and child health, evaluate the demand for health care and many other topics of relevance to government Ministries. Since the break-up of the Soviet Union, there has been increasing interest in conducting LSMS surveys in the newly independent Republics in order to measure the impact of transition of the various groups of the population. The results of an LSMS survey can also provide useful assistance in the development of the policies to help protect the most vulnerable people. Russian Language Living Standard Measurement Study Questionnaires have been developed to assist in the implementation of these surveys in the Russian-speaking countries of the former Soviet Union. These questionnaires follow the basic pattern of other LSMS questionnaires but have been substantially altered in order to reflect the living conditions and government policy concerns faced by most of the countries in the region. The English language translation of the LSMS questionnaires for household and population points in the Russian-speaking countries are included in Appendices 1 and 2. The electronic versions of the questionnaires are available in Wordperfect 5.1 for DOS for those seeking to develop new questionnaires.2 The Soviet Union covered an immense expanse of land and contained a wide diversity of cultures. Because of this diversity, it is not likely that the questionnaire as it is will be ideal for each of the countries of the former Soviet Union. Therefore, further refinements and adaptation will be necessary in most cases to make the questionnaires appropriate for use in the field. These questionnaires are therefore designed as a starting point and this document describes the method for further country-specific refinement of the questionnaires. In this document, Section 2 describes in more detail the objectives of LSMS surveys. A clear understanding of these objectives will guide the adaptation of the questionnaires to local conditions. Section 3 describes broadly the process of adapting the questionnaires. Section 4 provides general and specific guidelines for adapting the household questionnaire. Section 5 presents guidelines for adapting the population point and price questionnaires. Section 6 concludes. 'Population point is the term used in the countries of the Soviet Union that means village, village of the town type, or town. 2For electronic files contact LSMS, PRDPH, World Bank, Washington, DC 20433, USA; by electronic mail Isms@worldbank.org; or fax 202-522-1153. 1 2. OBJECTIVES OF THE LSMS SURVEYS The primary objective of the LSMS surveys is to obtain a date base for policy analysis. Because of this, LSMS surveys differ from most single purpose surveys. LSMS surveys gather data on all of the components of the standard of living. For example, a health survey may include a large number of questions on type of illness, symptoms, care received, time and money spent for each illness, but only a few questions regarding household characteristics. In order to conduct policy-relevant research, measures are needed of household income, labor market status, educational attainment, household expenditure on things other than health. From the objective of gathering the information necessary to conduct policy analysis we derive most of the guidelines and constraints that must be considered when adapting the questionnaires for use in a specific country. When adapting the survey, it is important to keep in mind that although the LSMS questionnaire collects information on health and medical care, it is not a health survey. Similarly, it collects information on agriculture but it is not an agriculture survey. A health survey or an agricultural survey would collect much more detailed information on health or agriculture than the LSMS does. It is not possible to collect information on all major aspects of living in the same detail that would be used in a single purpose survey. Another characteristic of the LSMS surveys is the emphasis that is placed on reducing non- sampling error. This is reflected in the sample design and in the organization of the field work. Many features of th,e design of the questionnaires are also intended to minimize non-sampling error. For instance, the questionnaires are almost entirely pre-coded. Interviewers enter the codes onto the questionnaire! and data entry operators enter the responses directly from the questionnaire. Another feature is the grids used for collecting individual data that increase the likelihood that all of the information stays together.3 There are 16 sections in the household questionnaire:' 0. Survey Information and Interviewer Instructions 1. Roster of the members of the household 2. Housing conditions 3. Education 4. Health 5. Economic Activities 3AU1 aspects of the LSMS surveys and questionnaires are explained in Grosh, Margaret E. and Juan Munoz, 1996, A Manualfor Planning and Implementing LSMS Surveys, Living Standard Measurement Study Working Paper No. 126, World Bank, Washington D.C. 'There is not a single definition of household. In this questionnaire, the interviewer is instructed to list all individuals who normally live, eat their meals together and share expenses in the dwelling regardless of whether or not the inditidual was present in the household the day before. Household members include the household head, children born in the last three months, individuals married into the household in the last three months, and other individuals who were absent for fewer than nine months of the last twelve. Servants and paying lodgers and their families form a separate household and should be interviewed separately. 2 6. Migration 7. Selection of respondents for Round 2 8. Refugees and displaced persons 9. Agricultural Activities 10. Self-employment 11. Expenditures and Durable Goods 12. Food Expenditure and Consumption 13. Childbearing 14. Other Income 15. Credit and Savings For sections 1, 3, 4, 5, and 6, information is collected for each individual in the household, or for all the individuals of a certain age. For example, the section on schooling is only to be completed for household members over the age of 7. When information is collected for individuals, a grid is used so that all of the information for one household is contained in the same questionnaire page. This eliminates the possibility of the loss of the questionnaires for one or more individuals in the household. The grid format also facilitates the data entry process. In other sections, where the response to a question will be the same for each member of the household, the questions are asked only once, for example section 2 on housing. The grid format is also used in sections 8 through 15. Though, in these sections the unit of observation is not an individual member of the household but a type of crop in section 9 or a type of food in section 11. In some sections, the grid is used for individuals, but not for household members; these include section 1C (children living elsewhere), section 11E (remittances), section 13 (fertility) and section 14A (income from relatives and private persons). Information on the town or village in which the household is located is also collected because the level of services and other conditions in the vicinity can have an important impact on the quality of life for the residents. There are 8 sections in the population point questionnaire: 1. Demographic Information 2. Infrastructure 3. Economy 4. Refugees and Displaced Persons 5. Education 6. Health 7. Agriculture 8. Institutions 9. Prices 3 3. ADAPTING THE QUESTIONNAIRES FOR A SPECIFIC COUNTRY The acdaptation of a questionnaire involves much more than the translation of the questionnaire into the local language and the addition of country-specific response categories. In order for the questionnaire to provide information that can be used to address the important policy concerns in a particular country at a particular time, the questionnaire must be adapted for use in consultation with a broad range of policy makers. These consultations can serve two purposes. The first is to ensure that the correct data are collected in the survey. The second is to familiarize potential users of the data and the analysis of the type of information that will be collected and of its potential uses. The second stage of the adaptation of the survey instruments for use in a specific country involves a thorough field test of all questionnaires. Questionnaires must be tested in enough households and communities to be sure that the desired information can be collected in a variety of circumstances. In most of the countries of the former Soviet Union, adaptation of the Living Standard Measurement Survey will also require that all questionnaires be translated into one or more national languages spoken by the population of that country. Preparing the questionnaire in a second language will often require modifications in the original questionnaire.5 3.1 Maldng the Questionnaires Relevant to Policy To successfully adapt the LSMS questionnaires and ensure that the data will be able to support policy-relevant analysis, it is necessary to consult with government officials, policy advisors and others who are involved in designing and evaluating policies. Each section of the questionnaire must accurately reflect the structure of local institutions, programs and policies. Each section must also contain the questions necessary to gather the data required to analyze the usefulness and effectiveness of those institutions, programs and policies. For example, if increasing employment is an important objective of the government and one of the policies thlat has been implemented to achieve that goal is the provision of job training courses then the questionnaire writer will need to know: what types of courses were offered, who was eligible to participate, where were these courses offered, what subjects were offered and if the participants were required to pay for the courses or accept certain jobs, or fulfil other obligations to participate in the training. If there was a fee for the courses then the policy makers are likely to want to know if that fee was an obstacle that prevented eligible individuals who would have benefitted from the course from taking it. On the other hand, policy makers may be most interested to know if eligible individuals were aware that the course was available. Knowledge of all aspects of the program will allow the questionnaire writers to define properly the questions that need to be included and will guide the list of coded responses to be provided. sFor example, in the Russian there is no one single word for Mother-in-law. There are separate words for a man's mother-in-law and a woman's mother-in-law. If an important social distinction corresponds to the language distinction, then questionnaires in both languages should include the two relations as separate categories. Similar problems arose in the categorization of foods in the consumption module. 4 The formation of a base of data for policy formulation and evaluation is the main goal of the LSMS and so the questionnaires should first of all focus on the effects of existing policies that have an impact on living standards. Questions measuring the use of government services or the benefits received by the households from such programs should appear throughout the questionnaires. Answers to these questions allow the policy analyst to determine the extent of benefit provided by these programs and also to determine which households would be most affected by a change in the program. The questionnaires should also gather data on household expenditures on all types of government, public and private services. Answers to these questions can be used to analyze government pricing policies, consumers' willingness to pay, and possible alternative financing mechanisms. Even the content of sections that do not seem to be directly related to any specific policy must be developed to address policy concerns. For example, in order to measure household consumption, all items must be aggregated into a relatively small set of commodity groups. To some extent, logic and current consumption indicate how commodities should be grouped. However, from a policy point of view it is important to distinguish between taxed and non-taxed items, between imported and domestic items, and between items sold at government-controlled prices and those sold at market-determined prices. The division of items among groups will vary from country to country. For example bread prices are still subject to government support in several of the countries of the former Soviet Union. Finally, the data gathered by an LSMS survey can help policy makers to identify geographical regions of the country or types of households that will be the target of new policies. This will only occur, however, if there are extensive talks regarding both the current policies and policies under consideration between the questionnaire writers and the policy makers. 3.2 Field Testing the Questionnaires After the questionnaires have been adapted to reflect local policy considerations, they must be tested in the field on actual households and population points. A team of experienced interviewers and the writers of the questionnaires go into the field to ask all or part of the questionnaires to as many as a hundred households of different types and in different parts of the country. The goal of the field test is to ensure that the questionnaires are capable of collecting the information that they were designed to collect. The following questions must be answered in the field test: * Is the full-scope of the desired information being collected? * Does the questionnaire collect information that is internally consistent? * Does each section contain all the relevant types of activities, sources of income, categories of expenditure, etc.? * Is each question clear and easily understood under all circumstances? 5 * Are there alternative interpretations of a question? * Have all responses been anticipated in the coded responses printed? Because the LSMS surveys aim to measure living standards, it is critical that the household questionnaire be tested in a large variety of households. The field test must include households from each major economic, geographic, ethnic and occupational group that is represented in the country. Failure to anticipate the sources of income, the types of expenditure or other characteristics of specific groups on the household questionnaire can lead to false conclusions regarding the living standards and economic prospects of these groups. In addition to ensuring that all types of households are included in the field test, it is necessary to ensure that all sections of the household questionnaire are tested. It is therefore necessary to administer each part of the questionnaire to a variety of individuals for whom that section is relevant. For example, the housing section should be conducted for all types of households: homeowners, renters, squatters; urban and rural residents; people living in single-family houses and those living in apartments. The employment section must be field-tested on individuals who are collective farmers, private farmers, government workers, workers in the private sector, entrepreneurs, self-employed people, unemployed persons, homemakers and children. This is true for each section of the questionnaire. The field test also provides important information that will be used in the rest of the survey work. The questions asked by interviewers during the field test and the mistakes made in completing the questionnaires will indicate which sections of the questionnaire require special emphasis in the training of interviewers. Other difficulties that arise will indicate the situations and problems that need to be discussed in the instruction manuals that will be prepared for the interviewers and supervisors. Given the importance of the field test to the outcome of the survey, it is essential that senior survey staff be present in the field at all times to assess the quality of the results, make changes in the questionnaire when necessary, and witness the problems and difficulties that arise in the course of the survey operation. In some cases it will be necessary to redesign completely part of the questionnaire. This can only be done by those who are familiar with the objectives and policy needs addressed by the survey. All modifications to the questionnaire must then also be tested in the field. Questionnaires completed in the course of the field test can then be used to check for internal consistency in the questionnaire. Large discrepancies between the sum of expenditures and the sum of income sources may indicate an imnportant omission in one or the other category. Inconsistency between answers in the employment section and answers in the agriculture or self-employment section may indicate that the filter questions are not worded correctly in section 7. Population point and price questionnaires must also be field tested in all regions of the country and in a variety of types of population points. If the survey will use questionnaires in more than one language, versions of the questionnaire in each language must be thoroughly tested in the field. 6 4. GUIDELINES FOR ADAPTING THE HOUSEHOLD QUESTIONNAIRE 4.1 Translation of the Questionnaire At an early stage an important decision has to be made regarding the languages in which the questionnaires will be produced and administered. Several factors must be considered: 1. It is always better for a respondent to be interviewed in his or her native tongue, because interpretation can lead to misrepresentation of the question and the answer. 2. Producing the questionnaire in several languages is expensive and time-consuming. 3. A questionnaire can only be administered in any given language by someone who speaks that language so the interview teams will have to contain at least one interviewer who can speak each of the languages contained in the questionnaires. 4. Hiring interpreters to travel with the interview teams is expensive. 5. Using an interpreter to conduct an interview nearly doubles the time required to conduct that interview. 6. Using local people to interpret makes it difficult to control the quality of the interpretation and it compromises the confidentiality of the respondent. It is difficult to offer specific guidelines. The questionnaire should be translated into any language that is spoken by half or more of the households in the country. It is further recommended that the questionnaire be translated and administered in as many local languages as feasible given personnel and financial constraints. All translations should be made after the development of the questionnaire, before the field testing. The questionnaire must be completely tested in all languages. Any modifications that are made must be made consistently in each language version of the questionnaire. It is often useful, at the end of the field testing to have native speakers of the various languages who were not involved in the field test or questionnaire development translate each questionnaire back into the language of the original questionnaire and compare them. Discrepancies must then be resolved in each of the translated questionnaires. Translation of questionnaires requires special attention. It is extremely important that each question be understood in exactly the same way by respondents regardless of which language questionnaire is being used. It is not sufficient to translate only the basic idea of the question, the nuance and exact meaning must also be captured. Question by question examination of the translation is time-consuming and sufficient allowance must be made in scheduling both in questionnaire development and in the post-field test modification of the questionnaires. 7 4.2 Format of the Household Questionnaire The format of the questionnaire minimizes the decisions that need to be made in the field by interviewers. This encourages consistency across interviewers and reduces non-sampling error. There are two key faatures of the format of the LSMS questionnaires: 1. Every question is written exactly as it is supposed to be asked by the interviewer. Lower case letters indicate something that is to be read to the respondent during the interview. Upper case letters indicate something that is NOT to be read aloud, but is only for the interviewer's information. 2. The skip pattern is marked clearly on the questionnaire. There is no ambiguity about who is meant to respond to a section or about to where the interviewer should proceed after a specific question or section is completed. Skip instructions are indicated by one or two arrows followed by Q aind a number, a part or section of the questionnaire, or an indication to ask the questions concerning the person or item in the next row of the questionnaire grid. Two arrows indicate an instruction that applies regardless of the response given to that question. A single arrow indicates an instruction that only applies if that specific answer is given. These design features, together with the procedures followed in the field work and the data entry, have produced high quality data in many of the countries where LSMS surveys have been conducted. The order of the sections in the household questionnaire reflects the following considerations: 1. The household roster must come first in order to identify the persons that must be interviewed. All individual information is collected in the first round of the survey in order to submit the data to consistency checks so that inconsistencies can be corrected in the second round. 2. The housing questions are also asked in the first round because the interviewer must establish what constitutes the dwelling for the purposes of defning the household. 3. Expenditure and consumption sections are contained in the second round so that the period between the two interviews, two weeks, can be used as a reference period. 4. The most sensitive sections of the survey, fertility, savings and credit are placed at the end of the surey. 5. The sections requiring responses from all or most household members are asked in Round One. Arrangements can then be made so that those members identified in Section 7 as respondlents for Round Two will be available to be interviewed during the second visit. 8 4.3 Adapting Specific Questions Four types of modifications must be made to individual questions: response codes, adding questions, dropping questions, and modifying wording. Inappropriate responses should be excluded from the list provided on the questionnaire. Unnecessary codes add to the complexity of the questionnaire and increase the likelihood of incorrect coding. Those codes are frustrating to the interviewer and to the respondent. On the other hand, large numbers of responses of "Other" would limit significantly the value of the analysis that the data will support. All analytically interesting and distinct possible responses should be included. Some questions included in the questionnaire will not pertain to a given country and must be dropped, for instance if there were no minimnum wage legislation in a country, then the question on whether or not the respondent's salary is subject to the minimum wage would be unnecessary. As with irrelevant response codes, irrelevant questions irritate respondents. They also waste valuable data entry time. On the other hand, in many cases, questions will need to be added in order to capture enough information to provide useful insights to policy makers. For instance, because the practice of paying worker salaries with output of the enterprise rather than cash is widespread in many countries of the former Soviet Union, the questionnaire includes a complete set of questions asking what percent of different types of payments was made in kind. Receipt of $200 worth of carpet each month is substantially different from the receipt $200 in cash. Many of the types of questions that must be included will be clear from discussions with various Ministries on current public policy. Clever use of the field test can also reveal points where clarification questions should be included. Any additions or deletions of questions will change the numbering of other questions. It is very important that these number changes are then accurately reflected in any skip instructions on the questionnaire. It is extremely important that the logic of the skip patterns be maintained. It will also be necessary to modify wording of some questions to eliminate any ambiguity that the question may pose in a specific country setting. It may also be necessary to change wording in order to eliminate ambiguity that arises when the questionnaire is translated into one of the other local languages. 4.4 Revising Entire Sections In some countries entire sections will need to be excluded or added. Section 8 on Refugees and Displaced Persons will not be relevant in countries where there is no significant refugee population. LSMS surveys from around the world have included a wide variety of additional modules that have not been included in the questionnaire presented here. Some examples include: anthropometrics for measuring the extent of malnutrition among children, aptitude tests to measure reading and mathematical skills independently of years of schooling, contraceptive use modules that contain questions on knowledge, use and current use of each type of contraception. Privatization and the participation in the economic reforms may be important in capturing economic well-being in some of the countries of the former Soviet Union. Environmental and pollution concerns could also form the basis of an entire module rather than the single question included in section 2 of this questionnaire. 