€¦ · Project “RUSSIA” Questionnaire for Adults 5-TH ROUND [i.e., 9th round] SITE9 1. [NAME OF POPULATION CENTER

RLMSRussia Longitudinal Monitoring Survey

Round 9

(September 2000 - December 2000)

ADULT QUESTIONNAIRE

Russian Institute of NutritionUniversity of North Carolina at Chapel Hill

Institute of Sociology, Russian Academy of Sciences

Project “RUSSIA”

Questionnaire for Adults5-TH ROUND

[i.e., 9th round]

SITE9 1. [NAME OF POPULATION CENTER ____________________________________|__|__|__| ]

CENSUSD9 2. [NUMBER OF SURVEY SECTOR (FOR CITIES) ______________________________|__|__| ]

FAMILY9 3. [NUMBER OF FAMILY |__|__| ]

PERSON9 4. [NUMBER OF FAMILY MEMBER |__|__| ]

I9RPINBF 4.1. [PARTICIPATED IN THE SURVEY:

1994 . . . . . . . . . . . . . . . . . . . 11995 . . . . . . . . . . . . . . . . . . . 21996 . . . . . . . . . . . . . . . . . . . 31998 . . . . . . . . . . . . . . . . . . . 4NEVER PARTICIPATED . 5 ]

I9GENDER 5. [SEX OF RESPONDENT

MALE . . . . . . . . . . . . . . . . . 1FEMALE . . . . . . . . . . . . . . 2 ]

7. [DATE OF INTERVIEW. DAY |__|__| MONTH |__|__| ] I9INTDAY I9INTMON

8. [LENGTH OF INTERVIEW |__|__| HOURS |__|__| MINUTES ] I9INTHRS I9INTMIN

9. [LAST NAME OF INTERVIEWER __________________________________________________ ]

I9INTNUM 10. [NUMBER OF INTERVIEWER |__|__|__| ]

2000

RLMS, Round 9 Individual–Adult

My name is ______________________________. We are conducting research on fourthousand families in all regions of Russia.

Your family, as well as four thousand other families in Russia, was randomly chosen bycomputer two years ago. The goal of our work is to understand how the life of Russian citizenshas changed. Therefore, we now want to interview the same people again.

We need to talk to all members of your family without excluding anyone, and therefore we askyou to answer the questions on this questionnaire. Our discussion will cover how you live, howyour health is, how you eat, whether you have enough to live on? Has anything changed in thelast year or not?

All information collected in the course of this research will be used only in synthesized form. No one, except myself and the organizers of this research, will know about our discussion.

We understand that you will spend some of your free time on the interview. Besides this,answering these questions is, of course, work. Therefore, we will pay you as much as ourresources allow.

Participation in our survey is voluntary, and you always have the right to refuse to answer thequestions.

Before we begin the interview, I would like to precisely define the words “family” and“household,” which will often appear in our questionnaire. By family or, in other words,household, in this study we mean all people living with you and having common incomes andexpenses with you.

1. I.


SECTION “MIGRATION”[INTERVIEWER! ASK EVERYONE THE QUESTIONS IN THIS SECTION.]

I9BORNDP 1. Tell me, please, were you born in a different population center or in the one where you livenow?

IN A DIFFERENT POPULATION CENTER . . . . . 1IN THE ONE 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. ]

I9BIRPLA 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 . . . . . . . . . . . . 10UKRAINE . . . . . . . . . . . . 02 MOLDAVIA . . . . . . . . . . . . 11BELORUSSIA . . . . . . . . . 03 TADZHIKISTAN . . . . . . . . 12AZERBAIZHAN . . . . . . 04 TURKMENIA . . . . . . . . . . . 13ARMENIA . . . . . . . . . . . . 05 UZBEKISTAN . . . . . . . . . . . 14GEORGIA . . . . . . . . . . . . 06 ESTONIA . . . . . . . . . . . . . . . 15KAZAKHSTAN . . . . . . . 07 ANOTHER COUNTRY . . . 16KIRGIZIA . . . . . . . . . . . . . 08 DOESN’T KNOW . . . . . . . . . 97LATVIA . . . . . . . . . . . . . 09 REFUSES TO ANSWER . . . 98

I9BPTYPE 3. Tell me, please, were you born in a city, an urban-type settlement, or a village, derevnia,kishlak, aul?

