Post on 27-Aug-2018
Project “RUSSIA”
QUESTIONNAIRE FOR ADULTS
20TH ROUND
SITET 1a. [ CODE OF REGION________________________________ ____________________ | ___ | ___ | ___ | ]
FAMILYT 3a. [ NUMBER OF FAMILY | ___ | ___ |___ | ]
PERSONT 4. [ NUMBER OF FAMILY MEMBER | ___ | ___ | ]
ITGENDER 5. [ SEX OF RESPONDENT:
MALE ..................................................................... 1]
FEMALE ................................................................ 2]
ITINTDAY 7. [ DATE OF INTERVIEW: DAY | ___ | ___ | MONTH | ___ | ___ | ] ITINTMON
ITINTHRS 8. [ DURATION OF INTERVIEW: | ___ | HOURS | ___ | ___ | MINUTES ] ITINTMIN
9. [ SURNAME OF INTERVIEWER ______________________________________________ ]
ITNTNUM 10. [ NUMBER OF INTERVIEWER | ___ | ___ | ___ | ]
2011
I, ______________________________________________________________________,
[ INTERVIEWER! WRITE IN FULL YOUR LAST NAME, FIRST NAME, AND MIDDLE NAME! ]
have presented the rules and conditions of the survey to the respondent and obtained his/her consent to
participate in the survey.
Interviewer’s signature _______________________________
Date ____________________________
I, ______________________________________________________________________,
[ INTERVIEWER! WRITE IN FULL YOUR LAST NAME, FIRST NAME, AND PATRONYMIC NAME! ]
have presented the rules and conditions of the survey to the parents of the child, who is 14-18 years old, and
have obtained their permission for the child to participate in the survey.
Interviewer’s signature _______________________________
Date ____________________________
page
SECTION “MIGRATION” ITBORNDP 1. Tell me, please: Were you born in the place of your current residence or elsewhere?
IN ANOTHER PLACE ........................................................... 1
IN THE PLACE WHERE I LIVE NOW ................................ 2 → [ SKIP TO 3.1. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 3.1. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 3.1. ] ITBISPLA 2. Tell me, please: In what republic of the former USSR were you born?
[ INTERVIEWER! DON’T READ THE LIST. CIRCLE THE NUMBER THAT CORRESPONDS TO THE ANSWER. ]
RUSSIA ............................... 01 LITHUANIA ....................... 10
UKRAINE ........................... 02 MOLDAVIA........................ 11
BELORUSSIA ..................... 03 TADZHIKISTAN ................ 12
AZERBAIZHAN .................. 04 TURKMENIA ..................... 13
ARMENIA ........................... 05 UZBEKISTAN .................... 14
GEORGIA ........................... 06 ESTONIA............................ 15
KAZAKHSTAN ................... 07 ANOTHER COUNTRY ....... 16
KIRGIZIA ........................... 08 DOESN’T KNOW ............... 97
LATVIA ............................... 09 REFUSES TO ANSWER ..... 98
ITBPTYPE 3. Tell me, please: Were you born in a city, an urban-type settlement, or a village, derevnia, kishlak,
aul?
IN A CITY............................................................................... 1
IN AN URBAN-TYPE SETTLEMENT ................................. 2
IN A VILLAGE, DEREVNIA, KISHLAK, AUL ................... 3
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8 ITLVOTHR 3.1 Tell me, please: Have you lived anywhere other than your birthplace for more than 6 months at a
time since the age of 14, including studying, military service, etc.?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8 ITNATION 4. What nationality do you consider yourself? I don’t necessarily have in mind the nationality
that is indicated on your passport. _________________________________________________________________
RUSSIAN ................................................................................ 1
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998 ITSYLTPL 7. Tell me, please, since when do you live in this place? SINCE | ___ | ___ | ___ | ___ | YEAR
DOESN’T KNOW ..................................................... 7
REFUSES TO ANSWER ........................................... 8
ITSYEPER 8. Tell me, please, what year did you establish a permanent residence in the Russian Federation? SINCE | ___ | ___ | ___ | ___ | YEAR
DOESN’T KNOW ..................................................... 7
REFUSES TO ANSWER ........................................... 8
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SECTION “WORK”
ITWRKNOW 1. Let’s talk about your primary work at present. Tell me, please:
You are currently working ....................................................... 1
You are on paid leave (maternity leave or taking care
of a child under 3 years of age) .......................................... 2
You are on another kind of paid leave ..................................... 3
You are on unpaid leave .......................................................... 4
You are not working ................................................................ 5 → [ SKIP TO 56. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 56. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 56. ON PAGE XX ]
1.1. Tell me, please: How satisfied or unsatisfied are you with…?
Not
Absolutely Mostly Neutral very Absolutely D/K REFUSES
satisfied satisfied satisfied unsatisfied
ITSATISJ 1. Your job in general ............. 1 ............... 2 ........... 3 ............. 4 ............ 5 ........... 7 ............. 8
ITSATISC 2. Your work conditions ......... 1 ............... 2 ........... 3 ............. 4 ............ 5 ........... 7 ............. 8
ITSATISP 3. Your earnings ...................... 1 ............... 2 ........... 3 ............. 4 ............ 5 ........... 7 ............. 8
ITSATISO 4. Opportunity for
professional growth ............. 1 ............... 2 ........... 3 ............. 4 ............ 5 ........... 7 ............. 8
2.3. Let’s talk about your primary work. If you are employed at several jobs, describe the one you
consider primary.
ITILOPJB Tell me, please, in detail: In what position, in what profession, and in what specialty are you now
working? [ INTERVIEWER! WRITE IN DETAIL WHAT THE RESPONDENT SAYS. ]
ITPRIPST Tell me, please, your job position now ___________________________________ (char)
____________________________________________________________________
DOESN’T KNOW ................................................................... 7
REFUSES TO ANSWER ........................................................ 8
ITPRIPRO Your profession now __________________________________________________ (char)
____________________________________________________________________
DOESN’T KNOW ................................................................... 7
REFUSES TO ANSWER ........................................................ 8
ITPRISPL Your specialty now ___________________________________________________ (char)
____________________________________________________________________
DOESN’T KNOW ................................................................... 7
REFUSES TO ANSWER ........................................................ 8
4. What do you primarily do at this job? What are your primary responsibilities? [ INTERVIEWER! WRITE IN DETAIL WHAT THE RESPONDENT SAYS. ]
ITPRIRES _________________________________________________________________ (char) _________________________________________________________________ _________________________________________________________________
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
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ITPRIIND 4.1. To what industry does this job belong? [ INTERVIEWER! PASS CARD 1 TO THE RESPONDENT. ]
Light Industry, Food Industry ................................................ 01
Civil Machine Construction ................................................... 02
Military Industrial Complex .................................................. 03
Oil and Gas Industry ............................................................. 04
Other Branch of Heavy Industry ............................................ 05
Construction .......................................................................... 06
Transportation, Communication ............................................ 07
Agriculture ............................................................................. 08
Government and Public Administration ................................ 09
Education ............................................................................... 10
Science, Culture ..................................................................... 11
Public Health ......................................................................... 12
Army, Ministry of Internal Affairs, Security Services ............ 13
Trade, Consumer Services ..................................................... 14
Finances................................................................................. 15
Energy (Power) Industry ....................................................... 16
Housing and Communal Services .......................................... 17
Other ...................................................................................... 18 [ INTERVIEWER! WRITE DOWN. ] _____________________________________________
5. Tell me, please: Since what year and month have you been working at this place? If you left and
then returned to this enterprise, give the date you last returned.
ITJOBSYR SINCE | ___ | ___ | ___ | ___ | YEAR
DOESN’T KNOW .................................................... 7
REFUSES TO ANSWER .......................................... 8
ITJOBSMO | ___ | ___ | NUMBER OF THE MONTH
DOESN’T KNOW .................................................. 97
REFUSES TO ANSWER ........................................ 98
ITWOFFJ 5.2. How did you find this primary work? [ INTERVIEWER! PASS CARD 1 TO THE RESPONDENT. ]
YOU WERE PLACED ........................................................................................ 01
RELATIVES ....................................................................................................... 03
FRIENDS OR ACQUAINTANCES .................................................................... 04
DIRECTLY THROUGH THE HUMAN RESOURCES DEPARTMENT
OF THE ENTERPRISE, ORGANIZATION .................................................. 05
BY INVITATION OF MANAGEMENT OR STAFF OF
THIS ENTERPRISE, ORGANIZATION ....................................................... 06
YOU FOUNDED THE ENTERPRISE, BUSINESS YOURSELF ....................... 07
YOU SENT AN ADVERTISEMENT THROUGH THE INTERNET ................ 08
YOU SENT AN ADVERTISEMENT NOT THROUGH THE INTERNET ....... 09
YOU SAW AN ADVERTISEMENT ON THE INTERNET ............................... 10
YOU SAW OR HEARD AN ADVERTISEMENT NOT ON THE INTERNET .. 11
AT STATE EMPLOYMENT SERVICES OR LABOR REGISTRY OFFICES ..... 12
AT NON-GOVERNMENTAL EMPLOYMENT SERVICES OR
LABOR REGISTRY OFFICES ..................................................................... 13
DOESN’T KNOW .............................................................................................. 97
REFUSES TO ANSWER .................................................................................... 98
ITPRISUB 6. Do you have subordinates at this job?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 6.1. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 6.1. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 6.1. ]
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ITNPSUB 6.0. How many subordinates do you have? Please count all of them, not just those who are under your
direct supervision.
__________ PEOPLE
DOESN’T KNOW .............................................................. 9997
REFUSES TO ANSWER .................................................... 9998
ITPWRKHR 6.1. On average, how long is your normal workday at this job? ITPWRKMN
__________ HOURS __________ MINUTES
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITPWRKWH 6.2. On average, how many hours is your usual work week?
__________ HOURS
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITPJOBLM 7. Tell me, please: Have you worked at your primary job during the last 30 days?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 9. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 9. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 9. ON PAGE XX]
ITDAYWOR 7.1. How many workdays in all have you worked in the last 30 days?
__________ DAYS
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITHOURLM 8. How many hours did you actually work at your primary job in the last 30 days?
__________ HOURS
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITWHOME 8.1. Tell me, please: Did you work at your primary job from home in the last 30 days?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 9. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 9. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 9. ON PAGE XX ]
ITHWHOME 8.2. How many hours did you in fact work from home in the last 30 days?
__________ HOURS
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITINTOTD 8.3. Tell me, please: Did you take into account these hours, when noting the total duration of working
time in the last 30 days?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
page
ITJOBPAY 9. Tell me, please: At your primary job did you receive in the last 30 days some amount of money in
the form of wages, bonuses, grants, benefits, revenues, or profits?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 11. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 11. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 11. ON PAGE XX ]
ITWAGELM 10. How much money did you receive in the last 30 days from your primary job after taxes?
If you received all or part of the money in foreign currency, please convert that into rubles and
report the total.
_________________ RUBLES
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITMONREG 10.1. What percent of that money do you think was officially registered, i.e. taxes were paid?
| ___ | ___ | ___ | %%
DOESN’T KNOW ............................................................... 997
REFUSES TO ANSWER ..................................................... 998
ITBONUSA 10.2. If you received a bonus at your primary job in the last 30 days, how much money did you receive?
_________________ RUBLES
DIDN’T RECEIVE BONUS ................................................. 996
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITPJENTE 11. Tell me, please: Does this job belong to an enterprise or organization? I mean any organization or
enterprise where more than one person works, no matter if it is private or state-owned. For
example, any establishment, factory, firm, collective farm, state farm, farming industry, store,
army, government service, or other organization.
You work at an enterprise or organization ............................... 1
Not at an enterprise, nor at an organization ............................. 2 → [ SKIP TO 29.0. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 29.0. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 29.0. ON PAGE XX ]
ITPJREG 11.1. Tell me, please: Are you employed in this job officially, in other words, by labor book, labor
agreement, or contract?
Working officially ................................................................... 1 → [ SKIP TO 12. ]
Not officially ............................................................................ 2
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 12. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 12. ]
ITPJNREG 11.2. Why are you not officially employed?