9 4.5 Topic Specifc Guidelines Section 0. Information on the Survey and Interviewer Instructions The purpose of these pages is administrative. The format reflects the structure of sampling and the field workc procedure. The first line would need to be changed if sampling were not based on population points. If the survey were not conducted in two rounds then this would require changes in the structure of pages 2, 3, and 4. Page 3 will need to reflect the procedure adopted for completing the questionnaire and controlling the quality. Appropriate languages will need to be added in the first box of page 2 for language of household head and language of interview. If information on the ethnicity or language of the respondents is not sensitive or if it is likely to vary across members of the household, then questions on language and ethnicity could be included in the household roster. The page numbers in the table on page 3 will be changed if changes in the rest of the questionnaire increases or reduces the number of pages, or changes the order. Box 1. Specific terms in Section 0. Population point (iainAeaiiu io6eo) is a place where people live. It can be a village, a village of the town type, or a town. National censuses list population by population point. Household lists are maintained for each population point at the administrative center of that population point. The population points can serve as the basis for the first stage sampling in two stage sampling designs. This is however not true in cities. The entire city is a population point but household lists are maintained in the separate raions of the city. The English word 'community' doesn't translate well into Russian so this phrase, population point, also takes the place of the word "community' in the appropriate questions. If sampling did not use population points then the references to Population Point and PP code on the information sheet would have to be changed to reflect the sampling cluster unit used. References to population point in questions could be left unchanged because it still seems to be a valid and useful way to convey the sense of "community". Raion is a Russian word that can be translated region, area or zone. It is also however a specific level of government administration, similar to counties in the United States or England. When raion is used in the Russian to mean region, it is translated that way in the English version of the questionnaire. When it refers to the administrative region, then raion has been preserved in the English. The interviewer instructions explain some features of the questionnaire. These include the use of upper and lower case letters to distinguish between what the interviewer sees and what the interviewer says to the respondent and the use of double, '>, and single, *, arrows to indicate whether a skip applies to all respondents of that question or to only those respondents who give a particular response. Implicil. in the interviewer instructions are also the groups of people to be listed on the household roster and the definition of household member. Interviewers are asked to list all individuals who normally live, eat their meals together and share expenses in the dwelling regardless of whether or not the individual was present in the household the day before. Household members include the household head, children born in the last three months, individuals married into the household in the last three 10 months, and other individuals who were absent for fewer than nine months of the last twelve. Servants and paying lodgers and their families form a separate household and should be interviewed separately. Any deviations from the format used or the definition of household member that is to be applied will need to be reflected in modifications to the interviewer instructions. Section 1. Household Roster The household roster has three purposes: 1) to identify household members; 2) to obtain basic demographic information on household members and other persons residing with the household at the time of the interview; and 3) to link household members with their spouses, parents and children. Part IA asks the name, age, sex and relationship to household head of individuals. Marital status in asked and married or cohabiting individuals are asked to identify their spouse if s/he is a member of the household. Questions on length of and reason for absence allow for analysis to be done using a more narrow definition of household member. However, once a person is identified in question 11 as not being a household member, no additional information is collected on that individual. After the questions in Part 1A are answered, the respondents are shown the list of individuals who meet the criteria for household member. Respondents are then instructed to consider only those individuals when responding to questions regarding the household. In the Russian language different words are used to indicate spouse's parents depending on whether the person is a man or a woman and this has been reflected in the two answers 6 and 7 for question 3. Differentiations that exist in other languages in the survey country may require the addition of other categories. Part 1B gathers information on the schooling and principal occupation of the mother and father of each household member. If the individual's mother or father is also a household member then that information is collected in Section 3 of the questionnaire and there is a skip so that schooling information in not collected in this section. Parental schooling and occupation are important explanatory variables in many analyses; it is thus important to have this data for the parents of all household members. The education system of the former Soviet Union is described briefly in Box 2. Part 1C gathers schooling and residence information for the children of household members who do not live in the household. The list is restricted to non-resident children under 20 years of age. This information can be used to measure the total investment in education of the household. Question 15 identifies the type of place where the non-resident children are living. In the Soviet Union, administrative divisions included republics, oblasts, and raions. Every village or town was classified as a republican town, an oblast town, a raion town, a town, a village of the town type or a village. The distinction was not made strictly on size but on administrative importance and level of infrastructure. A village of the town type would be predominantly rural but have some industrial activity. The point is, that the population includes some workers and not just peasants. These definitions may begin to lose their relevance, but they remain applicable in many regions. 11 Box 2. Education system During the Soviet Union, all female workers were granted three years of maternity leave after the birth of each child. Children from age 3-6 attended a kindergarten. At age 6 children entered secondary school-- sredny shkola. Secondary school consists of up to 10 years, after 8 years students receive a 8th class completion certificate. The first three years of secondary school are sometimes called primary school, but they are all part of secondary school. After 8 class, some students leave the educational system altogether. The answer to question 4 will therefore be a number between 0 and 10 indicating the number of years classes completed in secondary school. (For a brief period, secondary schools contained 11 classes.) Students who don't leave school at 8th class, take an exam in Russian and Mathematics. Those who score satisfactory marks can begin two year professional technical schools that teach technical vocational skills such as carpentry, plumbing, welding. At the successful completion of a 2 year program, the student receives a professional-technical school diploma. Those who score slightly better on the 8th class exam and wish to pursue a profession begin a 4 year program at a secondary technical or specialized secondary schools. These schools offer courses in particular fields. In the case of secondary technical schools, agriculture, construction and commerce are covered. In the specialized secondary schools, dentistry, nursing, art, music, architecture are taught. Successful completion of the four year program earns the student a secondary technical school diploma. The student can then begin work, qualify for entrance into a professional secondary institute by taking the entrance exam. Some students enter university after secondary technical or specialized secondary school. The most academic students and those that don't know exactly which profession they want to follow continue in secondary school to 9th and 10th class. Then they receive a secondary school completion certificate. After secondlary school students can begin work, follow two years at a secondary technical or specialized secondary sc hool, take the exam to enter an institute or take the exam to enter a university. Higher educational institutions include universities and institutes. Universities offer many arts and science programs. Institutes offer all other technical and professional programs including medicine, engineering and foreign languages. After successful completion of a 5 year program at an institute or a university the student receives a hiigher education diploma. Through additional post graduate work in institutes or universities, a student can earn the candidate of science or doctor of science, in that order. The answer to question 5 will be a number between 0 and 10 indicating the number of years spent in total in the following educational institutions: professional technical school, secondary technical school, specialized secondary school, institutes and universities. The answer ito question 6 will provide information on whether the respondent finished 8th or 10th class of secondary school, finished one of the three secondary institutes, or completed a program in a university or institute (answer 6). At the present time, maternity leaves are far less widespread but there is also a great deal of unemployment among women. Many kindergartens have closed. Children start secondary school at age 7. In many countries schooling through the 8th class is no longer mandatory. At all levels there are an increasing number of private establishments. Sometimes these private establishment replicate existing institutions, for example kindergartens. In other cases, the overlap is not complete. For example, there are private schools that teach only the first 6 years of secondary school, religious schools that follow a completely different curriculum, and universities that attempt to replicate the western 4 year BA and 5 year MA programs. Some of the new universities offer programs previously available only in institutes. 12 Section 2. Dwelling Part 2A gathers information on type, size, and construction materials of the dwelling. These characteristics often reflect socio-economic status and living standards. In the countries of the former Soviet Union, year of construction is also a general indicator of quality of housing, especially for apartments. Response categories for type of dwelling and construction materials may require modification.6 The question on floor of building is included because it can impact convenience, security, water pressure and other aspects of daily life. Part 2B gathers information on ownership/rental of housing, monthly payments for the dwelling in cash and in kind, estimated sale and rental values are collected for households that own their dwelling. In the countries of the former Soviet Union, housing markets and rental markets are not well-developed. In rural areas they are virtually non-existent. Estimates of the value of the dwelling are important for estimating the expenditures and socio-economic level of the household but it may be very difficult or impossible for households to answer these questions. Field tests should determine whether these questions can be asked to all households or if additional questions and skip patterns must be introduced, so that, for instance, only urban households are asked to estimate a rental value. In the Soviet Union, dwellings--houses and apartments--could be owned. A distinction was made between productive and not-productive capital. Private ownership was only forbidden in the case of productive capital--land and factories. Each family could own only one dwelling. Each member of that family would be registered to live in that residence. It was rare and difficult, though not unheard of, for people to live in places different from where they were registered. People caught living without registration could be sent to prison. Privatization programs since independence have varied from country to country. Often, each family was provided with coupons that could be used to purchase the dwelling they were living in. "Cooperative arrangements" describe the situation in which a group of people have formed a cooperative council to collect money from several people who are interested in purchasing an apartment. With the money collected and a loan from the State, the cooperative council constructed an apartment building. Over the course of several years, residents make payments to the cooperative council and the cooperative council pays off the loan to the State. "Swapped" describes the fairly common occurrence of two families going to the local authorities and reporting that, for example, since the children of family A have grown and left the apartment and family B is growing and more in need of a larger apartment, the two families would like to swap apartments. The change of residence would then be noted officially in the passports of both families. If rent is often paid or denominated in westem currency, then this should be noted. The response categories may vary from country to country. If western currencies are never used then this part of question 13 could be dropped. On the other hand, if the practice exists, but is illegal, then the question may be extremely sensitive and require some modification. For all households, questions are asked covering the water, bathing, toilet, lighting, cooking, heating and telephone. Availability, type of facility, and quality of service of utilities can have an 6Answer code 1 to question 8 is ASBESTOS SHEETS. This answer on the Russian version could be translated, slate, but the same word refers to corrugated asbestos sheets. Slate-roofed houses are extremely rare. 13 important inipact on the health, time requirements and general living standards of the individuals in the household. Questions should be dropped or added to reflect the concerns within the survey country regarding quality, availability and regularity of service. If availability of electricity or water is restricted, then it matters in terms of inconvenience, cost and health risk if it is restricted to a fixed period each day or if the periods of non-availability are unpredictable. It also matters whether the quantity and quality are good, consistent, predictably variable or unpredictably variable. It is not sufficient to know whether service is perfect or imperfect because different types of imperfections represent different levels of inconvenience and require different expenditures and pose different health risks. In most sizable cities in the countries of the former Soviet Union, hot water is produced in a factory outside the center of town and piped through the city to provide heat through radiators and hot water to the individual dwellings and businesses. A banya is a room dedicated to bathing. Normally, the banya contains a stove for heating the room and hot and cold water available either through pipes or in cisterns. The room contains a couple of benches and there is a drain in the middle of the floor. The word banya could also refer to a simple room into which people go with a bucket to shower. A hole in the wall near the floor allows water to drain out of the building. A sauna is like a banya with the stove but there is l1o running water in a sauna. Public banyas can be very large establishments that include saunas, hot pools, cool pools, showers. Not all residences and businesses have phones. It is common even in the cities for people to rely on neighbors to pass on phone messages. Other times people rely on phones in nearby businesses. In towns there are public phones in the post office and telephone service office. Part 2B also collects information on the amount of money spent for the last month for each of the household utilities. If the costs of these services has varied dramatically over the 12 months before the survey and if these variations have differed for different parts of the country, then it may be necessary to ask not only for the last month but a monthly average for the last year. Section 3. Education Schooling is often an important objective of public policy. Schooling is also often found to be an important determinant of individual and household behavior. The education section contains three parts: attainment and expenditures, care of children and training. In Part A self-reported literacy and numeracy, years of schooling completed, highest degree attained, attendance and expenditure on education are collected for each individual 7 years and older. The cut off of 7 years may be lowered if six or five year old children often attend school. Response categories for questions 1 and 10 should be specified to reflect the importance of various languages in the survey country. Questions 1-3 may be redundant or politically sensitive depending on the situation in the survey country. For question 3, literacy in aly language may be sufficient. On the other hand, language of literacy and instruction may be an indicator of the quality of instruction. It will be necessary to find an acceptable wording so that the information may be gathered without giving offense. Since the dissolution of the Soviet Union, the number of children who do not attend school or who leave sc:hool early is believed to be increasing. Question 13 and 25 ask the reasons for non- attendance. Also since independence, the structure of educational institutions is diversifying. Questions may need to be added or modified in order to capture new as well as old structures. 14 The second page of Part 3A asks for the amount spent by item for each individual in the last 12 months. Detailed schooling expenditures are collected to ensure complete recall of all expenditures. It also permits analysis of the components of education expenditure and distribution of household expenditure on schooling among children in the household. Information on the distance to school is collected because the cost in time and money of travelling to school can affect enrollment and attendance. Another post-independence change common in the countries of the former Soviet Union, is the loss of employer-provided child care. Part 3B collects information on use of child care facilities and on the amount spent on child care in the last month for each child under the age of 7 in the household. Part 3C gathers information for all household members age 16 and older on the type of and amount spent for training other than formal schooling. The questions in this section should reflect the type of training programs offered by the Ministry of Labor and other institutions and elicit the information necessary for evaluating coverage, usage, applicability of the existing program. On all questions concerning labor, labor training and job classification, it is very difficult to make Western distinctions make sense. In the Soviet Union, all people are either clerks, workers or peasants. "Clerk" is extremely broad and includes bankers, functionaries, hairdressers, electrical technicians and sales clerks. It is extremely difficult to phrase a question so that the Deputy President of the Bank can be distinguished from the security guard, telephone operator or cleaner. That is to say that degree of responsibility, autonomy and physical labor can not be inferred from the answer to a single question. In the Soviet Union, workers of all levels and professions took training courses in order to obtain a higher qualification. The government chauffeur and the factory accountant would both respond "to get a higher qualification" when asked what was the purpose of the last training course taken. It seems that in many cases the training didn't focus on particular skills. It is not clear that respondents will understand the distinction between professional skills and technical skills. (Workers who weld all their lives are professional welders and if they follow a course to learn to weld better then they have improved their professional skills.) Section 4. Health Like education, health is a primary concern of public policy and a very important indicator of the standard of living of individuals. The purpose of section 4 is ascertain general level of health of household members, the utilization of health facilities, and the level of expenditure on consultations, medicines, treatment and hospitalization. Section 4 contains four parts: chronic illness and disability, recent illness or injury, general health, and activities of daily living. Chronic illness and disability are included in a separate section because chronic illness affects demand for health services, expenditure on health services and standard of living differently from acute or short-term illness or injury. The information requested here is not intended to measure all health care utilization or to measure the incidence of illnesses.7 The information is intended to analyze the use of health care 7The latter point is especially important. In general, LSMS surveys cover 2000-5000 households. The relatively small sample size has many advantages and only a few drawbacks. However, one of those drawbacks is 15 facilities. Only one illness or injury is recorded, although an individual may have had more than one in the last four weeks. The questionnaire contains questions on the first application for care, on a second application for care and a few questions on additional treatment and hospitalization. If shortening the questionnaire were a high priority then questions could be limited only to the first consultation. While this may not be an important limitation in countries where health facilities are not numerous, it may be a serious limitation in countries of the former Soviet Union where there is a large number and variety of health facilities. In the transitional health system of the former Soviet Union many state health facilities are in disarray and private health enterprises are not widespread. For instance, patients requiring an operation are given a list of medicines and supplies needed. When the patient obtains everything on the list then the surgery can be performed. There may be no charge for the operation, but in fact a great deal may have been spent to get put on the schedule and obtain all the supplies. This has been reflected in the wording of the expenditure questions in this section. It is very common for health professionals and health facilities to demand informal payment or cash or in kind even for services that are, in principle, to be provided free of charge. The most common situation observed now is to have health care workers in state facilities making informal charges to tihe patients in order to provide themselves with a salary. Sometimes these payments are quite small and optional; even before independence, people would often take small gifts such as a box of tea with tlhem when they go to the doctor. In other cases, the payment is quite high and actually a bribe that muast be paid in order to receive some service--anything from an appointment, to a prescription, to clean bed sheets. Facilities are not sufficiently supported and operate with little or no equipment. Response codes in question 6 and 7 (and 16 and 17) should be adjusted to reflect the existing options for health care in the survey country. Note that questions regarding employer provided health and dental benefits are asked in the economic activities section of the questionnaire. If private health insurance that is not employer-related exists, questions of medical/dental insurance expenditures should be added to the expenditure section and questions of coverage of expenses by insurance should be added to the health section. that while events that affect a relatively high proportion of the population, for example school enrollment, can be estimated with precision; events that affect a very small proportion of the population, for example incidence of a certain illness, cannot be estimated with acceptable precision. For a fuller discussion of sample size in LSMS surveys, see C;rosh and Munioz, 1996. 16 Box 3. Terms in the Health section. Doctors must study at least 5 years at the Institute and obtain a diploma of superior education. Nurses study at a secondary specialized school for 4 years after 8 years of secondary school. Feldshers study 4 years at a secondary specialized school after 10 years of secondary school. They are able to do most of the things doctors do, treat illness, prescribe medication, do minor surgery. They do not have the right to do specialized surgery. A healer means a traditional healer. A polyclinic provides general health service and is the first point of address for most health problems. The doctors then refer patients to health centers, hospitals and clinics. All types of doctors and therapists can be found at polyclinics. Polyclinics have facilities for minor surgery but there is no in-patient care. A feldsher post serves the purpose of a polyclinic in a village too small or remote to support a polyclinic. A feldsher post is generally very small, perhaps one room, and staffed by a feldsher who may or may not be assisted by a nurse. First aid and general medical care are provided. For special surgery and other treatment involving special equipment or specially-trained health care professionals, a referral is made to another health facility. A woman's consultation is like a polyclinic but concerns only women who are pregnant or suffering from illnesses of the female organs. There is no in-patient treatment. Abortions at less than 5 weeks are performed in the woman's consultation. A maternity home has in-patient facilities for women to give birth. Surgery on female organs is also performed at the maternity home. Abortions after the 5th week are done in maternity homes. A health center (dispenser in Russian but not dispensary in English) provides care for a specific type of serious illness such as cancer, sexual diseases, or lung problems. Care is given by doctors and nurses and there are facilities for in-patient care. A hospital is bigger than a health center and provides care and surgery for all maladies. A clinic provides experimental treatment and conducts scientific experiments. For instance, cancer patients may go to a clinic to participate in a trial of the latest treatment techniques. A sanatorium is a combination hospital/nursing home/health spa. Each sanatorium is devoted to the care of a specific type of health problem. Holistic care is prescribed including medication, diet, exercise, use of natural springs and other natural phenomena believed to have curative powers in the treatment of the specific disease. Only long-term (usually 24 days) in-patient care is available. Section 5. Economic Activities The economic activities section of the LSMS questionnaire, which contains ten parts, is one of the longest and most complicated. The complexity arises from the need to capture accurately the occupation, benefits and earnings of all household members including those who are self-employed or involved in informal labor activities. 