questionnaire for household · 2015-08-25 · 1 b. section “family information” “old...

53
Project RUSSIAQUESTIONNAIRE FOR HOUSEHOLD 19TH ROUND SITES 1. [ NAME OF POPULATED AREA (SETTLEMENT) _________________ | ___ | ___ | ___ | ] FAMILYS 2. [ NUMBER OF FAMILY | ___ | ___ |___ | ] HSFPINBF 3. [ DID ANY (AT LEAST ONE) MEMBER OF THE FAMILY PARTICIPATE IN THE SURVEY EVER BEFORE? YES ...........................................................................1 NO ............................................................................2 ] 4. [ DATE INTERVIEW CONDUCTED: DAY | ___ | ___ | MONTH | ___ | ___ | ] HSIDAY HSIMONTH 5. [ LENGTH OF INTERVIEW: | ___ | HOURS | ___ | ___ | MINUTES ] HSILHRS HSILMIN 6. [ LAST NAME OF INTERVIEWER _____________________________________________ ] XXXXXXXX 7. [ NUMBER OF INTERVIEWER | ___ | ___ | ___ | ] HSRNUM 8. [ NUMBER OF FAMILY MEMBER WHO ANSWERED THE FAMILY QUESTIONNAIRE | ___ | ___ | ] I, ____________________________________________________________ [ INTERVIEWER! WRITE IN FULL YOUR LAST NAME, FIRST NAME, AND PATRONYMIC NAME! ] READ OUT TO THE RESPONDENT THE STANDARD DESCRIPTION OF THE AIMS AND CONDITIONS OF THE SURVEY AND RECEIVE (HIS/HER) AGREEMENT TO PARTICIPATE IN THE SURVEY. INTERVIEWER’S SIGNATURE __________________________________ DATE ____________________________ 2010

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Page 1: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

Project “RUSSIA”

QUESTIONNAIRE FOR HOUSEHOLD

19TH ROUND

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

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

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

SURVEY EVER BEFORE?

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

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

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

HSIDAY HSIMONTH

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

HSILHRS HSILMIN

6. [ LAST NAME OF INTERVIEWER _____________________________________________ ]

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

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

QUESTIONNAIRE | ___ | ___ | ]

I, ____________________________________________________________

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

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

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

INTERVIEWER’S SIGNATURE __________________________________

DATE ____________________________

2010

Page 2: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

1

B. SECTION “FAMILY INFORMATION”

“OLD FAMILY”

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

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

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

population center, include them in your household.

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

HSNFMEMO | ___ | ___ | PEOPLE

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

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

to the present composition of your family.

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

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

THE CORRESPONDING COLUMNS OF THE CARD. ]

HSINHH01 2.1. Tell me, please: Is [ NAME AND PATRONYMIC ] now a member of your family or

household?

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

Yes 1 → [ SKIP TO 3. ]

No 2

HSWHYN01 2.2. Could you tell me, please, why [ NAME AND PATRONYMIC ] is no longer a

member of your household?

[ INTERVIEWER! READ POSSIBLE ANSWERS TO THE RESPONDENT AND IN

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

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

Has left to other settlement for other

reasons 22 → [ SKIP TO THE NEXT PERSON ]

Lives in this settlement but in another

address 23 → [ SKIP TO THE NEXT PERSON ]

Lives at this address but in another

household 02 → [ SKIP TO THE NEXT PERSON ]

Died 03 → [ GO TO THE QUESTION 2.3. ]

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

THE TABLE ON THE CORRE-

SPONDING LINE AND SKIP TO

THE NEXT PERSON. ]

HSCDTH01 2.3. Could you tell me, please, the cause of the death of [ NAME AND PATRONYMIC ] ?

[ INTERVIEWER! READ POSSIBLE ANSWERS TO THE RESPONDENT AND IN

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

Heart attack 31 → [ SKIP TO THE NEXT PERSON ]

Stroke 32 → [ SKIP TO THE NEXT PERSON ]

Cancer 33 → [ SKIP TO THE NEXT PERSON ]

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

Tuberculosis 35 → [ SKIP TO THE NEXT PERSON ]

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

THE TABLE ON THE CORRESPONDING LINE

AND SKIP TO THE NEXT PERSON ]

Page 3: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

2

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

FAMILY OR HOUSEHOLD. ]

HSMTHS01 3. How many months in the last 12 have you (has he/she) lived in your family or household?

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

HSSEX01 4. [ INTERVIEWER! CIRCLE IN COLUMN 4. OF THE CARD THE SEX OF THE FAMILY

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

person?” ]

HSBYR01 5. In what year were you (was he/she) born?

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

HSBMTH01 6. In what month were you (was he/she) born?

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

CARD ]

HSBDAY01 7. On what day were you (was he/she) born?

[ INTERVIEWER! WRITE THE ANSWER IN COLUMN 7. OF THE CARD ]

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

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

WHOSE NAME IS WRITTEN ON THE 2ND LINE ]

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

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

PRECEDING ROWS, STARTING WITH THE FIRST ] ?

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

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

FAMILY MEMBER YOU ARE DISCUSSING AND THE COLUMN FOR THE NEXT

FAMILY MEMBER. ]

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

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

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

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

RECORD NAMES AND PATRONYMICS OF NEW FAMILY MEMBERS ON THE NEXT

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

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

CHECK WHETHER THE NUMBER OF HOUSEHOLD MEMBERS MENTIONED IN THE

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

HOUSEHOLD MEMBERS WHO ARE LIVING THERE. AFTER THIS CLARIFICATION GO

TO THE NEXT SECTION ON PAGE 6. ]

Page 4: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

3

“NEW FAMILY”

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

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

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

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

HSNFMEMN | ___ | ___ | PEOPLE

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

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

of the family. Let’s begin with you.

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

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

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

HSMTHS01 3. How many months in the last 12 have you (has he/she) lived in your family or

household?

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

HSSEX01 4. [ INTERVIEWER! CIRCLE IN COLUMN 4. THE SEX OF THE FAMILY MEMBER

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

HSBYR01 5. In what year were you (was he/she) born?

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

HSBMTH01 6. In what month were you (was he/she) born?

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

CARD ]

HSBDAY01 7. On what day were you (was he/she) born?

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

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

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

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

FAMILY MEMBER YOU ARE DISCUSSING AND THE COLUMN FOR THE NEXT

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

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

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

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

Page 5: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

4

CARD

No. First Name, Patronymic

Still in the family?

Reason for absence, cause of

death

How many months in

family of the last 12

Sex M - 1 F - 2 Year of birth

Month of birth Day

2 2.1 2.2 - 2.3 3 4 5 6 7

01

Yes...1 No....2 →

HSINHH01

| __ | __ | HSWHYN01 HSCDTH01

| __ | __ | HSMTHS01

1....2

HSSEX01

| __ | __ | __ | __ |

HSBYR01

| __ | __ | HSBMTH01

| __ | __ | HSBDAY01

02

Yes...1 No....2 →

HSINHH02

| __ | __ | HSWHYN02 HSCDTH02

| __ | __ | HSMTHS02

1....2

HSSEX02

| __ | __ | __ | __ |

HSBYR02

| __ | __ | HSBMTH02

| __ | __ | HSBDAY02

03

Yes...1 No....2 →

HSINHH03

| __ | __ | HSWHYN03 HSCDTH03

| __ | __ | HSMTHS03

1....2

HSSEX03

| __ | __ | __ | __ |

HSBYR03

| __ | __ | HSBMTH03

| __ | __ | HSBDAY03

04

Yes...1 No....2 →

HSINHH04

| __ | __ | HSWHYN04 HSCDTH04

| __ | __ | HSMTHS04

1....2

HSSEX04

| __ | __ | __ | __ |

HSBYR04

| __ | __ | HSBMTH04

| __ | __ | HSBDAY04

05

Yes...1 No....2 →

HSINHH05

| __ | __ | HSWHYN05 HSCDTH05

| __ | __ | HSMTHS05

1....2

HSSEX05

| __ | __ | __ | __ |

HSBYR05

| __ | __ | HSBMTH05

| __ | __ | HSBDAY05

06

Yes...1 No....2 →

HSINHH06

| __ | __ | HSWHYN06 HSCDTH06

| __ | __ | HSMTHS06

1....2

HSSEX06

| __ | __ | __ | __ |

HSBYR06

| __ | __ | HSBMTH06

| __ | __ | HSBDAY06

07

Yes...1 No....2 →

HSINHH07

| __ | __ | HSWHYN07 HSCDTH07

| __ | __ | HSMTHS07

1....2

HSSEX07

| __ | __ | __ | __ |

HSBYR07

| __ | __ | HSBMTH07

| __ | __ | HSBDAY07

08

Yes...1 No....2 →

HSINHH08

| __ | __ | HSWHYN08 HSCDTH08

| __ | __ | HSMTHS08

1....2

HSSEX08

| __ | __ | __ | __ |

HSBYR08

| __ | __ | HSBMTH08

| __ | __ | HSBDAY08

09

Yes...1 No....2 →

HSINHH09

| __ | __ | HSWHYN09 HSCDTH09

| __ | __ | HSMTHS09

1....2

HSSEX09

| __ | __ | __ | __ |

HSBYR09

| __ | __ | HSBMTH09

| __ | __ | HSBDAY09

10

Yes...1 No....2 →

HSINHH10

| __ | __ | HSWHYN10 HSCDTH10

| __ | __ | HSMTHS10

1....2

HSSEX10

| __ | __ | __ | __ |

HSBYR10

| __ | __ | HSBMTH10

| __ | __ | HSBDAY10

11

Yes...1 No....2 →

HSINHH11

| __ | __ | HSWHYN11 HSCDTH11

| __ | __ | HSMTHS11

1....2

HSSEX11

| __ | __ | __ | __ |

HSBYR11

| __ | __ | HSBMTH11

| __ | __ | HSBDAY11

12

Yes...1 No....2 →

HSINHH12

| __ | __ | HSWHYN12 HSCDTH12

| __ | __ | HSMTHS12

1....2

HSSEX12

| __ | __ | __ | __ |

HSBYR12

| __ | __ | HSBMTH12

| __ | __ | HSBDAY12

13

Yes...1 No....2 →

HSINHH13

| __ | __ | HSWHYN13 HSCDTH13

| __ | __ | HSMTHS13

1....2

HSSEX13

| __ | __ | __ | __ |

HSBYR13

| __ | __ | HSBMTH13

| __ | __ | HSBDAY13

14

Yes...1 No....2 →

HSINHH14

| __ | __ | HSWHYN14 HSCDTH14

| __ | __ | HSMTHS14

1....2

HSSEX14

| __ | __ | __ | __ |

HSBYR14

| __ | __ | HSBMTH14

| __ | __ | HSBDAY14

15

Yes...1 No....2 →

HSINHH15

| __ | __ | HSWHYN15 HSCDTH15

| __ | __ | HSMTHS15

1....2

HSSEX15

| __ | __ | __ | __ |

HSBYR15

| __ | __ | HSBMTH15

| __ | __ | HSBDAY15

16

Yes...1 No....2 →

HSINHH16

| __ | __ | HSWHYN16 HSCDTH16

| __ | __ | HSMTHS16

1....2

HSSEX16

| __ | __ | __ | __ |

HSBYR16

| __ | __ | HSBMTH16

| __ | __ | HSBDAY16

Page 6: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

5

CARD

Rela-

tion-

ship to No. 01

Rela-

tion-

ship to

No. 02

Rela-

tion-

ship to

No. 03

Rela-

tion-

ship to No. 04

Rela-

tion-

ship to

No. 05

Rela-

tion-

ship to

No. 06

Rela-

tion-

ship to

No. 07

Rela-

tion-

ship to

No. 08

Rela-

tion-

ship to

No. 09

Rela-

tion-

ship to

No. 10

Rela-

tion-

ship to

No. 11

Rela-

tion-

ship to

No. 12

Rela-

tion-

ship to

No. 13

Rela-

tion-

ship to

No. 14

Rela-

tion-

ship to

No. 15 9 (TABLE)

01

CODING KEY 2

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

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

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

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

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

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

CODING KEY 1

01 - husband/wife (registered or not

registered)