Employer did not want ............................................................. 1
I did not want ........................................................................... 2
Both employer and you did not want ....................................... 3
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
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12. Tell me, please: Where, in what kind of enterprise, do you work? What does this enterprise do?
For example, it’s a chemical center, a state fowl farm, a children’s music school, an auto repair
shop. [ INTERVIEWER! WRITE IN DETAIL WHAT THE RESPONDENT SAYS. ]
ITPRIENT _________________________________________________________________ (char)
_________________________________________________________________
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITPJEMPS 13. How many people work in your enterprise? If you don’t know exactly, estimate.
__________ PEOPLE
DOESN’T KNOW .............................................................. 9997
REFUSES TO ANSWER .................................................... 9998
ITPJPAYT 13.2. Tell me, please: In the last 12 months how much was your average monthly wage after taxes from
this organization--regardless of whether it was paid to you on time or not?
If you have worked there for less than 12 months, what has been your average monthly wage for the
time you have worked there?
If you receive all or part of your wage in foreign currency, please convert that to rubles and report
the total amount paid.
_______________ RUBLES
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITSPJOWED 14. At the present time, does your place of work owe you any money that, for various reasons, has not
been paid on time?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 18.2. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 18.2. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 18.2. ON PAGE XX ]
ITAMTOWE 15. How much money in all have they not paid you?
_______________ RUBLES
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITNOPAYM 16. For how many months has the enterprise not paid this money to you?
| ___ | ___ | MONTHS
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITTOOLOW 18.2. In the course of the last 12 months has your salary or have your work hours been cut without your
demand for it?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
page
ITULEAVE 19. In the last 12 months has the administration sent you on compulsory unpaid leave?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITPVAC 21.A. In the course of the last 12 months, have you been on paid vacation?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 21.3. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 21.3. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 21.3. ON PAGE XX ]
ITDPVAC 21.B. How many calendar days did this vacation last or is lasting? If you have been on leave several times,
please sum up all the days.
__________ DAYS
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITDANGER 21.3. Is the enterprise where you work reported is harmful (unhealthy) or dangerous, in other words,
allowing you early retirement with granted pension, or granting additional payments or benefits?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITENTGOV 23. Is the government the owner or co-owner of your enterprise or organization?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITENTFOR 24. Tell me, please: Is your enterprise or organization owned or co-owned by foreign firms or foreign
individuals?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITENTRUS 25. Tell me, please: Is your enterprise or organization owned or co-owned by any Russian private
individuals, employees of the enterprise, or Russian private firms?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITOWNENT 26. Are you personally an owner or co-owner of the enterprise where you work?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
page
ITJOBIEA 29. In your opinion, are you doing entrepreneurial work at this job?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITESTAJ1 308. Tell me, please, when was the enterprise or organization where you work established?
Prior to or in 1992 .................................................................... 1
After 1992 ................................................................................ 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITOWCHJ1 309. Since then has the ownership of the enterprise or organization where you work been changed?
Yes it has been changed ........................................................... 1
No it has not been changed ...................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITFINDJB 22. Imagine this unpleasant scenario: for some reason, the enterprise or organization where you work
closes down tomorrow and consequently, all of the workers workers will be laid off. How certain
are you that you will be able to find equally good work as your present job?
Absolutely certain .................................................................... 1 [ SKIP TO 31. ]
Fairly certain ............................................................................ 2 [ SKIP TO 31. ]
Both yes and no ....................................................................... 3 [ SKIP TO 31. ]
Fairly uncertain ........................................................................ 4 [ SKIP TO 31. ]
Absolutely uncertain ................................................................ 5 [ SKIP TO 31. ]
DOESN’T KNOW .................................................................... 7 [ SKIP TO 31. ]
REFUSES TO ANSWER .......................................................... 8 [ SKIP TO 31. ]
ITEMPIND 29.0. At this job you…? [ INTERVIEWER! PASS CARD A_4 TO THE RESPONDENT. ]
ARE INVOLVED IN ENTREPRENEURSHIP OR INDIVIDUAL
LABOR ACTIVITY [ SELF-EMPLOYED ] ........................................ 1
→ [ SKIP TO 31. ON PAGE XX ]
WORK FOR A PRIVATE INDIVIDUAL WHO IS REGISTERED
OFFICIALLY AS AN ENTREPRENEUR ........................................... 2
WORK FOR A PRIVATE INDIVIDUAL WHO IS NOT REGISTERED
OFFICIALLY AS AN ENTREPRENEUR ........................................... 3
WORK FOR A PRIVATE INDIVIDUAL AND DO NOT KNOW
WHETHER HE/SHE IS REGISTERED AS AN ENTREPRENEUR ... 4
DOESN’T KNOW .................................................................................... 7
REFUSES TO ANSWER .......................................................................... 8
ITCHANJL 31. How concerned are you that you might lose your job?
Very concerned ........................................................................ 1
A little concerned ..................................................................... 2
Both yes and no ....................................................................... 3
Not very concerned .................................................................. 4
Not concerned at all ................................................................. 5
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
page
ITNEWJOB 29.1. Please try to recall whether you have changed your place of work or profession since November
2010, or has everything remained the same?
Profession and place of work remain the same ........................ 1
Changed profession, but not place of work.............................. 2
Changed place of work, but not profession ............................. 3 → [SKIP TO 32. ON PAGE XX ]
Changed both place of work and profession ............................ 4 → [SKIP TO 32. ON PAGE XX ]
DIDN’T WORK IN NOVEMBER 2010 .................................... 6 → [SKIP TO 32. ON PAGE XX ]
OTHER [ INTERVIEWER! WRITE THE ANSWER:] ]
ITNEWJOT ____________________________________________________________ [SKIP TO 32. ON PAGE XX ] (char)
DOESN’T KNOW .................................................................... 7 [SKIP TO 32. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 [SKIP TO 32. ON PAGE XX ]
29.2. After November 2010 has your position at this place of work changed?
For example, have you... Yes No D/K REFUSES
ITPROMOT 1. Been promoted, gotten a superior
appointment ........................................................................1............ 2 ........... 7 ............. 8
ITMOVAO 2. Come to work for (moved to) another
organization, department, workshop, etc. .......................1............ 2 ........... 7 ............. 8
ITMOVLP 3. Come (moved to) to a lower position ................................1............ 2 ........... 7 ............. 8
ITADPDJB 32. Tell me, please: Do you have some other job?
Yes ........................................................................................... 1 → [ SKIP TO 33_34. ]
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITSOJOB 32.1. May I be precise? Maybe you have some other job which you didn’t think about when answering
last question. It may be off-hour job, occasional employment against terminal contract, labor
agreement, contract of work and labor, grant, or individual job under license or not.
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 56. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 56. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 56. ON PAGE XX ]
33_34. Let’s talk about your secondary work. If you are employed at several jobs, describe the one you
consider second in importance.
ITILOSJB Tell me, please, in detail: In what position, in what profession, and in what specialty are you now
working in this secondary job? [ INTERVIEWER! WRITE IN DETAIL WHAT THE RESPONDENT SAYS. ]
ITSECPST Tell me, please, your job position now ________________________________ (char)
_________________________________________________________________
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITSECPRO Your profession ___________________________________________________ (char)
_________________________________________________________________
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITSECSPL Your specialty ____________________________________________________ (char)
_________________________________________________________________
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
page
35. What do you primarily do at this job? What are your primary responsibilities? [ INTERVIEWER! WRITE IN DETAIL WHAT THE RESPONDENT SAYS. ]
ITSECRES _________________________________________________________________ (char)
_________________________________________________________________
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITSECIND 35.1 In which industry does this job belong? [ INTERVIEWER! PASS CARD 1 TO THE RESPONDENT. ]
Light Industry, Food Industry ................................................ 01
Civil Machine Construction ................................................... 02
Military Industrial Complex .................................................. 03
Oil and Gas Industry ............................................................. 04
Other Branch of Heavy Industry ............................................ 05
Construction .......................................................................... 06
Transportation, Communication ............................................ 07
Agriculture ............................................................................. 08
Government and Public Administration ................................ 09
Education ............................................................................... 10
Science, Culture ..................................................................... 11
Public Health ......................................................................... 12
Army, Ministry of Internal Affairs, Security Services ............ 13
Trade, Consumer Services ..................................................... 14
Finances................................................................................. 15
Energy (Power) Industry ....................................................... 16
Housing and Communal Services .......................................... 17
Other ...................................................................................... 18 [ INTERVIEWER! WRITE DOWN. ] _____________________________________________
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITOWRKHR 36.1. On average, how long is your normal workday at this job? ITOWRKMN
__________ HOURS __________ MINUTES
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITOWRKW 36.2. On average, how many hours is your usual work week?
__________ HOURS
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITOTJLMO 37. Did you work at this job in the last 30 days?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 39. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 39. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 39. ]
ITOTJHRS 38. How many hours did you actually work there in the last 30 days?
__________ HOURS
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
page
ITPDOJOB 39. Tell me, please: At the job we’re now talking about, did you receive in the last 30 days some
amount of money in the form of wages, bonuses, grants, benefits, revenues, or profits?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 41. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 41. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 41. ON PAGE XX ]
ITOTJWAG 40. How much money did you receive in the last 30 days from this job after taxes? If you received all or
part of the money not in rubles but in foreign currency, please convert that into rubles and report
the total.
_______________ RUBLES
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITSJENTE 41. Tell me, please: At this job do you work at an enterprise or organization? I mean any organization
or enterprise where more than one person works, no matter if it is private or state-owned. For
example, any establishment, factory, firm, collective farm, state farm, farming industry, store,
army, government service, or other organization.
You work at an enterprise or organization ............................... 1
Not at an enterprise, nor at an organization ............................. 2 → [ SKIP TO 56. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 56. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 56. ON PAGE XX ]
ITSJREG 41.1. Tell me, please: Are you employed in this job officially, in other words, by labor book, labor
agreement, or contract?
Working officially ................................................................... 1 → [ SKIP TO 313. ON PAGE XX ]
Not officially ............................................................................ 2
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 313. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 313. ON PAGE XX ]
ITSJNREG 41.2. Why are you not officially employed?
Employer did not want ............................................................. 1
I did not want ........................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITESTAJ2 313. Tell me, please, when was the enterprise or organization where you work established?
Prior to or in 1992 .................................................................... 1
After 1992 ................................................................................ 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITOWCHJ2 314. Since then has the ownership of the enterprise or organization where you work been changed?
Yes it has been changed ........................................................... 1
No it has not been changed ...................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITOTJEMP 43. How many people work in your enterprise? If you don’t know exactly, estimate.
__________ PEOPLE
DOESN’T KNOW .............................................................. 9997
REFUSES TO ANSWER .................................................... 9998
page
ITOTJGOV 49. Is the government the owner or co-owner of your enterprise or organization?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITOTJFOR 50. Tell me, please: Is your enterprise or organization owned or co-owned by any foreign firms or
foreign individuals?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITOTJRUS 51. Tell me, please: Is your enterprise or organization owned or co-owned by any Russian private
individuals, employees of the enterprise, or Russian private firms?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITOWNOEN 52. Are you personally an owner or co-owner of this enterprise where you work?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITENGIEA 56. Tell me, please: In the last 30 days did you engage in some additional kind of work for which you
were paid or will be paid? Maybe you sewed someone a dress, gave someone a ride in a car, assisted
someone with apartment or car repairs, purchased and delivered food, looked after a sick person,
sold purchased food or goods in a market or on the street, or did something else that you were paid
for?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 60. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 60. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 60. ON PAGE XX ]
56.1 What exactly did your work consist of? Describe, please, all the things you did. [ INTERVIEWER! WRITE EACH JOB ON A SEPARATE LINE. ]
ITILOIA1 ITIEA1 1. _________________________________________________________________ (char)
ITILOIA2 ITIEA2 2. _________________________________________________________________ (char)
ITILOIA3 ITIEA3 3. _________________________________________________________________ (char)
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITINCIEA 57. How much money in total in the last 30 days were you paid for this work? If payment was not
money, estimate how much it would be in rubles.