17 All respondents 7 years or older are to answer part A. 8 Respondents who have worked in a profitable business, a relative's enterprise, or at hunting or agricultural activities in the last 7 days proceed frorn part A to part C. Respondents not involved in those activities in the last 7 days but who were involved in the last 12 months proceed to part E. Respondents who did not work in the last 12 months but who looked for a job in the last 7 days proceed to part B for questions on job search and then to part I for questions on other time use. Respondents who did not work and did not look for work answeir a question on the reason for not looking for work and then proceed to part I. Part 5c is the longest and contains questions on hours of work, earnings from work, salaries, benefits and other renumeration in cash and in kind, and work conditions for the main work in the past 7 days. Two characteristics of employment in the countries of the former Soviet Union are reflected in the questions in this section. The first is that, in the Soviet Union, a person's place of employment served as the point of contact between the government and the individual. Benefits, including child and bread allowances, were distributed through enterprises as part of the individual's paycheck. The enterprise was the source of a wide range of material benefits including child care, maternity leave, health care, sanatorium and vacation vouchers, reduced price food stuffs, even tickets to the opera would often be distributed through the enterprise. Benefits and resources would be allocated among enterprises by the government and then it was left to the enterprises to allocate those benefits among its employees. Enterprises received a certain allotment of days in rest homes and sanatoria for their employees, these were given to the employees and constituted a reduced-price (sometimes free) stay at a resort. It was also the enterprise that would be responsible for the allocation of sick lists.9 Since the break-up of ithe planned economy, many enterprises are no longer able to provide all of these benefits because the government is no longer providing them. In addition to the deterioration of these benefits, many enterprises run wage arrears and it is common for employees to be paid in output from the enterprise. The questions in this section have been designed to capture both the magnitude of non-wage benefits received and the extent to which employees have lost benefits. Part 5D collects information on hours worked and type of activity of additional work undertaken in the last 7 days, if respondent answered yes to question 61 in part 5C. Respondents who worked in the last 7 days and those who worked in the last 12 months then answer the questions in part 5E on search for additional employment. Part 5F replicates the questions in part 5C on work hours, conditions and renumeration for respondents who worked in the last 12 months but not in the last 7 days and for respondents whose main job in the last 12 months differed from their main job in the last 7 days. Part 5G asks questions 8Again, the choice of cut off age will reflect a trade-off. It is unnecessarily time-consuming to ask questions of household members who are not involved in the labor force. On the other hand, it is important that all contributions to household labor income are captured. The field test should use the lowest reasonable age, the cut-off age could then be adjusted upward if the results of the field test show that no children below a given age are working. 9A sick list is a blue piece of paper provided by the doctor to the patient indicating the illness and the prescribed period of treatment. Presentation of a sick list entitled the worker to days off with 100% pay for the specified time, usually 3 days at first, with the possibility of extensions to 30 days and longer in exceptional cases. 18 on employment history, 5H on additional work in the last 12 months, 51 on other activities and 5J on other income. The types of income listed in Part 5J reflect the monetary benefits that are earned by individuals but are not related to employment. This list should be lengthened to include all benefits that may be available to individuals in the survey country. Any benefits that are no longer paid should be excluded. Information on household income that does not accrue to any single individual is gathered in Section 14. Other than the list of items in Part 5J, Section 5 should not require substantial revision. However, questions in Part 5C, and those in Part 5G, should include all relevant job benefits and renumeration and current legislation. For example, if there were no minimum wage law then question 52 would not be relevant. Section 6. Migration Questions in the migration section are asked of all household members age 15 and older. Migration of younger household members is presumed to be linked to the migration of their parents. However, it is possible that their are many children moving away from their parents' household into a relative's household. If such a practice were common in the survey country then lowering the age cut- off for the migration section should be considered. Government policy can have direct and indirect effects on internal and international migration and migration is one of the ways a household can improve its standard of living. On the other hand, migration may have been forced and actually result in a significant drop in standard of living. The information gathered in this section can aid the analysis of the impact of various policies and conditions on migration of the population and of the labor force. This section includes questions on the size of the place of birth, registration at current place of residence, reason for leaving place of birth, reason for coming to current place of residence and number of places lived during respondent's life. Residents of the Soviet Union were required to be registered in their place of residence, movement among houses and among towns was restricted. Access to employment, health and other public services would be limited for people who were not properly registered. The importance of registration and the range of services tied to registration is now likely to vary among the countries of the former Soviet Union. Conditions in the survey country will determine the nationalities specified in question 1 and the reasons listed in questions 8 and 12. Section 7. Respondents for Round Two The LSMS questionnaire is designed to be administered in two rounds two weeks apart. This structure serves several purposes: it allows for omissions and inconsistencies in the answers provided in the first round to be clarified and it establishes a clear reference period that will be used in the consumption module. The purpose of section 7 is to identify the respondents who will be interviewed in the second round. The most knowledgeable household member is asked to identify any refugees or displaced persons in the household, the member of the household who is most knowledgeable regarding agricultural activities, other household enterprises, businesses, shopping for food, and household 19 expenses and income. Finally, in question 12 the interviewer selects one woman from among the women of thLe household between the ages of 15 and 50 to respond to Section 13 on fertility. Section 8. I)isplaced Persons and Refugees The dissolution of the former Soviet Union has resulted in large scale movement of population in many places. During the Soviet Union there was a great deal of forced migration of various ethnicities from one region of the USSR to another. People have taken advantage of the break up to return to their original place of residence. Fighting and wars in Azerbaijan, Tadjikistan and elsewhere have created refugee populations. A special questionnaire section on Displaced persons and refugees will not be necessary in most of the countries of the former Soviet Union, but in some countries refugees make up a large proportion of the population and are of significant public policy importance. The questions in Part 8A cover the amount of contact between the refugees and their community from the place of origin to determine if that community structure can be used in the organization of social services. There are also questions on the amount and type of assistance that these household members are: currently receiving. This is important in the evaluation of household economic situation. Questions orn source and type of assistance must be tailored according to the relief program in the country. Part 8B asks which household assets were refugees able to bring with them and which they expect to be able to recover if they return. These questions can provide important insights into the current living situation and needs of the refugee populations and into their needs if they were to return. The relevance of these questions and the way they should be phrased will depend on the cause of migration and vary from one country to the next. Section 9. Agro-Pastoral Activities The agricultural section is very long and complicated reflecting the fact that agricultural assets are an important store of wealth as well as being a source of income. The section is further complicated by the variety of agricultural entities in the countries of the former Soviet Union. Land ownership is a very contentious issue throughout the Soviet Union. Many places have begun privatization of land but it is the long termn rights to use the land, not the land itself, that can be bought, sold and owned. The laws that apply to ownership of houses and apartments differ from those that apply to land because of the distinction between productive and non-productive capital. In the Soviet Union, all farming was done by Sovhozes (state farms) and kolhozes (collective farms). Sovhozes are generally much larger than kolhozes and they are run differently. Sovhozes are analogous to State enterprises. In addition to the crops and animals there would be some industrial production facilities, for example, a cheese factory with a dairy farm. Sovhozes were managed by a director appointed by the State. Kolhozes were farmer collectives. The farmers elected a president to run the farm but many decisions regarding production and the division of work were made by a counsel of the farmers. Kolhozes exercised some degree of autonomy. Land was farmed together, vehicles, buildings, fuel were purchased and owned jointly. In addition to the land that was jointly farmed by the collective, each member was allotted land for a garden plot and access to grazing land. The work of the farmers was very specialized. Some farmers operated the tractors, others were responsible for 20 irrigation, others for weeding. All business and marketing decisions were delegated to the Regional Committee of the Communist Party and the Ministry of Agriculture. The entire agricultural section will need to be adapted to reflect the state of privatization and agricultural reform in the country. For example, if there is no private ownership of land, then questions 2 through 6 from Part 9A should be excluded. Section 10. Non-farm Self-Employment Section 10 includes questions that cover working conditions, assets, expenditures and revenues for up to three trades, businesses, production and professional services that members of the household own or run. The purpose is to measure net income of the household from non-farm businesses run or owned by members of the household and to provide an estimate of the value of the assets of those businesses. The reference period for expenditures and revenues is left open for the respondent to specify an amount and a time frame. For example, the respondent could report spending $10 a week or $520 a year. The flexibility is advantageous because if a time frame is specified, then the respondent is required to do some mental division or multiplication. The specification of a short time frame also opens the possibility that some types of expenditures will be missed. On the other hand, in conditions of inflation it may be necessary to know when the last expenditure was made. Section 11. Expenditures and Durable Goods Often household consumption expenditure is used in economic analysis rather than household income as an indicator of household economic well-being because consumption expenditure is less volatile. Expenditure amounts are collected in several parts of the questionnaire: housing and utility expenditures are collected in Section 2, education expenditures in Section 3, health expenditures in Section 4, and food expenditures in Section 12. Section 11 collects amount of expenditure on daily items (Part 11A) and other annual expenses (Part 1 1B). Part 1 1A asks for amount spent on 14 categories of daily use items. The reference period is "since my last visit" which is intended to be two weeks. If a different field work schedule is used then the reference period must be amended so that it represents the same length of time for each household. Annual expenses are gathered in Part 1 1B. A single recall period of 12 months is used. In conditions of high inflation, it may be necessary to use a shorter recall period. A shorter recall period would have the additional advantage of increasing the accuracy of the responses, as it is admittedly difficult to estimate the amount spent in the last year. Use of a shorter recall period means that infrequently purchased items are often missed. In estimating average expenditure across households this would not pose a problem but it does pose a problem in trying to calculate expenditure figures that are comparable across households; a household that purchased a car within the two weeks before the survey would look much "richer" than other households when the exact opposite may be the case. Part 1 IC gathers information on the type, value and year of purchase of 19 types of durable goods. With this information, analysis using the data can include ownership of certain durable goods to control for wealth of the household. It is also possible to calculate a use-value of the durable goods that 21 are owned by the household and imputed use-value can then be added to household expenditure to capture more completely the economic position of the household. Often users of LSMS surveys are more interested in distinguishing poor from moderate households rather than rich from very rich households and the list of durable goods in Part 1 1C reflects that propensity. In many of the countries of the former Soviet Union the sale of household durable goods has become a common way of supporting consumption especially among pensioners. In order to measure the impact of this in survey households, questions have been included in Part 1 1C to gather information on items sold and money earned from durable good sales in the last 12 months. The reported amounts can be compared to those reported in Section 14. Value, year of acquisition, resale value, and rental income, if any, for Real Estate Assets other than the dwelling and agricultural use land are collected in Part 1 ID. The applicability and content of this section will depend on the legal situation in the country of the survey. Household expenditure on money and goods sent as remittances to individuals who are not members of the household is included in Part 1 1E. Questions are included to identify the individual in the household who is the source of the remittance and the type of relation and size of town of the recipient. Section 12. Food Expenditure and Consumption Measuring food consumption of households is very important for many reasons. Food often accounts for a large share of total household expenditure, especially in poorer households. Also, the health and well-being of individuals depends on the types and amount of food that are being eaten in the household. In many of the countries of the former Soviet Union, food prices to consumers are still set or supported by the government. Measuring consumption patterns is important to the analysis of the incidence of such subsidies. Fifty-seven food categories have been included. It is important to capture the most important items in the local diet, a variety of foods, and those foods that are subject to public policy. The content of the list may need to be adapted for the survey country. Box 5. Terms in the Food Categories Groats contains buckwheat and oats. The Russian word for category 20 is translated vegetable marrow which includes pumpkins, squash, zucchini, etc. but not cantaloupe or other melons. Grapes can be considered berries and not fruit in Russian. Watermelons and melons are also not considered fruit. Other fruits would include peaches, pears, plums. Section 13_. Childbearing Population growth and fertility are not usually problems of the same magnitude in the countries of the former Soviet Union as they are in many countries in Africa and Asia. Population growth was quite low in the Soviet Union and it remains low among the ethnic Russian populations in many of the independent countries. At the same time, fertility and population growth among the non-Russian 22 populations is often higher. Also, infant mortality is a health problem in many of the countries of the former Soviet Union. Section 13 contains the complete list of the live births of the woman chosen in Section 7 from among all of the women in the household age 15 to 50 to respond to the questions on fertility. There are also questions on when she began sexual relations, the number of miscarriages and abortions she has experienced and on the breastfeeding of her most recent child. In almost all countries of the former Soviet Union, access to modem means of contraception is very limited. In the Soviet Union abortion was the most widely-used means of limiting or spacing births. For this reason, questions on use of birth control are limited to two questions in Section 4C on general health. If family planning and contraception are the object of current government effort or concern or if there has been a public or private family planning initiative, then the questionnaire could be modified to include a more thorough set of questions on knowledge, availability, and use of various methods of contraception. Section 14. Other Sources of Income Income from employment and individual government payments is gathered in Section 5, from agriculture in Section 9, from household businesses in Section 10, from the sale of household assets in Section 11. Income received by household members as remittances from individuals who are not household members is collected in Part 14A. Part 14B collects information on income received from other sources including inheritance, insurance, interest on loans to other people, gifts, rental of property and aid from non-governmental organizations. For each type of income respondents are asked to provide an estimate of the amount received in the last 12 months in cash and the value of the amount received in kind. Again, if the survey country is experiencing high inflation during the survey period then it may be necessary to shorten the recall period or to ask the questions in two parts-the amount received within the last two weeks and the amount received in the last year. Section 15. Loans and Savings The purpose of this section is to measure the net debt of the household. It can be important in explaining discrepancies between income and expenditure. It also provides insight into the extent to which formal and informal credit markets are available to households. This information is, by far, the most sensitive of any collected in the household questionnaire and for this reason it has been placed at the very end of the questionnaire. Interviewers are instructed to respect the sensitivity of these questions and to ask the questions in private to the best-informed person. If privacy is not possible, then the informant can be asked to write down the amount where only the interviewer can see it. 23 !5. ADAPTING 'THE POPULATION POINT AND PRICE QUESTIONNAIRE The household questionnaire collects information on household use of several public services such as health care, schooling, and employment services. To analyze the impact of public policy in the provision of those services, it is necessary to know what services are available to everyone, not only to the households that did use them. This information is collected in the population point questionnaire. In general, the population point questionnaire will require less modification than the household questionnaiire as the items covered are of a more general nature. Nevertheless, consideration of the sections and the questions in light of existing conditions and policy concerns of the survey country is worthwhile. Ethnic groups must be specified in Section 1. Demographic Information. As it is, Section 1 contains one general question on net immigration. Large changes in the population of some communities is a feature of life in many of the newly independent countries. Additional questions could easily be added to specify the number who have emigrated or the types of people who have emigrated or the destination of most emigrants. Similarly, more specific questions could be asked regarding employment and independent economic activity in Section 3, or regarding specific education or health concerns in sections 5 and 6. Perhaps closure of health facilities, or running two or three shifts in schools is common. Questions should be included to determine the extent to which the population point was affected. If the Ministry of Agriculture was considering an assistance scheme that would provide veterinary services for all animals but only in population points where horses were grown, then a question should be added to determine whether or not the population point would be a part of that scheme. Endless examples could be imagined. The questionnaire designer will want to consider each section keeping in mind the questions thtat the data should be able to address. Section 8 contains an inventory of public institutions. For this section and section 2 on Infrastructure, the list of institutions and services that will be asked can be modified. Caution should be used in removing institutions because "almost every" population point has one. For example, existence in the population point of a dentist becomes an important indication of standard of living precisely if there are very few population points that do not have a dentist. Section 9 is the price questionnaire. The price questionnaire contains a list of food and non-food items. Information on local prices is important in comparing living standards across households and across regions of the country. The price questionnaire is completed in each area at the same time as the household survey. Prices should be collected for frequently purchased items, items available in rural and urban areas, prices of special policy interest, and food staples included in the consumption section. Many countries already collect price information. It is still important to administer the price questionnaire at the same time as the household questionnaire. This is especially true during high inflation. Even when inflation is not an important concern, prices are not likely to be collected in every point and the ability to link households to the prices at that place and time is very useful during analysis. 24 In some LSMS surveys, facility questionnaires are used to compile extensive information on the quality services in each population point. In these surveys, each medical facility, for example, is interviewed to collect information on price, quality, and availability of a wide variety of services and supplies. Facility questionnaires have been used to survey health facilities, family planning facilities and education facilities in conjunction with LSMS surveys in various countries. 25 6. CONCLUSION This paper applies the substantial experience of LSMS surveys in the context of the newly independent states. The LSMS questionnaires provided here are designed to be of assistance to those attempting Ito conduct household surveys on standard of living or living conditions in the Russian- speaking countries of the former Soviet Union. However, the questionnaire, as it is, is not ready for use. Significant time and effort will be required in lengthy discussions with government authorities and policy makers. Each section must be tailored to reflect existing institutions, laws and customs specific to each country. If the existing institutions are not reflected the survey will be frustrating to interviewers and respondents. It will also fail to provide accurate data. Just as importantly, questionnaire writers must understand the important policy questions that the data will be expected to address. Discussion among policy makers and data analysts will determine the variables that are needed to address questions empirically. Failure to consult sufficiently with the policy makers and data analysts, will significantly decrease the usefulness of the data. LSMS experience has shown that time spent in questionnaire development is usually well-repaid. The questionnaire is easier for interviewers to administer, and it is more interesting and more straight- forward for respondents to participate. Those factors then contribute to ensuring that the questionnaires contain fewer mistakes and are a smaller burden for the data entry operators. Data that are cleaner and more relevant to policy and contribute to more useful and more widely used analysis. 26 LSMS Household Questionnaire for the Countries of the Former !3 Soviet Union L0V ING I MISTLANARDS MEASUIREiRMLENT SURVEY FOR COUNTRY HOUSEHOLD QUESTIONNAIRE YEAR OF SURVEY STRICTLY CONFIDENTIAL C00 My name is I represent the SURVEY INSTITUTE We are conducting a survey of the standard of living in all regions of COUNTRY You are aware that people speak much about the current economic situation in COUNTRY, on the hardships that many people suffer from. To have an exact idea of what is really is going on there is not an'y other way except to survey the conditions of thousands of people in various families Only after summarfzing all those responses can we make up a real picture ol how the people of COUNTRY live. For that purpose ##### addresses have been chosen at random as in a lottery. One of those addresses proved to be yours. The authenticity of the results of the whole survey will depend on your sincerity and exactness while answering the questions of this questionnaire conceming the matenal conditions of your life. We assure you that your personal responses will not be disclosed and after all these questionnaires ale processed by the computer, they will be used only in a summary way. If any question arises in connection with this survey you are welcome to telephone the number indicated on the visit card of our organization that I leave for you here. I express my gratitude for your participation in this survey in advance. INFORMATION ON THE SURVEY POPULATION POINT _PCODE.I || I1 I HOUSEHOLD CODE I II I ROSTER I III I HEAD OF HOUSEHOLD. ADDRESS OR DESCRIPTION OF THE PLACE FIRST ROUND OF SURVEY SUPERVISION OF PRINTOUTS. ROUND ONE INTERVIEWER CODE II . OATEI 111 1 SUPERVISOR ID | IDATE DWELLING YES I IS TMEHEAD OF YES.. I REMARKS FOUND? NO. 2 .SUPERVISOR HOUSEHOLD SAME? NO 2 .SUPERVISOR NAME OF NEW HEAD LANGUAGE .1 .3 ..s SECOND ROUND OF SURVEY PROPOSED DATE: OF HEAD. 2 4 6 INTERVIEWER ID |ATE LANGUAGE OF INTERVIEW . .1 2 I I REMARKS DOES AN INTERPRETER PARTICIPATE? YES. I NO .2 REMARKS VERIFICATION OF THE OIESTIONNAIRE. ROUND TWO _______ __________________________ SUPERVISOR ID | || |DATE VERIFICATION OF THE OUESTIONNAIRE. ROUND ONE REMARKS SUPERVISOR ID] 1 I DATE I 11 1|| REMARKS DATA ENTRY ROUND TWO REINTERVIEW BY SUPERVISOR. YES .1 NO. 2 1 I OPERATOR __10 I | I DATE i HOUSEHOLD REPLACES NUMBER. f II I HOUSEHOLD WILL BE REPLACED BY NUMBER " II I REMARKS REASON DWELUNG NOT FOUND I VACANT 2 OCCUPANT NOT HOME 3 REFUSAL 4 I I DATA ENTRY ROUND ONE I 2 OPERATOR ID_ 1D1 | DATE .I II I _______ID______ DATE REMARKS SUMMARY OF SURVEY RESULTS INTERVIEWER SUPERVISOR ROUND SECTION PAGE FIRST VISIT CHECK UP VISIT INTERVIEWER OPERATOR CORRECTED IN Of FICE I CORRECTED DURtIG SATISFACTORY ... I SATISFACTORV I SECOND ROUNO .. . 