02 - father/mother

03 - stepfather/stepmother

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

04 - son/daughter

05 - stepson, foster son, adopted son/

stepdaughter, foster daughter, adopted

daughter

06 - brother/sister

07 - halfbrother, stepbrother, foster

brother, adopted brother/ halfsister,

stepsister, foster sister, adopted sister

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

08 - grandfather/grandmother

09 - grandson/granddaughter

17 - great grandfather/great grandmother

18 - great grandson/great granddaughter

15 - uncle/aunt

10 - nephew/niece

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

13 - other relatives

14 - other persons, not relatives

02 | _ | _ | HSR0102

03 | _ | _ | HSR0103

| _ | _ | HSR0203

04 | _ | _ | HSR0104

| _ | _ | HSR0204

| _ | _ | HSR0304

05 | _ | _ | HSR0105

| _ | _ | HSR0205

| _ | _ | HSR0305

| _ | _ | HSR0405

06 | _ | _ | HSR0106

| _ | _ | HSR0206

| _ | _ | HSR0306

| _ | _ | HSR0406

| _ | _ | HSR0506

07 | _ | _ | HSR0107

| _ | _ | HSR0207

| _ | _ | HSR0307

| _ | _ | HSR0407

| _ | _ | HSR0507

| _ | _ | HSR0607

08 | _ | _ | HSR0108

| _ | _ | HSR0208

| _ | _ | HSR0308

| _ | _ | HSR0408

| _ | _ | HSR0508

| _ | _ | HSR0608

| _ | _ | HSR0708

09 | _ | _ | HSR0109

| _ | _ | HSR0209

| _ | _ | HSR0309

| _ | _ | HSR0409

| _ | _ | HSR0509

| _ | _ | HSR0609

| _ | _ | HSR0709

| _ | _ | HSR0809

CODING KEY 3

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

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

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

Accident, poisoning,

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

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

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

10 | _ | _ | HSR0110

| _ | _ | HSR0210

| _ | _ | HSR0310

| _ | _ | HSR0410

| _ | _ | HSR0510

| _ | _ | HSR0610

| _ | _ | HSR0710

| _ | _ | HSR0810

| _ | _ | HSR0910

11 | _ | _ | HSR0111

| _ | _ | HSR0211

| _ | _ | HSR0311

| _ | _ | HSR0411

| _ | _ | HSR0511

| _ | _ | HSR0611

| _ | _ | HSR0711

| _ | _ | HSR0811

| _ | _ | HSR0911

| _ | _ | HSR1011

12 | _ | _ | HSR0112

| _ | _ | HSR0212

| _ | _ | HSR0312

| _ | _ | HSR0412

| _ | _ | HSR0512

| _ | _ | HSR0612

| _ | _ | HSR0712

| _ | _ | HSR0812

| _ | _ | HSR0912

| _ | _ | HSR1012

| _ | _ | HSR1112

13 | _ | _ | HSR0113

| _ | _ | HSR0213

| _ | _ | HSR0313

| _ | _ | HSR0413

| _ | _ | HSR0513

| _ | _ | HSR0613

| _ | _ | HSR0713

| _ | _ | HSR0813

| _ | _ | HSR0913

| _ | _ | HSR1013

| _ | _ | HSR1113

| _ | _ | HSR1213

14 | _ | _ | HSR0114

| _ | _ | HSR0214

| _ | _ | HSR0314

| _ | _ | HSR0414

| _ | _ | HSR0514

| _ | _ | HSR0614

| _ | _ | HSR0714

| _ | _ | HSR0814

| _ | _ | HSR0914

| _ | _ | HSR1014

| _ | _ | HSR1114

| _ | _ | HSR1214

| _ | _ | HSR1314

15 | _ | _ | HSR0115

| _ | _ | HSR0215

| _ | _ | HSR0315

| _ | _ | HSR0415

| _ | _ | HSR0515

| _ | _ | HSR0615

| _ | _ | HSR0715

| _ | _ | HSR0815

| _ | _ | HSR0915

| _ | _ | HSR1015

| _ | _ | HSR1115

| _ | _ | HSR1215

| _ | _ | HSR1315

| _ | _ | HSR1415

16 | _ | _ | HSR0116

| _ | _ | HSR0216

| _ | _ | HSR0316

| _ | _ | HSR0416

| _ | _ | HSR0516

| _ | _ | HSR0616

| _ | _ | HSR0716

| _ | _ | HSR0816

| _ | _ | HSR0916

| _ | _ | HSR1016

| _ | _ | HSR1116

| _ | _ | HSR1216

| _ | _ | HSR1316

| _ | _ | HSR1416

| _ | _ | HSR1516

Page 7: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

6

C. SECTION “LIVING CONDITIONS”

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

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

you rent, or your own residence?

OWN RESIDENCE 1

RENTED RESIDENCE 2 → [ SKIP TO 6. ]

DORMITORY 3 → [ SKIP TO 6. ]

DOESN’T KNOW 7 → [ SKIP TO 6. ]

REFUSESE TO ANSWER 8 → [ SKIP TO 6. ]

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

| _______________ | RUBLES

RESIDENCE NOT SUBJECT TO SALE 5

SELLING RESIDENCE NOT POSSIBLE 6

DOESN’T KNOW 7

REFUSES TO ANSWER 8

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

part of a house?

SEPARATE APARTMENT 1

PART OF AN APARTMENT 2

SEPARATE HOUSE 3

PART OF A HOUSE 4

DOESN’T KNOW 7

REFUSES TO ANSWER 8

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

One of the members of your household 1

Other relatives, but not members of your

household 2

Or the house is not privatized 3

OTHER 4

DOESN’T KNOW 7

REFUSES TO ANSWER 8

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

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

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

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

__________ M2 (SQUARE METERS)

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

living space only?

__________ M2 (SQUARE METERS)

DOESN’T KNOW 997

REFUSES TO ANSWER 998

Page 8: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

7

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

kitchen, bathroom, etc.)?

__________ ROOMS

DOESN’T KNOW 97

REFUSES TO ANSWER 98

7. Tell me, please: In your home is there...? Yes No D/K REFUSES

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

HSHCWATR 2. Central water supply 1 2 7 8

HSHHWATR 3. Hot water supply 1 2 7 8

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

HSHESTOV 8. Electric stove 1 2 7 8

HSHCSEWR 5. Central sewerage 1 2 7 8

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

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

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

expenses.

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

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

How many DOESN’T

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

↓ ↓

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

No ................. 2 HSAGRENF

HSOREFNF

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

No ................. 2 HSAGFREZ

HSOFREZ

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

No ................. 2 HSAGWSHA

HSOWSHRA

3.1. Microwave oven Yes 1 → | ______ | 97

No ................. 2 HSAMICOV

HSOMICOV

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

No ................. 2 HSADISHW

HSODISHW

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

No ................. 2 HSACOLTV

HSOCOLTV

5.2. Flat color television – plasma or LCD

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

No ................. 2 HSAFLCTV

HSOFLCTV

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

No ................. 2 HSAGVCR

HSOVCR

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

No ................. 2 HSADVDPL

HSODVDPL

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8

How many DOESN’T

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

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

No ................. 2 HSADESCO

HSODESCO

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

No ................. 2 HSAPORCO

HSOPORCO

6.2.3. Low modem internet connection, through

common telephone line, mobile telephone,

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

No ................. 2 HSALOWIC

HSOLOWIC

6.2.4. High-speed internet connection – through

cable, DSL telephone line, for example

“Stream”, satellite, 3G mobile phone,

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

No ................. 2 HSAHSPIC

HSOHSPIC

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

No ................. 2 HSAGDIGC

HSODIGC

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

No ................. 2 HSADIGCC

HSODIGCC

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

No ................. 2 HSAMP3PL

HSOMP3PL

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

No ................. 2 HSAGPSNA

HSOGPSNA

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

No ................. 2 HSAGCARD

HSOCARD

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

No ................. 2 HSAGCARF

HSOCARF

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

No ................. 2 HSAGTRUK

HSOTRUK

8. Motorcycle, motor scooter,

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

No ................. 2 HSAGMCB

HSOMCB

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

No ................. 2 HSABICYC

HSOBICYC

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

No ................. 2 HSAGTRAK

HSOTRAK

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

No ................. 2 HSALAWNM

HSOLAWNM

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

No ................. 2 HSAAIRCO

HSOAIRCO

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9

How many.... DOESN’T

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

↓ ↓

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

No ................. 2 HSASATTD

HSOSATTD

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

No ................. 2 HSACABTV

HSOCABTV

10.1. Dacha or other house

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

No .......... 2 HSAGDACH HSRDACH

HSODACH

12. Other apartment or

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

No .......... 2 HSAGOTHA HSROTHA

HSOOTHA

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10

D. SECTION “FARMING AND ANIMAL HUSBANDRY”

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

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

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

PRECEDING THE DATE OF THE SURVEY. ]

Yes 1

No 2 → [ SKIP TO 11. ON PAGE 14 ]

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

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

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

Yes 1

No 2 → [ SKIP TO 5. ]

DOESN’T KNOW 7 → [ SKIP TO 5. ]

REFUSES TO ANSWER 8 → [ SKIP TO 5. ]

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

__________ SOTKAS

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

choose, please, only one.

[ INTERVIEWER! YOU SHOULD NOTE ONLY ONE ANSWER. ]

All is owned by your family 1

All is rented by your family 2

Part is owned by your family, part rented 3

You use the land under another arrangement 4

DOESN’T KNOW 7

REFUSES TO ANSWER 8

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

Yes 1

No 2 → [ SKIP TO 7. ]

DOESN’T KNOW 7 → [ SKIP TO 7. ]

REFUSES TO ANSWER 8 → [ SKIP TO 7. ]

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

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

Yes 1

No 2 → [ SKIP TO 11. ON PAGE 14 ]

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

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

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11

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

I will list various crops, and you please try to remember whether your family has harvested

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

also remember how you used the gathered crops?

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

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

WITH THE RESPONDENT, INTO KILOGRAMS. ]

[ INTERVIEWER! IF THE RESPONDENT HAS DIFFICULTY SAYING HOW MUCH

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

ANSWER SPACE.

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

How many How many

kg did your kg were How many

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

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

your family did you natural or natural or natural or

harvested? harvest? processed processed processed

form? form? form?

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

No 2 HSHPOTA HS2FPOTA HS2OPOTA HSSPOTA

HSHPOT

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

No 2 HSHTOMA HS2FTOMA HS2OTOMA HSSTOMA

HSHTOM

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

No 2 HSHCUCM HS2FCUCM HS2OCUCM HSSCUCM

HSHCUC

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

No 2 HSHBEET HS2FBEET HS2OBEET HSSBEET

HSHBET

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

No 2 HSHCARR HS2FCARR HS2OCARR HSSCARR

HSHCAR

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

No 2 HSHCABB HS2FCABB HS2OCABB HSSCABB

HSHCAB

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

No 2 HSHONON HS2FONON HS2OONON HSSONON

HSHON

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

gourds No 2 HSHSQSH HS2FSQSH HS2OSQSH HSSSQSH

HSHSQA

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

No 2 HSHVEGT HS2FVEGT HS2OVEGT HSSVEGT

HSHOTV

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

melons No 2 HSHMELN HS2FMELN HS2OMELN HSSMELN

HSHMEL

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

No 2 HSHGRAN HS2FGRAN HS2OGRAN HSSGRAN

HSHGRN

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

No 2 HSHBEAN HS2FBEAN HS2OBEAN HSSBEAN

HSHBEN

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12

How many How many

kg did your kg were How many

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

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

your family did you natural or natural or natural or

harvested? harvest? processed processed processed

form? form? form?

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

No 2 HSHCORN HS2FCORN HS2OCORN HSSCORN

HSHCRN

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

No 2 HSHTOBC HS2FTOBC HS2OTOBC HSSTOBC

HSHTBC

15. Strawberries, raspberries Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HSHSTRW HS2FSTRW HS2OSTRW HSSSTRW

HSHSTR

16. Currants, gooseberries Yes 1 → | __________ | __________ | _________ | __________ |

No 2 HSHCURR HS2FCURR HS2OCURR HSSCURR

HSHCUR

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

No 2 HSHBUKT HS2FBUKT HS2OBUKT HSSBUKT

HSHBKT

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

No 2 HSHPLUM HS2FPLUM HS2OPLUM HSSPLUM

HSHPLM

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

No 2 HSHGRAP HS2FGRAP HS2OGRAP HSSGRAP

HSHGRP

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

No 2 HSHBERY HS2FBERY HS2OBERY HSSBERY

HSHOTB

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

No 2 HSHAPPL HS2FAPPL HS2OAPPL HSSAPPL

HSHAPL

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

No 2 HSHPEAR HS2FPEAR HS2OPEAR HSSPEAR

HSHPAR

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

No 2 HSHPECH HS2FPECH HS2OPECH HSSPECH

HSHPCH

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

No 2 HSHFRUT HS2FFRUT HS2OFRUT HSSFRUT

HSHOTF

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

No 2 HSHNUTS HS2FNUTS HS2ONUTS HSSNUTS

HSHNUT

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

No 2 HSHFLWR HSSFLWR

HSHFLR

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13

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

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

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

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

during the last 12 months?

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

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

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

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

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

from your land during the last 12 months?

_______________ RUBLES

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

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

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

last 12 months?

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

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

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

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

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

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

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

DOESN’T KNOW .................................................... 7 → [ SKIP TO 14. ON PAGE 15 ]

REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 14. ON PAGE 15 ]

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

livestock, fowl, or bees?

_______________ RUBLES

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

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

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14

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

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

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

[ INTERVIEWER! IF THE RESPONDENT HAS DIFFICULTY ANSWERING HOW

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

ANSWER SPACE “999997.”

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

How many

kg did How many kg How many

Did How your were given kg were

you many family away to others sold in

produce? kg were consume in in natural or natural or

produced? natural or processed processed

processed form? form?

form?