_______________ RUBLES
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITIEATIM 58. Tell me, please: Was this incidental work for you or do you often engage in this kind of work and
regularly receive money for it?
page
Incidental work ........................................................................ 1
Regular work ........................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITHRSIEA 59. How many hours in the last 30 days did you spend at this work?
__________ HOURS
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITIEAOFF 59.1. Tell me, were you employed in this job officially, for example by an agreement, an official contract,
or a license?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITINCLMO 60. Try to remember, please: What is the total amount of money that you personally received in the
last 30 days. Please include everything: wages, retirement pensions, premiums, profits, material
aid, incidental earnings, and other receipts, including foreign currency, but convert the currency
into rubles.
_______________ RUBLES
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
60.4A. Tell me, please: In the last 12 months did you…
Yes No D/K REFUSES
ITLYEJOB 1. Work an extra job ..............................................................1............ 2 ........... 7 ............. 8
ITLYSCRP 2. Raise something on your plot to sell or trade ..................1............ 2 ........... 7 ............. 8
ITLYLIVE 3. Raise cattle, poultry, fish, or other animals for sale........1............ 2 ........... 7 ............. 8
ITLYRNTD 7. Rent out an apartment, room, summer house,
garage, car ..........................................................................1............ 2 ........... 7 ............. 8
ITLY4INT 8. Place money in a bank to earn interest,
offer money in loans for interest .......................................1............ 2 ........... 7 ............. 8
ITLYSERV 9. Perform services for pay, for example, offering
people rides in a car, repairing household
appliances or cars, taking a job remodeling
apartments, tutoring, watching children for pay ............1............ 2 ........... 7 ............. 8
IT1YAGO 60.5A. Tell me, please: How has the financial situation of your family changed in the last 12 months?
Greatly improved ..................................................................... 1
Slightly improved .................................................................... 2
Has not changed ....................................................................... 3
Slightly worsened .................................................................... 4
Greatly worsened ..................................................................... 5
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITPBETWOR 61. Do you think that in the next 12 months you and your family will live better than today or worse?
You will live much better ........................................................ 1
You will live somewhat better ................................................. 2
Nothing will change ................................................................. 3
You will live somewhat worse ................................................. 4
You will live much worse ........................................................ 5
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
page
ITECONRK 62. And now, please imagine a nine-step ladder where on the bottom, the first step, stand the poorest
people, and on the highest step, the ninth, stand the rich. On which step of the nine steps are you
personally standing today?
LOWEST HIGHEST D/K REFUSES
STEP STEP
01 02 03 04 05 06 07 08 09 97 98
ITPOWRNK 63. And now, please imagine a nine-step ladder where on the bottom, the first step, stand people who
are completely without rights, and on the highest step, the ninth, stand those who have a lot of
power. On which of the nine steps are you personally standing today?
LOWEST HIGHEST D/K REFUSES
STEP STEP
01 02 03 04 05 06 07 08 09 97 98
ITRESPRK 64. And now another nine-step ladder where on the lowest step stand people who are absolutely not
respected, and on the highest step stand those who are very respected. On which of the nine steps
are you personally standing today?
LOWEST HIGHEST D/K REFUSES
STEP STEP
01 02 03 04 05 06 07 08 09 97 98
ITSATLIF 65. To what extent are you satisfied with your life in general at the present time?
Fully satisfied .......................................................................... 1
Rather satisfied ........................................................................ 2
Both yes and no ....................................................................... 3
Less than satisfied .................................................................... 4
Not at all satisfied .................................................................... 5
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITAGETNE 66. How concerned are you about the possibility that you might not be able to provide yourself with the
bare essentials in the next 12 months?
Very concerned ........................................................................ 1
A little concerned ..................................................................... 2
Both yes and no ....................................................................... 3
Not too concerned .................................................................... 4
Not at all concerned ................................................................. 5
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITSATECC 66.1. Tell me, please: How satisfied are you with your economic conditions at the present time?
Fully satisfied .......................................................................... 1
Rather satisfied ........................................................................ 2
Both yes and no ....................................................................... 3
Less than satisfied .................................................................... 4
Not at all satisfied .................................................................... 5
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
69.9. Let’s talk about something else. Tell me, please: What are the day, month, and year of your birth?
| ___ | ___ | | ___ | ___ | 19 | ___ | ___ |
day month year ITBIRTHD ITBIRTHM ITBIRTHY
page
ITGRDLEV 70.1. I would like to ask you a few questions about your education. What grade level in school did you
complete?
__________ GRADE
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITHIGHSC 70. [ INTERVIEWER! IF RESPONDENT HAS COMPLETED 9 GRADES OR LESS LEAVE OUT THIS QUESTION. ASK
QUESTION 70.2.]
Do you have a high school diploma?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITINSCHL 70.2. [INTERVIEWER! RETURN TO QUESTION 69.9. AND CHECK IN WHAT YEAR RESPONDENT WAS BORN. ASK
QUESTIONS 70.2. ONLY OF THOSE RESPONDENTS WHO WERE BORN IN 1991 OR LATER. FOR OTHER
RESPONDENTS, SKIP TO QUESTION 317. ON PAGE XX ]
Are you now attending general school, comprehensive college, lycee? Yes .......................................................................... 1
No ............................................................................ 2 [ SKIP TO 317. ON PAGE XX ]
DOESN’T KNOW .................................................... 7 [ SKIP TO 317. ON PAGE XX ]
REFUSES TO ANSWER .......................................... 8 [ SKIP TO 317. ON PAGE XX ]
ITWGRADE K3.1. What grade are you in?
IN_________ GRADE
DOESN’T KNOW .................................. 97
REFUSES TO ANSWER ....................... 98
ITTYPESC K3.2. At what type of school did you study?
Magnet school ........................................................... 1
School with focused learning in key sectors ............. 2
Liberal arts college, lyceum ...................................... 3
External studying ...................................................... 4
Secondary school ...................................................... 5
Another type of school .............................................. 6
DOESN’T KNOW ..................................................... 7
REFUSES TO ANSWER ........................................... 8
ITSCSPLA 317. Did you attend school in the same place as where you now live?
Yes .............................................................................................. 1 → [ SKIP TO 319. ]
No ............................................................................................... 2
DOESN’T KNOW ....................................................................... 7
REFUSES TO ANSWER ............................................................. 8
ITWHFINS 318. Where did you finish your schooling?
[ INTERVIEWER! PASS CARD B_6 TO THE RESPONDENT. ]
MOSCOW, SAINT-PETERSBURG ............................................. 1
CITIES AND SETTLEMENT OF MOSCOW OR
LENINGRADSKAYA REGION ................................................... 2
REGION, KRAI, REPUBLIC CENTER ...................................... 3
RAION CENTER ......................................................................... 4
ANOTHER TOWN – NOT RAION CENTER .............................. 5
URBAN VILLAGE, VILLAGE ..................................................... 6
DOESN’T KNOW ....................................................................... 7
REFUSES TO ANSWER ............................................................. 8
ITTYPSCH 319. From what type of school have you graduated or where did you last study…?
Magnet (Specialist) school ...................................... 1
page
School with focused learning in key sectors ........... 2
Liberal arts college, lyceum .................................... 3
External studying .................................................... 4
Secondary school .................................................... 5
Another type of school ............................................ 6
DOESN’T KNOW ................................................... 7
REFUSES TO ANSWER ......................................... 8
ITSTUDEW 71. Did you study or are you studying anywhere besides school?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 72.18.a. ON PAGE XX. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 72.18.a. ON PAGE XX. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 72.18.a. ON PAGE XX. ]
page
72.Have you studied or are you studying in the educational establishments I will now list for you? If yes, how many years did you study in each and did you receive
a diploma? [ INTERVIEWER! IF STUDIED LESS THAN ONE YEAR, WRITE 0 YEARS. ]
[ IF THE RESPONDENT HAS TWO AT THE SAME LEVEL, RECORD BOTH. ]
Was it at the
same place
You studied How many In what Did you In what Internal education? of residence
or years have field? receive year that you occupied
now study? you studied? a diploma? (did you finish)? before you began
your education? ITSTPRF1 ITPRFYR1 ITILOPR1 ITPRPRF1 ITPRFDP1 ITPRFYD1
1. Studied ........... 1 ... _______ _______________ (char) Yes ........... 1
No ............ 2
Now study ...... 2 ... _______ _________________________
No ................... 3
ITSTPRF2 ITPRFYR2 ITILOPR2 ITPRPRF2 ITPRFDP2 ITPRFYD2
STUDIED ....... 1 ... _______ _______________ (char) Yes ........... 1
No ............ 2
NOW STUDY .. 2 ... _______ _________________________
ITSTPTF1 ITPTFYR1 ITILOPF1 ITPRPTF1 ITPTFDP1 ITPTFYD1
2. Studied ........... 1 ... _______ _______________ (char) Yes ........... 1 ITPTFIL1 ITPTFSP1
No ............ 2
Now study ...... 2 ... _______ _________________________ Yes .......... 1 Yes ........ 1
No ........... 2 No ......... 2
No ................... 3
ITSTPTF2 ITPTFYR2 ITILOPF2 ITPRPTF2 ITPTFDP2 ITPTFYD2
STUDIED ....... 1 ... _______ _______________ (char) Yes ........... 1 ITPTFIL2 ITPTFSP2
No ............ 2
NOW STUDY .. 2 ... _______ _________________________ Yes .......... 1 Yes ........ 1
No ........... 2 No ......... 2
ITSTPTS1 ITPTSYR1 ITILOPS1 ITPRPTS1 ITPTSDP1 ITPTSYD1
3. Studied ........... 1 ... _______ _______________ (char) Yes ........... 1 ITPTSIN1 ITPTSSP1
No ............ 2
Now study ...... 2 ... _______ _________________________ Yes .......... 1 Yes ........ 1
No ........... 2 No ......... 2
No ................... 3
ITSTPTS2 ITPTSYR2 ITILOPS2 ITPRPTS2 ITPTSDP2 ITPTSYD2
STUDIED ....... 1 ... _______ _______________ (char) Yes ........... 1 ITPTSIN2 ITPTSSP2
No ............ 2
NOW STUDY .. 2 ... _______ _________________________ Yes .......... 1 Yes ........ 1
No ........... 2 No 2
Professional courses, e.g.,
tractor driving, chauffeuring,
typing, accounting
Vocational training school without
secondary education
Vocational training school with
secondary education, technical
trade school
|___|___|___|___|
|___|___|___|___|
|___|___|___|___|
|___|___|___|___|
|___|___|___|___|
|___|___|___|___| J.
J.
page
Was it at the
same place
You studied How many In what Did you In what Internal education? of residence
or years have field? receive year that you occupied
now study? you studied? a diploma? (did you finish)? before you began
your education?
ITSTTEC1 ITTECYR1 ITILOTE1 ITPRTEC1 ITTECDP1 ITTECYD1
4. Studied ........... 1 ... _______ _______________ (char) Yes ........... 1 ITTECIN1 ITTECSP1
No ............ 2
Now study ...... 2 ... _______ _________________________ Yes .......... 1 Yes ........ 1
No ........... 2 No ......... 2
No ................... 3
ITSTTEC2 ITTECYR2 ITILOTE2 ITPRTEC2 ITTECDP2 ITTECYD2
STUDIED ....... 1 ... _______ _______________ (char) Yes ........... 1 ITTECIN2 ITTECSP2
No ............ 2
NOW STUDY .. 2 ... _______ _________________________ Yes .......... 1 Yes ........ 1
No ........... 2 No ......... 2
ITSTINS1 ITINSYR1 ITILOIN1 ITPRINS1 ITINSDP1 ITINSYD1
5. Studied ........... 1 ... _______ _______________ (char) Yes ........... 1 ITINSIN1 ITINSSP1
No ............ 2
Now study ...... 2 ... _______ _________________________ Yes .......... 1 Yes ........ 1
No ........... 2 No ......... 2
No ................... 3
ITSTINS2 ITINSYR2 ITILOIN2 ITPRINS2 ITINSDP2 ITINSYD2
STUDIED ....... 1 ... _______ _______________ (char) Yes ........... 1 ITINSIN2 ITINSSP2
No ............ 2
NOW STUDY .. 2 ... _______ _________________________ Yes .......... 1 Yes ........ 1
No ........... 2 No ......... 2
[ INTERVIEWER! ONLY FOR INSTITUTES, UNIVERSITIES AND ACADEMIES – ASK AND WRITE DOWN NAMES OF HIGER EDUCATIONAL
INSTITUTIONS ]
ITHGSC1 72.5s1a. 1-st HIGHER SCHOOL _______________________________________________ ITCITHS1 CITY ___________________________________
ITHGSC2 72.5s2a. 2-nd HIGHER SCHOOL ______________________________________________ ITCITHS2 CITY ___________________________________
Technical community college,
medical, music, pedagogical,
art training school
Institute, university,
academy
|___|___|___|___|
|___|___|___|___|
|___|___|___|___|
|___|___|___|___|
J.
page
ITWRKDS 72.51. (Did/ Do) you work during studing at higher school? [ INTERVIEWER! IF STUDIED IN SEVERAL HIGHER SCHOOLS ASK ABOUT LATEST ]
Yes, you had/have permanent job ............................................ 1
Yes, you earned/earn additionally from time to time .............. 2
Yes, you worked/work but only during vacation ..................... 3
No, you engaged only in study ...................................................