2 To BE COMPLETED 2 CORRECTIONS 2 CORRECTEO DURING DAY MONTH YEAR RESULTS DAY MONTH YEAR RESULTS TO BE REDONE 3 CHECK-UP VIST . .. 3 COMPLETE I NOT CORRECTED 4 PARTtAL . 2 COMPLETE I -NOT AMPUCABU 3 PARTIAL. 2 FIRST I Househod eostur 7.9 ROUND _ _ _ 2 Dwelling 10-14 3 Education 15-18 4 Hehhh 19-24 S Econ AcItries 25-40 6 Migration 41 7 Respondents 42-43 0~~ __ _ _ _ _ _ _ _ _ _ .__I__I SECOND e Displaced wesons 44-45 ROUND ond refu|ee| 9 Agncutltte 46-57 10 Self-employment 5-62 1 I Expenitires 63-67 12 Food 69-71 13 CIa"eu.g 72.73 14 Other sotces of 74-75 incom a55 ~ ~ 7v7 _ -_ - _ _ _ _ OBSERVATIONS AND COMMENTS REMARKS Y THE INTERVIEWER ON THE PRST ROUND REMARKS BY THE INTERVIEWER ON THE SECOND ROUND REMARKS DY THE SUPERVISOR ON THE FIRST ROUND REMARKS mY THE SUPERVISOR 0ON THE SE-COND ROUND INTERVtEWER WSTRU HS FOR SECTION 1. THE PERSON INTERVIEWED SHOULD SE THE HEAD OF HOUSEHOLD IF HE/SHE IS NOT AVAILABUL FIND A PRINCIPAL RESPONDENT TO ANSWER THE OUESTIONS IM HISIHER PLACE. THE PERSON SELECTED MUST BE A MEMBER OF THE HOUSEHOLD WHO IS ABLE TO GMVE INFORMATION ON THE OTH .. ::OU EHwLD MEMO'ERS. tO COOE OF RESPONOENT FOR SECTtON A I 11 | THROUGHOUT THE OUESTIONNAIRE. QUESTIONS SHOULD BE ASKED OF EACH ITEM IN ORDER UNLESS A SKIP IS INDICATED SKIPS ARE INDICATEO WITH ARROWS. A SIGE ARROW. ., tOICATES THE NEXT QUESTION TO DE ASKED IF THAT PARTICULAR ANSWER HAS BEEN GIVEN A DOUBLE ARROW. INDICATES THE OUESTION TO BE ASKED NEXT REGARDLESS OF THE ANSWER GIVEN EVERYTHING THAT IS WRITTEN IN CAPITAL LETTERS IS FOR THE INTERVIEWER ONLY ANO IS NOT TO 8E READ ALOUD EVERYTHING IN SMALL LETTERS IS TO B READ TO THE RESPONDENT EXACTLY AS IT IS WRITTEN THE ONLY EXCEPTION IS THAT THE INTERVIEWER MtUST REPLACE INAMEI OR IITEMI WITH THE APPROPRIATE NAME OR ITEM WHEN READING THE OUESTION. FOR EVERY OUESTION A SET OF RESPONSES IS PROVIDED WITH CODES FOR EACH RESPONSE THE INTERVIEWER SHOULD WRITE ONLY THE CODES ON THE OUESTIONNAME. THE ONLY EXCEPTION IS WHEN THERE IS A UNE TO SPECIFY ANOTHER ANSWER AND EVEN THEN THE CODE FOR 'OTHER' MUST BE ENTERED THERE ARE NO CODES FOR NOT APPUCA0LE. THE INDICATED SKIPS ARE DESIGNED TO ENSURE THAT OUESTIONS THAT ARE NOT APPLICABLE ARE NOT ASKED THE BLANKS FOR ANY SKIPPED OUESTION MUST BE LEFT EMPTY. THERE ARE NO CODES FOR REFUSED TO ANSWER tF A RESPONDENT REFUSES TO ANSWER. THE W INTERVIEWER SHOULD REMIND HIM OR HER OF THE WORTANCE AND CONFIDENTtlATY OF THE t) SURVEY. IT Is VERY IMPORTANT THAT ALL ANSWERS ARE COULECllD FOR EACH OUESTION IF IT IS NOT POSSIBLE TO GAIN A RESPONSE. THE INTERVIEWER SHOULD WRITE *E11 FOR DID NOT SAY IN THE BLANK THERE ARE CODES FOR DON'T KNOW FOR ONLY A FEW QUESTIONS. IF THE RESPONDENT DOES NOT KNOW THE ANSWER THE INTERVIEWER SHOULD ASK TO SPEAK TO SOMEONE WHO OES KNOW OR. IF THAT IS NOT POSSIBUL ASK THE RESPONOENT TO PROVIDE HIS OR HN EST ESTIMATE. IF IT IS NOT POSSIBLE FOR THE RESPONDENT OR ANOTHER HOUSEHOID MEMBER TO PROVIDE AN ESTIMATE, THEN THE INTERVIEWER SHOULD WRITE *E3C FOR DID NOT KNOW IN THE BLANK. AT ALL TIMES THE INTERVIEWER MUST REMAIN PROFESSIONAL AND EXPRESS NO REACTION TO THE ANSWERS THAT ARE BEING GrVN. THE RESPONDENT MUST FEEL COMFORTALE TO TEU THE TRUTH THE VALDITY OF THE SURVEY RESUTS WILL SE HARMED IF RESPONDETS TRY TO PROVIDE THE ANSWERS THAT THEY THINK THE ITERVIER WOULD APPROVE OF. FOR OUESTIONS 1.3: 1 would ake to mske a compket lst of mgl tP eol who neraly by. eat thew moak OUESTION I CLASSIFY EACH PERSON ACCORDING TO THE FOLLOWING CRITERIA: together d sho expens h this dwe9. * IF THE ANSWER TO OUESTION 9 IS MORE THAN 9 MONTHS, ONLY THE HEAD OF THE HOUSEHOLD. Fwst I would lke the names of &I the membes of yea aliettte fcany. who nonmaly lvs, eat theI mwals INFANTS EORN IN THE LAST THREE MONTHS. AND PEOPLE WHO MARRIED MEMBERS Of THE togethe and shre * erpnses v thes dwelling. Inude the heed of the houcefld. Pus wfe tot hr hsn end HOUSEHOLD WITHIN THE LAST THREE MONTHS ARE CLASSIFED AS HOUSEHOLD MEMBERS has or her deidron an orde of age. * ALL OTHER PERSONS FOR WHOM THE ANSWER IS MORE THAN 9 MONTHS ARE NOT HOUSEHOLD ALWAYS WRITE DOWN THE HEAD OF THE HOUSEHOLD FIRST. FOLLOWED BY HISI"ER SPOUSE AND MEAEBERS THEIR CHILDREN IN ORDER OF AGE. * SERVANTS AND PAYING LODGERS IANO THEIR FAMIUESI FORM A SEPARATE HOUSEHOLD AND WRITE DOWN THE NAME. PATRONYM. SEX AND RELATIONSHIP TO THE HEAD OF THE HOUSEHOLD FOR SHOULD BE INTERVIEWED SEPARATELY EACH PERSON E STUDENTS ARE NOT CONSIDERED HOUSEHOLD MEMBERS IF THEY HAVE BEEN ABSENT FROM THE Plese give me the nmes of any othe persoav related to the head of the househld o to histr aeftausband. DWELLING FOR MORE THAN 9 MONTHS together wth thw tms who nornndy ,eatheiY me*et tother m sbr e _ndes here FOR QUESTION II ENTER CODE I FOR HOUSEHOLD MEMBERS AND CODE 2 FOR ALL OTHER PERSONS WRITE DOWN THE NAME. SEX AND RELATIONSHIP TO THE HEAD OF HOUSEHOLD FOR EACH PERSON WRITE THE NAME OF ALL PERSONS WITH4 CODE I IN QUESTION ItI ON THE HOUSEHOLD CARD. Please gawe me the names of ny othe persoaf not Waited to It heed of household or to his'br wdefhusbn but who normally he, eet thea mbls end chore expmn hee For example. tents, lodges, servants or ENTER THE AGE IN COMPLETED YEARS AND SEX FOR EACH PERSON USTED ON THE HOUSEHOLD CARD other persona who are not roeative. PLACE THE HOUSEHOLD CARD WHERE IT CAN BE EASILY SEEN THROUGHOUT THE INTERVIEW. WRITE DOWN THE NAME. SEX AND RELATIONSHIP TO THE HEAD OF HOUSEHOLD FOR EACH PERSON. Frnt now on. I wouad lke you to talk bout these peona when I ask you questn sbout the membefs of Are there any othw pesons not now presfnt but who normally *ee "a the mebe hwe an share edperas? y ox,ousehold For exampe. any pweson studyg somewhre els or whoa on vacatton or who sa Vat other PeOpl WRITE DOWN THE NAME. SEX AND RELATIONSHIP TO THE HEAD OF HOUSEHOLD FOR EACH PERSON FOR EACH PERSON USTED IN QUESTION 1. ASK THE QUESTIONS 4-10 AND CLASSIFY THE PERSON ACCORDINGLY FOR OUESTION I . COMPLETE THE ENTIRE LINE BEFORE GOING TO THE NEXT PERSON. OUESTIONS4-10 NowIwouldlketohovesomenormationebout chotthepesonsyoumentnd IF THE RESPONDENT HAS DIFFICULTY WITH AGE OR DATE OF BRTH. USE THE CALENDAR OF EVENTS HOUSEHOLD CARD D AGEt I SEX I 'V~~~~~~~~~IYARS jcIUEE NAMEI 2 . 3 -7 __- S I 42 __________. ______. _______ .__ 5 _I I_ 6 a ~ ~ ~ 12 13 14 '5s - -~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SECTION 1. PART 1A. HOUSEHOLD ROSTER I 1 2 3 4 5 6 7 8 9 10 "I WRITE THE NAMES OF D SEX RELATION TO THE HEAD OF Can you tell How old Feasily status of INAMEl II yor Did FI. how What ws the eesson ot the lteft IS THIS ALL INDIVIDUALS IN THE THE HOUSEHOLD mn the nwnth is Spouse .s in INAMEI mwn absence? PERSON A HOUSEHOLD C and yea of INAMET the resde hwe month HOUSEHOLD O HEAD I beth of household vynstdayt was MEMBER? D SPOUSE .. .... 2 INAME? hst, what is INAMEI WORKING IN ANOTHER PART OF E SON/DAUGHTER . . 3 READ TO RESPONDENT lr nt THE COUNTRY ...... .... .... I SON-lN-AW/ name? ueig tho WORKNG OUTSIDE THE COUNTRY . 2 DAUGHTER-IN4AW ... 4 Memid ....1.. . It 12 STUDYING ..... .......... 3 CHECK THE FATHER/MOTHER ...S. . S Not oHidrmy mamd. IF THE months? ON LEAVEJON VACATON . . . 4 COTERIA FATHER/MOTHER OF THE buA hveg togelher SPOUSE VISITED RBATIYVES ..S AIBOVE HEAD-S WIFE ......... 6 as a Iy . 2 HOT IN IN HOSPITAL OR PRISON .. . . 6 FATHER/MOTHER OF THE Divorced. . 3.08 HOUSE IF DORN DURING THE LAST YEAR . .. 7 HEADS HUSAND ... I Living oaart but HOLD, ANSWER MARRIED A MEMBER OF THE HH BROTHERISISTER . not divotsed . . 4.08 WRITE IS ZERO DURING THE LAST YEAR ... a GRANDCHILD ...... . Widwwoww S .08 ZERO * 011 DISPLACED PERSON ARRIVED GRANDPARENT .... 10 Never maed .d 6.08 DURING THE LAST YEAR 9 COUSIN . .. .... . it SERVICEMAN RETURNED OTHER RELATIVE . 12 DURING THE LAST YEAR 10 FULI.NAME MALE. I NO RELATION . 13 MONTH YEAR YEARS ID COOE YES 1 NUME£R MISSING WITHOUT NEWS I I*--NEXT FEMALE 2 SERVANT. NANNY 4 .....H4 NO 2 Of OTHER .. 12 PERSON LODGER . 15 MONTHS 7 ___ iii _ _ ~ ~ 6 _ 2 ________________ rz ~ ~ ~ ~ __________ _________ = ==I______________ _ __ - 7 __ __ = rv _= _ - - _ ___ 9~~~~~~ = - = _ =_ ..PART 18 PART 1 B. INFORMATION ON PARENTS OF HOUSEHOLD MEMBERS TO BE COMPLETED tOR AUL HOUSEHOlD MEMBEOS I 2 3 4 5 tG a 9 110 11 1 2 1 3 1 4 lS 1B D Is the COPY 3 the Now Now jWhat was the highest wiit kid ofl work Wit. . t COPY :ha w_ now wnat wag the t What kind of work dd Whom arrwr TE lather . wr ma ny m di om corlacte did the tlthw of INAtEI mothw THE mothw many mrny drn o ar cwfAte the moth. ro INAME) INAME) C of IDENTI- o dss of vtes d d obtated b the tath of INAMEI do for mot was 10 of IOENTt of css of Years obta o e b ttw molhor of do foe smst of fo? was 10 O INAMEI FICA- INAMEI secondary tth INAME? of Vt$httle? years INAME) FICA- INANE) s.candwy the INAME)? y"rs o hvmg m TION 33 schoolrg father old. dad |Ivrng n TION i schoohng mothwr READ TO old, dad E ths CODE alve? did the study in 8TH CLASS I I READ TO he/she tha; CODE sh.e? did the study on TH CLASS I RESPONDENT he/she house- FOR THE fath.r of second- SECONDARY SCHOOL. 2 RESPONDENT ava hoa te FOR THE moth. of sweoad. SECONDARY SCHOOL 2awrtcuturtl 1 lav with hold? FATHER INAMEI ary and PROF-TECH SCHOOL 3 nJtcttural with hold? MOTHER INAMEI ary ad PROF-TECH SCHOOL 3 mww .. . 2 h..2lser complte? high. SEC TECH SCHOOL 4twwin 2 hier complete? hith SEC. TECH SCHOOL 4 manufetunnig ... 3 moth.r? ediaca- SPEC. SEC SCHOOL Smanufacturing 3 lathw? educa- SPEC SEC SCHOOL S elec/lgeiwalr 4 IF totn nat,- HIGHER ED DIPLOMA 6 eldcgau/owater 4 IF toon nsta- HIGHER ED DIPLOMA 6corstsuat.tn S ANSWER tutronts? CANO. OF SCIENCE . 7 consirucoan 5 ANSWER tuSions? CAND. OF SCIENCE. 7 commorce 6 .-NEXT IS ZERO DOCTOR OF SCIENCE .Bcommerce 6 IS ZERO DOCTOR OF SCENCE 8 transport 7 PERSON -07 OTHER 9trnsport 7 - 01. OTHER 9lndata . a NONE 10 finacia 8 * NONE 1 services 9 sttners 9 did not work 10 did not worl 10 YES I 008 YES I NUMBER NUMBER YES I YES 1 - 016 YES I NUMBER NUMBER YES I NO 2 NO 21OF OF NO 2N0. 2 NO 21OF OF NO 2 0 3 ID CODE CLASSES YEARS rO|( ID COEI CLASSES YEARS 1 ________________________ 2 _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ ___ __ ___ ___ _- Os 3 Ch __ _1 1! -= I - I I ____ I______I_ I I_______ 9 z z z _ _ ii i _ _ _ , ,_ I 7T __ IIT I I - .21 I 1: 1 - =LI1 1I 11 | 1 1 4 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~~-PRi PART IC. CHILDREN RESIDING ELSEWHERE I Does any member of yor hotuseld have chdrean rew 20 years of sae not hs,t twr a the household? YES ... I NO .... 2 . SECTION 2 02 3 4 S r I r 9 10 I t 12 13 14 is T Whst wt thes rames? Son of the HoW odd Why a Ooae COPrY Doe. COFY h INAMEI How maoy How mavny What was the lateet Does INAMEI AVO n The pla ihero INAMEI H chid? is INAMEI ntA the THE FA the THE attending lesls of yeats did diploma of cetf$ct yes.. a lt a . E FOR EACH HOUSEHOLD INAMEI owsq in this lather THER'S mothr MO- dhod secondary INAMEI obtained by INAMEL? R MEABER. UST AUL now? dweSing? of ID of THER'S now? schootg study n CHILDREN UNDER 20 INAMEI CODE INAMEI ID did INAMEI secondary sTH CLASS , ... 1 C YEARS Of AGE WHO ARE ire it lVo an CODE complete? end tgher SECONDARY SCHOOL . 2 H NOT MEMBERS OF THE tes lis educati PROF-TECH SCHOOL . 3 this populaton pont?l I I HOUSEHOLD hotse- house- IF 0.014 nnotrtutona? SEC TECH SCHOOL .. 4 * NEXT CHILD capital?. I L hold? hold? SPEC SEC SCHOOL .. . S ltes retont '2 obefst or rtoan canter? 2 D COMPLETE THE UST STUDYING I NUMBER HIGHER ED DPLOMA .. 6 ths oablest? ... 3 other town? . 3 BEFORE GOING TO 03 MIUTARY YES I OF CAND OF SCIENCE. . 7 a d6Iernt oblsst? 4 vIilage of thm I 015 ALE . 1 SERVICE 2 YES 1 ID YES 1 ID NO . 2 CLASSES NUMBEROF DOCTOROF SCIENCE . 8 enotherCIS country? 5 town type? .4 D FEMALE 2 YEARS OTHER . 3 NO. 2 CODE NO , CODD E YEARS OTHER . 9 outside of the CS? .. 6 nlge?..... S NAME *08 a 10 NONE . . . 10 *.NEXT CHIU 2 _ ___ __ ___ __ __ _ ___ _ ____ I 3 __ _ 11 ___ 7 _ _ ___I_ . __ ____ 9 , : . ______ ________ __ _..E *.SECTION 2 SECTION 2. DWELLING 7 WHAT IS THE MAJOR CONSTRUCTION MATERLAL OF THE EXTERNA WALLS? Now I would Ike to ask you about voiw houwn cibtbom I twx aVn bYhousg O theOR PLATES 2 rooms nd tt se prate uin used by your household membrs Whet bnildugs or UNBAKED BRCK. ADOBE 2 rooms do the mems of vovd houbehod occupy?UB E oe WOOD. LOGS 4 PART 2A. DESCRIPTION OF THE DWELLING OTHERAISPCFY I I WHAT TYPE OF OWELLNG IS IT? 8 WHAT IS THE MAJOR MATERIAL OF THE ROOF? DETACHED HOUSE.. ' I ASEESTOS SHEETS . I MULTIFAMILY HOUSE. ..........2 METAL SHEETS.2 SEPARATE APARTMENT .3 THATCH 3 COMMUNAL APARTMENT .4 TILES 4 SEVERAL BUILDINGS CONNECTED .S WOOO S SEVERAL SEPARATE BUILDINGS . .UETID 4 UNBAKED BRICKS ISAMANI 6 ROOM IN AHOSTEL .....7 rOQUESTION 4 OTHER ISPECIFY ______I . .7 PLACE tN A HOSTEL 5 * OUESTION 4 OTHER ISPECIFY I 9.... * OUESTION 4 9 WHAT IS THE MATERIAL OF THE FLOOR? 2. How many rooms do the members 01 Or houtehold occuoV. ncluding bedtooms. PAROUET I bvng rooms and roonts otod lor houshotd enterpRes PAINTED WOOD 2 LINOLEUM 3 DO NOT COUNT TOILETS. KITCHENS, BALCONIES AND CORRIDORS SYNTHETIC CARPET. 4 NUMBER OPIROOMS CONCRETE. S NUMtBER OF ROObtS I I CLAYIEARTHEN FLOOR . OTHERSISPECIFY I 7 3. Ho. many. it any. of thes" rooms are tiMd for lanirl enleros. or tradei? 10 HOW MANY FLOORS ARE THERE IN THE UItLDING? WRITE ZERO IF ROOMS ARE NOT USED FOR BUSNESS OR TRAOE NUMBER OFLOORS NUMBER OF ROOMS | I I1 WHICH FLOOR DOES THE HOUSEHOLD UVE ON? 4 How long has vow household been lbvng in thas dwellng? YEARS I IBASEMEN FIRST THROUGH FIFTH FLOOR 2 S What is the Space ot you dwelling irncludng hvng and accessorv rooms? SIXTH THROUGH TENTH FLOOR 3 I I ABOVE THE TENTH FLOOR 4 SOUARE METERS I I ATTIC FLOS S ALU FL.OORS . 6 In epprotimat6ly what Vya was tt dwelling butil 12 IS THERE AN ELEVATOR tINTHE BUILDING? ASK THE RESPONDENT TO PROVIDE AN ESTIMATE IF UNSURE OF THE EXACT YEAR YES YEAR BUILT N o H E 2 *PART 20 13 Howofhendoes the elevatorth5biadngwork? ALWAYS . . CERTAIN HOURS EACH DAY 2 S01TN.AES 3 NEVER. 4 *PART 20 PART 2B. DWELLING EXPENDITURES I Does thSi dwolling bel"on to a member of vour houshld? S Corid Vou sE tIhs dwelling f VOU wonted to? YES I . | YES - ' NO 2 *OUESTtON 1I NO 2 . OUESTION 10 2 How dtd your household obtai this dw tthtt' 9 V Vou woutd ike to se ihis dwenet today how much would you "°eeive for .t? PRIVATIZED.. I I AMOUNT WEMTS OF CURRENCY) PURCHASED FROM A PRIVATE PERSON .2 * OUESTION 4 NEWLY UL.T... 3 * GUESTtON 4 10 Estme, ploease, the amount of m y vou coutd recerve as rent ol you let this dweg to COOPERATIVE ARRANGEtENT .4 * OUESTON S another pson? SWAPPED S * OUESTION S INHERITED S * OUESTION S AMOUNT tUNITS OF CURRENCYI OTHER .7 * OUESTtON TIME UNIT 3 In what year was this dwelling prvaized? - OUESTION IS YEAR I I I Do you rent tIs dwsng for goods serveos or Ch? 4 Did the members of your household tecev asitance to purchas or bald the dweling? YES I1 YES . .. ... .. II I NO 2 * OUESTION 16 YES . ....... I II NO .2 *OUESTIONS 12 Fvoe whom do you mnl thlS dwnt? 5 Ffom whom did the membes of your househod receve asistafnce to purchase or buld tIs RELATIVE .I dwellg? Pt'i"VATE EfPtLOYER 2 STATE ENTERPRISE . STATE 1I STATE .. ..4 STATE ENTERPRISE . .2 PRVATE PERSONIAGENCY S PRIVATE EMPLOYER .. 3 DOES NOT KN OW .S STATE SANK . 4 COMMERCIAL SANK. 5 13 How much does your household payn cah to trnt this dwintgt RELATIVES .. . . ... . S OTHER .7 I THEY DO NOT PAY. WRITE ZERO AMOLNT 6 If you make intallment payments for your dweling, wha is the *mort of the installment? I US DOLLAR 2 DEUTSCHMARK 3 OTHER .4 CURRENCY | WRITE ZERO F THE HOUSEHOLD DOES NOT MAKE INSTALLMENT PAYMENTS TIME UNIT AMOUNT IUNITS OF CURRENCYI T I TIME UNIT 14 Do vour household pay the rant by go or servie? YYES 7. In what ye do you expect to make your t installment payentl NO 2 . QUESTION 16 YEAR | I IS t th approimate ofth goo nd sevi pd by vour houseold? AMtOUNT ItIITS OF CURRENCY) TIME UNIT TIME UMTS DAY. 3 MONTIN S HALF YEAR 7 WEEK . .. 4 QUARTER. 6 YEAR . PART 28. DWELLING EXPENDITURES Continued 1 e t W n 0 dtt twtr of de lrt tt sEw st the P tTl 23. Whet a the mawm srCe of WOt wetw a o trttwid? _teuxoV fre of chtrl For tewu_t, e *mits.. peeto employ. oV", wswtt or p*h&c rweten. goose person or o,egist.en? CtNTRAULME SUY .1.. YES. PAYS RENT GAS WATER HEMAT. Y*S.PAYSRENT ...., ., ..... I LECTRIC WATER HEA76. 3 YES. PROVItDS DwtLLING FREE OF CtRGE. COAL STOW. 4 tO. b ....................OUfSttON. 3 WOOD StOVE .s . . OTHE ISPECIFY I 4 t7 WNtsvd pvt oret of the ret tsr ttweltet r pree tle r_ free of e NO HOT WATIR , 7 RELATIVE' .a . I 24 Wore do mbett O2 you hou bthl STATE EMPLOYER. O ........OR ... . H O 2 E PRIVATE EMPLOYER ............. 3 , , 3t RTH SHOWER . . ..I PULC AGNCY .......... 4 INSIDE SHOWER . 2 PRVATE PERSONIAGENCY . .5YA 3 OTHER.0....... ...... ... , SAUNA 4 PUStAC UNYA SAUNA 5 OTHER tSFECtFY I . 6 IS Whet IS tht Stb sore *fwett fryoTr houSehodt? CEJPTRAUZED PIPEUNE I ~~~~~~~2S What toI the type of t.tt tht to wes yu ershod CEt4TRALt2ED PWeEUN .......... . .. ... t........._. I I6 OWN SYSTEM OF WATfR SUPPLY ... ...... 2 FWSH TOILET I *OUESTIO" 27 WELtU - . .. ......... ............... 3 LATRINE 2 SPRING . . ... 4 U OESTION 21 *OaUCJKET. . 3 * OUESTION 30 RIVER, LAIfE. POlIO .S * CIUtEST it OTEtR tSfECiFy _ 4 * QUESTION 30 RAINWATfER .................. . ..6 * OUEStION 21 NO tOtLET ..S * UOESTION 30 RO7UGHT-IN WATER ItRUCK) ..... . * OUESTION 21 OTHlER ISFECIFY _ __,__ ...... t , QUESTION 21 2E Whsen wo tiae si smoth e esy howiehotd'st titn woo movedt 19 How nny hours pe dey was we tr veaAbe an $vWrv n the past mInh? MAONTH NUMOrE OF HOURS I | YEAR 20 Whwe is lts stvntdr wets pip ot well situated? 27. Is th tote Uswed only by rmeto0s of VOW howehald ON do othW houthOld meMbers uw OS INSIDE TEt HOUSE . . I ....... . * I USTIt 22 INSIDE THE YARD ... .......... ... 2 . QUESTION 22 THIS tOUSEHlOtD ONLY I * QUESTION 29 IN tHE StREET . ................. .... 3 OTHfE HOUSEHOLDS AS WUL .. .. .... 21 Ho". for Is ths source of watw erom your dwett 28 H_ mo n poopr. currntly wey htosshotds Iosbt orltIrte? METERS I NUMt ER OF PEOP | 22 Whet we the quatoy of Vour wstS en awg itn tst mo_t? 29 DO you hve to go ot fhe dwe to ch the toil ExCEuEIT . . ......- ..... Y- , I 1IES. .. I . . . I'll, .... I OOCO .. ..I.2..... ............ 2 No 2 FAIR ...... .... , 3 FOCR .. . .... ..... ,, ..,U ......... E.T, 4 *- UESTION 30, FtfXt PAGE PART 2B. DWELLING EXPENDITURES Continued 30 What ts the mam sotwco of ighting an yo dweg J37. Wto is tht neatet teleph that et used by the mnember of y houseehold. ait.. ELECTRICITY I I ads the dws? , 1... KEv1OSEW Otl sDR GAS t-LPS . 2 * OtJESY 33 hi the nelorb houe? . . 2 CANDLES OR BATTERY FLASHUGHTS .3 * OtlEST1N 33 'a pu*libc paIe NO LUGHTING .4 * OUESTION 33 withtn 5 meatts walit from the dwn? .... 3 in a pubbc -Oe 31 Do you have an ndividual electnc mater or do you ahte t with other peronaI moe thn 5 mrnutes fron th dwelln . . 4 I I ~~~~~~~other lspecifv f?.S JOINT METER.I I I telephonse not accesstoible?... OUESTION 39 INDIVIDUAL METER . 2 36 Can you use this telephone to cal 32 How many hours a day on avesrae vsU electnctt avsaibe n yqau dweliang last monthI I I I I anY place?.II NUMBER OF HOURS I I OnIy p within the formar sovet sanon?. 2 snty wtnthiam country?. . . . . ,, 3 33 what fuel do you use most ohen for cookng Only wnhtn the lmits of the city of the vila g e. 4 GAS. , 39 How does your household dispose of garbage? ELECTRICITY . 2 WOOD .3 REFUSE CHUTE IN BULDING . COAL .4 COUECTED BY TRUCK. 2 KEROSENE. 5 DUMPED 3 PEAT, MANURE .6 BURNED . 4 OTHER ISPECIFY .........I 7 BURIED .S 34 How doesy our household heat you dweling 40 It the dwel *xposd to noie odor or Plon probloms? WATER RADIATORS CENTRAUZED HOT W 1TER I YES I WATER RADIATORS IN ROOtJS FROtJ A "AS. NO 2 COAL OR ELECTRIC 801LER Ys"THIN THE HOUSE ..2 ELECTRIC HEATERS . . . 3 41 How many minutes does it take to walk to the newest bus stop from your dwtirtg? COAL STOVE . . 1 WOOD STOVE , 5 NUMBER OF MINUTES STOVES FOR STRAW. BRUSH. MANURE. PEAT . t OTHER (SPECIFY ......I 7 .. OUESTION 42. NEXT PAGE 35 How many months during the lost 12 months was yosx dwel heated? NUMBER OF MONTHS | | 36 Dungv how many of thos monthswas your dweling tsufficointlv wam? NUMBtER OF MONTHS | PART 23. DWELLUG EXPENDITURES End mw omucmg iav.a bmtmeu*"vi owm osia t bSUIS wIn f TNU lOIuI# W wn PAY AUm& a ni 42 I_ 4 I 43 I I 44 X4 4*. o Io 4 0 I l 47 Weeo o 49 Obl_tel l l 49 Wate r l 50 Wast.e I I. .. I S ITresh c@55eon l l 52 T1_eo 53 Atmentbefis" SECTIN 3 SECTION 3. EDUCATION PART 3A. EDUCATIONAL ATTAINMENT AND EXPENDITURES OUESTIONS ARE TO BE ASKED OF AUL HOUSEtOLD MEBERS 7 YEARS OR OLDER I I 2 3 4 5 6 7 8 10 9II 12 13 14 tS 16 D What is Your Do you Can yOU ted Do you How many How many How many What was tbe lhet Was th lat What was Ae YOU Do YOU Why did you duscoftnue yoUI Do yOU Do YOU Dwing moh spak end wrte in kow how clas. of Y d Ve ot dplom or caticate yOU t ,old you the mean conto%w* inttnd stud.e? ha. St et flee the past C tongue? Ruasaan? Rusan? to do tIcoIdwy atludy _hi obtited? atted 'angue to stLdy? to FINISHED STUDIES I hom of 7 days. O nthmet? scho did ns. edcation of mtnc- return COSTS TOO MUCH 2 whle charge how O You dtr did yw tion n the to AGRI WORK 3 ettend. at many E complete? duc complete? 8TH CLASS . tlst school school? OTHER WORK . ... 4 me chool howts awtetu- SECONDARY SCHOOL 2 You SCHOOL TOO FAR.. S school? one of have you Irons? PROF-TECH SCHOOL 3 attended? NO TEACHER ...6 . ... more ctuaIIy RUSSIAN I IF ZERO SEC TECH SCHOOL . 4 NO SUPPLIES . - I. 7 tim. a spent in *OUES 3 -NEXT SPEC SEC SCHOOL S NO CLOTHINGISHOES . . . S day? classes? 2 SECTION HIGHER ED ODPLOMA 6 RUSSIAN I BAD WEATHER 9 3 CAND OF SCIENCE .7 stete? 2 ILLNESS .. . 10 4 BOTH I NUMBER DOCTOR OF SCIENCE 8 prltte? 2 3 YES I YES I DONT LIKE STUDYING 11 YES I YES 1 HOURS S YES I READONLY2 YES IOF NUMBER NUMBER OTHER . rou? 3 OTHER 4 *OUES14 NO. 2 OTHER .12 NO. 2 NO 2 OTHER 6 NO 2 NEITHER 3 NO . 2CLASSES OFYEARS OFYEARS NONE ' ° .10 NO .2 NEXT SECTION _= TDT = = ==- 1 __________ _ ...................... . = 3 4 =7 = = =.. .. .. .. .. - - = - 4 6 _ ______ _____ __ ___ _____ ___ ___T T 6 =~~~~~ = =lI to_ I ~~~~~~~~~= = - 12 _______ ______________ NEXT PAGE PART 3A. EDUCATIONAL ATTAINMENT AND EXPENDITURES. Continued I 1,7 s16 is 20 21 22 23 24 25 ID iHow much e d the hous.hotd spend duinn the past 12 months on How much What was the How rnuch How tgr as INAME'SI How doen INAMEI How lg Did Why dd INAMEI miss school? INAME'SI edcAto lfor" Irnenr was value of env I m atrns sdmd f*om the go to school5 d - it take NALME c ~~~~~~~~~~~~~~~rtcrrDd as spr - ^;d astsancm d IhtAbEI to wons O IF NOTHING WAS SPENT WRITE ZERO schoet scholeushep was receved gooto school for D WAS n Scwwd ter Rem any sChootl four or COSTS TOO MUCH 2 E IF RESPONDENT CAN GIVE ONLY A TOTAL WRITE H3 IN COLUMNS A-F end stipend the educatlon nrFndual tor- AGRI VK 3 AND ENTER TOTAL IN COtLUbtN G for IhWitEI of INAMtEI n outsWr of thzr TttAE weeks rn OTHER WORK 4 n the gut 12 the est 12 household for OE WAY the SCHOOL TOO FAR 5 months? months? the education Pr NO TEACHER .. 6 of INAMEI rn cedemic NO SUPPLIES. the lst 12 WALK I year? NO CLOTHINGiSHOES a months? PUBUC BAD WEATHER 9 - - - - - - - TRANSPORT 2 IUNESS. 10 A 8 C D E F G IF NOTHING IF NOTHthG IF NOTHING DISTANCE MbOTOR8ttE 3 YES DOESN'T ULIE STUDYING I1 tuition books resforms/ tutors end transport moats for other WRITE ZERO WRITE ZERO WRITE ZERO CODE 8tCYCUE 4 NO 2 OTHER and fees? and sports extru to school. tcIubs TAXI . . 5 *NEXT N . NEXT SECTION supplies? clothes? classes? school? lodgeig? sportsl? METER I PRIVATE CAR 6 SECTION DISTANCE KM 2 OTHER .... 7 HRS MIN AMT AMT AMY ANtT AMT AMT AMY AMOUNT AMOUNT AMOUtT $ = =_ - _ - _ I = -= = 2 3 6 = ___ ,= - 6 7 a 9 _ _ _= _ = 10 _ I _ _____ _ 12 _ PART 38 PART 38. CARE OF CHILDREN FOR ALL CHILDREN UNDER THE AGE OF 7 ASK THE FOLLOWING OUESTtONS OF THE CHILD'S PARENT I t 2 3 4 S 6 7 9 S D Does ICHILDI attnd a Does ICHILDI atten o How manV hours pe day How far is ICHILODSI How much s Dud ICHILDI Why thd ICHILDI stop *anwg Who takes care of ICHILDI dueng How much. I keudarnant nusry or id ICHILDI "end. on kadrtn. luwer or spWet on attenda it"' kindergpatenn e tsy thereh ? dsl ytlwg. was C nanny? aeva. at the nannyo fromn the d l k ngn. katdgtn. nnny? Pad in the Ot O kindegarwrpte a or nrwsay or nuramy or 4 weeks to tes D nanny twrMhe lest7 namnn for nainy at the KINDERGARTEN OR NURSERY _eopl who E das? ICHILDI pet? CLOSED .............. M MOTHER ...... . . ...... I cwed for kadnaen at dung the COSTS TOO MUCH ..... 2 FAT"H .. .............. .2 ICtILDII motbh .. Iae ..ofwork? 1 ta t 4 PARENT NO LONGER WORKS BOTH PARENTS... 3 othw pub*ic knegant . . 2 weeks? AT THE ENTERPRISE THAT OTHER HOUSEHOLD MEMBERS 4 pnvata kaga.sten? ..... 3 PROVIDED KINDERGAR I 3 OTHER MA ......S YES . .. ... . I nurs ..e? .... .... NUt t8ER OF HOURS DISTANCE .. NEXT YES . I DISSATISFIED WITH OUAIJTY HOUSEHOLD HELP . . . 6 IF NOTHING NO ..... 2 nmny?. .. ... ... 5 DISTANCE CODE SECTION NO ... 2 OF CARE ....... . 4 FRIENDS . . 7 WRITE ZERO OUES 6 METER I UES 8 PRtEFERS TO HAVE CHILD OTHER . a KM 2 ELSEWHERE - 5 AMOUNT AMOUNT OTHER .. .. 6 1 _ _ _ , .. 2 _ _ _ _ _ 4 _ 4 _ 5 6 7 _ I _L_ IN_ 8, ___ .._ . _ _ _ _ __I IPART 3C PART 3C. TRAINING TO BE ASKED OF AU HOUSEHOLD MEMBERS 16 YEARS AND 06DER j 4 b ~ ~~~ 5 7 a 9 to D Have you taken How many In what month and FRom whom td you take the most What was the featon What was the srgct of Howr bWi wee the UNlt Are ou pesently Now much What was any job treatng monlth of yew ad you begin to reccnt tut coutrs? for tkn die moon ttvi omt recent S ramn I oure that you woktg on a pb that ad you pay the total C courses after trstilrig have take e ot rnt r camt trng corse? course? took? usm the skU Ib d lor the st amount o formal sehooling youtaken trang couse? STATE EMPLOYMENT CENTER I in the lest ste tre spg ant fog D or hor altogether? OTHER STATE OFFICE .......2 INCREASE course, ou autee? cowu you treti E education? EMOYER ........ 3 OUALFICATION .. ILANGUAGE . I a*nnded? cours for PRIVATE EMPOYMENT CENTER 4 REOUAUFICAIUN 2 COWUTERS . 2 DAY.. 3 YES . I you during PRIVATE PERSON .... B..... SCHANGEJOBS 3 SECRETArAL SKILLS 3 y WEEK. 4 NO, OIFFERENT JOB 2 the lt 12 PIUJKC ORGANIZATION 6 FIND A JOB . 4 PROFESSIONAL SKKlIS 4 MONTH ...S NO. DO NOT WORK 3 IF NO FEE months? YES 1 NUMBER OF OTHER 7 INTEREST . S OTHER 5 YEAR. B WAS PAID, NO ..... 2 MONTHS OTHER 6 WRITE ZERO .NEXT SECTION MONTH YEAR NUMBER 1TIME UNIT ' AMOUNT AM4OUNT ==== = -_ - 3 _ =_ - . = -. . = == lI~ _-6 ______I____ =_ O~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~i ~~~~~~~~~~ ~~~~ ~* SECTt=N- 4 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ 5 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ 9 _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ * SECTION 4 SECTION 4. HEALTH PART 4A. CHRONIC ILLNESS AND DISABILITY ASK EACH HOUSEHOLD MEMER. FOR CHtUDREN. ASK THE GUESTIONS OF THEtR PARENTS I I 2 3 4 5 6 7 U D Do you in wht month and Has ths Which p of ot body es _nost Mo. much hev, How much have how much have you How mnya deys euffif from year td the _5 ci drOc &Hecttd by thoe ehromrc eUor you spent a Ow yo spen aw seospen the lest 4 Am V teest 4 C e oc disabeiity bemi inees or sebdty? Ite 4 weele for test 4 wads an wooks lor otrh woe4 wer vow O mesa or dsabity tretme of Sf5s mediation for espeise mused by uebbe to Ca"y o dsability ben HEARTICIRCULATORY SYSTEM I oe or the is, or this cwronic des or on yous e E that has dbagnosed by IWNGSRESPTIATO SYSTEM 2 sebittyl diabdtdyl disabilty. stct fettevies lasted more a STOMACH/DIGESTWVE SYSTEM 3 treanspotein nd because t thes than 6 protessonel? HEAD ......... .4...... specim eqpmantl? s or months? ARMS OR LEGS ......... bty ACKISPRIE ..... 