1. Meat, except meat from fowl Yes 1 → | __________ | __________ | _________ | _________ |

No 2 HSPMEAT HS2FMEAT HS2OMEAT HSSMEAT

HSPMET

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

No 2 HSPPOUL HS2FPOUL HS2OPOUL HSSPOUL

HSPPOL

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

No 2 HSPHONY HS2FHONY HS2OHONY HSSHONY

HSPHNY

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

No 2 HSPWOOL HS2FWOOL HS2OWOOL HSSWOOL

HSPWOL

How many How many

liters did liters were How many

Did How your given away liters were

you many family to others in sold in

produce? liters were consume in natural or natural or

produced? natural or processed processed

processed form? form?

form?

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

No 2 HSPMILK HS2FMILK HS2OMILK HSSMILK

HSPMLK

How many How many

Did How did your were given How many

you many family away to were sold in

produce? were consume in others in natural or

produced? natural or natural or processed

processed processed form?

form? form?

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

No 2 HSPEGGS HS2FEGGS HS2OEGGS HSSEGGS

HSPEGG

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

No 2 HSPPELT HS2FPELT HS2OPELT HSSPELT

HSPPLT

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15

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

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

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

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

No 2 → [ SKIP TO 17. ]

DOESN’T KNOW 7 → [ SKIP TO 17. ]

REFUSES TO ANSWER 8 → [ SKIP TO 17. ]

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

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

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

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

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

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

excluding expenditures for fuel? Yes 1

No 2 → [ SKIP TO 19. ]

DOESN’T KNOW 7 → [ SKIP TO 19. ]

REFUSES TO ANSWER 8 → [ SKIP TO 19. ]

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

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

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

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

No 2 → [ SKIP TO NEXT SECT. P. 17 ]

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

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

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

fish, or bagged game? Yes 1

No 2 → [ SKIP TO NEXT SECT. P. 17 ]

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

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

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

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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16

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

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

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

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

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

give approximate answers. Did your How many

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

7 days? liters)? pay?

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

No 2 HSABRDWI HSCBRDWI

HSBBRDWI

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

No 2 HSABRDBL HSCBRDBL

HSBBRDBL

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

No 2 HSAGROAT HSCGROAT

HSBGROAT

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

No 2 HSAFLOUR HSCFLOUR

HSBFLOUR

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

No 2 HSAPASTA HSCPASTA

HSBPASTA

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

No 2 HSAPOTAT HSCPOTAT

HSBPOTAT

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

No 2 HSAVEGCN HSCVEGCN

HSBVEGCN

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

No 2 HSACABBG HSCCABBG

HSBCABBG

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

No 2 HSACUCUM HSCCUCUM

HSBCUCUM

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

No 2 HSATOMAT HSCTOMAT

HSBTOMAT

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

No 2 HSARTVEG HSCRTVEG

HSBRTVEG

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

No 2 HSAONGAR HSCONGAR

HSBONGAR

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

No 2 HSASQUAS HSCSQUAS

HSBSQUAS

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

No 2 HSAVEGOT HSCVEGOT

HSBVEGOT

15. Watermelons, melons, including pickled and dried Yes 1 → | ________ | kg 9997 | _________ | 997

No 2 HSAMELON HSCMELON

HSBMELON

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17

Did your How many

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

7 days? liters)? pay?

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

No 2 HSAFRUCN HSCFRUCN

HSBFRUCN

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

No 2 HSABERRY HSCBERRY

HSBBERRY

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

No 2 HSAFRUIT HSCFRUIT

HSBFRUIT

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

No 2 HSAFRUDR HSCFRUDR

HSBFRUDR

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

No 2 HSANUTS HSCNUTS

HSBNUTS

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

No 2 HSAMETCN HSCMETCN

HSBMETCN

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

No 2 HSABEEF HSCBEEF

HSBBEEF

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

No 2 HSAMUTTN HSCMUTTN

HSBMUTTN

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

No 2 HSAPORK HSCPORK

HSBPORK

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

No 2 HSAORGAN HSCORGAN

HSBORGAN

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

No 2 HSAPOULT HSCPOULT

HSBPOULT

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

No 2 HSALARD HSCLARD

HSBLARD

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

No 2 HSASMEAT HSCSMEAT

HSBSMEAT

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

No 2 HSAMETSP HSCMETSP

HSBMETSP

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

No 2 HSAMLKCD HSCMLKCD

HSBMLKCD 31. Fresh milk Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HSAMILK HSCMILK HSBMILK 32. Sour milk products: kefir, yogurt, etc. Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HSAKEFIR HSCKEFIR HSBKEFIR 33. Sour cream, cream Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HSACREAM HSCCREAM HSBCREAM

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18

Did your How many

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

7 days? liters)? pay? 34. Butter Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HSABUTTR HSCBUTTR HSBBUTTR 35. Curd, cream cheese Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HSACURDS HSCCURDS HSBCURDS 36. Cheese, feta cheese Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HSACHEES HSCCHEES HSBCHEES 37. Ice cream Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HSAICECR HSCICECR HSBICECR 38. Vegetable oil Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HSAVGO HSCVGO HSBVGO 39. Margarine Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HSAMARGN HSCMARGN HSBMARGN 40. Sugar Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HSASUGAR HSCSUGAR HSBSUGAR 41. Candy, chocolate Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HSACANDY HSCCANDY HSBCANDY 42. Preserves, jam Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HSAJAM HSCJAM HSBJAM 43. Honey Yes 1 → | ________ | l 9997 | _________ | 997 No 2 HSAHONEY HSCHONEY HSBHONEY 44. Cookies, pastries, cakes, Yes 1 → | ________ | kg 9997 | _________ | 997 waffles, gingerbread, buns No 2 HSACAKE HSCCAKE HSBCAKE 45. Eggs Yes 1 → | ________ | no. 9997 | _________ | 997 No 2 HSAEGGS HSCEGGS HSBEGGS 46. Fish: fresh, frozen, dried, Yes 1 → | ________ | kg 9997 | _________ | 997 prepared by a fishmonger No 2 HSAFISH HSCFISH HSBFISH 47. Canned fish Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HSAFSHCN HSCFSHCN HSBFSHCN 48. Tea Yes 1 → | ________ | kg 9997 | _________ | 997 No 2 HSATEA HSCTEA HSBTEA

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

cocoa No 2 HSACOFFE HSCCOFFE

HSBCOFFE

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

No 2 HSABEV HSCBEV

HSBBEV

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

various sauces No 2 HSASLTSP HSCSLTSP

HSBSLTSP

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

No 2 HSAMUSHR HSCMUSHR

HSBMUSHR

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19

Did your How many

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

7 days? liters)? pay?

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

No 2 HSAVODKA HSCVODKA

HSBVODKA

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

No 2 HSALIQUR HSCLIQUR

HSBLIQUR

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

No 2 HSABEER HSCBEER

HSBBEER

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

No 2 HSATOBAC HSCTOBAC

HSBTOBAC

57. Chewing gum, pastilles Yes 1 → | ________ | units 9997 | _________ | 997

No 2 HSAGUM HSCGUM

HSBGUM

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

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

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

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

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

HSC8OUT 3. Please recall: Approximately how much money did all members of your family spend on

eating away from home in the last 7 days?

_______________ RUBLES

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

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

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

home and away from home in the last 30 days?

_______________ RUBLES

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

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

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

the household? Yes 1

No 2 → [ SKIP TO 7. ]

DOESN’T KNOW 7 → [ SKIP TO 7. ]

REFUSES TO ANSWER 8 → [ SKIP TO 7. ]

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

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

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

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

NO CHILDREN IN THE HOUSEHOLD 996

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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20

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

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

buy? did you pay?

1.0. Cultural goods: television, tape recorder, video,

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

No ........ 2 HSCCLTGS

.......................................................................................... HSBCLTGS

1.1. Cultural goods: television, tape recorder, video,

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

etc. .................................................................................... No ........ 2 HSCMOBIT

.......................................................................................... HSBMOBIT

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

.......................................................................................... No ........ 2 HSCFURN

.......................................................................................... HSBFURN

3. Household appliances: refrigerator, washer, vacuum, sewing machine, iron, food processor, etc. .... Yes ....... 1 → | __________ | 997

.......................................................................................... No ........ 2 HSCAPPL

.......................................................................................... HSBAPPL

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

.......................................................................................... No ........ 2 HSCAUTO

.......................................................................................... HSBAUTO

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

.......................................................................................... No ........ 2 HSCMCYCL

.......................................................................................... HSBMCYCL

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

.......................................................................................... No ........ 2 HSCGARAG

.......................................................................................... HSBGARAG

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

.......................................................................................... No ........ 2 HSCBUILD

.......................................................................................... HSBBUILD

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

.......................................................................................... No ........ 2 HSCDAL

.......................................................................................... HSBDAL

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

.......................................................................................... No ........ 2 HSCBOOKS

.......................................................................................... HSBBOOKS

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

.......................................................................................... No ........ 2 HSCSPORT

.......................................................................................... HSBSPORT

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

WHO DID NOT BUY ANYTHING FROM THE LIST IN QUESTION 7.

FOR THOSE WHO BOUGHT SOMETHING, ASK QUESTION 7.12. ]

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

phone, refrigerator, furniture, etc.?

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

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

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

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

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21

7.12. Where exactly did your family buy these goods?

Yes No D/K REFUSES

HSBMARK 1. At markets .......................................................................... 1 .................. 2 ................. 7 ............... 8

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

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

in shops, which work in different places under

the same merchandise mark, for example

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

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

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

HSBPHINT 5. You have ordered food goods by telephone

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

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

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

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

........................................................................................ No ........ 2 HSCFUELM

........................................................................................ HSBFUELM

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

........................................................................................ No ........ 2 HSCFCPK

........................................................................................ HSBFCPK

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

........................................................................................ No ........ 2 HSCGASBT

........................................................................................ HSBGASBT

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

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

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

........................................................................................ No ........ 2 HSCTRAN

........................................................................................ HSPTRAN

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

........................................................................................ No ........ 2 HSCSHUTL

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

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

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

........................................................................................ No ........ 2 HSCHGDSR

........................................................................................ HSPHGDSR

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

........................................................................................ No ........ 2 HSCBLDGR

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

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

........................................................................................ No ........ 2 HSCAUTOR

........................................................................................ HSPAUTOR

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

........................................................................................ No ........ 2 HSCLNDYB

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22 Did your How many family rubles in all D/K use? did you pay? 6. Postal/telegraph service, including long-distance ....... HSPLNDYB

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

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

........................................................................................ HSPCOMMU

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

........................................................................................ No ........ 2 HSCMOCOM

........................................................................................ HSPMOCOM

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

........................................................................................ No ........ 2 HSCINTER

........................................................................................ HSPINTER

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

........................................................................................ No ........ 2 HSCLAWYE

........................................................................................ HSPLAWYE

7. Ritual services: marriage registry office, undertaker ..................................................................... Yes ....... 1 → | __________ | 997

........................................................................................ No ........ 2 HSCRITUL

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

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

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

DOESN’T KNOW .................................................... 7 → [ SKIP TO 12. ON PAGE 24 ]

REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 12. ON PAGE 24 ]

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

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

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

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

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

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

and utilities? Yes 1

No 2 → [ SKIP TO 12.2. ]

DOESN’T KNOW 7 → [ SKIP TO 12.2. ]

REFUSES TO ANSWER 8 → [ SKIP TO 12.2. ]

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

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

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

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

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

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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23

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

of this year? _______________ KILOWATTS

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

Family How many

spent rubles in all

money? did you pay? D/K

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

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

................................................................................................. No ........ 2 HSCCHILD

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

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

................................................................................................. No ........ 2 HSCTOUR

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

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

................................................................................................. No ........ 2 HSCTICKT

................................................................................................. HSPTICKT

2.2. For treatment or examination in inpatient hospitals, military hospitals, or clinics, not including medicine .......... Yes ....... 1 → | __________ | 997

................................................................................................. No ........ 2 HSCHOSP

................................................................................................. HSPHOSP

2.3. For treatment or examination in polyclinics, not including medicine ................................................................. Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HSCPOLYC

................................................................................................. HSPPOLYC

2.4. For dental treatment, dentures, false teeth, not including medicine ........................................................... Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HSCDENTR

................................................................................................. HSPDENTR

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

................................................................................................. No ........ 2 HSCMEDCN

................................................................................................. HSBMEDCN

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

................................................................................................. No ........ 2 HSCSOAP

................................................................................................. HSPSOAP

3.3. For personal hygiene (e.g., shampoo, toothpaste, toilet paper, sanitary napkins, diapers, etc.) ........................ Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HSCHYGIE

................................................................................................. HSPHYGIE

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

................................................................................................. No ........ 2 HSCPERFM

................................................................................................. HSPPERFM

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

................................................................................................. No ........ 2 HSCACLUB

................................................................................................. HSPACLUB

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

................................................................................................. No ........ 2 HSCINVST

................................................................................................. HSPINVST

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

................................................................................................. No ........ 2 HSCINSUR

................................................................................................. HSPINSUR

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

................................................................................................. No ........ 2 HSCDEPP

................................................................................................. HSPDEPP

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

................................................................................................. No ........ 2 HSCCRREP

................................................................................................. HSPCRREP

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24

Family How many

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

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

................................................................................................. No ........ 2 HSCALIMN

................................................................................................. HSPALIMN

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

payment for license, membership fees, duties and fees

for paperwork, visas and documents processing,

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

................................................................................................. No ........ 2 HSCPRTAX

................................................................................................. HSPPRTAX

10. For buying currency with the aim of saving [ TAKE INTO ACCOUNT ONLY FOR SAVING ] ............... Yes ....... 1 → | _________ | 997

................................................................................................. No ........ 2 HSCCURR

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

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

DOESN’T KNOW .................................................... 7 → [ SKIP TO 16. ON PAGE 26 ]

REFUSES TO ANSWER .......................................... 8 → [ SKIP TO 16. ON PAGE 26 ] HSLENDNG 15.How many rubles’ worth of money did your family lend in the last 30 days? _______________ RUBLES

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

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

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

No 2 → [ SKIP TO 20. ]

DOESN’T KNOW 7 → [ SKIP TO 20. ]

REFUSES TO ANSWER 8 → [ SKIP TO 20. ]

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

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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25

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

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

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

rubles.