DOESN’T KNOW ..................................................................... 7
REFUSES TO ANSWER ........................................................... 8
Was it at the
same place
You studied How many In what Did you In what Internal education? of residence
or years have field? receive year that you occupied
now study? you studied? a diploma? (did you finish)? before you began
your education?
ITSTGRA1 ITGRAYR1 ITILOGR1 ITPRGRA1 ITGRADP1 ITGRAYD1
6. Studied ........... 1 ... _______ _________________________ Yes ........... 1 ITGRAIN1 ITGRASP1
No ............ 2
Now study ...... 2 ... _______ _________________________ Yes .......... 1 Yes ........ 1
No ........... 2 No ......... 2
No ................... 3
ITSTGRA2 ITGRAYR2 ITPRGRA2 ITGRADP2 ITGRAYD2
STUDIED ...... 1 ... _______ _________________________ Yes ........... 1 ITGRAIN2 ITGRASP2
No ............ 2
NOW STUDY .. 2 ... _______ _________________________ Yes .......... 1 Yes ........ 1
No ........... 2 No ......... 2
Post-graduate course,
residency |___|___|___|___|
|___|___|___|___|
J.
page
72.6.0. [THIS QUESTION IS ONLY FOR THOSE RESPONDENTS, WHO STUDIED AT INSTITUTE, UNIVERSITY, ACADEMY]
Do you have...
Yes No D/K REFUSES
ITMASDEG 1. Master’s degree .................................................................. 1 ........... 2 ........... 7 ............. 8
ITCANSCD 2. A diploma of candidate of science .................................... 1 ........... 2 ........... 7 ............. 8
ITDOCSCD 3. A diploma of Doctor of Science ........................................ 1 ........... 2 ........... 7 ............. 8
72.18.A Let me clarify, what is your highest educational level which is confirmed by certificate or diploma?
[ INTERVIEWER! PASS CARD A_7 TO THE RESPONDENT. ]
ITHIEDUL [ INTERVIEWER! ONLY ONE ANSWER IS POSSIBLE, RECORD ONLY THE HIGHEST EDUCATIONAL LEVEL]
GENERAL OR INCOMPLETE SECONDARY SCHOOL ................. 01 → [ SKIP TO 69.1. ]
COMPLETE SECONDARY SCHOOL ............................................. 02 → [ SKIP TO 69.1. ]
PROFESSIONAL COURSES OF DRIVING,
TRACTOR DRIVING, ACCOUNTING, TYPING etc. ..................... 03
VOCATIONAL TRAINING SCHOOL WITHOUT
SECONDARY EDUCATION ............................................................. 04
VOCATIONAL TRAINING SCHOOL WITH SECONDARY
EDUCATION, TECHNICAL TRADE SCHOOL ............................... 05
TECHNICAL COMMUNITY COLLEGE, MEDICAL, MUSIC,
PEDAGOGICAL, ART TRAINING SCHOOL .................................. 06
INSTITUTE, UNIVERSITY, ACADEMY
INCLUDING MASTER’S DEGREE .................................................. 07
POST-GRADUATE COURSE, RESIDENCY .................................... 08
ACADEMIC DEGREE ...................................................................... 09
DOESN’T KNOW .............................................................................. 97
REFUSES TO ANSWER .................................................................... 98
ITSKILLS 69.1. People who achieve high level of mastery in their profession are called “professionals of a higher
class”. But at some point they too were “beginners”, “learners” or “apprentices”, since afterall.
professionalism accumulates over the years. Imagine a nine-step “ladder of professional mastery”, in
which the first step corresponds to the level of beginner, learner, and the ninth to the level of
“professional of a higher class”. On which step would you place yourself?
LOWEST HIGHEST D/K REFUSES
STEP STEP
01 02 03 04 05 06 07 08 09 97 98
ITEVRENT 60.1. Tell me, please: Have you ever tried to organize your own enterprise or begin your own business?
Never tried ............................................................................... 1
Tried, but nothing came of it ................................................... 2
Tried and succeeded ................................................................ 3
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
page
ITPRFSTD 72.11. During the last 12 months did you study or are you now studying courses for the improvement of
professional skills, or any other courses, including courses in foreign languages and education at the
workplace?
Yes ............................................................................................. 1
No ............................................................................................. 2 →[ SKIP TO 72.15.1. ON PAGE XX ]
DOESN’T KNOW ...................................................................... 7 →[ SKIP TO 72.15.1. ON PAGE XX ]
REFUSES TO ANSWER ............................................................ 8 →[ SKIP TO 72.15.1. ON PAGE XX ]
72.12. In what profession? For how many Was this your How was this
calendar days profession when paid for?
was it taught? you started this [ MARK IF APPLIC. ]
course? 1. ____________________
| ________ | → Yes ..................... 1 → By an enterprise ................ 1
____________________ ITPS1DAY No ...................... 2 → Personal funds ................... 2
ITPRFST1 ITPS1CUR From other sources ............ 3 (char) ITPS1PAY
2. ____________________
| ________ | → Yes ..................... 1 → By an enterprise ................ 1
____________________ ITPS2DAY No ...................... 2 → Personal funds ................... 2
ITPRFST2 ITPS2CUR From other sources ............ 3 (char) ITPS2PAY
ITLNGDTR 371. How long on average was your typical day of training on this course?
_______ HOURS
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
372. Tell me please why did you take these courses?
Yes No D/K REFUSES
1. To find (another) job ................................................................... 1 ............. 2 ............ 7 ............... 8 2. To acquire a profession ............................................................... 1 ............. 2 ............ 7 ............... 8 3. To improve your qualifications .................................................. 1 ............. 2 ............ 7 ............... 8 4. To start your own business ......................................................... 1 ............. 2 ............ 7 ............... 8
5. To expand your horizons ............................................................. 1 ............. 2 ............ 7 ............... 8
7. To increase earnings .................................................................... 1 ............. 2 ............ 7 ............... 8 8. To acquire another position ........................................................ 1 ............. 2 ............ 7 ............... 8 9. To perform this job better .......................................................... 1 ............. 2 ............ 7 ............... 8
10. At the request of management .................................................... 1 ............. 2 ............ 7 ............... 8
6. Other ............................................................................................. 1 ............. 2 ............ 7 ............... 8
ITCEDN3Y 72.15.1. [INTERVIEWER! RETURN TO QUESTION 69.9. ON PAGE XX AND CHECK IN WHAT YEAR RESPONDENT WAS BORN.
ASK QUESTIONS 72.15.1. ONLY OF THOSE RESPONDENTS WHO WERE BORN IN 1951 OR LATER.
FOR OTHER RESPONDECTS, SKIP TO QUESTION 260. ]
Do you intend to continue your study in courses at a community college or other higher education
institution during the next three years?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 260. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 260. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 260. ]
72.A. Do you intend during the next three years to study at:
Yes No D/K REFUSES
ITISPRC 1. Courses for the improvement of
professional skills ............................................................... 1 ........... 2 ........... 7 ............. 8
ITISTESC 2. Technical community college ............................................ 1 ........... 2 ........... 7 ............. 8
ITISCOLL 3. College, including magistracy,
post-graduate course ......................................................... 1 ........... 2 ........... 7 ............. 8
ITCRFJOB
ITCRACPR
ITCRIQLF
ITCROWNB
ITCRXPHO
ITCRIEAR
ITCRACPO
ITCRPRJB
ITCRRQMN
ITCROTHR
page
ITSPFLAN 260. Tell me, please, do you speak any foreign language other than the languages of the USSR’s former
republics?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 72.16.1. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 72.16.1. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 72.16.1. ]
ITLFFLAN 262. What is your level of fluency in…[INTERVIEWER! SPECIFY THE LANGUAGE WHICH THE RESPONDENT STATED IN
THE PREVIOUS QUESTION]
Fluently ............................................................... 1
Can speak and read proficiently.......................... 2
Can speak, read and translate with a dictionary .. 3
DOESN’T KNOW ............................................... 7
REFUSES TO ANSWER ..................................... 8
ITCMPTR 72.16.1. Tell me, please: In the last 12 months have you used a personal computer for any purpose, including
typing documents, playing computer games, etc.?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 360. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 360. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 360. ON PAGE XX ]
72.16.2. In the last 12 months have you used a personal computer:
Yes No D/K REFUSES
ITCMPTRH 1. At home............................................................................... 1 ........... 2 ........... 7 ............. 8
ITCMPTRW 2. At your place of work or study ......................................... 1 ........... 2 ........... 7 ............. 8
ITCMPTRE 3. In other places .................................................................... 1 ........... 2 ........... 7 ............. 8
ITCMPTWS 72.16.0. In the last 12 months have you used a personal computer for work or study?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITINTRNT 123. Tell me, please: In the last 12 months have you had to use the Internet?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 360. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 360. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 360. ]
124. In the last 12 months have you used the Internet:
Yes No D/K REFUSES
ITINTRNH 1. At home............................................................................... 1 ........... 2 ........... 7 ............. 8
ITINTRNW 2. At your place of work or study ......................................... 1 ........... 2 ........... 7 ............. 8
ITINTRNC 3. In an Internet café ............................................................. 1 ........... 2 ........... 7 ............. 8
ITPINTRNE 4. In other places .................................................................... 1 ........... 2 ........... 7 ............. 8
359. Do you use for Internet connection:
Yes No D/K REFUSES
ITULTPFI 1. Laptop, portable computer ............................................... 1 ........... 2 ........... 7 ............. 8
ITUPPCFI 2. Pocket PC ........................................................................... 1 ........... 2 ........... 7 ............. 8
ITUCPHFI 3. Cell phone or smartphone ................................................. 1 ........... 2 ........... 7 ............. 8
125. In the last 12 months have you used the Internet for:
Yes No D/K REFUSES
ITI4STUD 1. Study ................................................................................... 1 ........... 2 ........... 7 ............. 8
ITI4WORK 2. Work ................................................................................... 1 ........... 2 ........... 7 ............. 8
page
ITI4ENTR 3. Entertainment .................................................................... 1 ........... 2 ........... 7 ............. 8
ITI4COMM 4. Communication with other people ................................... 1 ........... 2 ........... 7 ............. 8
ITI4NEWS 5. Getting information about the news ................................. 1 ........... 2 ........... 7 ............. 8
ITI4CULT 6. Expanding your horizons, raising your
cultural awareness ............................................................. 1 ........... 2 ........... 7 ............. 8
ITI4REFR 7. Getting reference information .......................................... 1 ........... 2 ........... 7 ............. 8
ITI4SHOP 8. Shopping, obtaining goods and services .......................... 1 ........... 2 ........... 7 ............. 8
ITI4OTHR 9. Other things ....................................................................... 1 ........... 2 ........... 7 ............. 8
360. Do you personally have…?
SEVERAL FAMILY
Yes No MEMEBERS D/K REFUSES
USE ONE
ITCELLP ..................... 1. Cell phone ............................. 1 .................. 2 ....................... 6 ...................... 7 8
ITIPHONE .................... 2. Smartphone, i-Phone .......... 1 .................. 2 ....................... 6 ...................... 7 8
ITNTBOOK 3. Portable computer:
laptop, notebook, netbook ...... 1 .................. 2 ....................... 6 ...................... 7 8
ITMARIST 322. What is your marital status?