6 OTHER iTER4AL. ORGANS.. 7 OTHER. YES . I MONTH YEAR YES .... I AMOUNT AMOUNT AMOUNT NUMBER OF NO .... 2 HO .... 2 DAYS PART 48 _ . .-' 2= 3 4 _ mu= 7 10 v ' _9_ ___________________________T_ _ _ _ *2 - - PART 4B. RECENT ILLNESS OR INJURY ASK EACH HOUSEHOU7 MEMBER. FOR i RE. ASK THE USTIONS OF THEIR PARENTS lii 12 Ti I.I-I I I I 1 2 ii 13 lh lb l S 10 I I 12 13 14 15 D Have you had any What type d1 In what yea Foe Fwr ho to whom did you Who. Ad you r I this a How long ded e How mv How aud terno Ded you How How Did you Sneas ar missy dkmso kexyd d and_ mtedid how many davs veto aPpy for cathts l ca? pd*or0* takeayoueto tVnwo did Ad ach of have to Na nv muchd e ak are C dubi the post 4 you have? tNa Oe" any w r, you for tbis On or pnevat trawel to tue yOU thee sped* nroom? Vou pay, fron any O vweks? 'trt? days uneble to wrpy? PATIENT S tdabksl. conseutaeon? consuh cowitatoe rght in mcfudhg other O COLDIFLU.... I src cofy on HOME .I m. nt? ths take. on this gdt. tor pron E YES. ILLNESS I STOMACH ... 2 t Vcurowul OIWN'TAPPLY... I POLYCIDNIC . . 2 TIMEONE WAY pesonhr svrga? loaty eathe fort s YES. INJURY 2 DIARRHfA ... 3 begn actsva * OUES 31 FELDSHER POST . 3 tha *e_ because coneit- bne or HEADACHE ... 4 Ad beAme of PRIVATE DOCTOR 2WOMEN'S LESS THAN I 01or k'y? LESS THAN I of tid stions inosy? IF ILL AND HEART. yo. VU.W ths de STATE DOCTOR . 3 CONSULTATION 4 HOUR . 1 HOUR. I ne _o vwth ths INJURED USE LUNG. 6 suffer or mgury? NURSE. 4 MATERNITY HOME 5 1.4 HOURS 2 1-4 HOURS.. 2 mrery? prwson? ILLNESS CODE BROKEN BONE 7 from FELDSHER S HEALTH CENTER. 6 MORE THAN 4 MORE THAN 4 OTHER.. thIs PHARMAACIST 6 HOSITAU CLINIC. 7 HOURS 3 HOURS. 3 NO. HEALTHY . 3 Sneu OENTIST 7 OTHER 1 * QUESTION 20 Or HEALER .. NEXT PAGE mgry? IDWHFE 9 OTHER . to MO. YEAR DAYS DAYS PUIIUC I TIMES YES I NIGHTS AMOUNT YES . I PRIVATE 2 NO .2 NO.. 2 .014 .0 2 1<_= = = : = = _= = = = = 5 ____e5 _ _ __ =I e6e __ _ =_ __ =I _ eee - _._:..._._ ____ - ==- 00 =3 2 _- 2 ____.___ _ _ __ 6 10 1I_ _ _ _ _ _ _ _ - - = *. ~~~~~~~~~~~~~NEXT PAGE PART 4B. RECENT ILLNESS OR INJURY Continued t I e6? 1s 19 20 21 22 23 24 25 26 27 28 29 30 O To whom else dd Where did Vou recove Is ihis a How tong dd it How many How much tnme DOd you How How much Did vou How ma How much I addition to How How much you tCOty for care for this care? PLC or a take you to tunes dd ddid ech of have to many did Vou pay seek care othr atogether did anry many altogether did C this llness or equry? pnwte traval to the you thee spnd a nIgVts? rnugt for tIes feclties did you pay, hospaiation nrghta? ou spnd on 0 PATIENT'S estabs- cosuatmfalonl consuh core.talons night en gths, for as iness or you v9t fee acfdng ta you have tIt O PRIVATE DOCTOR 2 HOME .I NouI this take. on this Iaclty th consmlt qury at cae for tl for e0 these akady hospitalezation? E STATE DOCTOR . 3 POLYClNIC ... 2 TIME ONE WAY pe foe averaog bauee of ont with4ay other m or owter mntioned, did NURSE. 4 FEDSHEO POST .. 3 the _e" tIesrnss tm person? faclirty? axyl conetatonsm? yo have to FELDSHER ... 5 WOMEN'S LESS THAN I or wurwl ULESS THAN I or Wyl? stpnd * ngt PHARMACIST . 6 CONSULTATION 4 HOR. I HOUR . I in any other DENTIST .. 7 MATERNITY HOME 5 1-4 HOURS 2 1-4 HOURS . 2 facility HEALER 6. . HEALTH CENTER.. 6 tORE THAN 4 MORE THAN 4 bcause of MIDWIFE .... 9 HOSPITAU CUNIC. 7 HOURS.. . 3 HOURS 3 this bss or OTHER 10 OTHER 8 Snpay? IUJC . I TIMES YES ... I NIGHTS AMOUNT YES I NUMBER AMOUNT YES ..I NIGHTS AMOUNT P=IVATE 2 NO... 2 NO. 2 NO.. 2 '024 .028 a 31 2_ 3 4 _ _ _ _ _ ___ ___ __ _ _ _____ _ _ _. _ ;t 4_ 5 ________________ __-________ 6 _~~ =. = = = = = = -__- - =~Z= - I - - =I I* I I - INXPG I- PART 4B RECENT ILLNESS OR INJURY End 1 31 32 33 34 35 "' 36 Whv t8d VOU not &poly lot Did I0. you vI.hy d8dflt yeu obtain sHow much did4w much did tearn mntr tee"tment of otain anofi ofte ptosenYOU yPAY. payPy.ou pay.c C th s the mr5c.nss? n - ng .ths. tohs. fo tab ttJs. O NOT NEEDEO . I oa prnur < d (at medcnes me dcvt supphes 0 TOO FAR . .. 2 equie any med7rms? NOT NEEDED .O . I fo tbis mesa end 01w E LONG WAIT . 3 redicnes? NOT AVABLE ... 2 a. nu? epmuv for the POOR SERVICE ..... 4 TOO EXPENVSWE . . Ib. 3hose of qguty TOO EXPENSIVE .... 5 DWICUT TO FIND . 4 NO RESIDENCEPMIT SY S OTHER . . . .... S OTiER . .. 7YES ... I YES .... I AMOUNT AMOUNT NO .. .. 2 * OUES 35 _UO S36 NO ..... 2 2 2 ____________ ______ S 6 9_ SO ___ _ __ _ _.__ _ la 2 = = ..PART 4C PART 4C GENERAL HEALTH ASK EACH HOUSEMOLD MEMt#. FOR CHIDAS ASK THE OtJESTIOtNS OF THEIR PARENTS ______ _ASK TO FEMALIE HOI.SShOt MEMIRS IS YEARS AND OLDERt I I 2 3 4 5 6 7 S S 1O tl 12 13 *4 15 DOo vou When How much Wbhn wa Now much Do you hi the past 12 How much Now many How many Ate you Are you Are you Whet method see you usngl How many woa &d Vou was spwut toa h lst wa spent w a months h*e age" ted have abon m curenty cuarwuly ctrventl us,ng tsvrg C glasse? le Se ey glac. ter you fto dntts heig vou atod an hd you py you- ha? hav you threaflOnt_I pregnant ? a mhodd ABSTItENC.CE . . I c. d n do O Use ey contas. eye saw a nd dental ait? oatwt n rdubS had? contfaception? OBSERVING THE CYCLE ... 2 vou have? O doto dotot7 wdnd dentst? cm hr g pre,6tnm ptts. lar P4TEEt UPtK OF THE ACT 3 E other coe tot ast 12 cowstateons ohese HERUS .4 o eyesn a mionths? vccetbna. constult- HOT BATH . 5 the last 12 or maternal tons dueg DOUCHE. 6 months? and cWd care the pust 12 CONDOM.. 7 consultatons? months? CAP S PILLS .......9 SPIRAL iUDi . 10 YES I YEAR AMOUNT YEAR AMOUNT YES I YES I AMOUNT NUMBER NUMBER YES I YES I YES I INJECTIOFtS I. NUMBER NO 2 NO 2 NO .... 2 NO . 2 OUES IS NO. ... 2 ALE STERluZTION 12 *UES 28 NO . 2 * QUES 15 FEMALE STERUZATtO . 13 1_ ____________ 2 3 - = = = . - =_ 4_ _ 5 _____ _ _ ______ ____ _ ._____ 7_ 9.. q:: : = = - -. 11 I ___ _ -' S= = -I = I -I- = = - = = = - = - - - = ..PART 4D PART 4D ACTIVITIES OF DAILY LIVING ASK TO ALL HOUSEHOLD MEMUENS 7 YEARS AND OLDER I~~ ~ I* I3 11 1, .1 o In gwwr Does your hea1th tm.t you a bt * tnb oa notl a dt when you As. any Of theta Do VOU HJve Vo At what HIave yo 1ow ohen eNd You On days when ou co tud th oleowwg woid you perftom dte floxww actrintx? bntraris in tanu m _ ve * o dd Vou conumed dnnL *k_ohok *1ohok bavag how many amas cd you C say tht your bWty to functIon ereus smked stc akohob baos e the consume? O hsfth Is.. LMTS A LOT .I a result of or olh crgrtes smoktngr bowereges an post4weeks? o imeTs A UTTLE .2 xprvma y to t_bo ortobacco the bst 4 E DOES NOT UMFT AT AU.L a .ccednt? products? products? eOks? Exscant I A a C D YES I YES .IYES I AGE IN YES ....1 EVERYVDAY IA 1 C D Vay good 2 Vigouoous sacnie tMod erta actrives Walking Ealing. NO 2 *OUES 6 NO 2 YEARS NO ... 2 4.6 TIdES A WEEKt 2 S W Cognac Vodtk Good 3 sucLh as unmg. thing suct s movings 100 dressb g NO 2 OUES 7 *SECTION 5 2 3TIMESAWEEK 3 champagne Fswt 4 htatwy obis table. ct" m tw? and ONCE AWEEtt. 4 Poor . S pthcwatg in sons. seet . carwig bath"ng? 2-3 TIMES . S _ doing hrd labor? gtoceries? ONCE .6 GRAMS GRAMS GRAMS GRAMS 2= _ 1 ___________= 2 ____=-__ 3 6= = = = =__ = -=-_ =- = =-- 4 U° I === = = =_ = =--- _ _ z = = _ = = _ _ _ _ aB _____________.. 9 _______________ _______________ ___________________________________________= SECTION 5 ECONOMIC ACTIVITIES TO BE ASKED OF ALL HOUSENOW MEMBERS AGED 7 YEARS AND OLDER PART 5A. TIME USE I 1 2 3 4 5 6 7 9 10 I D IS THE Duinng the Even if you did Did yo Dwrs the t And OinAg the And IS THERE IS IS THERE AN Did you lOOI lOt W*hy didn't ywu too for a lob or ty to start yow HOUSEHOLD psst 7 dsys. not work, do you work fc 7 day dd wou dog s 7 das da AN ANSWER ANSWER YES a pb o try to own business dong the last 7 dan? C MEMER d you vwork hav a job or vow inorwy at do any uWuid the past v, you her ps YES TO ONE TO ONE OF art vote own O RESPONDIO oe money own butwa that have aY wrk a' a 12 done any 12 OF ThE THE btmu s dutn WAITING FOR A JOB TO START D FOR HIUSELF have any you wara not proftablet reltMos months? trng. months? OUESTtONSz OUESTIOtS te lest 7 days? WAI'tIG F OR A RESPONSE FROM A E OR HERSELF? profnabl noooe in du_in busies enterprise Go at 02.03.05 04. 06 OR POTENTAl. EtPLOYER.2 busness? th otn 7 days dbVin the a rlatives hiri. or OR o7i 08? WAITING FOR SEASONAL WORK T0 a1"1 3 because of bst 12 tMm or deh? gatherin of ThERE IS NO GOO JOB . . 4 illes, vacation, months? tnat. bwns. THERE ARE NO 1OS. .. teoSri ht nuts or oqtheI t lA STUDENT. - down of VoWe products? I WANT TO TAKE CARE Of CHIDREtt 7 entwpnse, or I AM A PENSIONER. 8 othr reason? I AMA OLD OR DISABLED . IAMNOTIHEAL'HV 10 I DO NOT WANT TO WORK I. FOR ANSWERS 111 . SECTION Si YES I YES I YES 1 YES I YES I YES I YES I YES I YES I YES I YES I ALREADY REGISTERED AS UNEMPLOYED 12 NO 2 *-tUESS * OaeS5 NO 2 i GUES 7 N NO 2 .OUES 9 NO .2 .SECTION SC * SECTION St * SECT"N 58 *SECTION 58 NO 2 NO ;. 2 INO.2 NO2 2 NO.2,40 2 NO 2 2 = 4 S_ . - . . __ ___ :_ - _,_ r 1 _ _ _ . _ _ __ ___ __ ____ 9, =1 __ __~~_ = 10 _._ _ I _ _ _ _ _ _ _ _ _ .._ _ _ - I 1 - -I _ _ _ _ I I _ _ _ _ I I__ _ _ _ _ _ _ _ _ _ _ 12_ - - I _ _ 1 ___ PART So PART 59. SEARCH FOR EMPLOYMENT I 1 2 43I-_ IS 17 J' Yo 19. ItI 1~D h v1 whot ar t position we Whjnat Is hkg loing fo work m the post 7 de" arve you Ft ew Ftow Wo.l A e Ar u why a en't you Do You I -- ,_ _.y : bd"S MarY- b__ ; ym noYe ra9WmatgVt move taed roo reteFrd as eceie C work? mntd weeks hovs to with the as urn. unmplOyed?tv 0 READ TO wg f have you have yu another lIto emloyed p boyer D READ TO RESPONDENT which yu been eent town to ofie? at the TOO VOUNG . I b.Iafits? E RESPONDENT Employea . . I are wilng to lookng booue e acePt laor TOO O .D 2 Agoicuitwa . I Silf.employied 2 work? appbid used ued reponded placed in asppled appted und for. job or work ob? oftce? STJDVYG .3 Mting . 2 independent n the f anily the toe rdo, notice m for a for a othe or n the et PENSIONR . . . 4 Manufacturng 3 profesinel 3 laor ec ,ntrmd newsPpw radio. Position position rmthods? additional 7 davs? NO RESIDENCE Eltec,gsa.wter 4 owner/employer 4 office? tins? nres? of tv newspape m i work in PERMIT ..-- PART Construction 6 servant 5 noticea? tiv? pwson? writng? the past LABOR OFFICE TOO St Commrce 6 yeaf? FAR 6 Transport 7 BENEFITS TOO SMALL? Financial AMOUNT YES 12 Es YES I YE E I YES I YES I YES I YES I NUMBER NUMBER YES I YES .. I YES I DONT KNOW ABOUT YES I Services S NO 2NO.2NO ..2N NO 2 NO N0 21NO 2 NO 0F OF NO0. 2NO. 2 . 11 THE4AWOROFFICE .INO .2 WEEKS H4OURS 010 NO .. 2 IWAS REFUSED 9 ly 1YES ~ ~~~~~OTHER. to = = _ _ = = - == 2 _____ __ _= = I l l 3_________= = = = = . - = = . - = 4I _ _ _ _ _ _ __ _ _ IIII _ _ ___ _ K i _ __ __ __ I _ _ _ _ I ___I__I II__II I I__ __ _ _ e 'iii2 32 - PART 5C. MAIN WORK DURING THE PAST 7 DAYS I wouLd like to ask you some quesltons about the main 1b you have worked tdunro th test 7 days I I 2 3 4 5 6 7 8 9 10 I1 12 13 14 o In what sphere did For how How many Why did you wek Fr how For how How otng have How long have n ttus work er How mudc did In the lst 4 Did y"o or How much In this work you woek for VWo many days hous an less then 40 hat may many houes you bean you bet you sell. vou ean in an weeks dd wi you uaxes did you are Vou a C main work d=nng the dunng the total did vou lest week in th months per week did wot at tts work"t at this emaood of an work dturig VW eam the paV taxse py ofr WIN 0 last 7 days? pest 7 day worx xt the job? duiing the you usually potion. tin ntwvpnss or xndapendw the l 4 s"me out of the you pay on manager, lead D READ TO did you do last 7 dVs? tesst 12 do this wortk ptresaon a1 tXom? protfassonsx? weeks? i mount. moneV thtW the emourt spectist or E RESPONDENT this work? PERSONAL months id duei"g the yew btit me? more or le Vou ealrmd you eaned m diviion Agniulure O IF 40 REASOtS .... I you do ths peto 12 then u_tt in ttws job? tW lst 4 director? I Mining . 2 HOURS OR VACATION .... 2 work? months? DAY DAY 3 weeks? specalst? 2 Menufactunng 3 MORE *05 ENTERPRISE SHUT- WEEK 4 WEEK. 4* white cotter Elec.g9s.water 4 DOWN . 3 MONTH. i5 MONTN. S workert .. 3 Constnrction . 5 ENTERPRISE YEAR B YEAR. 8 bte Cottr Commerce 6 LAYOFFS 4 worker? 4 Transport 7 OTHER 5 Financial B NUMBER OF NUMBER OF NUMBER OF NUMBER OF TIME TIME TIME TIME YES I AMOUNT SAME t YES I AMOUNT Sennses . 9 DAYS HOURS MONTHS HOURS PER UNIT UNIT NO 2 MORE N .2 NO. 2 WEEK *OUES 14 LESS 3 .0 57 ..0O 57 3= -=- =. = I-= = - .= 4 __ _ __ __I __I _ ___ _ 2 _ _ _ . iZ1 = _ _ = , = _~ ___ _ _ _ _ I __ __ 8 _ _ _ _ . 1 10 __=[_ 7 9 __1.1T z.zzrII rLizz.zWT X 42 1 :T tA~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~. ATS otne PART 5C. MAIN WORK FOR THE PAST 7 DAYS Continued Ih 1t6 1pwre anIt 1h9 120 21 122 123 124 125 2s Dl [. whtom did you woak t W t s Iour IHo much |Wh t prcent HNow many mot Are tIxO HO ov h Have you What i ttv total mount |What wcnl IDO YW What sth vau k-of unv ... u; ost I monuvy wag.. r 1 1n14 O d_e Las i oeWuuctet tax"s wi rec_ved 0a of tba, pruemn, of t'te recriv. of the" goods? C days. ws st slarym Ni selay Edy Y m n was mnths dd you ftonm the deuctd for Wi yo bonust. coam_sstn. bonuse, buy at O work7? recee hom paid in kind? racev. wag end W payni tve tlat 4 rece any tis and Ottw paY? commosais. reduced O a st$1 or muicupalt office? I dth work m salay In cash ewxs you weeks? p remuns. and ot42 pay pnc,. any DAY E a tate: antrp .. . . 2 di teaeS 4 kind for this work t receve bwnuss. is gpod an goods or WEE.. a cooperativ? .. 3 IF NO w_S? for ton comnuss. DAY.. 3 kudt food MONTH. a cothetv form? ... 4 SALARY, work? topa. or othw WEEK. .4 products t YEAR a 1.nt-stock company? S WROTE ZERO pay n MONTH S yu eloc apot ventur?e?...... 6 * OUES 22 eddition to YEAR 8 of work? a pnrivt ntpnse? . 7 your waga or a pubkc orgaztson? 8 sa.ety? a foregn company or organization? 9 AMOUNT AMOUNT PERCENT NUMUER OF YES I AMOUNT YES I AMOUNT TIME UNIT PERCENT YES I AMOUNT TIME MONTHS NO .. 2 NO .2 0 UNT 4 > e ............................02..OUE. _ .02 =1 -T = -= = ll 2 ___ 1 _ __ . _ _ S S ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~~~~~. _ _ _ _ _ SC Cont_rd_ _ _ PART 5C. MAIN WORK FOR THE PAST 7 DAYS, Continued 1 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 o D4d Vou What is the Dtd you What 'a the Od you Whet a the Did you Whet n tl Has this Dd yOu When did Did Vy Di you What i the vlue Has thi Did V When Did you receie or VA of th recei vae of tide receivd or vaku of td receive or veku of thts wok prev yo stop recev rec" this ioti""Vd? wrk prveously did Vou hwea C wi nou subsidy? or wrl subsidy? wi you subsid*? wr you subsidy? alway reciv IsMp medcef WI V alwaV hv a top kndr- O rec YoU ree provd miecl medcal benefits c prov Seder- havvg prten at D tree of receive If" or fre or Vou wih bene tn benfit ay fe or you Wth omen a yOra E subsi. DAY 3 free or DAY. .3 reduced DAY 3 reduced DAY ..3 medie hm te If oithi previ_ reduced DAY ..3 a kinw- frOm tet kdw. pirvior diced WEEK..4 reduced WE 4 Pr i nce WEE K ..4 prce WULE.4 d work? wforl? lace of pr WEEm 4 gnen? work? gpnan e lce of trasporn MOFtTt... price MONTH.. 6 steve in MOUTH...- neiel MOfIH 5 dentS employ- eer- MONTH.S f rom efmpoy- from lini YEAR 8 housing YEAR 8 seatona. YEAR 8 or dental YEAR 8 berfts? meat? genn YEAR. 8 the mentt work? from spas or servce from this work? this ret ltom ths woltt work I homest wowk? YES tAMT TIME YESI.tAT TIME YES .IAbT TME YES t AMT TIME YES I YES IrYEAR YES IrES .IAMT TIME YES. 1 YES . I YEAR YES. I NO ... 2 NO . 2 NO .2 NO . 2 NO .. 2 N...2 NO.2N..NO.O.2NO.. 2 No 2 029 Q031 .033 .036 *.3 08DWT .4 .4 04DiDN T t - -_- =-- = = = = __ = - - = = WOR3 = = =R- = WORK 3 H_lii - ! --Il !i I I = t. CA | I 11 1 I I I I I I I II I I 52 __ . 4 llll ll. -2 - - - - - - - - - -- 7~~~~~~~~~~~~~~~~~~~~~~~_ 8~~~~~~~ ~~ 9 PART SC End PART 5C. MAIN WORK FOR THE PAST 7 DAYS End II 45 146 147 148 I49 [so 15 152 P53 j54 15 156 (si 158 159 160 lOt ID DlOd you Vhat a the Has this I Did you Wheori did 14 you receive Is It Is your |Whain yOu tave you Doei tes t Is yosI boyo How ma n How t fom How b1 doe nt How often do ODd you * I......~~~.. L.i.~~.-i--~~ Whe .h Di oI*ev sWo o oeV as I - ece v: v : of work yu stoi reduced pnco rinr a wage or startd tbs had of work pay maage or people an Its dwe tagke Vou to go you go to yor have a C ie or subsidv7 always have receivng meals in vow uren salav work. did w4t you sick hm? drewctor toa work at is ths plac thwe fron your place of work? second O reduced porvesdd reduced reduced preovs place of *t the siAct to You SWip a receive related to the place wher you did dwe7? job or D price DAY. 3 you wih prce mer pce work? plac the teal contract paid you? wher you this work? DAY 3 activity E metts WEE.K 4 reduced at ths meas in where mwyemm dhet hobdays work. isi tWEEK _4 ess at this MONTH 5 pice work? te you do wage? stefied in tde MOtFt... 5 week? work? YEAR 8 meals7 woit? ths VOLK Wre work? I S1? YEAR 8 work? ecectly? 6 1O? 2 1 120? 3 21to 100? 4 501-IOOD? 6 - - YES I AMT TIME YES 1 YES . YEAR YES I YES I YES I YES I YES 1 YES I YES 1 more than KILOMETERS HOURS MINUTES NUMBER UNIT YES I NO 2 NO 2 NO. ..2 N . 2 No 2 NO 2NO .2NO .2NO 2NO 2 1000? 7 tf NO... 2 _ * tl048 __ .- O50 * O50 SDIDN'T WORK 3 TIMES .PART SE 3 _ _ _ _ _ _ _=__G __ =~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~. =AR SD = = _ -- 2 .= - PART SD PART 5D. ADDITIONAL WORK DURING THE PAST 7 DAYS Now I woutd lko to ask you equlor bowut yob . work that vou have dwon the last 7 days Ii 2 3 4 5 6 7 3 5 10 I 1 12 13 14 o In what spharo dcd you For how How For how For how How long h tths work Now h this wortk are For whom did you work os What we What pecet Of Have you How much did you or work. was it " mny mny m ma many hae yoU are you sh much did you a. you additonal work of the the total yo wega or done nyv wyou ireceve for all C day hours it months horm per btan wori mptVoyed or you ean lost 7 days. was .t. eanwis salary is p in the work tho otfier work. O agriulture? 1 durng the total did dunng the weak did at ths work? an an t s manager lead that you kid? an tde past nolwdirtg psymint n D minin .2 past 7 you do past 12 you wusty independent mawrk apeCialsF or 8 State or usCpal offieo? I WIN 7 dYs? the form of goods and E manufectung?... 3 days did ths work imonth do ths DAY. 3 professionl? dmg d on stte enterpnse? .... 2 receve for services? *elc.gas,water? .... 4 you do dunngthe did you work tWEEK 4 th les 4 diretor? I Cooertuv? . . 3 tes work constructient . 5 ths last 7 do the dunngthe MONTH. S wksak? speciat . 2 ascY etvefearm? 4 an thet lOt DAY 3 commere? . 6 wrlk? days? work? pes 12 YEAR .8 wtet colot a wmrt stock comnpany? . 5 4 weeks? WEEK. 4 transport? 7 months? worker? ... 3 a pont ventuo? .6 MONTH J fnancia7 . be color a prvate enterprise? ... 7 YEAR . services? . 9 worker? 4 a publc organiaton? 8 --PART SE a foreign company or NUMBER NUMBER NUMBER NUMBER TiME TltE YES I AMOUNT owgauzaor ? 9 AMOUNT PERCENT YES . I AMOUNT TIME OF DAYS OF OF OF HOURS UNIT NO 2 NO... 2 UNIT HOURS MONTHS PER WEEK * OUES 9 O13 -PART SE 2 __ _ 3 _ 4 ____l7_ --Ii =- ___ -_ q__ i-_________ _ _ _ I- __ 6 to l l I I I t_ _ _ I 181 ______________ 1. 12 1 1 _ 1= - = - = - = - - = =- - - _ - *.PART 5D PART SE. SEARCH FOR ADDITIONAL EMPLOYMENT OR OTHER WORK @l 23 4O 5 6 17 Is D Havevy lookeid Io -h. i U-: In ".rkg iS rwa ' sh p worki 1G w Whny didn't you Wwk for a job of trY fort addr or yO ous trotI work? youi okw" for?t tor -adk lovt Ws got "M to soon Vyour OWti butswls dunng C other wotk durng wt vou we weoks the lest 7 days? O the last 7 days? READ TO READ TO wg to work? have you D RESPONDENT RESPONDENT a the Private YES I spent DID NOT WANT ADDITIONAL E Agricijie 1 emoyee .. I se1tort ... I NO. 2 lookg lot WORtK . Mining . 2 sef-employ 2 ai the publc additn UKE CURRENT WORK. 2 ManufactuLring 3 indpndn sector 2 work orJ a EARN ENOUGH ALREADY ..3 YES, FOR EXTRA EUec.gas,weter 4 protessinl 3 onthr? 3 AMOUNT TIME applid Lusd used responded placed a appbid sppoed used tob? WAITING FOR A JOa TO START 4 WORK I Construction 5 ownerlemplover . 4 UNIT in the bfmWy othe toa radio, notice m for a for a othe WAITING FOR A RESPONSE FROM YES, TO Commerce 6 servant . labor coec- interme newspaper adio, Position poston methods? -.PART A POTENTIALEMtOYER 5 CHANGE WORK2 Transport 7 anV work 6 office? lions? dia.res? of rr nespape, m m 5F THERE IS NO GOOD JOB 6 NO 3FRnancil a not.ce? o, TV? persont ? lF THERE ARE NO JOBS 7 *O8 Semvmces 9 NUMBER OTHER.8 Any sphere 10 OF ________ = - _ _1 __ WEEKS .- PART SF __ 1=1 LIZ=Z=-='i-____- 2 _ __7__ _ __.w__ __ Si~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~PR SFIII I 61l l llW 41l l l l l l :111! -I 1 1 1 60 IIII ..101111111111111 t2 1 - PART 5F. MAIN WORK DURING THE LAST 12 MONTHS I would kke to 4sk you some Questions about the mum yb ou have worked at dno th tnst 12 months I 1 2 3 4 S 6 7 8 9 10 I I 12 13 D In what sphre, dd is this the Far how Far how Why did you How lng hae How ong hve hI thi work How much In the tost Did you, o How much In this work you work for yaw same as your may many hors work lss terin you ban you ben are you me1t did you sarn 12 maonth wi vou. tasAx did you are you a C main work dcunng men or months per wtret dtd 40 1tos p workring at the wormig at the emploved or m the work did you earn pay teax pay or wit O the tstn 12 additional work dunng th you usuwy weak in the posirtion. a the tntteprise or an on average the sane out of the you pay on mange. o months? m the past 7 Iasi 12 do tht work aob7? osron h frm7 indepedernt 1014 weaks amount. money that bte amount lead E READ TO days? montht dtd duitg the yow lifetime? polofsional? durng the test moe or less you *ined you armd in specatt or RESPONDENT you do the past 12 PERSONAL 12 months? then usal? in th jobt? the on division Agntcuttue ... I wortk months? REASONS I DAY 3 DAY. 3 average tn 4 dbrectr?. I Minng ... 2 VACATION 2 WEEK 4 W1EEK .4 weeks? spec-ahst? 2 Manufacturing 3 SAME AS IF 40 ENTERPRISE MONTH S MONTH S whte collar Elec,gas.watt 4 MAIN WORK 1 HOURS OR SHUT DOWN 3 YEAR 8 YEAR 8 worker? 3 Constution S . PART SG MORE ENTERPRISE blue cOlar Commerce 6 SAME AS * a 6 LAYOFFS 4 workdr? 4 Transport .7 ADD L WORK2 OTHER S Financial S NO 3 Servces 91 NUMBER OF NUMBER OF TIME TIME TIME TIME YES I AMOUNT SAME I YES I AMOUNT MONTHS HOURS PER UNIT UNIT NO 2 MORE.. 2 NO 2 WEEK *013 LESS 3 0 56 *0 56 =_11___ _ ____ _ h1 4 l_ . . 6Z __________ _______ _ _ _ _ _ __ . _ 7_ _ _ I_ _ ____ 4 1 10I- - = - __ r _ _ _r sl I 1.S- _ _ I I I I 1 LPRo 1t 2 -III 1 1 PART 5F. MAIN WORK FOR THE PAST 12 MONTHS Continued 1 4 5 I I 11i 1s19 1 20 21 22 23 24 2s IFD wFO, hom dd yOU wok M Im15 : Ovw How mtmch pelct How moor .0nths Are taes 0 How muhh Hove you Wst s tt lentd *m'nt Wha pwgtcnt p 00yaD or jWhsat ei the value of {Yow main jb ofheIhoos 1 2 Imon wfesttVW otht of t-rtgt1 2 dewsed w: t ad orii i meuLos ol Infit rt>iov ot the" oods? Cmonths, was ft salary in this salary dbd ywou aot Wa months did you from tes deducted for wd you bonuses COMmaeion$. bonuiwe. buy at O work?7 treciv om paid in lind? receve wagas and paynt tha on aei" env tlips atnd othr pay? commeasios. raduced O a state Or mntopat office I tis work in slaV in Cash or i ou U avge for pramfii. tand othw pay pnees,any DAY E stat enterpnse? ... 2 th on averg kbnd for thi work? received 4 weks bauses. is paid et goods or WEEK a Cooperative? . 3 IF NO in 4 w_eks low for ta dunng the tommtasi-one DAY 3 kind? lood 1MNTH S a Collective fum1 4 SALARY the leas yea? work? test 12 tips. or othw eWEEK 4 products a' YEAR 8 a pint stock comnny? 5 WRITE ZERO months? pay in MONTH 5 vowt pace a Pint vateture? .. 6 OUES 21 adctoion to YE.R a of work? a private enteprise? 7 voe wage or a public orgnimation? B salary? a foreign company or o01anizationl 9 AMOUNT AMOUNT PERCENT NUMBER OF YES I AMOUNT YES I AMOUNT TIME UNIT fERCENT YES I AtOUNT TIME MONTHS NO ... 2 NO 2 NO . 2 UNtT *021 .024 .026 4__L __ = 7 ____ __ =71Z_-1 °\~~~ =l II I 1- I1 *11I II1 - - I I - - = - - 121 , , . . . . . . . .P C 5 .......... PART 5F. MAIN WORK FOR THE LAST 12 MONTHS, Continued 1 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 0 Dad you What is the Did you What is the Did yo What as th Dad you What as t Has thts DOd you When aid Did you Did YOU What is the vykr Has this Did you When Dd Vou reeiv or valu of thas recee vaku of this receive or vu of thta receive or vakw of thas work prrously you stop trcerve receive or of thrs Subsdy? work previously cid you have a C will Vou subsidy? or will subsidy? w." you subsadyl wdt you subsady? always recieve receivnm medical wit you always have a stop kirnder. O reeIve YOU recee cerv provded mcal st cmal benlats rceie provided kinder- havuig gartin in D tre or receive tfree or tre or Vu wnth berieh benests r Vour free or you with g en a vour E subsr- DAY 3 fre or DAY. 3 reduced DAY 3 reduceul DAY 3 medical front tns from ths previous reduced DAY 3 a knderr- from thas kidr- pevious drielrd ZWEEK 4 reduced WEEK .4 prce WE... price WEEK .4 ard workI work? p'tce d price WEEK.4 garten? work getenn place of transpon MONTH 5 price MONTH .5 tays in kOFTH .5 medical MONTH 5 denrtal mpoy- kindr MONT . S frorn employ- from thas YEAR 8 housng YEAR 8 sanstons. YEAR 8 or dental YEAR 8 benels? ment? ganltn YEAR 8 tIs merit? work? flom spas or service from thts work? thts res from ths work? work? homes? work? YES IANT TIME YES IAMT TlME YES IANT TIME YES IAMT TIME YES I YES I YEAR YES I YES IAMT TimE YES I YES I YEAR YES I NO. NO 2 NO 2 NO 2 NO 2 NO. ..2 N0 .2HNO 2 NO .2NO. 2 No.2 .028 *030 *032 *035 *-037 *037 DIDNT *041 0.C43 .043 DIDNT VORK 3 WORK 3 4 0% 5 = __._ __ _ = = = ii - = = = - - -I ___ -1 1 1 :1 __ 1: 1 i _ i- : i i 121 __-i '_ PART Sf End PART 5F. MAIN WORK FOR THE LAST 12 MONTHS End 1 44 45 46 47 48 49 so 51 52 53 54 55 So 157 158 IS9 D Did yoru vihat s the Has tius 0dyou Whn did d you receive Is Is o wage wbo you Have you Voom Is v ow boss How many Now for from HOW og does it HOw ohon do | I,come I v" ol0 thi n pork yrraioulyv fvou VtIOed d pnce s-hai * r Isaar w.t.rd . h- ::: wr .W- P; iim 'm e dwSv lei you toe yo u 9O to yoWu C ftre or ssldy? always have (eceming moas hn yam uraon uba to work. dd wi you sick sts? droctor work at the 1 the p thee from your place of work? O rduced peovtdad reduced reduced prDv,oa ple of at the the leal Vou sign a reci rbted to place where Mier Vou id dwan? 0 price DAY.. 3 you with pnce meala pace work? Y ate maimurn cotract pd p vou? yo work, a this work? DAY 3 E meals WEEK 4 r d at ths mls m whe wage? tht hoNdsvs WEEK 4 at the MONTH. .5 pnce work? this you do spolied in this MONTH 5 work? YEAR 8 meas? work? this you wge" work? 1*5? .1 YEAR 8 work? exaictly? 6 1O? .2 11 20? . .. 3 .. PART SG 21 to 100? . 4 101 500? . 501.1000? 6- YES 1 AMT TIME YES . 1 YES . . 1 YEAR YES I YES I YES I YES I YES I YES 1 YES mo than KILOMETERS HOURS MINUTES NUMBER UNIT NO 2 NO..2NO 2 NO 2NO2 .2N 2 NO 2. 