How much

Your family How Within last was this

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

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

No . . . 2 Several times ........ No . . . . 2 HSCGVPAR

HSHLPAR per year ............ 2 HSGVPAR

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

Whenever

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

2. Your or your HSFHLPAR

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

No . . . 2 Several times ........ No . . . . 2 HSCGVCHD

HSHLCHD per year ............ 2 HSGVCHD

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

Whenever

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

3. Your or your spouse’s HSFHLCHD

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

No . . . 2 Several times ........ No . . . . 2 HSCGVGRP

HSHLGRP per year ............ 2 HSGVGRP

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

Whenever

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

4. Your or your spouse’s HSFHLGRP

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

No . . . 2 Several times ........ No . . . . 2 HSCGVGRC

HSHLGRC per year ............ 2 HSGVGRC

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

Whenever

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

HSFHLGRC

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

No . . . 2 Several times ........ No . . . . 2 HSCGVOTH

HSHLOTH per year ............ 2 HSGVOTH

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

Whenever

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

HSFHLOTH

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26

F. SECTION “INCOME”

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

firewood, peat, etc.?

Yes 1

No 2 → [ SKIP TO 5. ]

DOESN’T KNOW 7 → [ SKIP TO 5. ]

REFUSES TO ANSWER 8 → [ SKIP TO 5. ]

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

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

Yes 1

No 2 → [ SKIP TO 8. ON PAGE 28 ]

DOESN’T KNOW 7 → [ SKIP TO 8. ON PAGE 28 ]

REFUSES TO ANSWER 8 → [ SKIP TO 8. ON PAGE 28 ]

HSRBCL18 6.1. Did any members of your household receive benefits for children of ages up to 18

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

Yes 1

No 2 → [ SKIP TO 6.2. ]

DOESN’T KNOW 7 → [ SKIP TO 6.2. ]

REFUSES TO ANSWER 8 → [ SKIP TO 6.2. ]

HSVBCL18 7.1. How much money in total or what value of food products or other goods have your

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

months?

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

HSRBCG18 6.2. In the last 30 days did any members of your household receive benefits for children of

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

institution)?

Yes 1

No 2 → [ SKIP TO 8. ON PAGE 28 ]

DOESN’T KNOW 7 → [ SKIP TO 8. ON PAGE 28 ]

REFUSES TO ANSWER 8 → [ SKIP TO 8. ON PAGE 28 ]

HSVBCG18 7.2. How much money in total or what value of food products or other goods have your

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

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

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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27

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

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

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

No 2 → [ SKIP TO 10. ON PAGE 29 ]

DOESN’T KNOW 7 → [ SKIP TO 10. ON PAGE 29 ]

REFUSES TO ANSWER 8 → [ SKIP TO 10. ON PAGE 29 ]

9. Has your family received gratuitous money or goods in the last 30 days, and, if so, how

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

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

No 2 HSVFCP

HSRFCP

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

No 2 HSVFCC

HSRFCC

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

No 2 HSVFCGRP

HSRFCGRP

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

No 2 HSVFCGRC

HSRFCGRC

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

No 2 HSVFCOR

HSRFCOR

6. From friends Yes 1 → | ____________ | 997

No 2 HSVFCFRN

HSRFCFRN

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

No 2 HSVFCFEM

HSRFCFEM

8. From a religious organization:

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

No 2 HSVFCCHR

HSRFCCHR

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

No 2 HSVFCIO

HSRFCIO

9.1. From social organs of the state, not

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

No 2 HSVFCGOV

HSRFCGOV

10. From other organizations and private individuals Yes 1 → | ____________ | 997

No 2 HSVFCOTH

HSRFCOTH

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

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

Yes No D/K Refused

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

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

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

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

HSHOTHPE 5. Other people 1 2 7 8

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28

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

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

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

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

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

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

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

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

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

Yes 1

No 2 → [ SKIP TO 12. ON PAGE 29 ]

DOESN’T KNOW 7 → [ SKIP TO 12. ON PAGE 29 ]

REFUSES TO ANSWER 8 → [ SKIP TO 12. ON PAGE 29 ]

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

Yes 1

No 2 → [ SKIP TO 12. ON PAGE 29 ]

DOESN’T KNOW 7 → [ SKIP TO 12. ON PAGE 29 ]

REFUSES TO ANSWER 8 → [ SKIP TO 12. ON PAGE 29 ]

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

words, by what amount were your payments decreased?

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

12. Did your family receive any of the following payments in the last 30 days, and, if so, how much was it in rubles? Did your How much D/K family receive? in rubles? 1a. Monthly monetary payments instead of natural benefits Yes 1 → | ___________ | 997 No 2 HSVCABEN HSRCABEN 1. Some kind of pension Yes 1 → | ___________ | 997 No 2 HSVPENSN HSRPENSN 2. Stipend Yes 1 → | ___________ | 997 No 2 HSVSTI HSRSTI 3. Unemployment benefits Yes 1 → | ___________ | 997 No 2 HSVUNEMP 4. Income from sale of personal HSRUNEMP property Yes 1 → | ___________ | 997 No 2 HSVS HSRS 5. Income from renting property Yes 1 → | ___________ | 997 No 2 HSVRNT 6a. Income from capital investments as HSRRNT a percentage of investments Yes 1 → | ___________ | 997 No 2 HSVCAPP

Page 30: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

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

6b. Income from capital investments as HSRCAPP

dividends and similar payments Yes 1 → | ___________ | 997 No 2 HSVCAPD HSRCAPD 7. Insurance payments Yes 1 → | ___________ | 997 No 2 HSVINS HSRINS 8. Alimony Yes 1 → | ___________ | 997 No 2 HSVALIMN HSRALIMN 9. Repayment of a loan Yes 1 → | ___________ | 997 No 2 HSVPDEBT 10b. (Social) benefits as discounts on rent HSRPDEBT and utilities, excluding subsidies Yes 1 → | ___________ | 997 No 2 HSVBARNT HSRBARNT

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

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

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

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

months?

Yes 1

No 2 → [ SKIP TO 14.8. ]

DOESN’T KNOW 7 → [ SKIP TO 14.8. ]

REFUSES TO ANSWER 8 → [ SKIP TO 14.8. ]

HSCRPUR1 14.7 For what purpose did you take a line of credit? HSCRPUR2 Mortgage credit for purchasing house, real estate .... 1 HSCRPUR3 For purchasing a car ................................................. 2 For payment of education ......................................... 3 For purchasing a specific good in a shop ................. 4 For paying for a specific service in a firm ................ 5 Consumer credit in a bank for any purposes ............ 6 HSCPURT OTHER [ INTERVIEWER! WRITE DOWN _____________________________________________________________ DOESN’T KNOW ..................................................... 7 REFUSES TO ANSWER ........................................... 8

Page 31: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

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

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

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

Yes 1

No 2 → [ SKIP TO 13.1.2. ]

DOESN’T KNOW 7 → [ SKIP TO 13.1.2. ]

REFUSES TO ANSWER 8 → [ SKIP TO 13.1.2. ]

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

other currency, please convert it into rubles.

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

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

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

Yes 1

No 2 → [ SKIP TO 14.12. ON PAGE 31 ]

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

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

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

other currency, please convert it into rubles.

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

Yes 1

No 2 → [ SKIP TO 14.0. ]

DOESN’T KNOW 7 → [ SKIP TO 14.0. ]

REFUSES TO ANSWER 8 → [ SKIP TO 14.0. ]

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

other currency, please convert it into rubles.

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

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

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

hard currency converted into rubles.

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

Page 32: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

31

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

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

please convert it into rubles.

_______________ RUBLES

DOESN’T KNOW 997

REFUSES TO ANSWER 998

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

family in the last 30 days?

YES, EVERYTHING 1

NO, NOT EVERYTHING 2

DOESN’T KNOW 7

REFUSES TO ANSWER 8

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

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

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

there there NEED D/K REFUSES

was was not IT

HSNOCLIN 1. Could not receive outpatient clinic or

polyclinic treatment 1 2 6 7 8

HSNOHOSP 2. Could not receive inpatient treatment in a

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

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

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

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

child health center 1 2 6 7 8

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

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

No 2 → [ SKIP TO 34. ]

DOESN’T KNOW 7 → [ SKIP TO 34. ]

REFUSES TO ANSWER 8 → [ SKIP TO 34. ]

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

months?

[ INTERVIEWER! WE ARE TALKING ABOUT THOSE MEMBERS WHO ARE

RECORDED IN THE HOUSEHOLD ROSTER CARD ON PAGE 4. ]

__________ PEOPLE

DOESN’T KNOW 997

REFUSES TO ANSWER 998

Page 33: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

H. SECTION “EDUCATIONAL EXPENSES”

Education we receive plays a great role in our life. Let`s talk about expenses your family bear in relation of education of it`s different aged

members.

[ INTERVIEWER! RETURN TO THE HOUSEHOLD ROSTER CARD ON PAGE 4. QUESTION 5. AND CHECK WHETHER THERE ARE HOUSEHOLD

MEMBERS WHO WAS BORNED IN 1991 AND LATER.

ASK QUESTION 21. ONLY THOSE WHO HAS A FAMILY MEMBERS BORNED IN 1991 AND LATER. FOR OTHER RESPONDENTS SKIP TO

QUESTION 45. ON PAGE 44.]

21. Tell me, please: Is any member of your household now attends a day nursery, a kindergarten or any general education institution, for example a secondary

school, an upper secondary school, a grammar school, a lycee? Yes 1

No 2 → [ SKIP TO 45. ON PAGE 44.]

DOESN’T KNOW 7 → [ SKIP TO 45. ON PAGE 44.]

REFUSES TO ANSWER 8 → [ SKIP TO 45. ON PAGE 44.]

[ INTERVIEWER! PAY ATTENTION THAT ANY TYPE OF GENERAL EDUCATION INSTITUTION WICH DOES NOT GIVE A PROFESSIONAL EDUCATION

HEREAFTER WE WILL CALL JUST “SCHOOL” ]

CHILDREN FROM 0 TILL 19 YEARS OLD

1-ST 2-ND 3-RD 4-TH

22. Let me get names of children attend a day nursery, a kindergarten or a school now straight.

[ INTERVIEWER! IF THERE ARE

SEVERAL CHILDREN ASK ABOUT

THE YONGEST FIRST ]

Does (he/she) attend a day nursery, a kindergarten, a school?

[INTERVIEWER!

WRITE DOWN NAME

OF THE CHILD]

[INTERVIEWER!

WRITE DOWN A

CHILD`S NUMBER

FROM THE

HOUSEHOLD

ROSTER CARD ON

PAGE 4. ]

_______________

|__|__|

DAY NURSERY ........ 01

KINDERGARTEN .... 02

SCHOOL .................. 03

_________________

|__|__|

DAY NURSERY ....... 01

KINDERGARTEN ... 02

SCHOOL ................. 03

_________________

|__|__|

DAY NURSERY ........ 01

KINDERGARTEN .... 02

SCHOOL .................. 03

_________________

|__|__|

DAY NURSERY ....... 01

KINDERGARTEN ... 02

SCHOOL ................. 03

[ INTERVIEWER! QUESTIONS 23. -44. FILL ON THE COLUMN. WHEN YOU ASK ALL THESE QUESTIONS ABOUT ONE CHILD SKIP TO ANOTHER CHILD

IN THE NEXT COLUMN ]

HSMEMEDI

HSNB1KIN HSNB2KIN HSNB3KIN HSNB4KIN

HSTYP1ED HSTYP2ED HSTYP3ED HSTYP4ED

HSNA1KIN HSNA2KIN HSNA3KIN HSNA4KIN

Page 34: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

CHILDREN FROM 0 TILL 19 YEARS OLD

1-ST 2-ND 3-RD 4-TH

23. Let`s talk about [ NAME OF THE CHILD ].

In what year did (he/she) start to attend this (day

nursery/ kindergarten/ school)?