Never married .......................................................................... 1 → [ SKIP TO 324. ]
First Marriage .......................................................................... 2
Second Marriage ...................................................................... 3
Divorced .................................................................................. 4 → [ SKIP TO 324. ]
(Widower/widow) ................................................................... 5 → [ SKIP TO 324. ]
MARRIED, BUT DON`T LIVE TOGRTHER ........................... 6 → [ SKIP TO 324. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 324. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 324. ]
323. When did you marry? ITMARMON ITMARYEA
| ___ | ___ | NUMBER OF MONTH | ___ | ___ | ___ | ___ | YEAR → [ SKIP TO 325. ]
DOESN’T KNOW ........................ 97 DOESN’T KNOW .............. 7 → [ SKIP TO 325. ]
REFUSES TO ANSWER .............. 98 REFUSES TO ANSWER .... 8 → [ SKIP TO 325. ]
ITLWPART 324. Do you live with a partner, to whom you are not officially married?
Yes, you live with a pathner and consider yourself
husband and wife ............................................................... 1
Yes, you live with a pathner but don’t consider yourself
husband and wife ............................................................... 2
No, you do not live with a pathner .......................................... 3 → [ SKIP TO 72.18. ON PAGE XX ]
OTHER, WHAT EXACTLY
[INTERVIEWER! WRITE DOWN ] ____________________________________________
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 72.18. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 72.18. ON PAGE XX ]
ITFSLTMO 325. When did you first start living together with your partner or spouse? ISFSLTMO ISFSLTYE | ___ | ___ | NUMBER OF MONTH | ___ | ___ | ___ | ___ | YEAR
DOESN’T KNOW ........................ 97 DOESN’T KNOW .............. 7
REFUSES TO ANSWER .............. 98 REFUSES TO ANSWER .... 8
ITBELIEF 72.18. And what do you think about religion?
You are a believer .................................................................... 1
page
You are more a believer than a non-believer ........................... 2
You are more a non-believer than a believer ........................... 3
You are a non-believer ............................................................ 4
Or you are an atheist ................................................................ 5
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITRELIGN 72.19. Of what religion do you consider yourself?
Orthodoxy .............................................................................. 01
Islam ...................................................................................... 04
Other religion,
which __________________________________
I DON’T FOLLOW ANY RELIGION .................................... 96
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
72.16.3. Is it possible for you and your family to:
Yes No N/A D/K REFUSES
ITCANILC 1. Improve your living conditions: to buy a
room, a flat, a house ............. ................. ............ 1 ..............2............. ............ 7 ............. 8
ITCANPAC 2. Pay for additional classes for your children:
music classes, foreign languages,
athletic clubs, hobby groups ................. ............ 1 ..............2............ 6 ........... 7 ............. 8
ITCANSMP 3. Save money for big purchases: car, summer
house ..................................... ................. ............ 1 ..............2............. ............ 7 ............. 8
ITCANSFV 4. Send all your family on vacation abroad .......... 1 ..............2............. ............ 7 ............. 8
ITCANPCC 5. Pay for college for your child ................ ............ 1 ..............2............ 6 ........... 7 ............. 8
ITKIDS 72.17.1. Do you have children, either your own or officially adopted?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 215. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 215. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 215. ]
ITNKIDS 72.17.2. How many children in total do you have?
__________ CHILDREN
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITNYKIDS 72.17.3. And how many of them are younger than 18?
__________ CHILDREN
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
215. [INTERVIEWER! RETURN TO QUESTION 69.9 ON PAGE. XX AND LOOK – IN WHAT YEAR
RESPONDENT WAS BORN. ASK QUESTIONS 215. - 217. ONLY THOSE RESPONDENTS, WHO WERE
BORN IN 1951 OR LATER. ASK THE REST QUESTION 73. ON PAGE XX ]
Let’s talk a little about your parents. Tell me, please, in what year were your father and mother born?
ITFBDATE ITMBDATE
FATHER | ___ | ___ | ___ | ___ | YEAR MOTHER | ___ | ___ | ___ | ___ | YEAR
DOESN’T KNOW 97 DOESN’T KNOW 97
REFUSES TO ANSWER 98 REFUSES TO ANSWER 98
page
216. Tell me please, in what profession and where did your mother and father, or people who replaced
them to you, work when you were 15 years old? [INTERVIEWER! WRITE IN DETAIL WHAT THE RESPONDENT SAYS. ]
ITFPROF FATHER______________________________________________________
(char) _________________________________________________________________
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITMPROF MOTHER _____________________________________________________
(char) __________________________________________________________________
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
217. What education did your parents or people, who replaced them to you, have when you were 15 years
old? Tell me, please, the code from the card. [INTERVIEWER! PASS CARD 17 TO THE RESPONDENT ]
ITFEDUC ITMEDUC
FATHER | ___ | ___ | ___ | ___ | MOTHER | ___ | ___ | ___ | ___ |
DOESN’T KNOW 97 DOESN’T KNOW 97
REFUSES TO ANSWER 98 REFUSES TO ANSWER 98
Elementary or incomplete secondary school education ......... 01
Secondary school education .................................................. 02
Professional courses .............................................................. 03
Vocational training school without secondary education ...... 04
Vocational training school with secondary education,
technical trade school ............................................................ 05
Technical community college, medical, music,
pedagogical, art training and other schools ........................... 06
Institute, university, academy
(including master’s degree programs) ................................... 07
Post-graduate course, residency ............................................ 08
Academic degree of candidate of science
or of doctor of science ........................................................... 09
ITPENSIO 73. And now a few questions about something else. Do you now receive a pension? Do not take into
account pensions for children.
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 133. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 133. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 133. ON PAGE XX ]
73.3. How many full years and months did your total length of service (employment record) cover when you
retired, not counting full-time study at a higher education institution or technical community college
[two-year college]?
ITLOSBRY How many years and months had you worked at the time you retired?
| ___ | ___ | YEARS
ITLOSBRM | ___ | ___ | MONTHS
NO LENGTH OF SERVICE BEFORE RETIREMENT ................. 96 → [ SKIP TO 74.1. ON PAGE XX ]
DOESN’T KNOW .......................................................................... 97 → [ SKIP TO 74.1. ON PAGE XX ]
REFUSES TO ANSWER ................................................................ 98 → [ SKIP TO 74.1. ON PAGE XX ]
ITYLENSR 259. At the moment when you were granted a pension, how many full years of special length of service for
early retirement did you have? [ INTERVIEWER! IF SPECIAL LENGTH OF SERVICE WAS LESS THAN YEAR WRITE DOWN 0 YEARS]
| ___ | ___ | YEARS
NO SPECIAL LENGTH OF SERVICE ......................................... 96
page
DOESN’T KNOW .......................................................................... 97
REFUSES TO ANSWER ................................................................ 98
73.4. How many full years and months have you worked after retirement?
ITPLOSARY How many years? | ___ | ___ | YEARS
ITLOSARM | ___ | ___ | MONTHS
NO LENGTH OF SERVICE AFTER RETIREMENT .................... 96
DOESN’T KNOW .......................................................................... 97
REFUSES TO ANSWER ................................................................ 98
ITPENST1 74.1. Which pension exactly do you now receive? ITPENST2 [ INTERVIEWER! PASS CARD A_9 TO THE RESPONDENT AND MARK EVERYTHING THAT RESPONDENT NAMES.
ITPENST3 IF RESPONDENT RECEIVES TWO PENSIONS, MARK BOTH OF THEM. ]
WORKING PENSION FOR DISABILITY (DISABILITY IS ASSIGNED
AND THERE IS SOME LENGTH OF SERVICE (WORKED)) ................... 01
PENSION FOR DISABILITY BY FEDERAL PROVISION OF
PENSIONS (DISABLED PARTICIPANT OF THE GREAT PATRIOTIC WAR
(WORLD WAR II) OR DUE TO EITHER WAR INJURY OR DISEASE
ACQUIRED IN MILITARY SERVICE) ......................................................... 02
SOCIAL (SECURITY) PENSION FOR DISABILITY
(DISABILITY IS ASSIGNED AND HE/SHE HAS NEVER WORKED;
WAS DISABLED SINCE CHILDHOOD) ...................................................... 03
SOCIAL (SECURITY) PENSION FOR CITIZENS INCAPABLE
OF WORK (WAS A DEPENDENT OF EITHER A FALLEN SERVICEMAN OR
A VICTIM OF CHERNOBYL OR OTHER DISASTERS, WHO HAD NO LENGTH
OF SERVICE) ....................................................................................... 04
WORKING PENSION FOR LOSS OF PROVIDER (WAS A DEPENDENT
OF A DECEASED RELATIVE WHO HAD SOME LENGTH OF SERVICE) .......... 05
SOCIAL (SECURITY) PENSION FOR OLD AGE (E.G.,
NO LENGTH OF SERVICE OR FEWER THAN 5 YEARS OF SERVICE) ............ 06
MILITARY OR EQUIVALENT ............................................................ 07
FOR LENGTH OF SERVICE AS MEDICAL
WORKER OR TEACHER ............................................................... 08
FOR LENGTH OF SERVICE AS A STATE EMPLOYEE ................. 09
PENSION FOR OLD AGE BY FEDERAL
PROVISION OF PENSIONS ASSIGNED TO
CITIZENS -- VICTIMS OF CHERNOBYL OR OTHER DISASTERS .................... 10
WORKING PENSION FOR OLD AGE
INCLUDING EARLY RETIREMENT DUE TO WORK IN SPECIAL
CONDITIONS OR IN THE FAR NORTH REGIONS ........................................ 11
OTHER [ INTERVIEWER! WRITE DOWN. ] ....................................... 12
_____________________________________________________
DOESN’T KNOW ......................................................................... 97
REFUSES TO ANSWER ............................................................... 98
ITTRANOP 74.2. Tell me please, do you plan transition from this kind of labour pension to another kind of labour
pension?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 73.1A. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 73.1A. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 73.1A. ]
ITKIPENS 74.3. To what kind of labour pension do you plan to transit?
Number from the card ...................................................... | ___ |
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
page
73.1A. When were you granted a pension, you are receiving now? Please recall the month and year.
ITTHPEMO | ___ | ___ | MONTH NUMBER
DOESN’T KNOW ................................................... 97
REFUSES TO ANSWER ......................................... 98
ITTHPEYR | ___ | ___ | ___ | ___ | YEAR
DOESN’T KNOW ..................................................... 7
REFUSES TO ANSWER ........................................... 8
ITPENSLM 75. During last 30 days you receive pension off the books or on your pass sheet?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 77doub. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 77doub. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 77doub. ]
ITAMPENB 363. How much money did you receive as a pension in the last 30 days? Please, take into account not
onlyyour basic pension but also all additional payments to it.
___________________ RUBLES .............................................. [ SKIP TO 77doub. ]
DOESN’T KNOW ................................................................ 997 [ SKIP TO 77doub. ]
REFUSES TO ANSWER ...................................................... 998 [ SKIP TO 77doub. ]
133. What funds will you live on after you reach retirement age?
Yes No D/K REFUSES
ITRFEARN 1. Your own earnings............................................................. 1 ........... 2 ........... 7 ............. 8
ITRFPROP 2. Income from leasing and selling property ....................... 1 ........... 2 ........... 7 ............. 8
ITRFCHLD 3. Support from children, relatives, acquaintances ............ 1 ........... 2 ........... 7 ............. 8
ITRFHOLD 4. Income from a subsidiary small-holding ......................... 1 ........... 2 ........... 7 ............. 8
ITRFADDP 5. Additional pension or financial aid from an
enterprise where you have been working ........................ 1 ........... 2 ........... 7 ............. 8
ITRFSAVN 6. Your own savings ............................................................... 1 ........... 2 ........... 7 ............. 8
ITRFCHAR 7. Support from church and charitable
organizations ...................................................................... 1 ........... 2 ........... 7 ............. 8
ITRFPRVF 8. Pension that you will receive from a privately
owned retirement fund ...................................................... 1 ........... 2 ........... 7 ............. 8
ITRFFEDF 9. Pension that you will receive from a federal
retirement fund .................................................................. 1 ........... 2 ........... 7 ............. 8
ITHVCPI 187. Do you have a Card of Pension Insurance, e.g. Pension Insurance Certificate?