2NO 2NOO 1000 7 , O = 47 *4S .4 049 DIDN-T WORK 3 _ TIMES ___ I _ ____I II 'Ll lI 31 S T_ 1__ I_ T_ T_ __ 2 _ II r_? g~~~ ~ __71 1 T TX1 I __ II II 61 _ 1 1 1 I 171 ~ ~ __1 T_ T_ T___ I T I 1 L 10 T _ _ I _ _ kl PAR I I T 1r 1,,1 - I LS T _ 1 1 IT II r _ ..PART 5G PART 5G. EMPLOYMENT HISTORY _ 2 3 4 S 7 o What d,d yoo do bef ore You stosned the In what lPfsere drd you work? In what pos.tin d.d you wrk? For whom dd you work for. was How long d.d Why dd you stop working at thrs Have you work that was vtes mean work of thre ast It . YO do1 UAs work? done any C 12 monthe? READ TO RESPONDENT READ TO RESPONDENT work duwng ote work an o ..... . Iorntfe ." .......... I a state or mwcvacipa off-co?K . I yos fdetme? ENTEPIMSE CLOSED IVdediors to D OTHER WORK. SAME SPHERE 1 .03 ...............2 2s*03engIoyad ......... 2 a atot ..........rse. 2 STAF REDUCITKIN . . .. 2 . osau meo E WORK IN A DIFFERENT SPHERE . 2 u t ........... 3 edeparndant profesonl ... 3 a coopwrsve ....... ... . C CONtCT OT EXTENDED .....3 emrployment as STUDYING ........ 3 ...... 73 e07 . gas. wetw.. 4.. 4ownewpeyr .... ..... a a * fm .... ...co.e.efr .n 4 DAY . 3 FtRED . 4........... .. 4te st 12 UNEMPLOYED ...... . ..... 407 cnstxson ........... servn.... 5 a itoock cmpn? . S WEEK ..4 FOUND SETTER STATE JOS . 5months? HOUSEWORK ..... ...... .. 5-07 comme rc . .......... a Jot verure..... . ... 6 MONTH S FOUND BETTER PRIVATE JB .... 6 TOOYOUNGTOO WORK . .. 6.07 tr. port. ............7 a Prweante hpns a . t - . 7 YEAR STARTIEDA INESS........ 7YES I finaan cial ........ 8 pubf, orgnsetroun?.....8 RETURNED TO SCHOOL . I-PART 5H sfn f .... . ...... 9 a forfWn compny or orgowa.lton19 MATERNITY LEAVE 9 NO .. ... 2 MILfTARY SERVCE . 10 -PART St RETIRED .....I I TIME TIME OTHER .. 12 _ U XT= = e - __ - ~~_. __ _ = __ 8 2 9 ______________ ______________ __=_ ..PART SH PART 5H. ADDITIONAL WORK DURING THE LAST 12 MONTHS Now I woatd like to ask you some quastmr about yO addtiomnal wo thwt You hav, done dranthe last 12 months 2 3 I4 l 6 l 9 10 1 1 12 1 3 j.'O lwhat sphere d.d you_ jo ha 1o inI ok HW much jIn ths*r e1F.o m ddyuw IWa r h Wa wo " o Irdid yOu IS th's wowk the sme as |For how or how Mo. Iong ths whsI wOw ar |e whom did yOu wor t are Ite IVa perct Hav you How much dd You or _t-kl S40 ft V-_ur mae " or oddrt.orna maniy r9wry hwou, ave you te yOu Slt Obd YOU you a s vwn a ths work. tl nep of Y Wages d y wA you ecve tor all C work on the past 7 days? montht per week id been workwng employed or Uem as this was t1 Ihat you w or eary a othr work Its other work, 0 agitP"Cuure? 1 dung the you Usuat at tits work? an work manager. lad tecv for t in skind? the past nCdug payment an D mmtng? 2 SAME AS MAIN WORK I pas 2 do thi work indepeet dwvg 4 speasbt or a state ormiunwpal Ith work on 12 the form of goods and E manactunring? 3 * 0 12 months dd dauig the DAY 3 professional? weeks on dvwon offce? .I avrage for 4 months? service? elec gas.water? 4 SAME AS ADODL WORK 2 you do the patt 12 WEEK 4 avrage n dirctor? Ia stal ente rprse? 2 weks adu"g construction? .. s 0 12 work? n months7? MONTH S thesat i12 specalst? 2 a coopratrve?. 3 the tat 12 DAY 3 commerc? . 6 NO . . . 3 YEAR 8 months? wthte coser a colltrve frm? 4 montns? WEEK 4 transport? 7 worker? 3 oint stock ConpanyS MONTH .5 Imnanctal?.. 8 bk coI5r a form venturs? . . 6 YEAR .6 services? 9 worke? 4 a private entlrpre? 7 *-PART 51 a publ*c orgarsatbon? 8 NUMBER NUMIER OM TlME TlbE YES . I AMOUNT a foregn company or AMOUNT PERCENT YES 1 AMOUNT TIME Of HOURS PER UNIT O. .. 2 oganslon? 9 NO . .. 2 UNT MONTHS WEEK a 08 a a 12 -PART 51 1 _ _ _ _ _ _ _ 2 _ ____ ___ ___ _ 4~~~~ = -1 - = = = _- _I1; 1_ o 1 1 __=_ I = I Iii I____ __ __ - __ _ __ 7_ : PA RT5l ,T = T I = r = - = - I I = 1 813r|T r l 411.TL 5o1r1- 1| r 1- -f ,,1 I TJ =X 1D_ *PART St PART 51. OTHER ACTIVITIES I 1 2 3 4 5 67 a t D Dung9 tho last 7 days On verage. Now many days How many htrs in tho H10w many hours n the tow mant hws Dunng the post Have you Wlookd DOrn the poai 12 Thos woes thst you have you worked on how mn hours of the laot 7 days last 7 days have Vou last 7 days have you i the Wst 7 days 12 months has los wrk do" months, for how ny were without paid C vour home, for do you spnd did you caot for spent for eldl y spent Cann" for elsdtV he ou spr thrc ben nV the peat 12 wees altogether were work, were theV 0 example. dean the ech day an chldren? household membrs? people who re not gthrs watr pwrod of tume montha? you lokm,g for a job? contaoUS or Iat D house. propwng those activtes? housed mmbes? and full lo your whn you wr ctilterent penods E meals, washng IF NO DAYS ARE IF NO TIME IS SPENT households ue? wihot pad cothes. swppng. SPENT CARNG CAlING FOR ELDERLY IF NO TIME IS SPENT werk? fetchng wood or FOR CHILDREN. HOUSEHOLD CARING FOR OTHER IF NO TIME ONE PERIOD .... I watr for yvou WRITE ZERO MEMBERS. WRITE ELDERLY PEOPLE, SPENT. WRITE TWO PEltto .s. . 2 household? ZERO WRITE ZERO ZERO SEVERAL PERIODS 3 YES 1 NUMBER OF NUMWBER OF NUMBER OF HOURS NUMBER OF HOURS NUMBER OF YES I YES I NUMBER OF WEEKS PART SJ NO 2 HOURS DAYS HOURS NO 2 NO 2 *UESTION 3 * PART SJ t PART 5J ~~~~=_______ = I ________ 2 _ _ __ __ *1 _ __ _ ||_ _ _ - :.PARTT LLIJ 2 , 1 _ 1 1 _ ___ _ I __ T , 31. II 4~rTr s ~rTr .PART SJ PART 5J. OTHER INCOME Now I woud ke to ask you some quston rapsuing m on _ cvd frt eeom ou iw than Ownor bow s. few each stams I like to krow test d you we elgbl to recetva come of that type. Sceed th!I mththt you ltei in the mom lewd paymnt _n finey dw mot Vou a Mm oatcm ps_mant I1 2 3 4 567 89 tO0 Old age pension Disability pension Chld Sowone or Unempfoymet Sigl mothe. Ssts for Seflits for ct dten Compensaton to Oabled chOldrsnas Compnsaton for food Cthldinh aowence allowwAns bfns l thfios with atbny of artos stn let"y mt, of the bencfas inc ncreases c cisiken so"comen Otmcobar disasmr 0 Elig? AMT MO Aig? AMT MO Big? 7 AM MO ABg? AM? MO Bg? AU T MOEM MO g? AMT MO Ebfg AMT MO EBlg AMT MO. lg? AMT MO YESI VES YES YES YESt IESt ES YES I YES ES I 22I _,___IT IM__g_AM e!NO 2 NO _ =NO MO _ _NO 21 _ NO 2 =NO 2 I ttO I NO 21 _m N J NO 2 _ _ _ _=___11 __ _ II1 11 rT1-_ == : Ž: _ ::= 1=Ir Tl=-r I T = T III- z Tz s~~~_ =- -- = - - - - =l r =r = =-- =--=-o ..SECTION 6 SECTION 6. MIGRATION TO BE ASKED OF ALL HOUSEHOLD MEMBERS AGE! IS AND OLDER ______ 1 2 3 4 5 a 7 9 10 11 12 13 D Wht ia your Ware you The pace whre vou Are vyou Why we vou Hav you How old Whett was the main How ma From where did you We the plac Whet wee thre reeson for How many naonaity? bom on ttas were born. ws lt h rqpteed not ralatarad? aver bved were rea' yW ltt yers have corm to your umnt you we before comrn to tho prent differwnt C popsiaion a to liv anywere you you livd in ple of resdence? comag hte place of reidence? plces have O .... 1point? ant work DIFFICULT TO se? when FAUL4LY REASONS... 1 yur you lved for D 2 capital? In thib OBTAIN you left BECAtUSE OF WORK . 2 prosent THIS RAION 1 capital? I FAMILY REASONS. 1 perids of E 3 obat or ram plae? PERMIT ... I your IN SEARCH OF WORK 3 plac of THIS OBLAST . 2 ablest or ramen BECAUSE OF WORK 2 mor than .4 enwter? . 2 ttSUFFICENT place of SCHOOL. STUDY .. 4 resdence ELSEWHERE Ir THE centr?. 2 IN SEARCH OF WORK 3 three .6 other town? 3 SPACE N brth? MAt AGE.. 5 sce yor REPUI-LC . 3 other town? . 3 SCHOOL STUDY .... 4 wmonths in .6 viago of the DWEULLtG 2 MtNTARY SERVICE .. 8 moat ANOTHER CIS vilael of tht MARRIAGE.. your tfe? town typ? 4 OTHER 3 PERSONAL PROBLEMS 7 recent COUNTRY ... 4 town two? 4 MIUTARY SERVICE ... - vllage? . 5 THREAT OF VIOLDICE S move? OTHER COUNTRY S vange? . S PERSONAL PROBLEMS 7 ENVIRONMENTAL THREAT OF VIOLUNCE. 8 YES 1 YES I YES . I AGE IN DANGER .9 NUMBER ENVIRONMENTAL NUMBER OF NO. 2 * 06 NO ... 2 YEARS OTHER REASONS 10 OF YEARS DANGER.F 9 PACES HO... 2 *NEXT OTHER REASONS 10 PERSON 2 3 - = __ _ ___ _______ 1 _________ 2 _ __________ _________ 3 _ ,, - - __ ___ .__._._ _.___,___. 10 11 12 _ _ ____.____ SECTION 7 SECTION 7. RESPONDENTS FOR ROUNID TWO RESPONDENT SHOULD BE THE PERSON BEST INFORMED OF THE ACTTIVES OF THE HOUSEHOLD MEMBERS RESPONDENT FOR SECTION 7: _ID ICODE! !! ! I Are any members of the household refugee or dsplaced perso? YES 1 I NO ... . 2 . UESTON 3 2 Whch housed membe ten best answer quetions conceow the household member who re refuges or displaced persons? NAME D_ ICODE I II I 3 Durng Th Petn 12 months, has any member of yoiw htuuioed waked * an m idpendent wmaw or e a lnd belong to th, household rtons cop or emnmls. such as portr. cattle. eep. Pigsor ohw arwnak? VEOIFY WITH SECTION 5 YES 1 lO . 2 . QUEStION 5 4 Who is the housed memSbe who knows most abhut eM te 4agncuttuat *nd lvestock activities of the memBD s of Vour househoWld NAME _ ID CODE I II | 5 Durng the pet 12 montwh he any medhe oft youselaiM wafted oEr hmsge othr the on * tnrm o teg 23 eruifiludhs FoPr exmple has tnyare opeated fse own busieeaftrd or kiduary, enggd - the sebug of goDds or am an idependet profession. or worked as an ndependrent fruwan. rtten. tan drvw. seamstress. ae t VERIFY WtTH SECTION 5 YES . |. . 4O .. 2 . QUESTION tO U What diffleret trades. businesses. mdustnes. serss or Who is the poeson who knows most a_out the expenwes S protfssio we,. owned of opirsted bV membrs of you and incom of .lNAE OF TRADE. DUSHESS, I househotd dunng the past 12 months? INDUSTRY. ENTEFPRISE. OR PROFESSION I? E MAKE A COMPLETE LIST BEFORE GOING TO OUESTION 7 UE NAME CODE 2 8 O10 THE RESPONDENT NAME MORE THAN THREE ENTERPRISES? YES S . ItI NO . .. .. .... 2 * OUESTION tO 9 Among these tesdes. industnes *nd bumms. wtwch are the moJst impotatnt too the househNdl MOST IMPORTANT _ ~~~~~~~~~~~~~~~~SECOND MOST IMPORTAFtT| THIRD D OOST DH EIMEESORTANT 10 Who shops tofthefloodfotxryoufhous hod? NAME I. COUEST|ON to I I Who n hose hotredud kmnws most ebout theoses, whthe pmonst omp nd ssa vs of the membh ou sol housWhold ? NAME _ tD CODE 1 | 12 TO CHOOSE A WOMAN AT RANDOM TO ANSWER THE OUESTIONS ON FERTIUTY IN THE SECOND ROUND OF THE SURVEY. READ THE FIRST LINE OF THE STICKER tEOW UNTL YOU COME TO THE tD CODE OF A WOMAN BELONGI4G TO THE HOUSEHOLD AND AGED I STO 50 tNTHE HOUSEHOLD ROSTER CROSS OUT EACH REJECTED ID CODE ON THE STICKER. IF THERE IS NO VAUD t CODE tN THE FIRST UNE. GO TO THE SECOND WHEN A VAUD ID CODE IS FOUND. CIRCLE IT WRITE THE NAME AND ID CODE OF THE WOMAN SELECTED NAME 10 CODE I || I " END OF ROUND ONE ROUND TW O EXPLAIN AGAIN THE OBJECTIVES OF THE SUttVEY AND THE CONFIDENTLAUTY OF THE DATA. READ THE UST OF HOUSEHOLD MEMBERS cECTIONi 8 1`: SPLACE5 PERSONS ANv-i REFUGEES PART BA. MOVEMENT AND ASSISTANCE SUPERVISOR RESPONDENT: _ 10 CODE I II I tNTERVIEWER. ID CODE OF PERSON INTERVIEWED I II I I How many members of the hoehod we displaced prsons or refuge? 10 Why won't they return? UST IN ORDER OF WAPORTANCE NUMBER I | A _____ 2 How long *go did the refuges or disace opefsons leavo the pevu place of residence? B __ ___ YEARS I I C 3 How many times did they change Their place of resdence atwr lIvvg the prevous home and t1 Whtv is the vahlu of the following kwbns of esarstance The displaced persons receive from the befoe setlig her? gov7vnw on t4 lost 12 months? NUMBER OF TIMES I I F NO ASSISTANCE WAS RECEIVEO. VvRITE ZERO 4 Are atl membwrs of ther household hwe? I IA Food Prod.cls AMOUNT YES 2 | I IIS Money allowances AMOUNT I I IC For Education AMOUNT | 5 Were ny memer of th displd perso household d or ed kunngthe w or _t wvvben thy wereeaving thei previous hme I tD For Mtdical ServIce AMOUNT I YES .t I | 12 Is assience from the govermemnt received... No ......... .. ........ 6 How many pople iom the"r previous place of resdence kve n Ihes population pont? seldom? 2 MANY 2 13 Do the dsplaced pesons treceve assistance from othw organizations? SOME .3 NONE 4 YES t / NO 2 .PART tB 7 Do the dmplaced persons have any contat with the leaden of the admimatrtion of the prevous plow of residnce? 14 What is the value of assitaoneo reived from the folowentg orpanzatons en the last 12 moniths YE'S I IOItF NO ASSISTANCE WAS RECEIVED. WRITE ZERO NO .. . .2 *O(UESTtON S 14A World Food Psogrom AMOUNT t Does this leader work egisdy. for e*mple when setti disputes or n setting up contacts with organizio renerng assistance? 140 Save the Children AMOUNT I YES 2I | t4C. Red Coss end Red Croscmnt AMOUNT 14D UNICEF AMOUNT 9 If pesce wer acheved, woud te bs_lced peson retail tO the pross hoe?1 I I ~~~~t4t Otter AMuOUNT YES t *Ct......................... QUEStION tII II SECFY I NO.2 *- PART SD PART 88. PROPERTY OF DISPLACED PERSONS AND REFUGEES C FROPERTY _ 2 3 4 0 Did you have Drd you manage to brng Do you know what happened to ywour Wil you rece IKtND OF D IPROPERTYI n vour wth vou IKIND OF IPROPERTYI? PROPER71 upon Your E ptri@nh Plt of PROPERTYr With You? retwl? resiece? YES. BURNED 1 VES. DESTROYED SY OTHER MEANS 2 YES . 1 YES I YES I YES. TAKEN AWAY SY OTHERtPEOPE 3 NO 2 NO .2 NEXT PROPERTY YES. OCCUPIED BY OTHER PEOPLE 4 UNSURE. 3 NEXT PROPERTY NO . 2 YES. OTHER . .S... NEXT PROPERTY __________ ~~~~~~~~~NO ..... .. 601 House XXXXXXXXXXXXXX_ 602 Apartment XXXXXXXXXXXXXX 603 Dacha XXXXXXXXXXXXXX 604 Garden plot XXXXXXXXXXXXXX T 605 Land for ewming _ XXXXXXXXXXXXX X 606 Horses 607 Cattle _1 608 Sheep ___ r 609 Goats _ _ _ 610 Pigs _ __r 611 Pourltry r 612 Agricultual macdane__ 613 TV end oudio-vtdeo equmet r__ 6t4 ReIrgerator _ 6I5 Car 616 Jewelry 617 Furmiture, carpet, rgs XXXXXXXXXXXXX 618 Household Utensils XXXXXXXXXXXXX 619S Cbobat *nd Pwsonal 2ete XXXXXXXXXXXXX SECTIONS9 SECTION 9. AGRO-PASTORAL ACTIVITIES PART 9A. LAND SUPEFV:50°S RESPONDENT IDS_O________|_INTUVIEWERID CODE I INTVIEWEt C OF PERSON INTERVIEWED I woud blt to ask Vou some questio about the Iend the membes of Vour household own. rent and use C 1 2 3 4 5 6 7 a 9 10 I I 12 13 14 15 0 How many How many What rs the In what Do you How dd you or How many How many How much How many How much How many How much How many What is the o hctaras of hectaes ola vka of the yewr id have a the membws of hecteres of hectar, of was pSd. hectares of was pid. hecstie of wss rnd. hactares of mmn source E iTYPE OF ITYPE OF [TYPE OF you or the lea Vour household ITYPE OF [TYPE OF norg ITYPE OF ncdudig the (TYPE OF includng the ITYPE OF of nmgat on LANDI are LANDI do LANDI thtt mambes of document acutre this LANDI er LANDI are the value of LANDI value of LANDI value of LANDI for the ITYPE availabla to Vou and the is owned by tIhs of yo r ITYPE OF prowndeJd to rtented from 9ods and wer rented goods and were rented goods and were OF LANDI you and membrs of you and the household owrsvQp LANDI? members of the Sateb services. on by services in by services, by provided for used by your members of your membrs of cs tbs of tIs your membrs of the last 12 members of the last 12 membes of members of the use of household? Vour household Vour ITYPE OF ITYPE OF DIVISION OF A household your months to your months for Vour vour your household? own? household? LANDI? LAND(? XOUHOZ) toom the houseWold? rent ts household the rental ot household household household CANALS I SOVHOZ I State? ITYPE OF from this ITYPE to other from tho by a sovhot DAM 2 IF NO LAND 8OUGHT FROM LJNDOI Dinsel OF LANDI Disvate sental of or kolhot? PUMtP 3 OF THIS A PRIVATE persns? from pmnvte ndividuals? ITYPE OF RIVER 4 TYPE IS PERSON . . 2 pesons? LANDI on the OTHER 5 AVAILABLE. IF ZERO BOUGHT FROM last 12 NONE 6 WRITE ZERO . 07 THE STATE . 3 IF ZERO IF ZERO IF ZERO months to *NEXT TYPE GIVEN BY THE . Q 10 -O 12 * 0 14 pnvate STATE 4 indrviduals? INHERITED S TYPE OF LAND NUMBER OF NUMBER AMOUNT YEAR YES I OTHER B NUMBER NUMBER OF AMOUNT NUMBER AMOUNT NUMBER AMOUNT NUMBER HECTARES OF NO 2 OF HECTARES OF OF OF HECTARES HECTARES HECTARES HECTARES HECTARES = . = m - = = = - I Garden plot - 2 Crop production 3 Pastur 4 Hayfields 5 Fallow 6 Forest 7 Orchard S Vineyards __ _ _ -- _ _ _ _---- 9 -f_t_ld, 7_- PART 9B PART 9B. CROPS I Has any membef of ttis houhold raised any rops on the past 12 months tsice It YES I PAI NO 2 ..PART 9E CASKOUESTION2 2 3 4 5 6 7 a 9 10 I; 12 13 14 15 16 17 I FOIR EACH CROP Have the Ho_ manyr I what How How Whwe was What was How much Now How much Wlat was the How much How much How Did you Which crops? 0 AND THEN ASK member hectares of month much much monst of the evteage ICROPI did much ICROPI dd cause of most a ICROPI ICROPI much grow othet P OUESTIONS 3-17 of your ICROPI wa the ICROPI ICROPI ICROPI sold? setling you ee to ICROPI you lose to the tos of ICROPI was used was used ICROPI crops in the houtihold wew ts did ros was sold pnce of lboers. dd ou cn sts, n the fast 12 for the for pro- dos sro field -- NEXT C grown planted haes mst harst? durnig STATE ICROPI? tendownte keep as rodents months? consump- cessxn by your at the same CROP O ICROPI dunng tht of the tut PROCURE or as gifts sed? fire or tlen of mnmbers house- time as O duinng the ps 12 ICROPI? 12 ttENT 04l 1 to othe spoilage? INSECTS 1 membs of of the hold haey ICROPt? E post 12 months? months? COOP 2 peopla? RODENTS 2 vow houe in CROP months? WHOLESALE IF ZERO FIRE 3 household? hold? stooage? YES I CODES MARKEt 3 .013 SPOLAGE 4 NO 2 RETAIL OTHER S CROP YES I HECTARES MONTH KGS KGS MARKET 4 PRICE PER KGS KGS KGS COMBINATION 6 KGS KS KGS *NEXT 1ST 2ND .NO 2 OTHER S KIOGRAM. CROP CROPICROP IWintet wheat ______ 2 Spnng wheat ________ 3 Rye - 4 Barley S Oats S Buckwheat 9 Hops I tO Cotton ti Flax -1 =Q1ES - = = = . _ 3 N - = =A= *-OUES 2 NEXT PAGE *- OUES 3NEXT PAGE PART 9B. CROPS Continued L ASK QuES I K?N 2 Z 3 4 5 6 7 8 9 10 I t 12 13 14 15 16 17 R FOR EACH CROP Have the How many I what How How Where was Whit as, How much How How much What was the How much How much How Did you Which crops? O AND THEN ASK mnbes hctraes of month much mueh most of the avere ICROPI cdr much ICROPEI d cuse of mos of ICP ICROP much grow othtr P OUESTIONS 3-17 of your ICROPI was the ICIOMP ICROPI ICROPI sold? selng you giv to ICROPI you lso to the los, of ICROPI was used wss used ICROPM crops an t household were lnst did you was sOd price of lbbors. did yoVrW s. n the lost 12 lor the for pro does same f.e.- NEXT C grown planted haven harvest? durng STATE ICROPI? landowers kIep as rodents months? consump- ces4t by your at the same CROP 0 ICROPI duinag the of the bat PROCURE- or as gifts seed? fire or ton of members house- tie Gs D dusngthe past 12 (CROPI? 12 MENTEORG I toother spodaga? INSECTS .. I membersof of the holdhave ICROPI? E pas 12 months? months? COOP 2 people? RODENTS ..2 Your house- r CROP months? WHOLESALE IF ZERO FIRE 3 household? hod? stotage? YES I CODES WIARLET1 .C3 SPOILAGE . 4 NO 2 RETAIL OTHER . - 5 CROP YES I HECTARES MONTH KOS KGS MARKET 4 PRICE PER KOS KGS KOS COMBINATION 6 KGS KGS KGS *NEXT IST 2ND NO 2 OTHER 5 KIlOGRAM CROP CROP CROP = - = = . __ _=_-= 13 Tobacco _ ____ 14 Sunflowers I6 Fodder crops *1 6Peanuts 17 Squash, pumpkbn =_______ 13I8 Potatoes 1 9 eetroot ______ 20 ontons ______-_= _=_____ 21 Carrots _______= = 22 Other root crops _ _ 23 Dried beans 24 Lentils, soy, peas = =_=_= _=== = 25 Tomotoes 2 P-pp- s _ - - - --- -CtUES 2 NEXT PAGE *- CUES 3 NEXT PAGE PART 9B. CROPS End C ASKt UESlTON 2 2 3 4 S t 7 I 9 10 II 12 13 14 iS t6 17 R FOR EACH CROP Hav the How many In what ow tow Where was What was How much How How much What was the N*w muCh How much How Did YOw Whch crops? O AND THNB ASK metrds hwtwes of month mIch muich mwo of ICROPI the averg ICROPI did mudC ICROPI nd CaLte Of moat ci ICOP [CM" muds gow Other P QUESTIONS 3-17 of YOu ICROPI was te ICt ICROI sodt a you wv to ICROPI VOu Ioe to the loes o was used ws usd ICIOPI uos an the housneol wer last dic ou ewas cid pce of lares. td you ssats. ICROPI on the for thw Ifr pro- doe same hied *- NEXT C gown plnted harvet htves? trauto STATE ICROPII tandowmes keep as lodents test 12 manhai cw_cap cestn by VrO at the same CROP O ICROPI tn the of l at 2 PROCURE- o asgls s? tle o tson of members house- mme as 0 dunr5tgthe past 12 ICROPI? nsor,ttw? MtENTORG I tootr spoilage? INSECTS ... t MeMbersof Of t hold have ICROPI? CROP E past 12 months? COOP ... 2 eople? RODENTS. 2o house- i YES I CODES months? WHOLESALE IF ZERO FIRE 3 household? hold? storage? NO 2 MARKET 3 .013 SPOt AGE ... 4 RETAIL OTHER . ... 5 CROp YES . t HECTARES MRONTH KGS KGS MARKET 4 PIICE PEf KGS KGS KGS COMTRAT O.S KGS KGS KGS *NEXT IST 2NO NO ... 2 OTHER S KILOGRAM CROP CROP CROP 2 - - = = - -_ = =-= = = 27 Cabbage 28 Cucumbes 29 Eggplant 30 Other vegetables =_______ 31 Melons, watenrmelon_s _t 32 Semes -4 - 33 Grapes 34 Apple$ _ = == - =_ 35 Pears 36 Cherris _s___ 37 Other Frut __=_.______ 38 Nuts _ 39 Flowers | - _ _ 40 Other QUESTION 3. PREVIOUS PAGE .. PART 9C PART 9C. CROP INPUTS USCROr IC 1 12 IS '6 '2 1U 1; io II 12 13 14 is IC 17 is GROWN BY THE R How Fro 0. o w rom D.d you How How From Did you How much How From Did Vou How much How much How much HOUSEHOLD WtTH 0 much wt. td obtain much much was whe. did obtmn much much wher 0d obtain hicnbcd much whtw thd obtan was spent was spent was spent THEIR CODE P was you obtati the mwta spi oan you ublon the ot gac was vou obtan the and wa you obtan the ont on on stoep09 spent on the saud seads or lattiuzw minera masOral manur spent on the oarc anmcid sput on the Ibreido Packagig tracnspt of ICROPI IF RESPONDENT IS C seed or of YOtg Yotrt was fen,kt mnwal lat et was osgtc of ec manure was habcd hbadD and nuatnt tot ICROPI tho last NOT ABLE TO 0 young plants? plant Pwasd lfo fnde,? tfor piWChasd mnane mama.? for ptwchased and a patmid lfor ICROPI an thw at 12 RESPOND FOR D plants for f tor ICROPI in ICROPI for for ICROPI l0o ICROMN pstlotcKda PstcieW? lIot i the lat 12 months? EACHCROP E ICROPI n SEE ICROPM ICROPI n tha Ist SEE on ICROPIan ICROPI.n SEE on mnthe tast to ICROPI 12 monIth? SEPARATELY, the Ilas SUPPJER on ths lt 12 SUPPUER credit? the Iast the lost SUWPUER cedit? 12 ICROPI SEE on months? WRITE THE TOTAL 12 CODES cradd 12 months? CODES 12 12 COOES months? in the SUPPLtER credit? FOR ALL CROPS IN months? months? months? months? last 12 CODES THE ROW AT THE IF ZERO monht? 5011t0 IF ZERO IF ZERO IF ZERO Q 16 .04 .08 .0 12 CROP NAME AMOUNT CODE YES I KGS AMOUNT CODE YES I KGS AMOUNT CODE YES I KGS AMOUN CODE YES I AMOUNT AMOUNT AMOUNT NO. 2 NO 2 NO 21 T NO 2 _z _ = == = = = ---= = = - -- = 00 TOTAL 0 _ = === .=- = = = = = = - .- = m .OUESTION 1 |SUPPLIERCODES PRIVATEINDIVIOUAL-1. PRIVATERETAtLER 2 PRIVATEWHOLESALER 3 STATEENEtRISE .4 SOVHOZJKOLHOZ. .5 STATESTORE. 6 OTHER.. 7 PART 9C. CROP INPUTS End I9 How much was snet for the folowing kiws of pad labor d_l" tta pest 12 monta unce I? IF NOTHING SPENT. WRITE ZERO ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ AM OtINT Cleanng land Plantng, sed__ Irrigating __ Harvesting Other 20 How much was spent during the last I 2 months m cash, goods. serAces and credit for AMOUNT Rentmig anmals 0 Renting eoqupment or machiner Mainitenance and reaeir of buildig and macthnes trngation charges Fuel ol, electricity. other fuels. etc Land taxes Costs for loans, nterest Other *- PART 9D PART 9D. FOOD PRODUCTS PRODUCED FROM CROPS GROWN BY THE HOUSEHOLD Now I would hk* to ask you some qustions about the production of food PoduCts from the harvested crops Of your household I Old any mdmbtr of yorz houseold. durino te post 12 months. procs any ot the Crops grown by the household? For *xampf. by mkeno pm. aunflowe r oil. dnd fnmt bee Ir ny othfr product from aops grown by yro household? YES.... . y . I No . 2 r PART SE p 2 3 4 s 6 7 8 10 R Duning the past Which housdold mmbers prticiptteod in Wht quantity of th What What what What How muh money w N Now much did members 0 12 months. has productron of IFOOF PRODUCTI? IFOOD PRODUCTI quantity of quantity of quantity of quantity of reeved ftom the sate of of th houselds Wend O any memOs of did t househid the IFOF0 the IFOO the IFOOD the IFOOD |FOOF PROOUCTI n the in th lit 12 nonths to U your household ptoduce n the test PRODuCTI PRODUCTI PRODUCTI PRODUeCnI fast 12 months? buy toole. packaging. C made, FOOF 12 months? did the did was was did the transport and labor for T PRODUCTIr from househod g-Oan eway stored? household IFOOD PRODUJCTI? crops grown by conan in am the test s$tt? C the household? the test 12 12 months ? IF NOTHING WRITE o Months? IF NONE ZERO D WRITE E YES . ZERO No .....2 010s *NEXTFOOD - - *01 FOOO PRODUCT PRODUCT ID 10 ID ID ID ID MOUtNT AMOT AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT CODE CODE CODE CODE CODE CODE 1 Wheat flout KG 2 Corn flout KG 3 Corn oil LITERS _ 4 Sunflower ol UTERS 5 0ther vegetable oil UTERS - 6 Dried apncoUs. raisins, G -_- 7 Jam LITERS S Compote LITERS 9 Conned fruts LITERS 10 Canned vegetables UTERS - 11 Wine UILERS__ 12 Beer LITERS 13 Tobacco product UNITS _ _ __ . _ _ *- PART 9E PART 9E. LIVESTOCK I Has an mmbe of Vow household rasd Ivestock. pourity. bees oother aw a d rng the past 12 ifontha Isince 1.? YES .I P NO 2 .PART9. 2 A 2 3 4 5 6 7 8 9 10 I I 12 13 14 N furkS the Wi0 hd tnws f yow howgeholi How mn I tw Ouing t How mW Now much Nave ay Now Now mud Now manv How ma Now manv I pest 12 p _umpate n ralthig IANIMAlI *t bhe IANIMALI wanted to ps t 12 I2UANAJ alogethwt membem_ man did they pay IANIMALSI IAMMAISI IANIMALSI M mot. prent tWm? of *1 gs SW* a of months h thy hve they of yvou IAN*AAU altogether wer born raised bV raied bV Vow A has any or. owned these have Jld? teceved household dd thy lorteN th or recved yav househOld L member of bV ya IANIMALI members from sales bought nv buy? IANIMALU as giht household ware lost or vow household today, how of yw of IANIMALI they bought durtng the wer eaten stoln. given C houaheld at present? much monry household IANIMAL O Ainngthe durng he past 12 by ho as gts or ded 0 ratsed would they told any during the pest 12 past 12 months? mmnbers of during the pest D IANIMALI? recev IANIMALI? pat 12 months? months? Vour 12 months? E altogether? months? househpd iN the past 12 --NEXT months? ANIMAL ANIMAL YES . I 10 0 1 10 ID NUMBER AMOUNT YES I NUMBER AMOUNT YES ... I NUMBER AMOUNT NUMBER NUMBER NUMBER NO .... 