In 2010 ................... 1

In 2009 and earlier .. 2

[SKIP TO INSRUCTION

BEFORE QUESTION 26.]

In 2010 .................. 1

In 2009 and earlier . 2

[SKIP TO INSRUCTION

BEFORE QUESTION 26.]

In 2010 .................. 1

In 2009 and earlier . 2

[SKIP TO INSRUCTION

BEFORE QUESTION 26.]

In 2010 ................... 1

In 2009 and earlier .. 2

[SKIP TO INSRUCTION

BEFORE QUESTION 26. ]

24.1. In the last 12 months has your family any expenses connected with entering [ NAME OF THE

CHILD ] into this (day nursery/ kindergarten/ school):

An affiliation fee needed for entrance into your (day nursery/ kindergarten/ school) including donations and nonmonetary investments .................................. 1

A payment for pre-entry courses in your (day nursery/ kindergarten/ school).................................................. 2

A payment for pre-entry courses outside your (day nursery/ kindergarten/ school) .................................. 3

Payments for private lessons with coaches, tutors, logopedists or psychologists during preparation [ NAME OF THE CHALD ] for (day nursery/ kindergarten/ school).................................................. 4

Other ................................................................................. 6

[INTERVIEWER! WRITE DOWN WHAT EXACTLY]

[ INTERVIEWER! IN THE COLUMN WITH NUMBER OF

THE CHILD CIRCLE ALL THAT RESPONDENT SAYS, THAN

ASK ABOUT EACH MATCHED EXPENDITURE THE NEXT

QUESTION:]

24.2. Evaluate your expenses in rubles.

1_____________RUB

2_____________ RUB

3_____________ RUB

4_____________ RUB

6________________

___________________

______________ RUB

1_____________RUB

2_____________ RUB

3_____________ RUB

4_____________ RUB

6________________

___________________

______________ RUB

1_____________RUB

2_____________ RUB

3_____________ RUB

4_____________ RUB

6________________

___________________

______________ RUB

1_____________RUB

2_____________ RUB

3_____________ RUB

4_____________ RUB

6________________

___________________

______________ RUB

[ INTERVIEWER! IF IN QUESTION 24.1. CODES 1 OR 2 ARE MATCHED, WHICH MEANS THAT IN THE LAST 12 MONTHES FAMILY PAID INTO A CHILD`S

DAY NURSERY, KINDERGARDEN OR SCHOOL ENTRANCE FEE OR MADE PAYMENT FOR PRE-ENTRY COURSES, THEN ASK QUESTION 25.

FOR OTHER RESPONDENS SKIP TO 26. ]

HSYRSTK1 HSYRSTK2 HSYRSTK3 HSYRSTK4

HSEXENT1 HSEXENT2 HSEXENT3 HSEXENT4

HSEAFEE1 HSEAFEE2 HSEAFEE3 HSEAFEE4

HSREFEE1 HSREFEE2 HSREFEE3 HSREFEE4

HSECINK1 HSECINK2 HSECINK3 HSECINK4 HSRCINK1 HSRCINK2 HSRCINK3 HSRCINK4

HTECOUT1 HTECOUT2 HTECOUT3 HTECOUT4

HTRCOUT1 HTRCOUT2 HTRCOUT3 HTRCOUT4

HSEPRIV1 HSEPRIV2 HSEPRIV3 HSEPRIV4 HSRPRIV1 HSRPRIV2 HSRPRIV3 HSRPRIV4 HSEXOTH1 HSEXOTH2 HSEXOTH3 HSEXOTH4 HSEOTH1T HSEOTH2T HSEOTH3T HSEOTH4T HSREOTH1 HSREOTH2 HSREOTH3 HSREOTH4

Page 35: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

CHILDREN FROM 0 TILL 19 YEARS OLD

1-ST 2-ND 3-RD 4-TH

25. How exactly did you pay into your (day nursery/ kindergarten/ school)?

[INTERVIEWER! MATCH ALL THAT RESPONDENT SAYS]

You paid on a bank account or into accounts department of the (day nursery/ kindergarten/ school) and received a record about this payment ..................................................................... 1

You paid into your (day nursery/ kindergarten/ school) in kind, for example with a computer, draperies, color, detergents etc. ............................................... 2

You paid just personally to somebody from employees ................................................................. 3

Other ............................................................................... 6

[INTERVIEWER! WRITE DOWN HOW EXACTLY]

1

2

3

6________________

_____________________

1

2

3

6________________

___________________

1

2

3

6________________

___________________

1

2

3

6__________________

_____________________

[INTERVIEWER! IF THE CHILD ATTENDS A DAY NURSERY SKIP TO INSTRUCTION BEFORE QUESTION 28.

FOR OTHER RESPONDENTS ASK QUESTION 26. ]

26. Did your family pay for a schoolbooks, textbooks and study guides necessary to [ NAME OF THE

CHILD ] in this academic year?

Do not include here expenses on supply cupboard and other, we will talk about it later.

If you paid, tell, how much did you pay?

________ RUB

DIDN`T PAY ........... 0

D/K .......................... 7

________ RUB

DIDN`T PAY ........... 0

D/K .......................... 7

________ RUB

DIDN`T PAY ........... 0

D/K .......................... 7

________ RUB

DIDN`T PAY ........... 0

D/K .......................... 7

27. (Besides expenses on textbooks) did your family spend anything for preparation of [ NAME OF THE

CHILD ] for current academic year: a supply cupboard, a service dresses, sportswear or any other necessary in (kindergarten/ school) clothes and footwear, schoolbags and any other necessary in (kindergarten/ school) things?

If you spent, how much exactly did you pay for all this?

________ RUB

DIDN`T PAY ........... 0

D/K .......................... 7

________ RUB

DIDN`T PAY ........... 0

D/K .......................... 7

________ RUB

DIDN`T PAY ........... 0

D/K .......................... 7

________ RUB

DIDN`T PAY ........... 0

D/K .......................... 7

HSPBACC1 HSPBACC2 HSPBACC3 HSPBACC4

HSPKIND1 HSPKIND2 HSPKIND3 HSPKIND4 HSPPERS1 HSPPERS2 HSPPERS3 HSPPERS4

HSPOTHM1 HSPOTHM2 HSPOTHM3 HSPOTHM4 HSPOTH1T HSPOTH2T HSPOTH3T HSPOTH4T

HSPTXTB1 HSPTXTB2 HSPTXTB3 HSPTXTB4

HSSPREP1 HSSPREP2 HSSPREP3 HSSPREP4

Page 36: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

CHILDREN FROM 0 TILL 19 YEARS OLD

1-ST 2-ND 3-RD 4-TH

[ INTERVIEWER! PAY ATTENTION THAT IN QUESTIONS 28. - 44. ON PAGES 36. – 43. IT IS NECESSARY TO RECEIVE THE AVERAGE MONTHLY SUMS

FOR CURRENT ACADEMIC YEAR. EVEN IF PAYMENTS ARE OR WILL BE IRREGULAR OR NON-RECURRENT, PLEASE, DIVIDE THEIR TOTAL SUM INTO

QUANTITY OF EDUCATIONAL MONTHS ]

28. Let`s talk about monthly expenses in the current academic year. If some of payments we will talk about are irregular or non-recurrent divide their total sum into quantity of months in working period of [ NAME OF THE CHILD ]`s (day nursery/ kindergarten/ school).

Does your family pay for (his/ hers) (stay in day nursery/ stay in kindergarten/ main programme in school) under an official contract or any other official document?

Please, do not take into account here payments for additional classes, for nutrition and any donations and welfare assistance to the (day nursery/ kindergarten/ school), we will talk about it later.

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

No .......................... 2

[SKIP TO 30.]

D/K ........................... 7

[SKIP TO 30.]

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

No .......................... 2

[SKIP TO 30.]

D/K ........................... 7

[SKIP TO 30.]

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

No .......................... 2

[SKIP TO 30.]

D/K ........................... 7

[SKIP TO 30.]

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

No .......................... 2

[SKIP TO 30.]

D/K .......................... 7

[SKIP TO 30.]

29. How many rubles in average do you usually pay for a month of attendance?

________ RUB ________ RUB ________ RUB ________ RUB

[ INTERVIEWER! IF THE CHILD ATTENDS A DAY NURSERY SKIP TO QUESTION 34. ON PAGE 38. FOR OTHERS ASK QUESTION 30. ]

30. Tell me, please, does [ NAME OF THE CHILD ] attend any additional classes on school subjects in your (kindergarten/ school) that are not included in the main programme but strongly recommended for attendance by employees of (kindergarten/ school)?

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

No ......................... 2

[SKIP TO 33.1. ]

D/K .......................... 7

[SKIP TO 33.1. ]

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

No......................... 2

[SKIP TO 33.1. ]

D/K .......................... 7

[SKIP TO 33.1. ]

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

No ......................... 2

[SKIP TO 33.1. ]

D/K .......................... 7

[SKIP TO 33.1. ]

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

No ......................... 2

[SKIP TO 33.1. ]

D/K ......................... 7

[SKIP TO 33.1. ]

31. How many rubles in average do you pay for these additional classes for a month of education?

_____________ RUB

FREE OF CHARGE 0

[SKIP TO 33.1. ]

_____________ RUB

FREE OF CHARGE 0

[SKIP TO 33.1. ]

_____________ RUB

FREE OF CHARGE 0

[SKIP TO 33.1. ]

_____________ RUB

FREE OF CHARGE 0

[SKIP TO 33.1. ]

HSPSTAY1 HSPSTAY2 HSPSTAY3 HSPSTAY4

HSPMATT1 HSPMATT2 HSPMATT3 HSPMATT4

HSSCSUB1 HSSCSUB2 HSSCSUB3 HSSCSUB4

HSPADCL1 HSPADCL2 HSPADCL3 HSPADCL4

Page 37: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

CHILDREN FROM 0 TILL 19 YEARS OLD

1-ST 2-ND 3-RD 4-TH

32. Who primarily defines the amount of charge for these additional classes?

An administration of (kindergarten/ school) or overhead organization ..................................... 1

A teacher-parent meeting or a parent`s committee .... 2

Others, who exactly? ............................................. 6

[INTERVIEWER! WRITE DOWN ]

D/K ............................................................................................ 7

REFUSES ........................................................................ 8

1

2

6

____________________

7

8

1

2

6

____________________

7

8

1

2

6

____________________

7

8

1

2

6

____________________

7

8

33.1. Tell me, please, does [ NAME OF THE CHILD ] attend any undemanded additional classes on school subjects that you have chosen yourself, for example, on mathematics, three R`s, foreign languages, informatics or classes with logopedists?

It could be classes both in your (kindergarten/ school) and outside it.

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

No ......................... 2

[SKIP TO 34. ]

D/K .............................. 7

[SKIP TO 34. ]

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

No......................... 2

[SKIP TO 34. ]

D/K ............................. 7

[SKIP TO 34. ]

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

No ......................... 2

[SKIP TO 34. ]

D/K .............................. 7

[SKIP TO 34. ]

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

No ......................... 2

[SKIP TO 34. ]

D/K ............................. 7

[SKIP TO 34. ]

HSWCRCL1 HSWCRCL2 HSWCRCL3 HSWCRCL4

HSWCRC1T HSWCRC2T HSWCRC3T HSWCRC4T

HSUNDCL1 HSUNDCL2 HSUNDCL3 HSUNDCL4

Page 38: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

CHILDREN FROM 0 TILL 19 YEARS OLD

1-ST 2-ND 3-RD 4-TH

33.2. Where exactly [ NAME OF THE CHILD ] has these classes on additional school subjects?

In your (kindergarten/ school) ............................ 1

In other institutions, for example, on courses, in coteries, in neighborhood houses, in other (kindergartens /schools) or in one-purpose schools ............................................................ 2

With coachers, tutors, private teachers ............ 3

[ INTERVIEWER! IN THE COLUMN WITH NUMBER OF

THE CHILD CIRCLE ALL THAT RESPONDENT SAYS, THAN

ASK ABOUT EACH MATCHED PLACE THE NEXT

QUESTION: ]

33.3. How much in average do you pay for a month of these classes?

[ INTERVIEWER! IF THESE CLASSES ARE FREE OF

CHARGE WRITE 0 ]

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

34. In the current academic year does your family regularly or from time to time render monetary welfare assistance to [ NAME OF THE CHILD ]`s (day nursery/ kindergarten/ school)?

For example, it could be on such purposes like security, maintenance, purchasing of outfits.

If it is so, how many rubles in average do you pay for a month of education?

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES .... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K .......................... 7

HSCLKIN1 HSCLKIN2 HSCLKIN3 HSCLKIN4 HSPCLKI1 HSPCLKI2 HSPCLKI3 HSPCLKI4

HSCLOTH1 HSCLOTH2 HSCLOTH3 HSCLOTH4 HSPCLOT1 HSPCLOT2 HSPCLOT3 HSPCLOT4 HSCLTUT1 HSCLTUT2 HSCLTUT3 HSCLTUT4 HSPCLTU1 HSPCLTU2 HSPCLTU3 HSPCLTU4

HSRONAS1 HSRONAS2 HSRONAS3 HSRONAS4

Page 39: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

CHILDREN FROM 0 TILL 19 YEARS OLD

1-ST 2-ND 3-RD 4-TH

35. In the current academic year does your family regularly or from time to time render non-monetary welfare assistance to [ NAME OF THE CHILD ]`s (day nursery/ kindergarten/ school)?