IN A CITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1IN AN URBAN-TYPE SETTLEMENT . . . . . . . . . . . 2IN A VILLAGE, DEREVNIA, KISHLAK, AUL . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . . . . 8

I9LVOTHR 3.1. Tell me, please, have you lived in some other population center for more than 6 monthsin succession since you reached the age of 14?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . . . . 8

I9NATION 4. What nationality do you consider yourself? I don’t necessarily have in mind the nationalitythat is indicated on your passport.

____________________________________________RUSSIAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 998

I9SPEAKS 5. What primary language do you personally speak at home? If you speak several languages,please specify the language you consider your primary one.


I9SPOKEN 6. When you were a child, what language was primarily spoken in your home?


2. J


SECTION “WORK”

I9WRKNOW 1. Tell me, please: Do you now work, are you on paid or unpaid leave, or do you not work?

Working . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Maternity leave or leave for taking care of a

child under 3 years of age . . . . . . . . . . . . . . . . . 2

Any other paid leave . . . . . . . . . . . . . . . . . . . . . . . 3

Unpaid leave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Not working . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ÷ [ SKIP TO 56 ON PAGE 14 ]

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7 ÷ [ SKIP TO 56 ON PAGE 14 ]

REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . 8 ÷ [ SKIP TO 56 ON PAGE 14 ]

I9ILOPJB 2. Let’s talk about your primary work. If you are employed at several jobs, describe the one

you consider primary.

What do you work as? For example, one may say about oneself: “I am a foreman,

machinist’s assistant, metalworker, newspaper vendor, head bookkeeper, farm director...”

What do you work as?

[ INTERVIEWER! WRITE IN DETAIL WHAT THE RESPONDENT SAYS. ]

I9PRIJOB _________________________________________________________________

(char)

_________________________________________________________________

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7

REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . 8

3. Please name the profession in which you work. For example, one may say about oneself:

“My profession is lathe operator-miller, doctor-pediatrician, food products commodity

researcher, engineer-builder, farmer.” In what profession do you work?


I9PRIPRO _________________________________________________________________

(char)

_________________________________________________________________

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7


4. What do you primarily do at work? What are your primary responsibilities?


I9PRIRES _________________________________________________________________

(char)

_________________________________________________________________

_________________________________________________________________

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7


5. Tell me, please: Since what year and month have you been working at this place? If you

left and then returned to this workplace, give the date you last returned.

I9JOBSYR Since | ___ | ___ | ___ | ___ | year

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7


I9JOBSMO | ___ | ___ | number of month

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 97

REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 98

3. J.


I9PRISUB 6. Do you have subordinates?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 6.1 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 6.1 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 6.1 ]

I9NPSUB 6.0. How many subordinates do you have? Please count all of your subordinates, not justthose who are under your immediate authority.

__________ peopleDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . 9997REFUSES TO ANSWER . . . . . . . . . . . . . . . 9998

I9PWRKHR 6.1. How many hours on average does your usual workday last at this job?

__________ hoursDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

I9PWRKWH 6.2. How many hours on average is your usual work week?

__________ hoursDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

6.5. During a usual workday how much time on average do you, standing or in movement,carry out heavy physical labor, for example, as a docker or construction worker, doingheavy farm work, etc.?

__________ hours __________ minutesI9PSPEHR I9PSPEMNDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

6.6. During a usual workday how much time on average do you, standing or in movement,carry out work that requires medium physical effort, for example, as a nurse, automechanic, or metal worker, doing not very heavy farm work, etc.?

__________ hours __________ minutesI9PMPEHR I9PMPEMNDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

6.7. How much time on average during a usual workday do you walk, not carrying any cargo?

__________ hours __________ minutesI9PVPEHR I9PVPEMNDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

6.8. During a usual workday how much time on average do you carry out your work standing: behind a counter, at a conveyer belt, at a service counter, conducting classes, etc.?

__________ hours __________ minutesI9PSTDHR I9PSTDMNDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

4. J.


6.9. During a usual workday how much time on average do you carry out your work sitting: at awork table, behind a conveyer belt, at a sewing machine or typewriter, behind the wheel ofa car, etc.?