Yes ........................................................................... 1
No ............................................................................ 2
DOESN’T KNOW .................................................... 7
REFUSES TO ANSWER .......................................... 8
ITCURWRK 77doub. [INTERVIEWER! CHECK YOURSELF! TURN TO QUESTION 1 ON PAGE X AND SEE WHAT THE RESPONDENT SAID
ABOUT HIS PRESENT WORK. MAKE THE CORRESPONDING NOTATION BELOW. ]
RESPONDENT IS WORKING OR IS ON
NON-PAID OR PAID LEAVE, INCLUDING
MATERNITY LEAVE OR LEAVE TO CARE
FOR A CHILD UNDER 3 YEARS OLD ............................ 1 → [SKIP TO 161.1. ON PAGE XX ]
RESPONDENT IS NOT WORKING ........................................ 2
page
ITEVERWK 78. Have you ever worked?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [SKIP TO 85. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [SKIP TO 85. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [SKIP TO 85. ON PAGE XX ]
80. In what year and month did you leave your last place of work or stop working?
ITYRLEFT ITMOLEFT
IN | ___ | ___ | ___ | ___ | YEAR | ___ | ___ | NUMBER OF MONTH
DOESN’T KNOW ........................ 7 DOESN’T KNOW ...................... 97
REFUSES TO ANSWER .............. 8 REFUSES TO ANSWER ............ 98
ITRESSTW 80.1. For what main reason did you stop working at your last place of work? [ INTERVIEWER! PASS CARD A_11 TO THE RESPONDENT. ]
YOU BEGAN TO STUDY ...................................................... 01
YOU WERE DRAFTED FOR MILITARY OR
ALTERNATIVE CIVIL SERVICE .......................................... 13
YOU RETIRED ON A PENSION ........................................... 02
YOU WERE DISMISSED OR THE ENTERPRISE
WAS CLOSED ....................................................................... 03
THE CONTRACT CAME TO THE END ............................... 04
YOU WERE DISMISSED ON OTHER REASONS ................ 14
SALARY DIDN’T SUIT YOU ................................................. 05
WORK CONDITIONS - SCHEDULE DIDN’T SUIT YOU ... 06
RELATIONS WITH MANAGEMENT, COLLEAGUES ......... 07
YOU MOVED TO ANOTHER PLACE OF RESIDENCE...... 08
FOR HEALTH REASONS ..................................................... 09
FOR DOMESTIC REASONS ................................................. 10
YOU HAD A CHANCE TO STOP WORKING ...................... 11
YOU LIQUIDATED, SOLD YOUR OWN BUSINESS OR
FAMILY BUSINESS .............................................................. 15
OTHER .................................................................................. 12
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITPOSLPW 80.2. In what position had you been working before you left your last place of work? [ INTERVIEWER! WRITE IN DETAIL WHAT THE RESPONDENT SAYS: ]
_________________________________________________________________
_________________________________________________________________
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITREGSTA 85. [ INTERVIEWER! RETURN TO QUESTION 129. ON PAGE XX. IF THE RESPONDENT RECEIVES A PENSION, SKIP TO
QUESTION 198 ON PAGE XX]
Are you registered with a state employment agency as unemployed?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 161.1 ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 161.1 ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 161.1 ON PAGE XX ]
ITDAYREG 86. How many days ago did you register with a state employment agency?
__________ DAYS
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
page
ITRECUEG 87. Do you receive unemployment benefits?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 89.1. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 89.1. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 89.1. ON PAGE XX ]
ITUNEMGR 88. Did you receive unemployment benefits in the last 30 days?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 89.1. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 89.1. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 89.1. ON PAGE XX ]
ITAMUNGR 89. How much money did you receive in unemployment benefits in the last 30 days?
_______________ RUBLES
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITPSHELP 89.1. Did the placement service help you in the last 30 days to get a job, to take a course or to re-train, or
render psychological assistance?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
[INTERVIEWER! RETURN TO QUESTION 78. ON PAGE XX. IF THE RESPONDENT HAS NEVER WORKED, SKIP TO QUESTION 79.1. ]
161.1. Tell me, please, how many full years and months does your general employment record cover up to 1
January 2002, not counting full-time study in an institution of higher education or technical
community college?
| ___ | ___ | YEARS | ___ | ___ | MONTHS
HAVE NO EMPLOYMENT RECORDS
BEFORE 1 JANUARY 2002 ............................................ 96
DOESN’T KNOW ................................................................. 97
REFUSES TO ANSWER ....................................................... 98
161.2. How many full years and months does your general employment record cover after 1 January 2002,
not counting full-time study in an institution of higher education or technical community college?
| ___ | ___ | YEARS | ___ | ___ | MONTHS
HAVE NO EMPLOYMENT RECORDS
AFTER 1 JANUARY 2002 ............................................... 96
DOESN’T KNOW ................................................................. 97
REFUSES TO ANSWER ....................................................... 98
ITWANTJB 81. And now a few questions about something else: Would you like to find (another) job?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 90. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 90. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 90. ON PAGE XX ]
ITTLFJOB 81.1. How long have you been looking for another job?
_______________ WEEKS
DOESN’T LOOK ................................................................. 996
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITYEMRAF ITMEMRAF
ITYEMRUP ITMEMRUP
page
ITMINWAG 81.2. Imagine that today you received a proposal for a job. What would be the minimum wage at this new
place of work for you to accept the proposal? How much in rubles?
_______________ RUBLES
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITAPPLJB 82. Did you apply anywhere or ask anyone for a job in the last 30 days?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 84.1. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 84.1. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 84.1. ]
83. Looking for a job you applied:
Yes No D/K REFUSES
ITAPWKST 1. At state employment services, labor
registry offices .................................................................... 1 ........... 2 ........... 7 ............. 8
ITAPWKPR 2. At non-governmental employment services..................... 1 ........... 2 ........... 7 ............. 8
ITAPWKFR 3. Through friends, acquaintances ....................................... 1 ........... 2 ........... 7 ............. 8
ITAPWKRL 4. Through relatives ............................................................... 1 ........... 2 ........... 7 ............. 8
ITAPWKEN 5. Directly to employers ......................................................... 1 ........... 2 ........... 7 ............. 8
ITAPWKAD 6. Through advertising notices ............................................. 1 ........... 2 ........... 7 ............. 8
ITAPWKAI 7. Through advertising notices on the internet ................... 1 ........... 2 ........... 7 ............. 8
ITAPWKLW 136. Have you applied anywhere or asked anyone for a job in the last 7 days?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITWSTART 84.1. If in the last week you had been offered suitable work, would you have been able to start it right
away?
Able to ..................................................................................... 1
Not able to ............................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITWFIND 84.2. Approximately how much time do you think it would take you to find (other) work?
__________ DAYS
FINDING WORK IS IMPOSSIBLE ..................................... 996
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITMAINOC 90. And one more question. In finishing this part of our interview, please look at this list. Read it
carefully and say which answer best describes your primary occupation at the present time. Choose
only one answer.
[ INTERVIEWER! SHOW THE RESPONDENT THE FOLLOWING LIST OF POSSIBLE ANSWERS TO THIS QUESTION]
A high school or vocational school student .............................................................. 01
A university or technical school student ................................................................... 02
Unable to work for health reasons, disabled ............................................................. 03
Retired and not working ........................................................................................... 04
On maternity leave ................................................................................................... 05
On official leave for looking after a child
under 3 years old, not interrupting employment ................................................. 06
A housewife, caring for other family members, raising children ............................. 07
Temporarily not employed for other reasons and looking for a job ......................... 08
page
Temporarily not employed for other reasons and not looking for a job ................... 09
A farmer ................................................................................................................... 10
An entrepreneur ........................................................................................................ 11
Working at an enterprise, organization,
collective farm, state farm, or cooperative .......................................................... 12
Working at other than an enterprise, organization,
collective farm, state farm, or cooperative .......................................................... 13
Other, specify ........................................................................................................... 14
[ INTERVIEWER! WRITE ANSWER. ] _______________________________________
DOESN’T KNOW ..................................................................................................... 97
REFUSES TO ANSWER ........................................................................................... 98
ITARMY 188. [ INTERVIEWER! QUESTIONS 188-189 ARE FOR MEN OLDER THAN 18 ONLY.
FOR THE REST, ASK QUESTION 169. ]
Have you been in mandatory army service?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 169. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 169. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 169. ]
ITARMYYB 189. From what year to what year were you in mandatory army service? ITARMYYE
FROM THE YEAR OF | ___ | ___ | ___ | ___ | TO THE YEAR OF | ___ | ___ | ___ | ___ |
DOESN’T KNOW ........................ 97 DOESN’T KNOW ...................... 97
REFUSES TO ANSWER .............. 98 REFUSES TO ANSWER ............ 98
ITPOLWCH 169. How, in your opinion, militia work in your settlement has changed?
Militia begun to work better .................................................... 1
Militia works the same way as before ..................................... 2
Militia begun to work worse .................................................... 3
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER ......................................................... 8
170. Do you participate in the following voluntary insurance programs? Please do not indicate compulsory
insurance programs.
Yes No N/A D/K REFUSES
ITVINSLI 1. Life insurance and accident insurance ............................. 1 ........... 2 ............ .............. 7 ......... 8
ITVINSFL 2. Home (house/apartment) insurance ................................. 1 ........... 2 ........... 6 ............. 7 ......... 8
ITVINSDA 3.1 Summerhouse insurance ................................................... 1 ........... 2 ........... 6 ............. 7 ......... 8
ITVINSCA 3.2 Vehicle insurance --
not including compulsory liability coverage .................... 1 ........... 2 ........... 6 ............. 7 ......... 8 ITVINSAG 4. Agricultural property and cattle insurance ..................... 1 ........... 2 ........... 6 ............. 7 ......... 8
ITBNCARD 197. Tell me, please, do you have a bank card?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 200. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 200. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 200. ]
page
198. You received this bank card:
Yes No D/K REFUSES
ITCTRSPS 1. For transferring on it a salary, pension,
or student stipend ................................................................ 1 ........... 2 ........... 7 ............. 8
ITCBDEPO 2. In order to use money from your
other bank deposits ............................................................ 1 ........... 2 ........... 7 ............. 8
ITCOCRED 3. In order to obtain a credit................................................... 1 ........... 2 ........... 7 ............. 8
ITUSCARD 199. How do you use your bank card?
Only in order to draw out money from account ....................... 1
Only in order to pay for goods and services ............................ 2
For both of the above reasons .................................................. 3
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITBORMON 200. Tell me, please: are you going to borrow money from a bank in the next 12 months?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 117. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 117. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 117. ON PAGE XX ]
201. For what purposes are you going to borrow money from a bank in the next 12 months? [INTERVIEWER! PASS CARD A_13. TO THE RESPONDENT AND WRITE DOWN ALL AND WHAT THE RESPONDENT
SAYS.]
ITPHOUSE FOR PURCHASING HOUSING (FLAT, HOUSE) ............ 01
ITPREALE FOR PURCHASING ANOTHER REAL ESTATE
(LAND, DACHA, GARAGE)............................................... 02
ITPCAR FOR PURCHASING A CAR ............................................... 03
ITPDEQUI FOR PURCHASING DOMESTIC EQUIPMENT,
FURNITURE AND SO ON. ................................................ 04
ITPPEDUC FOR PAYMENT OF EDUCATION
(YOURS OR YOUR CHILDREN) ....................................... 05
ITPTREAT FOR TREATMENT ............................................................. 06
ITPRELAX FOR RELAXATION ............................................................ 07
ITPCEXPE FOR CURRENT EXPENSES .............................................. 08
ITPPAYB FOR PAYING BACK .......................................................... 09
ITPOTHER OTHER .............................................................................. 10
DOESN’T KNOW ............................................................... 97
REFUSES TO ANSWER ..................................................... 98
117. To answer the next few questions, I will ask you to fill out the questionnaire by yourself, in my
presence. After each of these questions there is a list of possible answers. Please read each question
carefully and completely. Then choose an answer that reflects your opinion and circle the
corresponding number. If any question seems too personal and you would prefer not to answer it, skip
it and answer the next question. After you finish, hand me the questionnaire, and we will proceed to
the next subject. [ INTERVIEWER! GIVE THE QUESTIONNAIRE TO THE RESPONDENT. ]
Please read the expressions below and decide whether you agree with them. Circle the number
corresponding to your opinion.