For example, it could be made by donation of computers, repair materials, hygiene accommodations etc.

If it is so, please, evaluate these donations in rubles in average per month of education?

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES .... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K .......................... 7

[ INTERVIEWER! IF IN THE QUESTIONS 34. AND 35. ONLY CODE 0 IS MATCHED, WHICH MEANS THAT FAMILY DOES NOT RENDER ANY WELLFARE

ASSISTANSE TO A DAY NURSERY/ KINDERGARTEN/ SCHOOL, SKIP TO QUESTION 38.1. IF THE WELLFARE ASSISTANCE IS RENDERED WHETHER IN

MONETARY OR NON-MONETARY FORM, THAN ASK QUESTION 36. ]

36. Who primarily defines the amount of welfare assistance in monetary and non-monetary form?

An administration of (kindergarten/ school) or overhead organization ..................................... 1

A teacher-parent meeting or a parent`s committee .... 2

Others, who exactly? ............................................. 6

[INTERVIEWER! WRITE DOWN ]

D/K ............................................................................................ 7

REFUSES ........................................................................ 8

1

2

6

____________________

7

8

1

2

6

____________________

7

8

1

2

6

____________________

7

8

1

2

6

____________________

7

8

HSRNMON1 HSRNMON2 HSRNMON3 HSRNMON4

HSWWELF1 HSWWELF2 HSWWELF3 HSWWELF4

HSWWEL1T HSWWEL2T HSWWEL3T HSWWEL4T

Page 40: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

CHILDREN FROM 0 TILL 19 YEARS OLD

1-ST 2-ND 3-RD 4-TH

37. How do you think, everybody render these assistance in monetary and non-monetary form in equal amount or everyone pays in accordance with his family capacity?

EVERYBODY ASSIST EQUALLY .................................... 1

EVERYONE PAYS BY CAPACITY .................................. 2

D/K .................................................................................. 7

REFUSES ........................................................................ 8

1

2

7

8

1

2

7

8

1

2

7

8

1

2

7

8

38.1. Does your family pay for [ NAME OF THE CHILD ]`s

nutrition in (day nursery/ kindergarten/ school) separately from payments for stay in (day nursery/ kindergarten/ school)?

38.2. How much in average do you pay for a month of education considering breakfasts, snacks, noonings, dinners and suppers?

You pay ................ 1

Nutrition is free of

charge .................. 2

[SKIP TO 39.1.]

We do not use ..... 3

[SKIP TO 39.1.]

D/K .......................... 7

[SKIP TO 39.1]

________________RUB

You pay ................ 1

Nutrition is free of

charge .................. 2

[SKIP TO 39.1.]

We do not use ..... 3

[SKIP TO 39.1.]

D/K .......................... 7

[SKIP TO 39.1]

________________RUB

You pay ............... 1

Nutrition is free of

charge .................. 2

[SKIP TO 39.1.]

We do not use ..... 3

[SKIP TO 39.1.]

D/K .......................... 7

[SKIP TO 39.1]

________________RUB

You pay ................ 1

Nutrition is free of

charge .................. 2

[SKIP TO 39.1.]

We do not use ..... 3

[SKIP TO 39.1.]

D/K .......................... 7

[SKIP TO 39.1]

________________RUB

HSASEVR1 HSASEVR2 HSASEVR3 HSASEVR4

HSPNUTR1 HSPNUTR2 HSPNUTR3 HSPNUTR4

HSRMNUT1 HSRMNUT2 HSRMNUT3 HSRMNUT4

Page 41: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

CHILDREN FROM 0 TILL 19 YEARS OLD

1-ST 2-ND 3-RD 4-TH

39.1. Does your family pay for excursions, feasts and other events held in [ NAME OF THE CHILD ]`s (day nursery/ kindergarten/ school)?

39.2. How much in average do you pay per month for all events?

You pay .................. 1

This is free of

charge .................. 2

[SKIP TO 40.]

Child doesn`t attend

an events ............. 3

[SKIP TO 40.]

D/K .......................... 7

[SKIP TO 40.]

_________________RUB

You pay ................. 1

This is free of

charge .................. 2

[SKIP TO 40.]

Child doesn`t attend

an events.............. 3

[SKIP TO 40.]

D/K .......................... 7

[SKIP TO 40.]

_________________RUB

You pay ................. 1

This is free of

charge .................. 2

[SKIP TO 40.]

Child doesn`t attend

an events ............. 3

[SKIP TO 40.]

D/K .......................... 7

[SKIP TO 40.]

_________________RUB

You pay .................. 1

This is free of

charge .................. 2

[SKIP TO 40.]

Child doesn`t attend

an events ............. 3

[SKIP TO 40.]

D/K .......................... 7

[SKIP TO 40.]

_________________RUB

40. Does your family itself or thru parent`s committee make pecuniary or other gifts to (kindergartens/ teachers) and other employees of [ NAME OF THE

CHILD ]`s (kindergarten/ school), including gifts for special attention to a child?

If it is so, how many rubles in average do you spend on it for a month of education?

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES .... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K .......................... 7

[ INTERVIEWER! IF THE CHILD ATTENDS A DAY NURSERY RETURN TO QUESTION 22. ON PAGE 33. AND ASK QUESTIONS 23. – 40. ABOUT THE NEXT

CHILD. FOR OTHERS ASK QUESTION 41. ]

41. Does your family pay to somebody for help to [ NAME OF THE CHILD ] in performance of homework or writing of paperwork?

If it is so, how many rubles in average do you pay for such help for a month of education?

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES .... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K ........................... 7

_______________ RUB

THERE ARE NO

SUCH EXPENSES ... 0

D/K .......................... 7

HSRHMWR1 HSRHMWR2 HSRHMWR3 HSRHMWR4

HSRGIFT1 HSRGIFT2 HSRGIFT3 HSRGIFT4

HSREVEN1 HSREVEN2 HSREVEN3 HSREVEN4

HSPEVEN1 HSPEVEN2 HSPEVEN3 HSPEVEN4

Page 42: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

CHILDREN FROM 0 TILL 19 YEARS OLD

1-ST 2-ND 3-RD 4-TH

42.1. And now let`s talk about non-academic subjects of [ NAME OF THE CHILD ]. Tell me, please, is (he/ she) attend classes of drawing, music, dancing, rhythmic, handicraft, photography or any other creative or avocational subject besides compulsory classes in (kindergarten/ school)?

It could be classes both in your (kindergarten/ school) and outside it.

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

No .......................... 2

[SKIP TO 43.1.]

D/K ............................... 7

[SKIP TO 43.1.]

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

No .......................... 2

[SKIP TO 43.1.]

D/K .............................. 7

[SKIP TO 43.1.]

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

No .......................... 2

[SKIP TO 43.1.]

D/K ............................... 7

[SKIP TO 43.1.]

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

No .......................... 2

[SKIP TO 43.1.]

D/K .............................. 7

[SKIP TO 43.1.]

42.2. Where exactly [ NAME OF THE CHILD ] has these additional classes on creative or avocational subjects?

In your (kindergarten/ school) ............................ 1

In other institutions, for example, on courses, in coteries, in neighborhood houses, in other (kindergartens /schools) or in one-purpose schools ............................................................ 2

With coachers, tutors, private teachers ............ 3

[ INTERVIEWER! IN THE COLUMN WITH NUMBER OF

THE CHILD CIRCLE ALL THAT RESPONDENT SAYS, THAN

ASK ABOUT EACH MATCHED PLACE THE NEXT

QUESTION: ]

42.3. How much in average do you pay for a month of these classes?

[ INTERVIEWER! IF CLASSES ARE FREE OF CHARGE

WRITE 0 ]

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

43.1. Tell me, please, is [ NAME OF THE CHILD ] engaged in sport activities besides compulsory classes in (kindergarten/ school)?

It could be trainings both in your (kindergarten/ school) and outside it.

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

No ........................ 2 [SKIP TO 44 ]

D/K ......................... 7 [SKIP TO 44. ]

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

No......................... 2 [SKIP TO 44 ]

D/K ......................... 7 [SKIP TO 44. ]

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

No ........................ 2 [SKIP TO 44 ]

D/K ......................... 7 [SKIP TO 44. ]

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

No ........................ 2 [SKIP TO 44 ]

D/K ......................... 7 [SKIP TO 44. ]

HSCRKIN1 HSCRKIN2 HSCRKIN3 HSCRKIN4 HSRCRKI1 HSRCRKI2 HSRCRKI3 HSRCRKI4

HSCRSUB1 HSCRSUB2 HSCRSUB3 HSCRSUB4

HSSPORT1 HSSPORT2 HSSPORT3 HSSPORT4

HSCROTI1 HSCROTI2 HSCROTI3 HSCROTI4 HSRCROI1 HSRCROI2 HSRCROI3 HSRCROI4 HSCRCOA1 HSCRCOA2 HSCRCOA3 HSCRCOA4 HSRCRCO1 HSRCRCO1 HSRCRCO1 HSRCRCO1

Page 43: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

CHILDREN FROM 0 TILL 19 YEARS OLD

1-ST 2-ND 3-RD 4-TH

43.2. Where exactly [ NAME OF THE CHILD ] has these additional activities trainings?

In your (kindergarten/ school) ............................ 1

In other institutions, for example, on courses, in coteries, in neighborhood houses, in other (kindergartens /schools) or in one-purpose schools ............................................................ 2

With private coacher............................................ 3

[ INTERVIEWER! IN THE COLUMN WITH NUMBER OF

THE CHILD CIRCLE ALL THAT RESPONDENT SAYS, THAN

ASK ABOUT EACH MATCHED PLACE THE NEXT

QUESTION: ]

43.3. How much in average do you pay for a month of these trainings?

[ INTERVIEWER! IF TRAININGS ARE FREE OF CHARGE

WRITE 0 ]

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

44. Maybe your family in the current academic year has another expenses connected with upbringing and education of [ NAME OF THE CHILD ] which we haven’t considered yet?

If it is so, name these expenses and tell how many rubles in average do you spent on them for a month of education?

[INTERVIEWER! WRITE DOWN ]

TYPE OF EXPENSES:

___________________

___________________

___________________

_______________RUB

THERE ARE NO SUCH

EXPENSES.................. 0

TYPE OF EXPENSES:

___________________

___________________

___________________

_______________RUB

THERE ARE NO SUCH

EXPENSES ................. 0

TYPE OF EXPENSES:

___________________

___________________

___________________

_______________RUB

THERE ARE NO SUCH

EXPENSES .................. 0

TYPE OF EXPENSES:

___________________

___________________

___________________

_______________RUB

THERE ARE NO SUCH

EXPENSES ................. 0

[ INTERVIEWER! AFTER YOU WILL FINISH TO ASK QUESTIONS 23. -44. ABOUT ONE CHILD ASK THESE QUESTION ABOUT ANOTHER.

IF IN QUESTION 22. ON PAGE 33. NO MORE CHILDREN ARE MENTIONED SKIP TO QUESTION 45. ON PAGE 45. ]

39

HSTRKIN1 HSTRKIN2 HSTRKIN3 HSTRKIN4 HSRTRKI1 HSRTRKI2 HSRTRKI3 HSRTRKI4

HSTROTH1 HSTROTH2 HSTROTH3 HSTROTH4 HSRTROT1 HSRTROT2 HSRTROT3 HSRTROT4 HSTRCOA1 HSTRCOA2 HSTRCOA3 HSTRCOA4 HSRTRCO1 HSRTRCO2 HSRTRCO3 HSRTRCO4

HSANOEX1 HSANOEX2 HSANOEX3 HSANOEX4 HSNANEX1 HSNANEX2 HSNANEX3 HSNANEX4 HSRANOT1 HSRANOT2 HSRANOT3 HSRANOT4

Page 44: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

45. Tell me, please, which members of your family are studying now in vocational school, trade school, college, technical school, , academy of music, acting school, medical or another training school, institute, university or in academy? If in your family there are children older than 18 who are studying in other cities and therefore are not recorded in the household roster card than tell about them too. However, please, don`t take into account those who are taking a refresh courses or a courses of advanced study

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

No .................................................................. 2 [SKIP TO 67. ON PAGE. 52 ]

D/K ....................................................................... 7 [SKIP TO 67. ON PAGE. 52 ]

REFUSES ............................................................. 8 [SKIP TO 67. ON PAGE. 52 ]

1-ST 2-ND 3-RD 4-TH

46. Please, name all members of your family who are now receiving trade education both in your settlement and outside it.

[ INTERVIEWER! IF THERE ARE

SEVERAL FAMILY MEMBERS

RECEIVING TRADE EDUCATION

ASK ABOUT THE YONGEST FIRST ]

46.1.Where is [ NAME ] studying?