__________ hours __________ minutesI9PSITHR I9PSITMNDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

I9PJOBLM 7. Tell me, please, did you work at your primary place of employment in the last 30 days?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 9 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 9 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 9 ]

I9HOURLM 8. How many hours did you actually work at your primary place of work in the last 30 days?

__________ hoursDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . 998

I9JOBPAY 9. Tell me, please, at your primary place of work in the last 30 days did you receive someamount of money in the form of wages, bonuses, grants, benefits, revenues, or profits?


I9WAGELM 10. How much money in the last 30 days did you receive from your primary place of work aftertaxes? If you received all or part of the money in foreign currency, please convert that intorubles and report the total sum.

__________ rublesDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . 998

I9PJENTE 11. Tell me, please, at this job do you work at an enterprise or organization? We mean everyorganization, irrespective of ownership, in which more than one person works. Forexample, any establishment, factory, firm, collective farm, state farm, farming industry,store, army, government service, and other organizations.

You work at an enterprise or organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Not at an enterprise, nor at an organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 29.A ON PAGE 8 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 29.A ON PAGE 8 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 29.A ON PAGE 8 ]

I9PJREG 11.1 Tell me, please, are you officially registered at this job, that is, on a work roster, workagreement, or contract?

Registered . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 � [SKIP TO 12 ON PAGE 5 ]Not registered . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 12 ON PAGE 5 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 12 ON PAGE 5 ]

5. J.


I9PJNREG 11.2 Why aren’t you officially registered at this job?

Employer did not want to register . . . . . . . . . . . . 1You did not want to register . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

12. Tell me, please, where, in what kind of enterprise, do you work? What does this enterprisedo? For example, it’s a chemical center, a state fowl farm, a children’s music school, anauto repair shop.

[INTERVIEWER! WRITE IN DETAIL WHAT THE RESPONDENT SAYS. ]

I9PRIENT ______________________________________________________________(char) ______________________________________________________________

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9PJEMPS 13. How many people work in your enterprise? If you don’t know exactly, estimate.


I9PJYRES 13.1 In what year was the enterprise in which you work established?

In |__|__|__|__| yearDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . 9997REFUSES TO ANSWER . . . . . . . . . . . . . . . 9998

I9PJPAYT 13.2 Tell me, please, in the last 12 months how much was your average monthly wage, aftertaxes, from this organization–regardless of whether it was paid to you on time or not. Ifyou receive all or part of your wage in foreign currency, please convert that to rubles andreport the total amount paid.


I9PJOWED 14. At the present time, does your place of work owe you any money that, for various reasons,was not paid on time?


I9AMTOWE 15. How much money in all have they not paid you?


I9NOPAYM 16. For how many months has the enterprise not paid this money to you?

|__|__| monthsDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

I9GOODSP 17. Have you received in the last 30 days at this enterprise in lieu of payment for your laborsomething from its production or from the production of another enterprise?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 18.2 ON PAGE 6 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 18.2 ON PAGE 6 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 18.2 ON PAGE 6 ]

6. J.


I9GOODSV 18. Estimate, please, how much the product you received cost in rubles, regardless of what youdid with it.


I9GOODSI 18.1 How much did you receive as a result of sales of this product in the last 30 days?

__________ rublesNOTHING SOLD . . . . . . . . . . . . . . . . . . . . . . 996DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . 998

I9TOOLOW 18.2 In the course of the last 12 months has your salary or have your work hours fallen below thelevel you would wish?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9ULEAVE 19. In the last 12 months has the administration sent you on compulsory unpaid leave?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 21.1 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 21.1 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 21.1 ]

20. What year, month, and day were the last time the administration send you on compulsoryunpaid leave?

I9LEAVYR |__|__|__|__| yearDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9LEAVMO |__|__| number of monthDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

I9LEAVDY |__|__| dayDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

I9LVDAYS 21. How many total calendar days, without a break, did this leave last or has it lasted?