Absolutely Absolutely
Disagree Disagree Agree Agree
ITEGO01 1. I can not handle my problems ............................................. 1 ........... 2 ........... 3 ............. 4
ITEGO02 2. Sometimes I feel that somebody is harassing me
in my life ...................................................................................... 1 ........... 2 ........... 3 ............. 4
ITEGO03 3. I have little influence over things that happen to me ........... 1 ........... 2 ........... 3 ............. 4
ITEGO04 4. I can always execute my plans ............................................. 1 ........... 2 ........... 3 ............. 4
page
ITEGO05 5. I always feel helpless when problems arise in my life ......... 1 ........... 2 ........... 3 ............. 4
ITEGO06 6. What happens to me in the future depends mainly on me ... 1 ........... 2 ........... 3 ............. 4
ITEGO07 7. What I can do changes my life very little ............................ 1 ........... 2 ........... 3 ............. 4
ITEGO08 8. I think that I’m no worse than anybody else ........................ 1 ........... 2 ........... 3 ............. 4
ITEGO09 9. I think I have a lot of good characteristics ........................... 1 ........... 2 ........... 3 ............. 4
ITEGO10 10. In general, I think that I’m a loser ....................................... 1 ........... 2 ........... 3 ............. 4
ITEGO11 11. I can do everything as well as anybody else ........................ 1 ........... 2 ........... 3 ............. 4
ITEGP12 12. I think I don’t have many things to be proud of .................. 1 ........... 2 ........... 3 ............. 4
ITEGO13 13. I have a good attitude toward myself ................................... 1 ........... 2 ........... 3 ............. 4
ITEGO14 14. In general, I’m satisfied with myself ................................... 1 ........... 2 ........... 3 ............. 4
ITEGO15 15. Sometimes I feel that I’m useless ........................................ 1 ........... 2 ........... 3 ............. 4
ITEGO16 16. I would like to have a more respectful attitude
toward myself ...................................................................... 1 ........... 2 ........... 3 ............. 4
ITEGO17 17. Sometimes it seems to me that I’m a bad person ................. 1 ........... 2 ........... 3 ............. 4
page
SECTION “HEALTH EVALUATION”
ITWTSELF 1. Now a few questions about health. But first I would like to ask for your height and weight. How many kilograms do you weigh?
__________ KG
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITHTSELF 2. What is your height in centimeters?
__________ CM
DOESN’T KNOW ................................................................ 997
REFUSES TO ANSWER ...................................................... 998
ITWTCHNG 2.1. Tell me, please: How has your weight changed in the last year?
You have lost weight ............................................................... 1
You have gained weight .......................................................... 2
WEIGHT DID NOT CHANGE ................................................ 3
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITEVALHL 3. Tell me, please: How would you evaluate your health? It is:
Very good ................................................................................ 1
Good ........................................................................................ 2
Average--not good, but not bad ............................................... 3
Bad .......................................................................................... 4
Very bad .................................................................................. 5
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
20.6. Do you have any kind of chronic illness?
Yes No D/K REFUSES
ITCHEART 1. Heart disease ........................................................................ 1 ........... 2 ........... 7 ............. 8
ITCLUNGS 2. Lung disease ......................................................................... 1 ........... 2 ........... 7 ............. 8
ITCLIVER 3. Liver disease ......................................................................... 1 ........... 2 ........... 7 ............. 8
ITCKIDNY 4. Kidney disease ...................................................................... 1 ........... 2 ........... 7 ............. 8
ITCGI 5. Gastrointestinal disease ......................................................... 1 ........... 2 ........... 7 ............. 8
ITCSPINE 6. Spinal problems .................................................................... 1 ........... 2 ........... 7 ............. 8
ITCOTHER 7. Other chronic illnesses .......................................................... 1 ........... 2 ........... 7 ............. 8
ITDISABL 20.7. Tell me, please: Are you assigned to any disability classification?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 39. ON PAGE XX ]
DOING THE PAPERWORK ................................................... 6 → [ SKIP TO 39. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 39. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 39. ON PAGE XX ]
ITDCLASS 20.8. To what classification of disability are you assigned?
First category or third degree................................................... 1
Second category or second degree ........................................... 2
Third category or first degree .................................................. 3
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
page
20.9. When were you assigned a disability category? Please recall the month and year. ITDISABM | ___ | ___ | MONTH NUMBER
DOESN’T KNOW ............................. 97
REFUSES TO ANSWER.................... 98
ITDISABY | ___ | ___ | ___ | ___ | YEAR
DOESN’T KNOW ............................... 7
REFUSES TO ANSWER...................... 8
ITOPERAT 39. In the last 12 months have you had a surgical operation?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITDIABET 43. Has a physician ever told you that you had diabetes or increased sugar in the blood?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITHATTAC 46. Have you ever been diagnosed with a “myocardial infarction”?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITHIGHBP 58.1. Have you ever been told by a doctor that you had high arterial blood pressure?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITSTROKE 59. Has a doctor ever diagnosed you as having had a stroke--blood hemorrhage in the brain?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITANEMIA 62. In the last 12 months has a doctor told you that you had anemia?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITEVERTB 62.1. Has a doctor ever told you that you had tuberculosis?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITEVERHP 62.3. Has a doctor ever diagnosed you with hepatitis, Botkin’s disease, or jaundice?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 64 .ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 64. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 64. ON PAGE XX ]
page
ITTYPHP 62.5. What type of hepatitis did you have?
Hepatitis A ............................................................................... 1
Hepatitis B ............................................................................... 2
Hepatitis C ............................................................................... 3
OTHER, PLEASE WRITE WHAT EXACTLY .......................... 6
ITTYPHPT _________________________________________________________________
(char) DOESN’T KNOW ............................................................................... 7
REFUSES TO ANSWER ..................................................................... 8
ITDEPRES 131. In the last 12 months have you had a serious nervous disorder or depression?
Yes ........................................................................... 1
No............................................................................. 2
DOESN’T KNOW ..................................................... 7
REFUSES TO ANSWER ........................................... 8
ITWRGLAS 64. Do you wear glasses or contact lenses?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITHEAAID 66. Do you use a hearing aid?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITSMOKES 71. Do you now smoke?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 77. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 77. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 77. ON PAGE XX]
ITSAGSMK 72. Please recall: When did you start smoking? How old were you then?
__________ YEARS
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITSMOKLW 73. In the last 7 days have you smoked anything?
Yes ........................................................................................... 1
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITSMOKMA 74. What do you mainly smoke? I will list various types of tobacco products and you tell me, please,
which you smoke most often.
Papyrosi ................................................................................... 1
Filtered cigarets ....................................................................... 2
Unfiltered cigarets ................................................................... 3
Self-rolled cigarets................................................................... 4
Pipe .......................................................................................... 5
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 80.0. ON PAGE XX ]
page
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 80.0. ON PAGE XX ]
ITCIGNUM 75. About how many individual cigarets or papyroses do you usually smoke in a day?
__________ UNITS
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITPRUCIG 149. At what price do you usually buy a pack of cigarets, papyroses, tobacco which you are smoking?
__________ RUBLES
I`M CULTIVATING TOBACCO MYSELF .............................. 6
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITPRCIG2 150. Tell me, please, if the prices for cigarets, papyroses, tobacco which you usually smoke grow twice
what you will do:
You will try to smoke lesser, but the same grade .................... 1 → [ SKIP TO 80.0. ]
You will try to give up smoking .............................................. 2 → [ SKIP TO 80.0. ]
You will buy cheaper grade of cigarets, papyroses, tobacco ... 3 → [ SKIP TO 80.0. ]
You will not change anything .................................................. 4 → [ SKIP TO 80.0. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 80.0. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 80.0. ]
ITESMOKE 77. Have you ever smoked?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 80.0. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 80.0. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 80.0. ]
ITYQUITS 78. How many years ago did you quit smoking?
[ INTERVIEWER! IF THE RESPONDENT ANSWERS THAT HE QUIT SMOKING LESS THAN A YEAR AGO, WRITE 0
YEARS. ]
__________ YEARS
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITAPPDEF 147. [INTERVIEWER! QUESTION 147. ASK ONLY THOSE RESPONDENTS THAT ANSWERED QUESTION 78 THAT THEY
QUIT SMOKING 5,10,15,20, OR OTHER NUMBER DIVISIBLE BY 5, OF YEARS AGO. FOR OTHER RESPONDENTS, ASK
QUESTION 79. ON PAGE XX]
You said, you quit smoking [TELL NUMBER OF YEARS FROM QUESTION 78.]. Did you give an approximate or
definite answer?
APROXIMATE ......................................................................... 1
DEFINITE ............................................................................... 2 → [ SKIP TO 79. ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 79. ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 79. ]
ITYOQSMO 148. Could you give me a more definite answer?
ITYAQSMO Maybe you can remember how old you were when you quit smoking? Maybe, you quit smoking
after a child was born or after you got married or when some other event happened?
RESPONDENT WAS:__________________________YEARS OLD MORE DEFINITE NUMBER OF YEARS:__________________________WHEN THE RESPONDENT QUIT SMOKING
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITQAGSMK 79. Please remember your age when you began smoking. How old were you then?
page
__________ YEARS
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITPCALCHL 80.0. Do you consume alcoholic beverages, including beer, at least sometimes?
Yes, consume........................................................................... 1
No, never consume .................................................................. 2 → [ SKIP TO 151. ON PAGE XX ]
D/K .......................................................................................... 7 → [ SKIP TO 151. ON PAGE XX ]
REFUSES ................................................................................ 8 → [ SKIP TO 151. ON PAGE XX ]
ITALCLMO 80. In the last 30 days have you consumed alcoholic beverages?
Yes ........................................................................................... 1 → [ SKIP TO 81. ON PAGE XX ]
No ........................................................................................... 2
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITBRLMO 80.1. In the last 30 days have you consumed beer?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [ SKIP TO 151. ON PAGE XX ]
DOESN’T KNOW .................................................................... 7 → [ SKIP TO 151. ON PAGE XX ]
REFUSES TO ANSWER .......................................................... 8 → [ SKIP TO 151. ON PAGE XX ]
ITPALCFLM 81. How often have you consumed alcoholic beverages in the last 30 days? [ INTERVIEWER! BEER SHOULD BE CONSIDERED AN ALCOHOLIC BEVERAGE. ]
Every day ................................................................................. 1
4-6 times a week ...................................................................... 2
2-3 times a week ...................................................................... 3
Once a week ............................................................................ 4
2-3 times in the last 30 days .................................................... 5
Once in the last 30 days ........................................................... 6
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
82. Tell me, please: You drink alcoholic beverages…?
Yes No D/K REFUSES
ITALCBML 1. Before meals ....................................................................... 1 ........... 2 ........... 7 ............. 8
ITALCDML 2. During meals ...................................................................... 1 ........... 2 ........... 7 ............. 8
ITALCNOE 3. Without eating ................................................................... 1 ........... 2 ........... 7 ............. 8
83. Tell me: You drink alcoholic beverages…?
Yes No D/K REFUSES
ITALCHOM 1. At home............................................................................... 1 ........... 2 ........... 7 ............. 8
ITALCBAR 2. In restaurants or bars ........................................................ 1 ........... 2 ........... 7 ............. 8
ITALCPRK 3. In a park or on the street .................................................. 1 ........... 2 ........... 7 ............. 8
ITALCWRK 4. At work ............................................................................... 1 ........... 2 ........... 7 ............. 8
ITALCGUE 5. As a guest ............................................................................ 1 ........... 2 ........... 7 ............. 8
page
84. Now I’m going to list various alcoholic beverages, and you, tell me please, which of these you drank
in the last 30 days and, for those you drank, how many grams you usually consumed in a day?
How many How many
grams did you days did you
Did you usually usually D/K
drink? drink per day? drink in month?