[INTERVIEWER! PASS TO

RESPONDENT CARD 1 ]

46.2. What mode of attendance?

In presence .................................1

On-site and off-site, evening

department ................................ 2

In absence ..................................3

External studies ..........................4

Virtual .........................................5

[INTERVIEWER! WRITE DOWN THE

NAME]

[INTERVIEWER! WRITE DOWN THE

FAMYLY MEMBER`S

NUMBER FROM THE

HOUSEHOLD ROSTER

CARD ON PAGE 4. IF

THIS PERSON IS NOT A

MEMBER WRITE DOWN

CODE 00 ]

[INTERVIEWER! WRITE DOWN THE

CODE OD EDUCATION

INSTITUTION]

___________________

|__|__| household member`s

number

|__|__| code of education

institution

1

2

3

4

5

___________________

|__|__| household member`s

number

|__|__| code of education

institution

1

2

3

4

5

___________________

|__|__| household member`s

number

|__|__| code of education

institution

1

2

3

4

5

___________________

|__|__| household member`s

number

|__|__| code of education

institution

1

2

3

4

5

HSMEMSTN

HSMODAT1 HSMODAT2 HSMODAT3 HSMODAT4

HSCODED1 HSCODED2 HSCODED3 HSCODED4

HSNB1EDU HSNB2EDU HSNB3EDU HSNB4EDU

HSNA1EDU HSNA2EDU HSNA3EDU HSNA4EDU

Page 45: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

1-ST 2-ND 3-RD 4-TH

[ INTERVIEWER! QUESTIONS 47. -66. ASK ABOUT EVERY STUDENT SEPARATELY.

PAY ATTENTION THAT THAT ANY TYPE OF TRADE EDUCATION INSTITUTION WICH GIVE A PROFESSIONAL EDUCATION HEREAFTER WE WILL CALL

JUST “EDUCATION INSTITUTION”]

47. Let`s talk about [ NAME ]. In what year did (he/ she) enter in this education institution?

In 2010. ................ 1

In 2009 and earlier 2

[SKIP TO 53.

ON PAGE 47 ]

In 2010. ................. 1

In 2009 and earlier 2

[SKIP TO 53.

ON PAGE 47 ]

In 2010. ................ 1

In 2009 and earlier 2

[SKIP TO 53.

ON PAGE 47 ]

In 2010. ................. 1

In 2009 and earlier 2

[SKIP TO 53.

ON PAGE 47 ]

[ INTERVIEWER! SEE ANSWER TO THE QUESTION 46.1. ON PAGE 44. IF CODE OF EDUCATION INSTITUTION IS 3, WHICH MEANS THAT THIS FAMILY

MEMBER IS STUDYING IN HIGHER EDUCATION INSTITUTION, THEN ASK QUESTION 48. FOR OTHER RESPONDENT SKIP TO QUESTION 50. ]

48. How many exams in Unified State Examination form had (he/ she) passed?

________ EXAMS

DIDN`T PASS ............. 0

[SKIP TO 50.]

D/K .......................... 7

[SKIP TO 50.]

________ EXAMS

DIDN`T PASS ............. 0

[SKIP TO 50.]

D/K .......................... 7

[SKIP TO 50.]

________ EXAMS

DIDN`T PASS ............. 0

[SKIP TO 50.]

D/K.......................... 7

[SKIP TO 50.]

________ EXAMS

DIDN`T PASS ............. 0

[SKIP TO 50.]

D/K .......................... 7

[SKIP TO 50.]

49. What was the total sum of scores got by [ NAME ] during Unified State Examination?

________ SCORES

D/K ................................. 7

________ GRADES

D/K .................................7

________ GRADES

D/K ................................ 7

________ GRADES

D/K .................................7

50. Did your family pay to somebody for kindly treatment at evaluation of estimation scores?

If it is so, how much did you pay?

________________ RUB

DIDN`T PAY................... 0

D/K ............................. 7

________________ RUB

DIDN`T PAY ................... 0

D/K ............................. 7

________________ RUB

DIDN`T PAY ................... 0

D/K.............................. 7

________________ RUB

DIDN`T PAY ................... 0

D/K ............................. 7

HSRTREA1 HSRTREA2 HSRTREA3 HSRTREA4

HSTOTSC1 HSTOTSC2 HSTOTSC3 HSTOTSC4

HSEXAMP1 HSEXAMP2 HSEXAMP3 HSEXAMP4

HSYRENT1 HSYRENT2 HSYRENT3 HSYRENT4

Page 46: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

1-ST 2-ND 3-RD 4-TH

51.1. In the last 12 months did your family have any expenses connected with preparation for entering of [ NAME ] into this education institution:

An affiliation fee needed for entrance into this education institution including donations and nonmonetary investments ............................. 1

A payment for pre-entry courses in [ NAME ]`s education institution ....................................... 2

A payment for preliminary courses in school for preparation for Unified State Examination .. 3

A payment for pre-entry courses in other education institution ....................................... 4

Payments for private lessons with tutors, private teachers during preparation [ NAME ] for entering into educational institution ............. 5

Other ........................................................................ 6 [INTERVIEWER! WRITE DOWN WHAT

EXACTLY]

[ INTERVIEWER! IN THE COLUMN WITH NUMBER OF THE

FAMILY MEMBER CIRCLE ALL THAT RESPONDENT SAYS,

THAN ASK ABOUT EACH MATCHED EXPENDITURE THE

NEXT QUESTION:]

51.2. Evaluate your expenses in rubles.

1_____________RUB

2_____________RUB

3_____________RUB

4_____________RUB

5_____________RUB

6_________________

____________________

______________RUB

1_____________RUB

2_____________RUB

3_____________RUB

4_____________RUB

5_____________RUB

6_________________

____________________

______________RUB

1_____________RUB

2_____________RUB

3_____________RUB

4_____________RUB

5_____________RUB

6_________________

____________________

______________RUB

1_____________RUB

2_____________RUB

3_____________RUB

4_____________RUB

5_____________RUB

6_________________

____________________

______________RUB

[ INTERVIEWER! IF IN QUESTION 51.1. CODES 1 OR 2 ARE MATCHED, WHICH MEANS THAT IN THE LAST 12 MONTHES FAMILY PAID ENTRANCE FEE

OR MADE PAYMENT FOR PRE-ENTRY COURSES IN TO THAT EDUCATION INSTITUTION WHERE FAMILY MEMBER IS STUDING NOW THAN ASK

QUESTION 52. FOR OTHER RESPONDENS SKIP TO 53. ON PAGE 48 ]

HSEFEEI1 HSEFEEI2 HSEFEEI3 HSEFEEI4 HSREFEI1 HSREFEI2 HSREFEI3 HSREFEI4

HSECINI1 HSECINI2 HSECINI3 HSECINI4 HSRCINI1 HSRCINI2 HSRCINI3 HSRCINI4

HSEPRIL1 HSEPRIL2 HSEPRIL3 HSEPRIL4 HSREPRL1 HSREPRL2 HSREPRL3 HSREPRL4

HSECOTH1 HSECOTH2 HSECOTH3 HSECOTH4 HSRCOTH1 HSRCOTH2 HSRCOTH3 HSRCOTH4

HSECINS1 HSECINS2 HSECINS3 HSECINS4 HSRCINS1 HSRCINS2 HSRCINS3 HSRCINS4

HSEPREE1 HSEPREE2 HSEPREE3 HSEPREE4

HSEOTHI1 HSEOTHI2 HSEOTHI3 HSEOTHI4 HSEOTI1T HSEOTI2T HSEOTI3T HSEOTI4T HSREOTI1 HSREOTI2 HSREOTI3 HSREOTI4

Page 47: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

1-ST 2-ND 3-RD 4-TH

52. How exactly did you pay into [ NAME ]`s education institution?

[INTERVIEWER! MATCH ALL THAT RESPONDENT

SAYS]

You paid on a bank account or into accounts department of an educational institution and received a record about this payment .................... 1

You paid into your educational institution in kind, for example with a computer, draperies, color, detergents etc. .......................................................... 2

You paid just personally to somebody from employees ................................................................. 3

Other ................................................................................ 6 [INTERVIEWER! WRITE DOWN HOW EXACTLY]

1

2

3

6 _____________________

______________________

1

2

3

6 _____________________

_____________________

1

2

3

6 _____________________

_____________________

1

2

3

6 _____________________

_____________________

53. Did your family pay for educational materials, textbooks and study guides which are used by [ NAME ] in this academic year?

Do not include here expenses on supply cupboard and other, we will talk about it later.

If you paid, tell, how much did you pay?

______________ RUB

DIDN`T PAY ..................... 0

D/K ............................... 7

______________ RUB

DIDN`T PAY ..................... 0

D/K ............................... 7

______________ RUB

DIDN`T PAY ..................... 0

D/K ................................ 7

______________ RUB

DIDN`T PAY ..................... 0

D/K ............................... 7

54. (Besides expenses on textbooks) did your family spend anything for preparation of [ NAME ] for current academic year: supply cupboard, sportswear or any other necessary in educational institution clothes and footwear or for any other necessary in educational process things?

If you spent, how much exactly did you pay for all this?

______________ RUB

DIDN`T BUY..................... 0

D/K ............................... 7

______________ RUB

DIDN`T BUY ..................... 0

D/K ............................... 7

______________ RUB

DIDN`T BUY ..................... 0

D/K ................................ 7

______________ RUB

DIDN`T BUY ..................... 0

D/K ............................... 7

HSPBACI1 HSPBACI2 HSPBACI3 HSPBACI4

HSREMAT1 HSREMAT2 HSREMAT3 HSREMAT4

HSPOTI1T HSPOTI2T HSPOTI3T HSPOTI4T

HSRSPRE1 HSRSPRE2 HSRSPRE3 HSRSPRE4

HSPKINI1 HSPKINI2 HSPKINI3 HSPKINI4 HSPPERI1 HSPPERI2 HSPPERI3 HSPPERI4 HSPOTH1 HSPOTH2 HSPOTH3 HSPOTH4

Page 48: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

1-ST 2-ND 3-RD 4-TH

[ INTERVIEWER! PAY ATTENTION THAT IN QUESTIONS 56. - 66. ON PAGES 48. – 52. IT IS NECESSARY TO RECEIVE THE AVERAGE MONTHLY SUMS

OF CURRENT ACADEMIC YEAR. EVEN IF PAYMENTS ARE OR WILL BE IRREGULAR OR NON-RECURRENT, PLEASE, DIVIDE THE TOTAL SUM INTO

QUANTITY OF EDUCATIONAL MONTHS ]

55. Hereafter we will talk about monthly expenses in the current academic year. If some of payments which we will talk about are irregular or non-recurrent divide their total sum into quantity of educational months.

For the beginning tell me, please, whether [ NAME ] is studying in this educational institution on a state-funded place or (he/ she) is studying on a paid place?

ON STATE-FUNDED PLACE ........................................... 1

ON PAID PLACE ............................................................... 2

D/K ............................................................................................. 7

REFUSES .................................................................................. 8

1 [SKIP TO 58.1]

2

7

8

1 [SKIP TO 58.1]

2

7

8

1 [SKIP TO 58.1]

2

7

8

1 [SKIP TO 58.1]

2

7

8

56. Does your family pay for [ NAME ]`s main educational programme in this education institution under an official contract or any other official document?

Please, do not take into account here any payments for additional classes, donations and welfare assistance to a education institution, we will talk about it later.

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

No ......................... 2

[SKIP TO 58.1]

D/K ..........................7

[SKIP TO 58.1]

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

No ......................... 2

[SKIP TO 58.1]

D/K .......................... 7

[SKIP TO 58.1]

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

No ......................... 2

[SKIP TO 58.1]

D/K.......................... 7

[SKIP TO 58.1]

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

No ......................... 2

[SKIP TO 58.1]

D/K .......................... 7

[SKIP TO 58.1]

57. How many rubles in average do you pay for a month of education?

_______________ RUB _______________ RUB _______________ RUB _______________ RUB

H.

…..

//.

HSRMEDU1 HSRMEDU2 HSRMEDU3 HSRMEDU4

HSPMAIN1 HSPMAIN2 HSPMAIN3 HSPMAIN4

HSPLACE1 HSPLACE2 HSPLACE3 HSPLACE4

Page 49: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

1-ST 2-ND 3-RD 4-TH

58.1.Does your family pay to [ NAME ]`s education institution for any additional classes on speciality that are not included in the main programme but strongly recommended for attendance by employees of education institution?

58.2. How many rubles in average do you pay for a month of education?

You pay ................ 1

This is free of

charge ................... 2

[ SKIP TO 59.1.]

Doesn`t use .......... 3

[SKIP TO 59.1.]

D/K .......................... 7

[SKIP TO 59.1.]

________________RUB

You pay ................ 1

This is free of

charge .................. 2

[ SKIP TO 59.1.]

Doesn`t use .......... 3

[SKIP TO 59.1.]

D/K ........................... 7

[SKIP TO 59.1.]