__________ daysDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . 998

21.1 In this work do you receive any of the following social advantages:

Yes No D/K RefusesI9VACATN 1. Regular paid vacation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9SICKLV 2. Paid sick leave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9PREGLV 3. [POINT 3: ONLY FOR WOMEN]

Paid leave for pregnancy, giving birth, and caring for a child up until 3 years old . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

I9MDTRMT 4. Free treatment in a departmental medical institute, full or partial payment for treatment in other medical institutions . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

7. J.


I9SANATR 5. Payment for trips to sanatoria, rest homes, tourist bases, or children’s camps . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

I9CHILDC 6. Free child care in a departmental preschool organization, full or partial payment for child care in another preschool organization . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

I9FRFOOD 7. Free or discounted food or payment for food . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9TRANGR 8. Grants for transportation, payment for

transportation passes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9PDEDUC 9. Education paid for by the organization . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9GRLOAN 10. Granting of loans, credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

21.2 In your present job, what is the age at which one can retire, for men and for women?

I9RTAGEM MEN AT AGE __________

I9RTAGEW WOMEN AT AGE __________

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . 998

I9FINDJB 22. Imagine this not very pleasant scene: the enterprise or organization where you work forsome reason will close tomorrow and all workers will be laid off. How certain are you thatyou will be able to find work no worse than your present job?

Absolutely certain . . . . . . . . . . . . . . . . . . . . . . . . . 1Fairly certain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Both yes and no . . . . . . . . . . . . . . . . . . . . . . . . . . 3Fairly uncertain . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Absolutely uncertain . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9ENTGOV 23. Is the government the owner or co-owner of your enterprise or organization?


I9ENTFOR 24. Tell me, please, is your enterprise or organization owned or co-owned by foreign firms orforeign individuals?


I9ENTRUS 25. Tell me, please, is your enterprise or organization owned or co-owned by any Russianprivate individuals, workers of the enterprise, or Russian private firms?


8. J


I9OWNENT 26. Are you personally an owner or co-owner of the enterprise where you work?

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

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ÷ [ SKIP TO 29 ]

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7 ÷ [ SKIP TO 29 ]

REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . 8 ÷ [ SKIP TO 29 ]

I9PEROWN 28. Tell me, please: What part of this enterprise do you own, what percentage?

Less than one percent . . . . . . . . . . . . . . . . . . . . . . 1

From one to five percent . . . . . . . . . . . . . . . . . . . . 2

From six to ten percent . . . . . . . . . . . . . . . . . . . . . 3

From eleven to twenty percent . . . . . . . . . . . . . . . 4

From twenty-one to fifty percent . . . . . . . . . . . . . . 5

From fifty-one to one hundred percent . . . . . . . . . 6

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7


I9JOBIEA 29. In your opinion, are you doing entrepreneurial activities at this job?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ÷ [ SKIP TO 29.1 ]

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ÷ [ SKIP TO 29.1 ]

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7 ÷ [ SKIP TO 29.1 ]

REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . 8 ÷ [ SKIP TO 29.1 ]

I9EMPIND 29.A And at this job you are involved in...?

An employer’s or individual labor activity . . . . . . 1

Work as a private individual . . . . . . . . . . . . . . . . . 2

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7


I9WWRKR 29.B And at this job you...?

Work alone or with family members, friends . . . . 1

Regularly hire wage workers . . . . . . . . . . . . . . . . . 2

From time to time hire wage workers . . . . . . . . . . 3

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7


I9NEWJOB 29.1 Please, try to recall and tell me: Have you changed your place of work or profession since

December 1998 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

Changed both place of work and profession . . . . . 4

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7


9. J


I9CHANJL 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


I9ADPDJB 32. Tell me, please: Do you have some other kind of work?

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

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ÷ [ SKIP TO 56 ON PAGE 14 ]

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7 ÷ [ SKIP TO 56 ON PAGE 14 ]

REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . 8 ÷ [ SKIP TO 56 ON PAGE 14 ]

I9ILOSJB 33. Let’s talk about this other work of yours. If you have several other jobs, tell about the one

you consider the most important.

What do you work as at this other job? For example, one may say about oneself: “I am a

foreman, machinist’s assistant, metalworker, newspaper vendor, head bookkeeper, farm

director...” What do you work as?