1.1 Beer ................................................................. Yes ......... 1 |____________| |___|___| 97
No .......... 2 ITGMBR1 ITDDBR1
ITDRBR1
1.2 Home-brewed beer ......................................... Yes ......... 1 |____________| |___|___| 97
No .......... 2 ITDDBR2 ITDDBR2
ITDDBR2
2. Dry wine, champagne .................................... Yes ......... 1 |____________| |___|___| 97
No .......... 2 ITGMDWIN ITDDDWIN
ITDRDWIN
3. Fortified wine ................................................. Yes ......... 1 |____________| |___|___| 97
No .......... 2 ITGMFWIN ITDDFWIN
ITDRFWIN
4. Homemade liquor........................................... Yes ......... 1 |____________| |___|___| 97
No .......... 2 ITGMHLIQ ITDDLIQU
ITDRHLIQ
5. Vodka or other hard liquor ........................... Yes ......... 1 |____________| |___|___| 97
No .......... 2 ITGMVODK ITDDVODK
ITDRVODK
7. Alcohol cocktails............................................. Yes ......... 1 |____________| |___|___| 97
No .......... 2 ITGMACOC ITDDACOC
ITDRACOC
6. Anything else .................................................. Yes ......... 1 |____________| |___|___| 97
No .......... 2 ITGMOTHE ITDDOTHA
ITDROTHE
ITEATOFR 151. How often do you eat out of door?
You already always eat out of door ......................................... 1
You eat out of door in the all working days ............................ 2
On the average you eat out of door 2-3 times per week .......... 3
On the average you eat out of door lesser than
2 times per week ............................................................... 4
You always eat at home ........................................................... 5
D/K .......................................................................................... 7
REFUSES ................................................................................ 8
ITMEALRE 152. Whether it is possible for you to eat always regularly but no rarely than 3 times a day?
You already always eat out of door ......................................... 1
You eat out of door in the all working days ............................ 2
On the average you eat out of door 2-3 times per week .......... 3
On the average you eat out of door lesser than
2 times per week ............................................................... 4
You always eat at home ........................................................... 5
D/K .......................................................................................... 7
REFUSES ................................................................................ 8
page
ITVITAM 117.0. Tell me, please, in the last 30 days have you taken any vitamins, mineral adjuvant, or biologically
active supplement?
Yes ........................................................................................... 1
No ........................................................................................... 2
D/K .......................................................................................... 7
REFUSES ................................................................................ 8
ITONDIET 117.1. In the last 12 months have you been on a diet? We regard a diet as any change in your usual food in
order lose weight or to restore one's health?
Yes ........................................................................................... 1
No ........................................................................................... 2
D/K .......................................................................................... 7
REFUSES ................................................................................ 8
113. I will now list various kinds of physical activities. Will you please tell me in which of them you
engaged in the last 12 months at least 12 times? For each activity you engaged in, during how many
months, how many times per month, and how many minutes per time did the activity last?
How How many How many
many times per minutes
Engaged in…? months? month? per time?
1. Jogging, ice skating, skiing Yes................. 1→ | _____ | | _____ | | _____ |
No .................. 2 ITJOGMOS ITJOGTMO ITJOGMIN ITJOGGED
1.1 Using exercise equipment Yes................. 1→ | _____ | | _____ | | _____ |
No .................. 2 ITEQUMOS ITEQUTMO ITEQUMIN ITEEQUIP
2. Swimming Yes................. 1→ | _____ | | _____ | | _____ |
No .................. 2 ITSWMMOS ITSWMTMO ITSWMMIN
ITSWIMMG
3. Dancing, aerobics Yes................. 1→ | _____ | | _____ | | _____ |
No .................. 2 ITDANMOS ITDANTMO ITDANMIN ITDANCED
4. Basketball, volleyball, soccer,
hockey Yes................. 1→ | _____ | | _____ | | _____ |
No .................. 2 ITPBBMOS ITPBBTMO ITPBBMIN ITPBBALL
5. Badminton, tennis
(including table tennis) Yes................. 1→ | _____ | | _____ | | _____ |
No .................. 2 ITPBMMOS ITPBMTMO ITPBMMIN ITPBADMI
5.1 Fighting, boxing, karate Yes................. 1→ | _____ | | _____ | | _____ |
No .................. 2 ITBOXMOS ITBOXTMO ITBOXMIN ITBOXING
6. Something else Yes................. 1→ | _____ | | _____ | | _____ |
No .................. 2 ITPAOMOS ITPAOTMO ITPAOMIN ITPAOTHR
page
ITEXERCI 114. Which of the following best describes your physical exercise? Please do not count your physical
activities at work.
Light physical exercise for relaxation
fewer than three times a week ............................................ 1
Medium and intensive physical exercise
fewer than three times a week ............................................ 2
Intensive physical exercise at least three times
a week for 15 minutes or more .......................................... 3
Daily exercise not less than 30 minutes a day ......................... 4
DOES NOT ENGAGE IN PHYSICAL ACTIVITIES ................ 5
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
page
SECTION “FOR WOMEN ONLY”
1. [ INTERVIEWER! RETURN TO QUESTION 69.9. ON PAGE XX. QUESTIONS OF THIS SECTION
ASK ONLY THOSE WOMEN WHO WERE BORN IN 1956 OR LATER. FOR OTHER
RESPONDENTS INTERVIEW IS FINISHED
[INTERVIEWER! NOTE WHO, BESIDES THE RESPONDENT, IS PRESENT IN THE ROOM AT
THIS TIME]
YES NO
ITWCHL10 1. CHILDREN UNDER 10 1.....2 ITWCHG10 2. CHILDREN OVER 10 1.....2 ITWPAREN 3. PARENTS 1.....2 ITWHUSBA 4. HUSBAND OR PARTNER 1.....2 ITWMENPR 5. OTHER MEN 1.....2 ITWWOMEN 6 OTHER WOMEN 1.....2
ITEVRMEN 2. Have you ever menstruated?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [INTERVIEW IS FINISHED]
DOESN'T KNOW..................................................................... 7 → [INTERVIEW IS FINISHED]
REFUSES TO ANSWER .......................................................... 8 → [INTERVIEW IS FINISHED]
ITPEVPREG 4. Have you ever been pregnant, even if this pregnancy lasted for only a few weeks?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [INTERVIEW IS FINISHED]
DOESN'T KNOW..................................................................... 7 → [INTERVIEW IS FINISHED]
REFUSES TO ANSWER .......................................................... 8 → [INTERVIEW IS FINISHED]
ITBABLY 6. Tell me, please, have you given birth in the last 12 months?
Yes ........................................................................................... 1
No ........................................................................................... 2 → [SKIP TO 30. ON PAGE XX]
DOESN'T KNOW..................................................................... 7 → [SKIP TO 30. ON PAGE XX]
REFUSES TO ANSWER .......................................................... 8 → [SKIP TO 30. ON PAGE XX]
ITNUMBY 6.1. To how many children did you give birth in the last 12 months?
__________ CHILDREN
DOESN’T KNOW .................................................................... 7
REFUSES TO ANSWER .......................................................... 8
ITABOLY 30. Tell me, please, have you ever had an abortion in the last 12 months?
Yes ........................................................................................... 1
No ........................................................................................... 2 →[SKIP TO 31.2. ON PAGE XX]
DOESN'T KNOW..................................................................... 7 →[SKIP TO 31.2. ON PAGE XX]
REFUSES TO ANSWER .......................................................... 8 →[SKIP TO 31.2. ON PAGE XX]
ITNUMLY 31. How many abortions have you had in the last 12 months?
__________ ABORTIONS
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITMINIAB 31.1. In speaking of abortions, did you count mini-abortions?
Yes ........................................................................................... 1 →[SKIP TO 31.3. ON PAGE XX]
No ........................................................................................... 2
Had no mini-abortions ............................................................. 6 →[SKIP TO 60. ON PAGE XX]
page
DOESN'T KNOW..................................................................... 7 →[SKIP TO 60. ON PAGE XX]
REFUSES TO ANSWER .......................................................... 8 →[SKIP TO 60. ON PAGE XX]
ITMABLY 31.2. Tell me, please, in the last 12 months have you had a mini-abortion?
Yes ........................................................................................... 1
No ........................................................................................... 2 →[SKIP TO 60. ON PAGE XX]
DOESN'T KNOW..................................................................... 7 →[SKIP TO 60. ON PAGE XX]
REFUSES TO ANSWER .......................................................... 8 →[SKIP TO 60. ON PAGE XX]
ITNMABY 31.3. How many mini-abortions have you had in the last 12 months?
__________ MINI-ABORTIONS
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
ITPREGNT 60. Are you presently pregnant?
Yes ........................................................................................... 1
No ........................................................................................... 2 →[ INTERVIEW IS FINISHED]
DOESN'T KNOW..................................................................... 7 →[ INTERVIEW IS FINISHED]
REFUSES TO ANSWER .......................................................... 8 →[ INTERVIEW IS FINISHED]
ITGOGIBI 72. Are you going to give birth to this baby?
Yes ........................................................................................... 1
No ........................................................................................... 2 →[ INTERVIEW IS FINISHED]
DOESN'T KNOW..................................................................... 7 →[ INTERVIEW IS FINISHED]
REFUSES TO ANSWER .......................................................... 8 →[ INTERVIEW IS FINISHED]
ITEXPECT 61. When are you expecting a child (to be born)? Please, name the year and the month. (char)
__________________________________________________
DOESN’T KNOW .................................................................. 97
REFUSES TO ANSWER ........................................................ 98
THANK YOU!
page
S. SECTION “INTERVIEWER’S REMARKS”
1. [ NOTE IF ANYONE WAS PRESENT DURING THE INTERVIEW, EVEN IF ONLY FOR A FEW
MINUTES:
YES NO
ITHHPRES 1. SOME OTHER MEMBER OF THE HOUSEHOLD .............................. 1 ............. 2
ITOTPRES 2. OTHER PEOPLE, NOT MEMBERS OF THIS HOUSEHOLD ............. 1 ............. 2 ]
ITRESATT 2. [ ASSESS THE RESPONDENT’S ATTITUDE TOWARD THE INTERVIEW. THE RESPONDENT WAS:
FRIENDLY, INTERESTED ...................................................... 1
NOT PARTICULARLY INTERESTED ..................................... 2
IMPATIENT, WORRIED ......................................................... 3
HOSTILE.................................................................................. 4 ]
ITRESUND 3. [ NOTE HOW THE RESPONDENT UNDERSTOOD THE QUESTIONS:
WELL ....................................................................................... 1
NOT VERY WELL .................................................................... 2
POORLY .................................................................................. 3 ]
ITRESBEH 4. [ ASSESS THE RESPONDENT’S BEHAVIOR DURING THE INTERVIEW.
THE RESPONDENT:
WAS NERVOUS ....................................................................... 1
WAS OCCASIONALLY NERVOUS .......................................... 2
FELT COMFORTABLE ........................................................... 3 ]
ITRESRES 5. [ ASSESS THE RESPONDENT’S SHARPNESS:
VERY SLOW-WITTED ............................................................. 1
SLOW-WITTED, NEEDED EXPLANATIONS ......................... 2
AS BRIGHT AS THE MAJORITY OF RESPONDENTS .......... 3
NOTABLY BRIGHTER THAN THE MAJORITY ..................... 4 ]
ITRESSIN 6. [ ASSESS THE SINCERITY AND OPENNESS OF THE RESPONDENT.
THE RESPONDENT WAS:
VERY INTROVERTED, INSINCERE ....................................... 1
AS SINCERE AND OPEN AS MOST RESPONDENTS ........... 2
MORE SINCERE AND OPEN THAN MOST ........................... 3 ]
ITFDRELY 7. [ ASSESS WHETHER IN YOUR OPINION THE INFORMATION GIVEN ABOUT FOOD
CONSUMPTION IS RELIABLE:
RELIABLE................................................................................ 1
INFORMATION INADEQUATE TO ASSESS .......................... 2
NOT RELIABLE ....................................................................... 3 ]
I confirm that I completed the interview according to the instructions using the personal interview
method, with the respondent chosen according to the instructions.
Signature ____________________________________________________________