________________RUB

You pay ................ 1

This is free of

charge ................... 2

[ SKIP TO 59.1.]

Doesn`t use .......... 3

[SKIP TO 59.1.]

D/K ........................... 7

[SKIP TO 59.1.]

________________RUB

You pay ................. 1

This is free of

charge ................... 2

[ SKIP TO 59.1.]

Doesn`t use .......... 3

[SKIP TO 59.1.]

D/K ........................... 7

[SKIP TO 59.1.]

________________RUB

59.1. Tell me, please, does [ NAME ] attend any other additional classes correspondent with his speciality?

For example, it could be training courses, lectures, seminars, workshops, discussion groups, coteries, clubs or additional classes with tutors or private teachers?

It can be both classes in (his/ hers) education institution and outside it.

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

No ......................... 2

[SKIP TO 60. ]

D/K ......................... 7

[SKIP TO 60. ]

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

No ......................... 2

[SKIP TO 60. ]

D/K .......................... 7

[SKIP TO 60. ]

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

No ......................... 2

[SKIP TO 60. ]

D/K.......................... 7

[SKIP TO 60. ]

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

No ......................... 2

[SKIP TO 60. ]

D/K .......................... 7

[SKIP TO 60. ]

HSOTHCL1 HSOTHCL2 HSOTHCL3 HSOTHCL4

HSRCLAS1 HSRCLAS2 HSRCLAS3 HSRCLAS4

HSPADCI1 HSPADCI2 HSPADCI3 HSPADCI4

Page 50: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

1-ST 2-ND 3-RD 4-TH

59.2. Where exactly [ NAME ] has these additional classes on correspondent subjects?

In (his/ hers) education institution ..................... 1

In other institutions, ............................................ 2

With tutors, private teachers .............................. 3

[ INTERVIEWER! IN THE COLUMN WITH NUMBER OF THE

CHILD CIRCLE ALL THAT RESPONDENT SAYS, THAN ASK

ABOUT EACH MATCHED PLACE THE NEXT QUESTION:]

59.3. How much in average do you pay for a month of these classes?

[ INTERVIEWER! IF CLASSES ARE FREE OF CHARGE

WRITE 0 ]

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

1_____________RUB

2_____________RUB

3_____________RUB

60. In the current academic year does your family regularly or from time to time render monetary welfare assistance to [ NAME ]`s education institution?

For example, it could be on such purposes like as security, maintenance, purchasing of outfits.

If it is so, how many rubles in average do you pay for a month of education?

______________ RUB

THERE ARE NO SUCH

EXPENCES ...................... 0

D/K .............................. 7

______________ RUB

THERE ARE NO SUCH

EXPENCES ...................... 0

D/K .............................. 7

______________ RUB

THERE ARE NO SUCH

EXPENCES ...................... 0

D/K ............................... 7

______________ RUB

THERE ARE NO SUCH

EXPENCES ...................... 0

D/K .............................. 7

61. In the current academic year does your family regularly or from time to time render non-monetary welfare assistance to [ NAME ]`s education institution?

For example, it could be made by donation of computers, repair materials, hygiene accommodations etc.

If it is so, please evaluate these donations in rubles in average per month of education?

______________ RUB

THERE ARE NO SUCH

EXPENCES ...................... 0

D/K .............................. 7

______________ RUB

THERE ARE NO SUCH

EXPENCES ...................... 0

D/K .............................. 7

______________ RUB

THERE ARE NO SUCH

EXPENCES ...................... 0

D/K ............................... 7

______________ RUB

THERE ARE NO SUCH

EXPENCES ...................... 0

D/K .............................. 7

HSCLINS1 HSCLINS2 HSCLINS3 HSCLINS4 HSRCLIN1 HSRCLIN2 HSRCLIN3 HSRCLIN4 HSCLOTI1 HSCLOTI2 HSCLOTI3 HSCLOTI4 HSRCLOT1 HSRCLOT2 HSRCLOT3 HSRCLOT4 HSCLTUI1 HSCLTUI2 HSCLTUI3 HSCLTUI4 HSRCLTU1 HSRCLTU2 HSRCLTU3 HSRCLTU4

HSRMONA1 HSRMONA2 HSRMONA3 HSRMONA4

HSRNMOA1 HSRNMOA2 HSRNMOA3 HSRNMOA4

Page 51: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

1-ST 2-ND 3-RD 4-TH

[ INTRVIEWER! IF THE STUDENT IS NOT COUNTED AS MEMBER OF HOUSEHOLD NOW, THAT IS IN QUESTION 46. ON PAGE 44 CODE OF FAMILY

MEMBER IS NOY 00, SKIP TO THE QUESTION 64. FOR OTHER RESPONDENTS ASK 62. ]

62. Tell me, please, where [ NAME ] lives?

In a hostel of educational institution ....................... 1

In rented lodging ........................................................ 2

With relatives or acquaintances ............................... 3

In own lodging ............................................................ 4

Other ............................................................................ 5

D/K ................................................................................................ 7

1

2

3

4 [SKIP TO 64. ]

5 [SKIP TO 64. ]

7 [SKIP TO 64. ]

1

2

3

4 [SKIP TO 64. ]

5 [SKIP TO 64. ]

7 [SKIP TO 64. ]

1

2

3

4 [SKIP TO 64. ]

5 [SKIP TO 64. ]

7 [SKIP TO 64. ]

1

2

3

4 [SKIP TO 64. ]

5 [SKIP TO 64. ]

7 [SKIP TO 64. ]

63. How much in average does your family pay for a month of [ NAME ]`s residing?

________________RUB

THIS IS FREE OF

CHARGE ...................... 0

D/K ................................ 7

________________RUB

THIS IS FREE OF

CHARGE ..................... 0

D/K ............................... 7

________________RUB

THIS IS FREE OF

CHARGE ...................... 0

D/K ................................ 7

________________RUB

THIS IS FREE OF

CHARGE ..................... 0

D/K ............................... 7

64. Does your family make pecuniary or other gifts to a teachers and other employees of [ NAME ]`s education institution, including gifts for kindly treatment at evaluation of estimation scores

If it is so, how many rubles in average do you spend on this for a month of education?

______________ RUB

THERE ARE NO SUCH

EXPENCES ..................... 0

D/K ............................... 7

______________ RUB

THERE ARE NO SUCH

EXPENCES ...................... 0

D/K .............................. 7

______________ RUB

THERE ARE NO SUCH

EXPENCES ...................... 0

D/K ............................... 7

______________ RUB

THERE ARE NO SUCH

EXPENCES ...................... 0

D/K .............................. 7

65. Does your family pay to somebody for help to [ NAME ] in performance of homework, laboratory researches or in writing of paperwork, student`s essays?

If it is so, how many rubles in average do you pay for such help for a month of education?

______________ RUB

THERE ARE NO SUCH

EXPENSES ....................... 0

D/K ................................ 7

______________ RUB

THERE ARE NO SUCH

EXPENSES ........................ 0

D/K ............................... 7

______________ RUB

THERE ARE NO SUCH

EXPENSES ........................ 0

D/K ................................ 7

______________ RUB

THERE ARE NO SUCH

EXPENSES ........................ 0

D/K ............................... 7

HSRHMWI1 HSRHMWI2 HSRHMWI3 HSRHMWI4

HSRGIFI1 HSRGIFI2 HSRGIFI3 HSRGIFI4

HSPMRES1 HSPMRES2 HSPMRES3 HSPMRES4

HSWHRLI1 HSWHRLI2 HSWHRLI3 HSWHRLI4

Page 52: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

1-ST 2-ND 3-RD 4-TH

66. Maybe your family in the current academic year has another expenses connected with education of [ NAME ] which we haven’t considered yet?

If it is so, name these expenses and tell how many rubles in average do you spent on them per month of education?

[INTERVIEWER! WRITE DOWN ]

TYPE OF EXPENSES:

___________________

___________________

___________________

_______________RUB

THERE ARE NO SUCH

EXPENSES .................. 0

TYPE OF EXPENSES:

___________________

___________________

___________________

_______________RUB

THERE ARE NO SUCH

EXPENSES ................. 0

TYPE OF EXPENSES:

___________________

___________________

___________________

_______________RUB

THERE ARE NO SUCH

EXPENSES ................. 0

TYPE OF EXPENSES:

___________________

___________________

___________________

_______________RUB

THERE ARE NO SUCH

EXPENSES ................. 0

[ INTERVIEWER! AFTER YOU WILL FINISH TO ASK QUESTIONS 47. -66. ABOUT ONE EDUCATIONG FAMILY MEMBER ASK THESE QUESTIONS

ABOUT ANOTHER.

IF IN QUESTION 46. ON PAGE 44. NO MORE EDUCATIONG FAMILY MEMBERS ARE MENTIONED SKIP TO QUESTION 67. ]

67. Tell me, please, in the last 12 months was any member of your family preparing for entering into a vocational school, a trade school, a college, a technical school, an academy of music, an acting school, a medical or other training school, an institute, a university or in an academy but for any reasons didn`t entered or didn`t start education?

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

No .................................................................. 2 [ INTERVIEW IS FINISHED ]

D/K ....................................................................... 7 [ INTERVIEW IS FINISHED ]

REFUSES ............................................................. 8 [INTERVIEW IS FINISHED ]

HSPREPEN

HSANEXI1 HSANEXI2 HSANEXI3 HSANEXI4 HSNANEI1 HSNANEI2 HSNANEI3 HSNANEI4 HSRANEX1 HSRANEX2 HSRANEX3 HSRANEX4

Page 53: QUESTIONNAIRE FOR HOUSEHOLD · 2015-08-25 · 1 B. SECTION “FAMILY INFORMATION” “OLD FAMILY” 1. Let’s talk about your family. By “family” or “household” we mean

1-ST 2-ND 3-RD

68. Please, name all members of your family who was preparing for entering to an educate institution but hadn`t entered it or hadn`t started education.

[INTERVIEWER! IF IN THE FAMILY THERE

ARE SEVERAL SUCH MEMBERS ASK ABOUT

THE YOUNGEST FIRST]

Where was [ NAME ] preparing to enter?

[INTERVIEWER! PASS TO THE

RESPONDENT CARD 1 ]

[INTERVIEWER!

WRITE DOWN NAME]

[INTERVIEWER! WRITE DOWN THE FAMILY

MEMBER`S NUMBER FROM THE

HOUSEHOLD ROSTER CARD

ON PAGE 4. IF THIS PERSON IS

NOT A MEMBER WRITE DOWN

CODE 00 ]

[INTERVIEWER! WRITE

DOWN THE CODE OD

EDUCATION INSTITUTION]

___________________

|__|__| family member`s number

|__|__| code of education institution

___________________

|__|__| family member`s number

|__|__| code of education institution

___________________

|__|__| family member`s number

|__|__| code of education institution

69.1. In the last 12 months did your family have any expenses connected with preparation for entering of [ NAME ] into education institution:

A payment for preliminary courses in school for preparation for Unified State Examination ............................................................. 1

A payment for pre-entry courses in that education institution where [ NAME ]`s was preparing to enter .................................................... 2

A payment for pre-entry courses in other education institution ...... 3

Payments for private lessons with tutors, private teachers during preparation [ NAME ] for entering into educational institution ... 4

Other ...................................................................................................... 6 [INTERVIEWER! WRITE DOWN WHAT EXACTLY]

[ INTERVIEWER! IN THE COLUMN WITH NUMBER OF THE FAMILY

MEMBER CIRCLE ALL THAT RESPONDENT SAYS, THAN ASK ABOUT EACH

MATCHED EXPENDITURE THE NEXT QUESTION:]

69.2. Evaluate your expenses in rubles.

1 _____________RUB

2 _____________ RUB

3 _____________ RUB

4 _____________ RUB

6 _________________

___________________

_________________ RUB

1 _____________RUB

2 _____________ RUB

3 _____________ RUB

4 _____________ RUB

6 _________________

___________________

_________________ RUB

1 _____________RUB

2 _____________ RUB

3 _____________ RUB

4 _____________ RUB

6 _________________

___________________

_________________ RUB

THANK YOU VERY MUCH!

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

HSNA1PRE HSNA2PRE HSNA3PRE

HSNU1PRE HSNU2PRE HSNU3PRE

HSCODIN1 HSCODIN2 HSCODIN3

HSEXPRE1 HSEXPRE2 HSEXPRE3

HSPLISC1 HSPLISC2 HSPLISC3 HSRPLIS1 HSRPLIS2 HSRPLIS3 HSPENIN1 HSPENIN2 HSPENIN3 HSRPENI1 HSRPENI2 HSRPENI3 HSPENOT1 HSPENOT2 HSPENOT3

HSRPENO1 HSRPENO2 HSRPENO3

HSPRIVL1 HSPRIVL2 HSPRIVL3 HSRPRIL1 HSRPRIL2 HSRPRIL3

HSOTPAY1 HSOTPAY2 HSOTPAY3 HSOTPA1T HSOTPA12 HSOTPA13 HSROTPA1 HSROTPA2 HSROTPA3