I9SECJOB _________________________________________________________________

(char)

_________________________________________________________________

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7


34. Please name the profession in which you work. For example, one may say about oneself:

“I am a lathe operator-miller, doctor-pediatrician, food products commodity researcher,

engineer-builder, farmer.” In what profession do you work?


I9SECPRO _________________________________________________________________

(char)_________________________________________________________________

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7


35. What do you primarily do at this job? What are your primary responsibilities?


I9SECRES _________________________________________________________________

(char)_________________________________________________________________

_________________________________________________________________

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7


I9SECSUB 36. Do you have subordinates?

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

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

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7


10. J.


I9OWRKHR 36.1. How many hours on average does your usual workday last at this job?

__________ hoursDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9OWRKWH 36.2. How many hours on average is your usual work week?

__________ hoursDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

36.5. During a usual workday how much time on average do you, standing or in movement,carry out heavy physical labor, for example, as a docker or construction worker, doingheavy farm work, etc.?

__________ hours __________ minutesI9OSPEHR I9OSPEMNDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

36.6. During a usual workday how much time on average do you, standing or in movement,carry out work that requires medium physical effort, for example, as a nurse, automechanic, or metal worker, doing not very heavy farm work, etc.?

__________ hours __________ minutesI9OMPEHR I9OMPEMNDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

36.7. How much time on average during a usual workday do you walk, not carrying any cargo?

__________ hours __________ minutesI9OVPEHR I9OVPEMNDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

36.8. During a usual workday how much time on average do you carry out your work standing: behind a counter, at a conveyer belt, at a service counter, conducting classes, etc.?

__________ hours __________ minutesI9OSTDHR I9OSTDMNDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

36.9. During a usual workday how much time on average do you carry out your work sitting: at a work table, behind a conveyer belt, at a sewing machine or typewriter, behind thewheel of a car, etc.?

__________ hours __________ minutesI9OSITHR I9OSITMNDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

I9OTJLMO 37. Did you work at this place of employment in the last 30 days?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 39 ON PAGE 11 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 39 ON PAGE 11 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 39 ON PAGE 11 ]

I9OTJHRS 38. How many hours did you actually work at this place of employment in the last 30 days?


11. J.


I9PDOJOB 39. Tell me, please, at the place of work that we are now talking about, in the last 30 days didyou receive some amount of money in the form of wages, bonuses, grants, benefits,revenues, or profits?


I9OTJWAG 40. How much money in the last 30 days did you receive from this job after taxes? If youreceived all or part of the money not in rubles but in foreign currency, please convert thisinto rubles and report the total sum.


I9SJENTE 41. Tell me, please, at this job do you work at an enterprise or organization? We mean everyorganization, irrespective of ownership, in which more than one person works. Forexample, any establishment, factory, firm, collective farm, state farm, farming industry,store, army, government service, and other organizations.

You work at an enterprise or organization . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Not at an enterprise, nor at an organization . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 55.1 ON PAGE 14 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 55.1 ON PAGE 14 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 55.1 ON PAGE 14 ]

I9SJREG 41.1 Tell me, please, are you officially registered at this job, that is, on a work roster, workagreement, or contract?

Registered . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 � [SKIP TO 42 ]Not registered . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 42 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 42 ]

I9SJNREG 41.2 Why aren’t you officially registered at this job?

Employer did not want to register . . . . . . . . . . . . 1You did not want to register . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

42. Tell me, please, where, in what kind of enterprise, do you work? What does this enterprisedo? For example, it’s a chemical center, a state fowl farm, a children’s music school, anauto repair shop.


I9SECENT _________________________________________________________________(char) _________________________________________________________________


I9OTJEMP 43. How many people work in your enterprise? If you don’t know exactly, estimate.


12. J.


I9OTJOWE 44. At the present time, does this place of work owe you any money, which for various reasonswas not paid on time?


I9OTJAMT 45. How much money in all have they not paid you?


I9OTJMOS 46. For how many months has the enterprise not paid this money to you?


I9OTJGOO 47. Have you received in the last 30 days at this enterprise in lieu of payment for your laborsomething from its production or from the production of another enterprise?


I9OTJVAL 48. Estimate, please, how much the product you received cost in rubles, regardless of what youdid with it.