2 CODE COD E CODE CODE HEAD NO 2 HEAD NO.... 2 HEAD HEAD HEAD HEAD .NEXT .CUES 9 OUES 12 ANIMAL I Cattle ___ 00 X 2 Pgs _…- 3 Sheep__ _ _ ___ _ _ _ 4 Goats =___= ==__ S Horses 6 Donkes. mules __s 7 Chickens, roosters 8 Turkeys 9 Ducks, geese, other poultry _ 10 Rabbits _______ 11 Mmnk _ 12 Other fri animas I 13 Beehives 14 Other _ _ _ .... _ __.._PART 9 PART 9F. ANIMAL PRODUCTS II 0i.mV ise ped I2 h;_nttu jeinne.. hew my memuebso pOf houshold Produced nry products Obtaied ftom emmett they hav* raied For example. meat. nlk products. fish rersed on 4 pn belong"i to you. es or tanned skins? YES , ... t II No 2 * PART 96 p 2 3 4 S 5 7 9 10 R Ouwng the past 12 WhIch houehold members partucipered in What quantity of Whet quantity What Whet What quatty How much How much did members O months. has any producton of IANIMAL PItOCUCTI? the oNIMAL of doe quantity o quantP of o the IAMAL money wes of the householdt SPnd 0 membet of yoFr PFO0ICTI did the (ANIMAL the IANIMAL "t AIMAL PFOOCTI dd receved from in tth test 12 montha to U household made housed poduce PRODUCTI *d PRODUCTI PROCUCTI the housiehold the sat of buy tools, pwckein. C lANIAL PRODUCTI in the tst 12 the house_od as given wee stored? sant? ANILMAL trnspon ond labor for T Irom crops grown by wontha? consume hi away in the PRODUCTI n fANItMAL PROOUCTI? the household? the ltet 12 lost 12 IF NONE. th"lost 12 months? months? WRITE ZERO months? tF NOTHING. WRITE YES I .010 ZERO NO 2 _ .. ANIMAL PRODUCT . NEXT ANIMAL t0 ID tO tD ID IO AMOUNT AMOUNT AMOUNT ArMOUNT AMOUNT AMOUNT AMOUNT PRODUCT CODE COOE CODE CODE CODE CODE S-{-soty= to A_ tiilI I TFRS !i C,l-m ltTFRq JL V'... L 2_ rh.... F 1 ...,t .nn ECIFY __ _ _ _ _ _ _ _ _ _ _ SECTION 11 EXPENDITURES AND DURABLE GOODS SUPERVISOR RESPONDENT: ID CODE INTERVIEWER RESPONDENT ID CODE PART 1 1 A DAILY EXPENSES C DAILY EXPENSE ITEM I 2 FOR CALCULATION O Sne my last V-w mch ha vain O vit, have the hou d spnt for IITEMI E membes of Your snce my last vist? household spwnt money on IITENI? YES . I NO 2 _ NEXT ITEM AMOUtNT I Food consumed et home 2 Food consumed ewsy from home 3 Cigavettes, tobcco 4 Newspapers, magazines 5 Soap and washing powder 6 Personal hygiene prodcics Ilolet paper, shampoo. '5or blades, haxr brush, toothpaste, etcl 7 Cosmelic produts t Goods for homre matches. ceadtes, _ Ighlbulbs, cleaning supplies. etA I 9 City or local transport sernces (bus, _tolleybus, metro. taxi elc I 10 Gasolne or diesel fuel I Postage. mail service, telegraph 12 Russian baths, sauna 13 Laundry, dry cleaning, hairdresser. _baiber 14 Lottery tickets PART I11 PART 118 ANNUAL EXPENSES O Have the membes of YoUl How much did 0 Have the members of you Horw much did D houped tlPd y o1 household 0 household 4 nxmy housetwd m b EIEXPENSEthe mbr send E dw I sp E IEXPRSE M Spen an IEXPESE pest 12 months? on SEXPENSE the pest 12 months? ITEAI in ihe lost 12 ITEt tlrIhe last months? YES 1 12 months? YES . NO..... ....2 NO..... 2 [NEXT ITEM A MOUT NOXT ITEM AMOUNT 1 Foolwere for adults I l hnerey, m lt Ppon Semmes 2 Footware lot chddren A 9 Other esfsendrtwe f loc tet *n,d y4catron 3 Cloth 20 MembershiP lees 4 Adult cloth.ng 21 Oomestic help Imelds, cooks diversi 5 Children's clotfsrg 22 Weddinds other cefebrati0i 6 Fuirlure 23 Dowrnes 7 Sheets, blankets, towels 24 Kbhm Igihs to pawents of the bridet 8Books, paper, envelopes, stationery Inot for school) 25 Gifs fmemage, bwthday Iwieralst 9 Jewelry, watches 26 Funerals a0 Records, cassetes, toys. sports equpment 27 Reptmnert of debts, loans and interest ii Culltur, sport arrangements 28 Other expense 12 Medcmnes Have any mempeus of the How much did they _______________________________________ _____________________ _____________ houshouseh fdd loo tt moneey fromm toose iin tthe pestt 11 ILOSS m Ithe tost 12 months? 13 Medical services months? YES I 2 AMOUNT 14 Home repair, mamtenance _ NEXT ITEM 15 Rapaii, mamintnance. othet expenwss for vehices. 29 No_-4ib*sem.n trtom banks nd pivate competne other then gasohne _ 16 Taxes 30 Theft 17 Insurance _ 31 Other losses *-PART I1C PART 11 C DURABLE GOODS DURAII GOOD _2 3 4 5 6 T Do the membes In whit y1er Od you How much did you paty Whre did you ecqu this When you ff You wanted tave you or the now much was E of yoew acrare ITEI. tm d r fo tes IlTEMI? IN it q ITEMI? ecqermd thbs to so tta membrs of Mg raised from Om sobl M houhold own then onaemiowedn was agrht oreaang. IITEMIt was IlTEMt today. househeid od any of IITEIMI n th el any IITEMI? wYet yer dd you whet wes the delue of State shop I new or how much IITEMI o the 1ist 12 months? C acun the mo st t IITEMI when you Pmrnvt shap 2 previously would you 12 months? O YES 1 valubl of the nams? rceived stil Pnvete penon 3 used? receive? . NEXT ITEM o NO 2 Inherted 4 YES I E * OUESTION 7 YEAR AMOUNT Gift S NEW 1 NO 2 AMOUNT _______________ Other 6 USED 2 AMOOUNT * NEXT ITEM Gas or electrnc stove Relngerator 2 Automatic washNng machine 3 Manual washing machine 4 Sewing or kniting machine S _ Air conditioner 6 Electric fan 7 _ _ __ _ _ _ l Electric room heater 8 ______ _ Black and white tlevision I Color television 10 ___ Stereo or toperecorder I tI_ _ Radio 1 2 Video cassette recorder 13 Comera 14 Video camera 15I Personal comptenr 16 Bicycle I 7 Mtofocycle to d Passenger rutomoble 19 ___ PART 1I D PART 11 D REAL ESTATE ASSETS i Does any member of the household own any rel estate asset other than the dwelng and agrcultural use Iand? YES NO 2 . PART I IE Plusse ist tor me the real estate assts other than vour dwetlng and sttura ts land that Ielong to members of your household _ C REAL ESTATE ASSET 2 3 4 5 6 7 O TYPE OF ASSET In what year was tes How was this real esstat What amounm could you Was thws IREAL ESTATE How much was earned D eal estate acquied? acctredl sell sPs IREAL ESTATE ASSET) tented to ursdindsrls in the laS 12 rnonths E HOUSE I ASSET) tor? outside of the houseld rn team tte rentat of tss APARTMENT . 2 BOUGHT I the last 12 months? IREAL ESTATE BUILDING . .3 PRIVATIZED 2 ASSETI? NON AGRICULTURAL LAND 4 INHERITED 3 STORE HOUSE S FREE FROM STATE 4 YES I GARAGE .. . . 6 YEAR BUILT 5 AMOUNT NO - 2 AMOUNT DACHA . 7 OTHER 6 .NEXT ASSET 2 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 4 _ _________________ _ = __________ _________________ ______ __ __ ___ _________ _ _ _ 2 101 _PART .IE PART 11 E EXPENSES FOR REMITTANCES I Dut.n Ithe paSt 12 months hsny mmbor t yw houshotd pmv m o goods to prsons who are not members of ywo household? For exempl. chldren w relatives bee elsewhere. ot to other persos? YES .' I I NO 2 * SECTION 12 Now I would lAh to ask you some questUons about the to whom the members o oor househod sn assostance C2 3 4 5 6 o 9 10 I I 1 2 1 3 14 0 What ere the names of all What s Whet ts WhiCh member of What is the relationship of Does IRECIPIENTI Doe IRECWIENTI How much Whet is the Now much Whet ns the Is part of What D the perons to whom the tex the ap of th household IRECUPIENTI to the donor ot le on the liv In a money hove vee of money heve velue of this percent ot E members of yo household of IRECIP- provided thU the essitance? members of goods sent memnbe of goods sent assistace the have sent astsance dunng IRECIP- IENTI? assistnce to Ihe to the household to to be re-aid assstance O the past 12 months? IENTI? IRECIPtENTI? SPOUSE 2 household IRECIPtENTI sont to IRECIPtENTI to the is lo be F SONJOAUGHTER 3 sent o in thetlost 4 IRECFIPENTI in the et 1 2 membefsol repaid? WRITE THE 10 SONIDAUGHTER IN LAW 4 IRECFIENTI weeks? n the pest 12 months? yOLK R CODE OF THE FATHERIMOTHER .. 5 in the test 4 months? houseoold? E UST ALL NAMES BEFORE DONOR FATHER/MOTHER OF THE weeks? C GOING TO 03-014 VIFE... 6 this poplaxton IF IT IS NOT FATHERtMOTHER OF THE point?. I P POSSIBLE TO SAY HUSBAND . * .9 cap.t.l? I WHICH BROTHER/SISTER 8 tths rion? ... 2 oblst or raon E IF THE RESPONDENT DOES INIVIDUAL GRANDCHD 9 Ihis obtst .... 3 center? 2 N NOT WISH TO GIVE MEMBER GRANDPARENT 10 a itbfrtx obtast? 4 othr town? 3 , T NAMES, NUMBER THE PROVIDED THE COUSIN . 11 anotthw CIS viage of th YES I PERCENT U.A PERSONS ASSISTANCE. OTHER RELATIVE 12 county? . 5 tOwntyoe? 4 NO .2 MALE I WRITE ZERO.07 NO RELATION 13 outside the CIS? 6 vige? 5 - NEXT .-NEXT FEMALE 2 YEARS ID CODE AMOUNT AMOUNT AMOUNT AMOUNT RECtPIENT RECIPIENT 2 == = 4,_ 2 ______________ ________________ 6 _ 7. B8 _____________ _________ - = --_-_______= ==__ to- SECTION 12 SECTION 12 FOOD EXPENDITURE AND CONSUMPTION SUPERVISOR RESPONDENT tO CODE I II | tNTERVIEWER RESPONDENT ID CODE I II I FFOODITEM 1 2 3 4 S 6 7 a 9 10 II t2 13 14 O How much How much How mutch How much How much How many During on How many DunOng those On Now mny Ouring those On average. O IFOOD ITEMI IFOOD was spsnt IFOOD IFOOD ITEMI months ot thic aveoage, months of months. how avrage , months of the months, how much D was ITIEM was to ItEMI was was the as 12 months how much the tasn 12 many thes how vuch lnst 12 mornths how mmy IFOOD consumed by ptNchased purchase consumed consumed months how many IFOOD months each month IFOOD have vou times eah ITEMI dd C membes of since my IFOOD smnce my sice mV lest have you times *ach ITEMI did have you did you ITEMI did consume month did you O your last visit? ITEtvl tst vist visit that was Purchased month did you consumed consume You IFOOD ITEMI you consum D household stnct mV that was a gift lom IFOOD yOu purchase IFOOD [FOOF ITEMI consum given by consume each tmre? E since my lest tst visit? produced m someone ITEMI? purchase each time? ITEMI that that was each time? someone IFOOD visit? tha outsods of the IFOOD was home- home- outsido the ITEMI that household? householtd ITEMI? prodjcad? produced? household? w s a grift IF ZERO IF ZERO IF ZERO '0Cl9 0 12 . NEXT ITEM OUANnTY OUANTITYV AMOUNT OUANTt1V QUANTITY MONTHS TtMES OUAtNTITY MONTHS TIMES QUANTITY MONTHS TIMES QUANTITY B Bread KG _ _ = = - ___= _ 2 Wheat flout KG - _ _ 3 Mara flouw KG _ _ 4 Rice KG _ S Groas KG _ _ _ 6 Macaroni products KG _ _ 7 Othe grain product) KG _ SPotatoes KGmprouc 9 Carrots ' KG | =_=_= 10 Othe root crops KG| I Dried beans KG _ 12 LentIls, soy. Peas KG| _I_______ t 3 Geen beans KG _ _ _ 14 Tomatoes KG _ ___ 15 Onion. geri KG SECTION 1 2A FOOD EXPENDITURE AND CONSUMPTION Continued FFOOD ITEM 1 2 3 4 5 6 7 a 9 10 I1 12 13 14 O How muth Now much How much How much How much How many Dunng On How many Dunng those On How many Ouring thoe On average o IFOOD STIAI IFOOD was spent ItFOO IFOOD ITEMI months of the average, mowths of mont, how average, months of the months, how how much D owas ITEMI was to ITEMI was was the It 12 months. how much the lst 12 many ts how muth ltst 12 many trnes IFOOD consurmd by pulchosed pueawes. consumed consumed months how m n IFOOD months each month [FOOD months have each month ITEMI did C mambos of swnt my IFOD since mvy sti mvy lst have Vou times _eh ITEMI did have you did you ITEMI did you consume did you You O Vout lst viit? ITtEMS tet vsit visit tht wus purchased nmonth did you consumed consume You IFOOD ITEMI consume consume O houShd since my that was a gih frorn IF000 you ptachse IFOOD IFOOD ITEMI consum given bV [FOOD ITEMI each time? E sie my lest lest visi? produced n somen ITEMS? purchase each tme? ITEMI that Ihat was oech tim? someone that was a visit? the outside of the IFOOD was homew home- outside the git? houstehold? household? ITEMI? poducedd? produced? household? IF ZERO IF ZERO IF ZERO .09 . a 12 . NEXT ITEM QUANTITY QUANTITY AMOUNT OUANTIrY OUANTITY MONTHS TIMES OUANTITY MONTHS TItMES QUANTITY MONTHS TIMES OUANTITY 16 Cueumbers KG - 17 Poppers KG I1 Eggplant KG _ - 19 Csbbage KG 20 Sqush, pumpkin KG 21 Greens KG - 22 Other vegetables KG 23 Apples KG 24 Citrus fruit KG 25 Grapes ' KG 26 Othe frust KG 27 Melons KG 28 Watermelons KG 29 Be-nes KG 30 Preserved vegetables KG =~~~ -. = _ _ = SECTION 1 2A FOOD EXPENDITURE AND CONSUMPTION Continued F FOOD ITEM I 2 3 4 5 6 7 6 9 1O II 12 13 14 O How much How much How much How much Howr much How many Ourog On How many Dumng those On How many During those On average. O IFOOD ITEUI IFOOD wa t IFOOD IFOOD ITEMI montla of those average. months of months, how ea e. months of the mniths, how how much D was ITEMI was o o ITEMI was was the ta 12 montfh how much Ithe st 12 many tsmes how much last 12 mnV twmns IFOOD consumed by purchased purchase consumed consumed menthit how many IFOOD months each month IFOOD months hove sech month ITEMI eid C membes of ose mv IFOOO sic my sns my tbs hove you tmo" ech ITEMI dd have you dbd you ITEMI Wd vou consume dd you Vou o VW test most? bt last It vrsrt that was puhsed month Aid Vou consumed consurse Vou IFOOD ITEMI consume consume o hoehold t my that was a gdt from [FOOD you puChase IFOOD IFOOD ITEMI consume given bV IFOOD ITEMI each t-me? E arose my lest test vstl P1 rodcd m Someone ITEMI? pVtchtse each trmal ITEMI that that was each ima? someone that was a nsitl? the outsfe Of the IFOOD was honw home. outside the grIt? household? hoseholtd? ITEMI? produced? produced? household? IF ZERO IF ZERO0 IF ZERO .0a9 0 12 . NEXTtITEM =QUANTTY OUANTITY AMOUNT GUANTITY OUANTITY MONTHS TIMES OUANT1TY MONTHS TIMES OUANTITY MONTHS TIMES OUANTITY 31 Ptesertred fnets KG ________ 32 Jam, Iy, compote KG == 33 Honey KG _ 34 Nuts KG 35 Beef, veat KG _ _ 36 Mutton, tomb KG _ 37 Pork KG _ 38 Sausage produts KG ___ 39 Poultry KG _ 40 Fish ' KG 41 Preserved moas and frsh prod KG _ 42 Other meet and fish prod KG___ 43 Eggs UNIT _ 44 Ftesh mlk t E 45 Cream sour ceam t _ SECTION 12 FOOD EXPENDITURE AND CONSUMPTION End F FOOD ITEM 1 2 3 4 5 6 7 a 9 10 11 12 13 1 4 O How much How much How much How much How much How many DOn On How many ODr,Vg those On How manvy Owug those On average, O IFOOD ITEMI (FOOD was smnt IFOOD IFOOD ITEMI mornths of those avrage mnths of months, how average, months of the months. how how much D was ITEMI was to ITEAI! was was the It 12 months, how much the lost 12 msny times how much lost 12 many tmes IFOOD consumned by purcheaed purches consumed consumed months how meny IFOOD months each month IFOOD months have each month ITEMh did C members of since my IFOOD s1ce my sice my tast have you ties each ITEMI did have you did you ITEMh did you consumo did you you O your test vst57 ITEMI test vit vst that w55 pUchaed month did you consumd consme You IFOOD ITEMI consume consumt D household sic my that was a gift from IFOOD You puchase FOO0 IFOOD ITEMI consume ivern by IFOOF ITEMI each time? E since my test test vist? produced in somen ITEMI? purchase each tIme? ITEMI that that was each timw? someone that was a visit? the outscde of the IFOOD was homtw home- outs.de the gft? household? household? ITEMb? D oduced? produred? household? IF ZERO IF ZERO IF ZERO * a 9 . a 12 .NEXTITEM OIUANTITY OUANTITY AMOUNT QUANTITY QUANTITY MONTHS TtMES QUANTITY MONTHS TIMES OUANTITY MONTHS TIMES OUANTITY 46 Kafir L 47 Cheese KG 48 Butter, marganne KG 49 Other dairy products KG O SO Vegetable oil L 51 Animml fat, lard KG 52 Tea, coffee G 53 Alcoholic bevwras L S4 Sugar KG = 55 jSaIl KG__ _ _ ___ _ _ _ __ _ _ ___ _ _ _ _ 56 P1tinas, cakes KG 57 Candy, chocolate KG _ _ 59 60 SECTION 13 SECTION 13. CHILDBEARING 5U ffSVISO. FiANEOF T.' IE WOMAN SEi.gC ?: I I 1 I waild le to as vow iesme quest.oo about tW heiamo td A Oi dr n mvo giv n WMls to. I Ntve you we t been psegnt ilTH * IESI'OHISE IMNO. ASK Was Otwe a a icy that lestd eno i a aw -ST YES. ' NO 2 * 027 NEXT PAGE 2 Have you ever given bith to a child? tF THE RESPOE IS NO. ASK. Ded you give bth to any chddn that lived Ya so tme? YES I I I NO 2 .025 NEXT PAGE Now I would ILk to have a complete list sttarting wrth the first. of as the chlldron yo havo given beth dunt n l___ bi _ _ C 3 4 5 6 7 a 9 tO 11 C What is the chad's In what month arId year was this chid Was it a boY or Is tIs child SloS Has the Is this child sIM ID CODE OF ItE Now many Nsve you given bflh to any other I nmne? born? a gel? Irrvgl ch4d been lveg in Your CHI D FROM THE monhst or Veaes children? L i lnocuated hoselhld? NOUSEOWD did the chld live? D IF NOT KNOWN. ESTIMATE FROM AGE aga1nst any ROSTER PART IA VERIFY THAT AU CHILDREN HAVE diseatss? BEEN USTED EVEN THOSE WHO ____________ LI~~~~~~~~~~~~~~~~~~VED A SHORT TIME I B 8oY I YES I YES I YES . II..OUESTION II YES I Q D GIRL, 2 NO 2 NO 2 N .2 . NEXT CHILD NAME MONTH YEAR OUfSTION 10 OUESTION I1 ID CODE MONTHS YEAfS NO ,.. 2 ___________ ____________ I ___________ _________ .r GUESTION 12 NEXT PAGE 01 _ _______.__-.___ _-- o2 _ . . . ....... _ = = 03 04,______= 06 - _ - _ 5 ;- - ,A_ iv NEXT PAGE COUNT AUL THE CHILDREN WHOSE NAMES ARE tlSTED IN THE TALE. 12 I would tke to be sure I have undetsnood correctly You have given bwsth to I Arve you st beastlev.ng NAME OF LAST BORNII children hs thiscorrect? YES I.a21 YES * WRITE NUMBER HERE- No NO . GO BACK TO 03- 1t. CORRECT ANY ERRORIS ANO ADD ANY OUMrED CHILD 19 Now fnny months cd You oedusAiely bt esttaod your child? VERIFY THE FOULOWING FOR THE CHILDREN USTED ABOVE NUMBER OF MONTHS 1A) Au CHLDREN WHO ARE HOUSEHOtD l EMERS ARtE ON THE HOUSEHOLD ROSTER SECTION IA 20 How many months hogelther did you beast lied the child? That is, how old was he/she IB1 THEIR ID CODES ARE CORRECTLY COPIED ONTO SECTION 13A he n compettly weaned? ICI THEIR SEX AND AGE ARE IDENTICA IN PARTS IA et 13A ID) AU. CHILDREN LESS THAN 20 YEARS OLD NOT IN THE HOUSEHOLD ARE INCLUDED IN NUMBER OF tMONTHS I SECTION IC 21 Have you hid any miscarrages. even though the pregnancy lasted only a low weeks or WRITE HERE THE NAME OF THE LAST BORN CHILD _montha. _r tIvt you had a stomn chid? 13 Whs you wave pregnant wvth [NAME OF LAST BORNI d ywu go fr nwdtcal consuitations YES I or your pregWnneVyt at mstwnty home. wonh cuott4ten. or other heath ervKc faclty? NO 2 * OUESTION 23 YES .... I I 1 22 How many m.scavviges and edt.vhs have you had in your bf? NO . 2 . DUESTION IS NUBI NUMBERII 14 How many times? NUMBER OF TIMES 1 23 Hav you hod anr abortcns n the gou,n Of your Ato? 0 YES '1 I5 Who assisted you at the bith? NO 2 * OUESTION 25 DOCTOR I I . 24 HOw many aborions have vou h d m the cour" of yosa Ia? NURSE .2 1 MID W1FE WITH DIPLOMA . .3 NUMBER I PRACTICAL MIDWVIFE. . 4 FELDSHER . .5 2 Are you prgnant now? OTHERISPECIFY I . 6YES ' 16 Where did you give birth) NO 2 . OUESTION 27 HOSPITAL 1 I I 26 How mnany weeks a vou mnto your pregncy? MATERNITY HOME . . 2 AT HOME . .3 NUMBER OF WEEKS IN THE HOME OF A TRADITIONAL MIDWIFE. 4 OTHER ISPECIFY I .5 27 Have you aleady lved intimste le with a man? 17 Did vou breastifod INAME OF LAST BORHI? YES YES... 1 I NO. 2 . SECTION 14 NO 2 . OUESTION 21 26 How old wer you when you for the frst tiem stoned i,nmate, hle w-th a man? AGE IN YEARS SECTION 14 SECTION 14. OTHER SOURCES OF INCOME SUPERVISOR RESPONDENT ID tODF I II I INTERVtEWER RESPONDENT _ D rOOE I would lIke you to tel me about othwr souces of imcoO recwvid by the membes of vow household during the pest 12 months That is. ncome rcerved by these perons. IREAD THE NAMES FROM THE ROSTER OF HOUSEHOLD MEMBEIRSI PART 14A. INCOME RECEIVED FROM RELATIVES AND PRIVATE PERSONS I Durng the past 12 months, has any membet of vour household received money or goods from persons who 8re not members of your household? Fer example assistance sent by relatives working elsewhere. of by cfrldien of househotd membvs. by fIMends of by neighbors YES I I I NO 2 * SECTION IS S 3 4 5 6 7 S 9 10 I1 12 13 14 O What are the names of all the Whet is the What is the Wthch member of What s the relationship ot Does ISENDERI ltve Does ISENDERI live in Ho- much What is How much What s Is any of Whta U prsoiso who sent money or sex of ae Of the household ISENDERI to the recpient0 of n the * 7 money tIhe velue money the value IhS percent of R goods to members of Vow ISENDERI? ISENOERI? recived ttr the assstance? have of goods have of the assistance the C household during the past 12 asstane from household received household goods to be assistance E months? ISENDERI? SPOUSE 2 members fromr members received repaid to is to be SONIDAUGHTER 3 received ISENDERI received ISENDERI the epaid? LIST ALL THE NAMES BEFORE WRITE THE ID SON/DAUGHTER IN LAW 4 from t the as from n the pest sender? GOING TO03 014 CODEOF THE FATHER/MOTHER .. 5 Ihaspopiation ISENDERI 4 weeks? ISENDERI 12 - RECIPIENT FATHERiMOTHER OF THE point? I at the Ist n the past months? IF THE RESPONDENT DOES WIFE 6 * 09 captail? 1 4 wes? 12 NOT WANT TO GIVE NAMES. IF IT IS NOT FATHER/MOTHER OF THE ths reron? 2 odlen or raion months? IDENTIFY THE PERSONS WITH POSSIBLE TO SAY HUSBAND .. 7 Ihis oblast 3 center? 2 NUMBERS WHICH INDIVIDUAL BROTHER/SISTER 8 a dlfferent other town? 3 RECEIVED THE GRANDCHILD 9 odast? 4 visage ot the NAME ASSISTANCE, GRANDPARENT ID anothef CIS town type? 4 YES 1 PERCENT MALE I WRITE ZERO -07 COUSIN I country? 5 iIIsge? 5 NO 2 FEMALE 2 YEARS OTHER RELATIVE 12 outide the CIS? 6 AMOUNT AMOUNT AMOUNT AMOUNT -.NEXT ..NEXT ID CODE NO RELATKIN 13 SENDER SENDER =__ _ ,=___ _ 4- ________ _______ _____ -_ __ a_ -_____ _-_____ 7 __________________ _ _ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.PART 146 PART 148. INCOME FROM OTHER SOURCES C INCOME SOURCE I 2 3 O Durng the past 12 months. has What is the amount of money What is the value of inome rechived D any mwe e of youf household recoved bY she met s o yof ~ m kd by the mw s ef yoee E recved wwome m cash or a kond household from ISOURCII "tg the household frm ISOURCE) du_ng the from ISOURCEI? past 12 months? past 12 months? NO .2 * NEXT SOURCE AMOUNT AMOUNT 1 Inhertnce= = 2 Psymnts from unanco 3 Income ffom interest on loans made to other people 4 Income fromn intrest on deposits in banks __ =___ ____________ 5Divdends from inestm_nts 6 Dowry. Kctim (gifts to parents of bndal _ 7_ 7 Gifts tmrnnage. bithday, funeral .1 8Income from the rant of tand. btldng. apantments. etc 9 S Income from the rent of movable property tvehiclea. elqsapnent. etc I _ 10 Income from the sale of ewery, books, other pesonal belong__ It Aid from non-govemmental organuatbons 12 Lotery wiwngs. other income from othtt hembi__ 13 Othe t __ SECTION II SECTION 15. LOANS AND SAVINGS PART I 5A. MONEY AND GOODS LENT AND BORROWED I wuld Mt to elk you some quetn sout c lny loam made Iom msmbers at you household to cthw eor we th lost 12 monmh. I Dom nyon owe moey Do goods to vou o SnSies of et oaw hwi4t fw eiAnmptle. tobfw to intns. ngo rs. retiveas or buseawss Ptness that have not ret betn "Pod YEf I .. .. 1 NO . ....I . .... 2 -QUEST1ON 3 2 How much hogltw ssi swed by th" pason to membwrs of hotashold? TOTAL AMOOU IT 3 Novo mambws of Yourw hatAiGold purchased soode 4n credo on the lost 12 months? Do rot oluda an purchesw on vaedt mode f acuhwai aotwnn o 0 houseold anitgpasesa YES . I I NO 2 . aUEStOe 5 4 How much hogaha do the dnarbro of vow household SIA owe do goo" purtAsed on aedt i the lost 12 months? TOTAL AMOUNT | 5. in the last 12 aonth., has any membr of yow houshold beowed money o goods fhom e bank a prurata ba,na. a govenment b_sisc. ora pit rae pers S.de of the household? Do not inchude emwost bonowed for household buhnsa or terms YES I I 1 NO ....... 2 PART ISC 6 Now many lona have be recssd by members of the houshold an thw list 12 months?t NUMtERII 7 Wlat ts tho total amouert ot tths loans? TOTAL AMOUNT | --PART tbS PART 15B. LOANS RECEIVED BY MEMBERS OF THE HOUSEHOLD I would Ike to ask you some question about the boans on which members of yoiu hhotd have made payments in the lst 12 montwhs L 2 3 4 5 6 7 a 9 10 II 12 13 14 1 10 E For each Is tIs lander a . What ts tha hI what Why was tlsa Wes a What D0d the What was Do or bed How much dd Was this It the on WIN the How much When did they or N loan t the amount of month nd mown borrowed? rate o was the household used as the they pay and thow oan repad had to be houshOd wil they when wA they D name of the relatve? ... I thrt totn? It yw did ntr4et wselu membes colateret? mmbes ofhen? n thel blt repaid mambos hae to frrsh paytng? ler acquntanc? 2 you you make apaald rate of have to of gua 12 today. pay money pay? n other pnvcto borrowed this lon FARM. 1. I tor tht mnterest? g.e, DWELLIG I houehotd WEEK .4 monthe? whet or goods IF NO FIXED peson? .. 3 goods. what frm lUSINESS .... 2 loan? somithng LAND ... 2 make MONTH a'mo°ut lot the DATE. WRITE C state bank? . . 4 is their ILENDERI? CO#4STRUCTION3 as JEWELRY 3 aggula OUARTER B would loan an ZEROS O commrcial bank? monetary PURCHASE collatwal OTHER paymnts HALF YEAR.I have to be adpston Ito o S value? PROPERTY .. 4 for lhies PERSONAL. to YEAR S paid? repaying E other? ..; 6 SPECtAL EVENT 5 loan? OBECT. 4 ILENDERI? HARVEST . the loan SCHOOLt .. OTHER 5 ONCE 10 end the OTHER ..7 nterest? NAME OF AMOUNT MO YR YES I RATE YES I YES . I AMOUNT TIME YES . I AMOUNT YES I AMOUNT MONTH YEAR LENDER NO. 2 NO... 2 NO....2 UNIT -QUES 14 NO 2 *QUES S *QUES 10 .QUES 12 HO... 2 *QUES 16 -~ = - -_ m =_ = _ -==== 1_ ___ _ ___3 ____ ______=________ 2 ____ _ _. __ 3 16 isPART 15C PART 15C. SAVINGS Does any mermom of Itosehold hve any of the liNget aounts? A State ba eeouYt ES. I NO 2 S. Commercial ba account E5. I NO. 2 C Foreign currency account YES.. I NO 2 D Ott_ bank accounts YES . NO. 2 E Bonds YES I NO. 2 F. Stocks im ncovimnesor baril VES I NO 2 G Other Savig, incuding savings kept at home VES I NO. 2 2 How much d-d the members of oe household save dtuig the test 4 weks? AMOUNT 3 Is that amount more oef te at about the sue ms uasut t-OltE ,, , LESS 2 TtESAME 3 4 What ai the total van of d the abov cowuna aw of ethe savsg Ou ts ese intituorwt belog tel dt of m o_ hd av hi?t NTEIEV=EWE tIF FERSOttN TEUVEWWE DOES NOT KNOW. ASK THIE HOUSEHOLD MEMOERS INDIVIDUALLY TOTAL AMOT I ** END OF SECOND ROUND LSMS Population Point Questionnaire for the Countries of 9 the Former Soviet Union QUESTIONNAIRE FOR POPULATION POINT IPPI POPULATION POINT SECTION 1. DEMOGRAPHIC INFORMATION POPULATION POINT CODE: I II II I How many people reside in this population point? DATE. I 11 1 1 2 What s the nma1o ethnic group in thes population point? ROSTER OF PEOPLE INTERVIEWEO A FIRST MOST IMPORTANT B. SECOND IN IMPORTANCE C. THIRD IN IMPORTANCE 2 3 3 4~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 .. . . . . . . . . . . . . . . . 6 .... . .. ... . .. .. . 68 6 OTHER ISPECIFY_ _________. . 9 i- 0 3. For the recent years. since 1990. have more people movwd into or outl o this tXA 6 populalion point? MOREMOVEDIN. I 7 MORE MOVED OUT. 2 THE SAME NUMBER OF BOTH. 3 NONE MOVED IN OR OUT. 4 4. What do Vou think, is the Ide of the people in ths popuLation point boner or wors than it was live years ao? BETTER . . . . . . . . . . . . . . . VWORSE ............................. 2 10 WITHOUT CHANGE. 3 5 Why? WRITE Att ANSWERS A. B. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ C . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ SECTION 2. WdFRASTRUCTUAE 9. How much does a one way ride to the aSstration centte by pb uic uusuatV cost? I What paft of the coeds in this populatio pott we covered.a asphalt? AMOUNT OIN UMTS OF CURRENCYI: I ALL ARE COVERED IN ASPHALT .I | t0 What pan ot th houses n thi poputdation poent ha lectrictv or geators MOST ARE COVERED IN ASPALT .2 MOST ARE EARTHICOVEREO WITH GRAVEL. 3 ALL HOUSES .1 1 ALL ARE EARTHICOVERED WITH GRAVEL . 4 MOST OF THE HOUSES. 2 ONLY SOME. 3 2. In general, what is the quabty of sth toads in thts population voit? NONE. 4 EXCELLENT.. I I. 11 Is there centrabted water supply in ths population potnt? GOOD ...... ..... ................. I ....... 2 SATISFACTORY .........2.......... .. 3 YES 1 . 1 BAD .4 NO ..2 3 What pontion of the streets in this populatton point we it with street lights) 12 What part of the houses n this population point have access to the water Poo gid? ALL .I I ALL OF THE HOUSES I MOST .2 MOST OF THE HOUSES. 2 SOME. 3 ONLY SOME .3 NONE .4 NONE .4 4 Whatisthecistanceftromths popuation pointtothecta tot theounty 13. is the water supply in this populaton pont sufficint lor ad household needs? KILOMETERS I | YES. ALWAYS SUFFICIENT.1 SUPPLY OF WATER SOMETIMES INSUFFICIENT. 2 5 How many hours does it take to get to the capital? SUPPLY OF WATER ALWAYS INSUFFICIENT. 3 I SUPPLY OF WATER INSUFFICIENT ONLY A by public bus? | IN SUMMER 4 B. by passenger automoble? 7 I 14 Is there a centralized sewage system in this population point? 6. How much droes a one-way ttip to the capital by public bus cost? YES . . ..I NO... 2 AMOUNT ION UNITS OF CURRENCYI: I 15. Is thero a centraltzed supply of hot water in this population point? 7. What is she distance fIrom this population point to the admn.st.at.on center? KILOMETERS. I I NO.... 2 8 How many hours does it take to get there .1. Is there contrtaled collection and disposal of garbage in this popuation point? A by public bus? I | YES 1I B I NO 2 B .by passenger automobile? | I 17 What part of the houses in this population point have hom te phonest ALL HOUSES ....... . ..................... I i MOST HOUSES ............................... 2 ONLY SOME . ................................ 3 NONE .. 