I9OTJSAL 48.1 How much did you receive as a result of sales of this product in the last 30 days?

__________ rublesNOTHING SOLD . . . . . . . . . . . . . . . . . . . . . . 996DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . 998

I9LOWOTJ 48.2 In the course of the last 12 months has your salary or work hours fallen below the level youwould wish?


48.3 In this work do you receive any of the following social advantages:

Yes No D/K RefusesI9VACOTJ 1. Regular paid vacation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9SCKOTJ 2. Paid sick leave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9PRGOTJ 3. [POINT 3: ONLY FOR WOMEN]

Paid leave for pregnancy, giving birth, and caring for a child up until 3 years old . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

I9MDTOTJ 4. Free treatment in a departmental medical institute, full or partial payment for treatment in other medical institutions . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

I9SANOTJ 5. Payment for trips to sanatoria, rest homes, tourist bases, or children’s camps . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

13. J.


I9CHDOTJ 6. Free child care in a departmental preschool organization, full or partial payment for child care in another preschool organization . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

I9FRFOTJ 7. Free or discounted food or payment for food . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9TRNOTJ 8. Grants for transportation, payment for

transportation passes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9PDEOTJ 9. Education paid for by the organization . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9GRLOTJ 10. Granting of loans, credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

I9OTJGOV 49. Is the government the owner or co-owner of your enterprise or organization?


I9OTJFOR 50. Tell me, please, is your enterprise or organization owned or co-owned by any foreign firmsor foreign individuals?


I9OTJRUS 51. Tell me, please, is your enterprise or organization owned or co-owned by any Russianprivate individuals, workers of the enterprise, or Russian private firms?


I9OWNOEN 52. Are you personally an owner or co-owner of the enterprise where you work?


I9WRKOTJ 53. In your opinion, do you work at your own enterprise?


14. J.


I9PEROTJ 54. Tell me, please, what part of this enterprise do you own, what percent?

Less than one percent . . . . . . . . . . . . . . . . . . . . . . 1From one to five percent . . . . . . . . . . . . . . . . . . . 2From six to ten percent . . . . . . . . . . . . . . . . . . . . 3From eleven to twenty percent . . . . . . . . . . . . . . 4From twenty-one to fifty percent . . . . . . . . . . . . 5From fifty-one to one hundred percent . . . . . . . 6DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9OTJIEA 55. In your opinion, are you doing entrepreneurial activities at this second job?


I9EIOTJ 55.1 And at this job you are involved in...?

An employer’s or individual labor activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Or work as a private individual . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9WWROTJ 55.2 And at this job you work...?

Alone or with family members, friends . . . . . . . . 1Regularly hire wage workers . . . . . . . . . . . . . . . . 2From time to time hire wage workers . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9ENGIEA 56. Tell me, please, in the last 30 days did you engage in some additional kind of work forwhich you got 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 aftera sick person, sold purchased food or goods in a market or on the street, or did somethingelse that you were paid for?


56.1 What exactly did your work consist of? Describe, please, all the things you did.

[INTERVIEWER! WRITE EACH JOB ON A SEPARATE LINE. ]

I9ILOIA1 I9IEA1 1. _______________________________________________________(char)

I9ILOIA2 I9IEA2 2. _______________________________________________________(char)

I9ILOIA3 I9IEA3 3. _______________________________________________________(char)


15. J.


I9INCIEA 57. How much money in all in the last 30 days were you paid for this work? If payment was notmoney, estimate how much it would be in rubles.


I9IEATIM 58. Tell me, please, was this incidental work for you or do you often engage in this kind ofwork and regularly receive money for it?

Incidental work . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Regular work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9HRSIEA 59. How many hours in the last 30 days did you spend at this work?


I9IEAOFF 59.1 Tell me [INTERVIEWER! REFER TO THE WORK THAT WAS WRITTEN ON THEFIRST LINE OF QUESTION 56.1 ON PAGE 14 ] was this work by an agreement, anofficial contract, or a license?


I9INCLMO 60. Please try to remember, how much money in all did you personally receive in the last 30days, counting wages, bonuses, profits, pensions, benefits, material help, incidentalearnings, and other monetary receipts, including hard currency, but convert the currencyinto rubles?