4 18 How many telvision channels are ecaived in this population point? NUMBER OF TELEVISION CHANNELS. l I 0 19. Alter how many days do dail newspapers frtm th capital Unrve in this population 4 Are any state enterprises closed on ihis poputilon powt? point? YES ............ I ON THE SAME DAY ..... ........ .............. I I I NO .................. 2 QUE STION 6 ON THE NEXT OAY ............ 2 WtTHIN THE WEEK .3 5. How many people in this population poent had worked at those closed enterpries. OVER A WEEK .4 appoimatelyt CAPITAL NEWSPAPERS DO NOT COME HERE ....... .. S ESTIMATED NUMBER. I SECTION 3. ECONOMY 6 Are many households engaged in ndepndent economic activity in this population point? I What is the ma *economic activity ef the populatin in this poputlaton pamt? YES A FIRST, MOST IMPORTANT I I NO .... ............ ....... ............. 2 *UESTION 9 8 SECOND IN IMPORTANCE I I 7. What types ol independent economic activity are most wiespread in ths population pomt? C. THIRD IN IMPORTANCE WRITE IN ORDER OF IMPORTANCE AGRICULTURE ...A.___....................__.... I A MINING . ..................................... 2 MANUFACTURING .............3.__................ 3 8 ELECTRICITY. GAS. WATER ......... .... ........ 4 CONSTRUCTION ..... .......... . .. S C COMMERCE ..... ......... ..... 6 TRANSPORT . . . . . .. 7 8 Whet pan of the households in this population pomt are engaged in this inependent FINANCIAL...... e.. ............ ..i............ eenom¢ activity? SERVICES ..... .............. ......... 9 OTHER ISPECIFY I..... .......... 10 MOST HOUSEHOLDS ... .. ............ ONLY SOME .. . .............. ...... . . 2 2 What ue the major seious economic problems in this population point from this point NONE ..... ...... .............. 3 of view of th populAtion? WRITE IN ORDER OF IMPORTANCE 9. Do you think that the economy in this popudation point has improved or deterirated in comparison with last year? AETTER. .......... . I a WORSE.2 .................... 2 NO CHANGE .... . .. ... .................. 3 3. What pat of the male workng age popuLation in this population point is unemployed at this moment? MOST ... . ................. ...... I ABOUT 50%. 2 ABOUT 26% .3 ABOUT 10%. 4 NONE .5 SECTION 4. REFUGEES AND DISPLACED PERSONS 7. Have ean of the efugoees and dsolaced oersons bft tt,s nm tion point? 1. Do any refugees or displaced persons reside in this population point? YES. MOST HAVE LEFT ........... ............... I I I ........SOME SOME LAE ................ .. 2 YES I............ . I A FEW HAVE LEFT ............. 3 NO . 2 -SECTION S NO, NONE HAVE LEFT ............ 4 -QUESTION 9 2. Where do moat of the refugees nd displaced peons in this population pount reside? S. To where did most of the refugees nd dsplaced persons nove? WITH FAMIUES IN THE POPULATION POINT ..... ...... I 'QUES 4 I | THEY RETURNED TO THEIR FORMER PLACES .... ...... I INDEPENDENTLY IN NORMAL ANOTHER POPULATION POINTS HOUSES AND FLATS ...... ........... 2 *OUES 4 WITHIN THIS RASON ...... ........... 2 IN PUBUC BUILUNGS ...... ........... 3 TO OTHER RAIONS ..... ............ 3 IN ABANDONED HOUSES ....... .......... 4 *OUES 4 TO ANOTHER COUNTRY ....... .......... 4 IN TENT CAMPS .... ............. 5 -GUES 4 9. What par of the refugees nd dispaced pesons who till rede here mnged to find 3. Do the refugees end diplaced psons in I population point live... jobs in thas population point? 3A. in locaf schools? YES..I NO..2 I MOST ....1 I I SOME ... 2 3B. in localhealth care budinp? YES..1 NO..2 1 A FEW ......... ............................ 3 3C. in clubs? YES.A NO..2 NONE .. . 4 *OUESTION 11 I 1 10. Whet kind of work do the majorty of refug nd d soped peon who managed to 30. in other pleces?ISPECIFY _ I YES.A NO..2 I I find work do? 4 Are the refugees nd dislced perons in t population poht proviled with... AGRICULTURE .....................I.|.| I ... ~~~I N .. . .. . .. . .. . .. . .. . .. . . 2 4A financial assistance? YES. I NO ... 2 MMANUFACTURING. 3 I I .ELELECTRICITY. GAS. WATER................. . 4 48 distribution of food? YES.. 1 NO. 2 I CONSTRUCTION ....... ....................... 5 I I COMMERCE .......... 6 4C. free medical service? YES..I NO ...2 I TRANSPORT ...........7 FINANCIAL .................. B 4D. assistance finding 'work? YES..1 NO ...? SERVICES.. 9 4E. child care? YES.. I NO... OTHER ISPECIFY ................. 10 11. What re the mapor probems the refugees nd dispbced people in this population 5. When did the majority of rehfgee md diplced perons saive in this population poets point encosester? RI .................. I WTE IN ORDER OF IMPORTANCE WITHIN THE LAST YEAR .1.................... FROM ONE TO THREE YEARS AGO .....2...____________............. 2 A.__ MORE THAN THREE YEARS AGO ..... .............. 3 8. __ 6. Do refugees and displaced persons continue to ant"? YES. MANY STILL ARRIVE ....... ................. I YES. SOME STILL ARRIVE ....... ................. 2 NO ........................................ 3 SECTION 5. EDUCATION 7. Do mast schooh in this population point haw stieftaorV s sufficient... 1. What pat of the school-ale boys in this population poiht attnd school? A. buildengs? YES. . I NO ...2 2 ALMOST ALL. BOYS ............... I .OUES 3 I I MORE THAN HALF. BUT NOT ALL .2 B- desksichars? YES.. I NO. 2 HALF OF THE BOYS ............................. 3 LESS THAN ALF..............................4 C. blackbods? YES..I NO... ONLY SOME OF THE BOYS ........................ 6 O. textbooks? YES I NO 2 NONE ...... ................................ 6 2. Why don't some boys in this population point attend school? E. heatin fuel? YES.. I NO ...2 WRITE IN ORDER OF IMPORTANCE F. other school supplies1 YES.. 1 NO. 2 A I__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ B. B. For how many weeks in the pest yer wefe schools in this population point dosed due w- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~to . A. agracuhural work? NUMBER OF WEEKS I 3. What part of the school-age gits in thds populbtion point attnd school? I I I I B. bad weather? NUMBER OF WEEKS I ALMOST ALL OF THE GIRLS ....................... I .OUES 5 1 1 MORE THAN HALF, BUT NOT ALL ................... 2 C. quarntine? NUMBER OF WEEKS I HALF OF THE GIRLS ......................... 31 LESS THAN HALF ......................... 4 D lack of teachers? NUMBER OF WEEKS I ONLY SOME OF THE GIRLS .......................5 1 NONE ..... .................... 6 E. other? ISPECIFY I NUMBER OF WEEKS I 4. Why don't some of the ge mn this population point attend school? 9. In general, what i the qualty of schools in this population point? WRITE IN ORDER OF IMPORTANCE I I EXCELLENT ......... I A. GOOD ................ 2 B SATISFACTORY ................ 3 B. BAD ............................ 4 C. A 10. Have the schooh in thu population point kiproved, deteriorated, or remained the same 5. Whalt we the major srious school problems in this population point from the point of position for the last 5 yeas? viewof the p ople WRITE IN ORDER OF IMPORTANCE IMPROVED .1.......IM P R O V E D...|. DETERIORATED. 2 A ___ __ __ __ __ __ __ __ IN THE SAME POSITION .3 * SECTION 6 B. _11. Whet changes have happened? WRITE IN ORDER OF IMPORTANCE C.- A. 6. Are ther enough teachers at schools in this popultion point? YES.1.. I B................................... NO .2 C. 7. Whbt part of the chldren under the oa of5 in this popua tion point hae bean SECTION S. HEALTI knocuftetd? 1. What the major halth poblem for the adut this population point? ALMOST ALL OF THE CH ILREN .................... I WRITE IN ORDER OF IMPORTANCE MORE THAN HALF. SUT NOT ALL ................... 2 HALF .3 A. LESS THAN HALF. 4 ONLY SOME OF THE CHILDREN .................... 5 B. NONE ...................... 6 C. S. e the rnos often used drugs, for exampl antibiotics available in the local drug stor in ths population point? 2. What e the ma* health problms or fchidn h thi population point? WRITE IN ORDER OF IMPORTANCE YES. ALWAYS AVAILABLE ........................ I AVAILABLE ONLY SOMETIMES ..................... 2 A NEVER AVAILABLE ........................ 3 E. ______________________________________________ 9. Hs the hoeath srvico in this population point rnproved. deteriorated. or remained without any change for the last 5 yeas? IMPROVED ...... . ...........I........... 3. What re the maor proble_s with the hea1th care srvice in this population point? DETERIORATED .... . ......................... 2 WRITE tN4 ORDER OF IMPORTANCE THE SAME .......... ........................ 3 SECTtON 7 A IO. What chnges have happened? .P. WRITE IN ORDER OF IMPORTANCE B.-~~~~~~~~~~~~~~~~~~~~~~~A C A. 4 In general, what is the qualitV of the health service h this population point? EXCELLENT ...........1 . . I GOOD ..... .. 2 SATISFACTORY ......... ' 3 BAD ......... 4 5. Where do most of the vwormen in this population point give bhth to thair children? IN A HOSPITAL.. I IN A MATERNITY HOME ...... .................... 2 AT HOME . .................................... 3 IN THE HOME OF A TRADITIONAL MIDWIFE .... ....... 4 IN ANOTHER PLACE ....... ..................... 5 6. Was there any moculation campaign in this population point anytmw in tth last 5 years? YES ........................................ I NO ......................................... 2 SECTION 7. AGRICULTUR)E 7. Do an of the fwtms in this population point use chemical teelizers? I Whatpantofthepopulationmnthspopulatiorpomntisengagedmanorcuhtue7 YES 1. I s 8 ~NO. .2 MOST OF THE HOUSEHOLDS ..I ONLY SOME .2 8. Do any ofthe tanles in thts population point use usctscides and herbiies? NONE .3 SECTION 8 t I YES.11 I 2 What rnapo agricuttutal crops we grown by the people in thes popuation point? NO. 2 WRITE IN ORDER OF IMPORTANCE 9. Did rain fag in thi popuAtion point more or bss during the last 12 months in A. w conparison with the prevou 12 months? B. MORE 1' . J LESS. 2 C THESAME. 3 3. What majo agricultutrl problem do the people of this population point have? 10 Do the poputation n ths population point sel or buy the nght to use land? WRITE IN ORDER OF IMPORTANCE I I YES.11 1 A NO ......................................2NO.2 9 ______________________________________________ 11. In tin population pont. how muuch does a tired man *en in a day at the following kinds of work... C. A weeding? (IN UNITS OF CURRENCY)I 4 What part of egricultural produce in ths population point is produced in wrigated fields? S I 1 1 8~~B planting/sowing? (IN UNITS OF CURRENCY) II ALMOST ALL .I I I MORE THAN HALF, BUT NOT ALL .2 C. hnegatmg7? (IN UNITS OF CURRENCYI ? HALF ...3 3 LESS THAN HALF .4 D. harvesting? (IN UNITS OF CURRENCYI ONLY A SMALL PART .5 NOTHING .6 12. In this population point. how much does a hired woman earn in a day at the following work.. 5. Does a representative of the Miisty of Agnculture visit tfrmers tn this population point? A. weedig' (IN UNITS OF CURRENCY) I YES .I I 8 planting/sowing? (IN UNITS OF CURRENCY) I NO.2tI C. ffgating? IIN UNITS OF CURRENCY) I 6. Do any of the ltmners in this population point participate in the work of a cooperative? 1 1 YES.1~~~~~~~~~~~~~~~~~~~~~ 0I harveting? (IN UNITS OF CURRENCY)I|I YES .2 1 1 NO .................... .................................. 2 13. In this population point, how much does a twed child ean in a day at ths followng :.- of work. A. weeding? IIN UNITS OF CURRENCY) l l 8. plantingisowing? (IN UNITS OF CURRENCY) | l C. irrigating? (IN UNITS OF CURRENCYI | D. harvesting? (IN UNITS OF CURRENCY) l 14. Is theae a system of mutual assistance among the fairers in this population point while doing teld work? YES .l . NO ..... .. 2 0\ SECTION S. INSTIUTIONS C 2 3 4 O Is theie a How many What is the distance How long does it take to get 0 IINSTITUTIONI in thus IINSTITUTIONSI afe in this from this population from this population point to E PUBLIC INSTITUTIONS population point? poptlation point? point to the nearest the IINSTITUTION)? IINSTITUTIONI?T YES I NUMBER HOURS MINUTES NO . 2 3 NEXT INSTITUTION KILOMETERS _l P.rM. .. , 02 State telephone service _ _ _ 03 Militia lPolicel 04 Fire Brigade 05 Hospital 06 Polyclinic 07 Feldsher po,flt 08 First aid 09 Women's consuhation ___ _ 10 Drug store -_ 1 Chrldren's doctor 12 Dentist 13 State crecheldaY care 14 Private crechelday care 15 State kindergarten 16 Private kindergarten 17 State incomplete secondary school _____ 18 State complete secondary school _ _ -_____ 19 Private school . _ 20 State gymnasium _ -_-_. 21 PFivate aymnassum 22 Prof-tech t,ch sec or srec Sc st _ 0 Is there a How many What is the distance How long does i take to get D pINSTITUTIONI in JINSTITUTIONSI a*e in this from this populaion fromn this popujation point to E PUBLIC INSTITUTIONS this population population point? point to the nerest the IINSTITUTIONI? point? NUMBER IINSTITUTION HOURS MINUTES YES. 1 I . NEXT INSTITUTION KILOMETERS NO . .2 3_ _2,4_ National Government Offices _25... State emnloyment service State nension institution 27.L State allowances institution 2 Ministry of Agriculture renresentatives oHfce .29. State stores 32 Private stores _ 31 Market/bazaar 00 State bank 3 Pfivate bank commercial bank 34 Theater cinema culture club 5 Sports club 36 Public swimmina pool 37 Local newsnanec _ 38 State canteen 39 Prvatekcoonerative canteen 40 Pnvate/cooriera8ve restaurant 41 Cafe Petrol station 4 Airoort 44 Railway station d a. _ ._ _ _ _ _ _ _ _EU - = * * END OF POPUL ATION POINT I .UESTlONNAIRi PRICE QUESTIONNAIRE , , 3 1 POPULATION POINT: POPULATION POINT CODE I II II I DAtE: C Ist 2nd 3rd C I St 2nd 13rd O ITEM/PRODUCT OBSERVATION OBSERVATION OBSERVATION 0 PRODUCTIITEM OBSERV OBSERV OASERV E h u E KG PRICE KG PRICE KG PRICE PRICE PRICE PRICE 01 Wheat fbur high quality I18 Eggs.,ton 02 R*sce =__19 Fiesh milk, fiarf 03 Potatoes 20 Bread, first quaity, loat 04 Tomatoes 21 Flat bread 05 Onions, brown 22 Vegetable oil, liter 06 Apples _ 23 Local Beer. tIer 07 Beef with bones 24 Coca cola, can 08 Mutton = = . 25 Local Vodka, half iter 09 Chicken, whole _ _ 26 Matches, box 10 Honey _ 27 Local cigarenes, pack 11 Cheese. holland _ 28 Imported cigaretes, pack 12 Butter, cream 29 Hand soap, bar 13 Sugar 30 Local daily newspaper 14 Salt 31 Pentol, liter 15 Tea, indian _ _ 32 Local bus fawe 16 Coffee, brazilian 33 Aspirin. tO tablets 17 Charcoal _ _ 34 Mans hak cut * END OF PRICE OzUESTION4AliRE I I LSMS Working Papers No. I Chander, Grootaert, and Pyatt, Living Standards Surveys in Developing Countries No. 2 Visaria, Poverty and Living Standards in Asia: An Overview of the Main Results and Lessons of Selected Household Surveys No. 3 United Nations Statistical Office. Measuring Levels of Living in Latin America: An Overview of Main Problems No. 4 Scott, de Andre, and Chander, Towards More Effective Measurement of Levels of Living, and Review of Work of the United Nations Statistical Office (UNSO) Related to Statistics of Levels of Living No. 5 Scott, de Andre, and Chander, Conducting Surveys in Developing Countries: Practical Problems and Experience in Brazil, Malaysia, and the Philippines No. 6 Booker, de Andre, and Chander, Household Survey Expenence in Africa No. 7 Deaton, Measurement of Welfare: Theory and Practical Guidelines No. 8 Mehran, Employment Data for the Measurement of Living Standards No. 9 Wahab, Income and Expenditure Surveys in Developing Countries: Sample Design and Execution No 10 Saunders and Grootaert, Reflectons on the LSMS Group Meeting No. 11 Deaton, Three Essays on a Sri Lanka Household Survey No. 12 Musgrove, The ECIEL Study of Household Income and Consumption in Urban Latin America: An Analytical History No. 13 Martorell, Nutrition and Health Status Indicators: Suggestions for Surveys of the Standard of Living in Developing Countries No. 14 Birdsall, Child Schooling and the Measurement of Living Standards No. 15 Ho, Measuring Health as a Comnponent of Living Standards No. 16 Sullivan, Cochrane, and Kalsbeek, Procedures for Collecting and Analyzing Mortality Data in LSMS No. 17 Grootaert, The Labor Market and Social Accounting: A Framework of Data Presentation No. 18 Acharya, Time Use Data and the Living Standards Measurement Study No. 19 Grootaert, The Conceptual Basis of Measures of Household Welfare and Their Implied Survey Data Requirements No. 20 Grootaert, Cheung, Fung, and Tam, Statistical Experimentation for Household Surveys: Two Cases Studies of Hong Kong No. 21 Wood and Knight, The Collection of Price Data for the Measurement of Living Standards No. 22 Grootaert and Cheung, Household Expenditure Surveys: Some Methodological Issues No. 23 Ashenfelter, Deaton, and Solon, Collectng Panel Data in Developing Countries: Does it Make Sense? No. 24 Grootaert, Measuring and Analyzing Levels of Living in Developing Countries: An Annotated Questionnaire No. 25 Grootaert and Dubois, The Demand for Urban Housing in the Ivory Coast No. 26 Ainsworth and Mufioz, The Cote dI'voire Living Standards Survey: Design and Implementation No. 27 Grootaert, The Role of Employment and Earnings in Analyzing Levels of Living: A General Methodology with Applications to Malaysia and Thailand No. 28 Deaton and Case, Analysis of Household Expenditures No. 29 Glewwe, The Distribution of Welfare in Cote d'Ivoire in 1985 No. 30 Deaton, Quality, Quantity, and Spatial Variation of Price: Estimating Price Elasticitiesfrom Cross- sectional Data No. 31 Suarez-Berenguela, Financing the Health Sector in Peru No. 32 Suarez-Berenguela, Informal Sector, Labor Markets, and Returns to Education in Peru No. 33 van der Gaag and Vijverberg, Wage Determinants in C6te dI'voire No. 34 Ainsworth and van der Gaag, Guidelines for Adapting the LSMS Living Standards Questionnaires to Local Conditions No. 35 Dor and van der Gaag, The Demand for Medical Care in Developing Countries: Quantity Rationing in Rural COte dI'voire No. 36 Newvman, Labor Market Activity in Cote d 'Ivoire and Peru No. 37 Gertler, Locay, Sanderson, Dor, and van der Gaag, Health Care Financing and the Demand for Medical Care No. 38 Stelcner, Arriagada, and Moock, Wage Determinants and School Attainment among Men in Peru No. 39 Deaton, The Allocation of Goods within the Household: Adults, Children, and Gender No. 40 Strauss, The Effects of Household and Community Characteristics on the Nutrition of Preschool Children: Evidence from rural Cote d 'Ivoire No. 41 Stelcner, van der Gaag, and Vijverberg, Public-Private Sector Wage Differentials in Pens, 1985-86 No. 42 Glewwe, The Distribution of Welfare in Peru 1985-86 No. 43 Vijverberg, Profits from Self-Employment: A Case Study of Cote dI'voire No. 44 Deaton and Benjamin, The Living Standards Survey and Price Policy Reform: A Study of Cocoa and Coffee Production in Cote dI'voire No. 45 Gertler and van der Gaag, Measunng the Willingness to Pay for Social Services in Developing Counties No. 46 Vijverberg, Nonagricultural Family Enterprises in Cote d'Ivoire: A Descriptive Analysis No. 47 Glelwwe and de Tray, The Poor during Adjustment: A Case Study of C6te dI'voire No. 48 Glewwe and van der Gaag, Confronting Poverty in Developing Countries: Definitions, Information, and Policies No. 49 ScoLt and Amenuvegbe, Samnple Design for the Living Standards Surveys in Ghana and Mauritania/Plans de sondage pour les enquetes sur le niveau de vie au Ghana et en Mauritanie No. 50 Laraki, Food Subsidies: a Case Study of Price Reformn in Morocco (also in French, 50F) No. 51 Strauss and Mehra, Child Anthropometry in Cote dI'voire: Estimates from Two Surveys, 1985 and 1986 No. 52 van der Gaag, Stelcner, and Vijverberg, Public-Private Sector Wage Comparisons and Moonlighting in Developing Countries: Evidence from Cote d 'Ivoire and Peru No. 53 Ainsworth, Socioeconomic Detenninants of Fertility in Cote dI'voire No. 54 Geraer and Glewwe, The Willingness to Pay for Education in Developing Countries: Evidence from Rural Pens No. 55 Levy and Newman, Rigidite des salaires: Donnees microeconomiques et macroeconomiques sur I 'ajustement du marche du travail dans le secteur moderne (in French only) No. 56 Glewwe and de Tray, The Poor in Latin America during Adjustment: A Case Study of Peru No. 57 Alderman and Gertler, The Substitutability of Public and Private Health Care of the Treatment of Children in Pakistan No. 58 Rosenhouse, Identifying the Poor: Is "Headship 'a Useful Concept? No. 59 Vijverberg, Labor Market Performance as a Determinant of Migration No. 60 Jimenez and Cox, The Relative Effectiveness of Private and Public Schools: Evidence from Two Developing Countries No. 61 Kakwani, Large Sample Distribution of Several Inequality Measures: With Application to Cote d'Ivoire No. 62 Kakwani, Testing for Significance of Poverty Differences: With Application to Cote d'lvoire No. 63 Kakwani, Poverty and Economic Growth: With Application to Cote d'lvoire No. 64 Moock, Musgrove, and Stelcner, Education and Earnings in Peru's Informal Nonfarm Family Enterprises No. 65 Alderman and Kozel, Formal and Informal Sector Wage Determination in Urban Low-Income Neighborhoods in Pakistan No. 66 Vijverberg and van der Gaag, Testing for Labor Market Duality: The Private Wage Sector in COte dI'voire No. 67 King, Does Education Pay in the Labor Market? The Labor Force Participation. Occupation, Occupation. and Earnings of Peruvian Women No. 68 Kozel, The composition and Distribution of Income in Cote d'lvoire No. 69 Deaton, Price Elasticities from Survey Data: Extensions and Indonesian ResuLts No. 70 Glewwe, Efficient Allocation of Transfers to the Poor: The Problem of Unobserved Household Income No. 71 Glewwe, Investigating the Determnnants of Household Welfare in Cote d 'Ivoire No. 72 Pitt and Rosenzweig, The Selectivity of Fertility and the Determinants of Human Capital Investments: Parametric and Semiparametric Estimates No. 73 Jacoby, Shadow Wages and Peasant Family Labor Supply: An Econometric Application to the Peruvian Sierra No. 74 Behrman, The Action of Humnan Resources and Poverty on One Another: What We Have Yet to Learn No. 75 Glewwe and Twum-Baah, The Distribution of Welfare in Ghana, 1987-88 No. 76 Glewwe, Schooling, Skills, and the Returns to Government Investment in Education: An Exploration Using Data from Ghana No. 77 Newman, Jorgensen. and Pradhan, Workers' Benefits from Bolivia's Emergency Social Fund No. 78 Vijverberg, Dual Selection Criteria with Multiple Alternatives: Migration, Work Status, and Wages No. 79 Thomas, Gender Differences in Household Resource Allocations No. 80 Grosh, The Household Survey as a Tool for Policy Change: Lessons from the Jamnaican Survey of Living Conditions No. 81 Deaton and Paxson, Patterns of Aging in Thailand and Cdte d'Ivoire No. 82 Ravallion, Does Undernutrition Respond to Incomes and Prices? Dominance Tests for Indonesia No. 83 Ravallion and Datt, Growth and Redistribution Components of Changes in Poverty Measure: A Decornposition with Applications to Brazil and India in the 1980s No. 84 Vijverberg, Measuring Income from Family Enterprises with Household Surveys No. 85 Deaton and Grimard, Demand Analysis and Tax Reforn in Pakistan No. 86 Glewwe and Hall, Poverty and Inequality during Unorthodox Adjustment: The Case of Peru, 1985-90 No. 87 Newman and Gertler, Fanily Productivity, Labor Supply, and Welfare in a Low-Income Country No. 88 Ravalion, Poverty Comparisons: A Guide to Concepts and Methods No. 89 Thomas, Lavy, and Strauss, Public Policy and Anthropometric Outcomes in C6te d'Ivoire No. 90 Ainsworth and others, Measuring the Impact of Fatal Adult Illness in Sub-Saharan Africa: An Annotated Household Questionnaire No. 91 Glewwe and Jacoby, Estimating the Determinants of Cognitive Achievement in Low-Income Countries: The Case of Ghana No. 92 Ainsworth, Economic Aspects of Child Fostering in C6te d 'Ivoire No. 93 Lavy, Investment in Human Capital: Schooling Supply Constraints in Rural Ghana No. 94 Lavy and Quigley, Willingness to Pay for the Quality and Intensity of Medical Care: Low-Income Household in Ghana No. 95 Schultz and Tansel, Measurement of Returns to Adult Health: Morbidity Effects on Wage Rates in Cote d'lvoire and Ghana No. 96 Louat, Grosh, and van der Gaag, Welfare Inplications of Female Headship in Jamaican Household No. 97 Colombe and Demery, Household Size in C6te dI'voire: Sampling Bias in the CILSS No. 98 Glewwe and Jacoby, Delayed Primary School Enrollment and Childhood Malnutrition in Ghana: An Economic Analysis No. 99 Baker and Grosh, Poverty Reduction through Geographic Targeting: How Well Does It Work? No. 100 Datt and Ravallion, Income Gains for the Poor from Public Works Employment: Evidence from Two Ineian ViUages No. 101 Kostermans, Assessing the Quality of Anthropometric Data: Background and Illustrated Guidelines for Survey Manager No. 102 van de Walle, Ravallion, and Gautam, How Does the Social Safety Net Work?: The Incidence of Cash Be,nefits in Hungary, 1987-89 No. 103 Benefo and Schultz, Determunants of Fertility and Child Mortality in Cdte d'Ivoire and Ghana No. 104 Behrman and Lavy, Children's Health and Achievement in School No. 105 Lavy and Germain, Quality and Cost in Health Care Choice in Developing Countries No. 106 Lavy, Strauss, Thomas, and De Vreyer, The Impact of the Quality of Health Care on Children's Nutntion and survival in Ghana No. 107 Hanushek and Lavy, School Quality, Achievement Bias, and Dropout Behavior in Egypt No. 108 Feyistan and Ainsworth, Contraceptive Use and the Quality, Price, and Availability of Family Planning No. 109 Thomas and Maluccio, Contraceptive Choice, Fertility, and Public Policy in Zimbabwe No. 110 Ainsworth, Beegle, and Nyamete, The Impact of Female Schooling on Fertility and Contraceptive Use: A Study of Fourteen Sub-Saharan Countnes No. 111 Oliver, Contracet,tive Use in Ghana. The Role of Service Availability, Quality, and Price No. 112 Montgomery, Kouame, and Oliver, The Tradeoff between Number of Children and Child Schooling: Evidence from Cote d 'Ivoire and Ghana No. 113 Pradhan, Sector Participation Decisions in Labor Supply Models No. 114 Beegle, The Quality and Availability of Family Planning Services and Contraceptive Use in Tanzania No. 115 Lavy, Spratt, and Leboucher, Changing Patterns of Illiteracy in Morocco: Assessment Methods Compared No. 116 Lavy, Palumbo, and Stern, Health Car in Jamaica: Quality, Outcomes, and Labor Supply No. 117 Glewwe and Hall. Who Is Most Vulnerable to Macroeconomic Shocks? Hypotheses Tests Using Panel Data from Peru No. 118 Grosh and Baker, Proxy Means Tests for Targeting Social Programs: Simulations and Speculation No. 119 Pitt, Women's Schooling, the Selectivity of Fertility, and Child Mortality in Sub-Saharan Africa No. 120 Grosh and Glewwe, A Guide to Living Standards Measurement Study Surveys and their Data Sets No. 121 van de Walle, Infrastructure and Poverry in Viet Nam No. 122 Ravallion, Poverty Compaisons: A Guide to Concepts and Methods No. 123 Ii, The Demand for Medical Care: Evidence from Urban Areas in Bolivia No. 124 Hentschel and Lanjouw, Constructing and Indicator of Consumption for the Analysis of Poverty: Principles and Illustrations with Reference to Ecuador No. 125 Leiibrrandt, Woolard, Woolard, The Contribution of Income Components to Income Inequality in South Africa: A Decomposable Gini Analysis No. 126 Grosh, Mufioz, A Manualfor Planning and Implementing the Living Standards Measurement Study Survey No. 127 Dow, Unconditional Demand for Curative Health Inputs: Does Selection on Health Status Matter in the Long Run? No. 128 Glewwe, How Does Schooling of Mothers Improve Child Health? 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