I9EVRENT 60.1 Tell me, please, did you at any time try to organize or did you organize your own enterpriseor begin your own business?

Never tried . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Tried, but nothing came of it . . . . . . . . . . . . . . . . 2Succeeded at it . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

60.4A Tell me, please, in the course of the last 12 months you...Yes No D/K Refuses

I9LYEJOB 1. Worked an extra job . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9LYSCRP 2. Raised something on your plot to sell or trade . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9LYLIVE 3. Raised cattle, poultry, fish, and other animals

for sale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9LYHOMM 4. Sold things prepared by yourself at home, for

example, knitted and sewn, meat dumplings, or other things . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

I9LYOGDS 5. Sold food or goods, which you yourself did not prepare, for example, cigarettes, food, clothes . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

16. J.


I9LYIMPT 6. Traveled for food and goods which you then sold . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9LYRNTD 7. Rented an apartment, room, summer house,

garage, car . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9LY4INT 8. Placed money in a bank to earn interest, offered

money in loans for interest . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9LYSERV 9. Performed services for pay, for example, offered

people a ride in a car, repaired household appliances, cars, took a job remodeling apart- ments, were involved in coaching, watched children for pay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

60.4B If you compare your life today with how you lived two years ago, can you say that in thelast two years you...?

Yes No D/K RefusesI9L2YFCS 1. Had to cut down on expenses for clothes

and shoes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9L2YLFD 2. Had to cut down on expenses for food . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9L2YVAC 3. Had to cut down on expenses for vacations . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9L2YREL 4. Had to appeal more often for monetary help

from friends, relatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9L2YSS 5. Had to appeal more often for monetary help

from social security and other state organizations . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9L2YSEL 6. Had to sell items because of money shortages . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8I9L2YPLT 7. Began to raise more on your plot of land . . . . . . . . . . . . . . . . 1 . . . 2 . . . . 7 . . . . 8

I95YSAGO 60.5 And now let’s talk a little about some other things. How did you and your family live fiveyears ago compared to how you live now? You would say that five years ago you...?

Lived much better . . . . . . . . . . . . . . . . . . . . . . . . . 1Lived somewhat better . . . . . . . . . . . . . . . . . . . . . 2Lived the same as now . . . . . . . . . . . . . . . . . . . . . 3Lived somewhat worse . . . . . . . . . . . . . . . . . . . . . 4Lived much worse . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9BETWOR 61. Do you think that in the next 12 months you and your family will live better than today orworse?

You will live much better . . . . . . . . . . . . . . . . . . . 1You will live somewhat better . . . . . . . . . . . . . . . 2Nothing will change . . . . . . . . . . . . . . . . . . . . . . . 3You will live somewhat worse . . . . . . . . . . . . . . . 4You will live much worse . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

17. J.


I9ECONRK 62. And now, please, imagine a 9-step ladder where on the bottom, the first step, stand thepoorest people, and on the highest step, the ninth, stand the rich. On which step are youtoday?

Lowest Highest D/K Refusesstep step01 . . . . 02 . . . . 03 . . . . 04 . . . . . 05 . . . . 06 . . . . 07 . . . . . 08 . . . . 09 . . . . 97 . . . . . 98

I9POWRNK 63. And now, please, imagine a 9-step ladder where on the bottom, the first step, stand peoplewho are completely without rights, and on the highest step, the ninth, stand those who havea lot of power. On which step are you?


I9RESPRK 64. And now, another 9-step ladder where on the lowest step are people who are absolutely notrespected, and on the highest step stand those who are very respected. On which step ofthis ladder are you?


I9SATLIF 65. To what extent are you satisfied with your life in general at the present time?

Fully satisfied . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Rather satisfied . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Both yes and no . . . . . . . . . . . . . . . . . . . . . . . . . . 3Less than satisfied . . . . . . . . . . . . . . . . . . . . . . . . . 4Not at all satisfied . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9LACK 65.1 At the present time, what in your life is the thing you do not have enough of? (char)

[INTERVIEWER! WRITE PRECISELY EVERYTHING THE RESPONDENTSAYS.]

______________________________________________________________________________________________________________________________________________________________________________DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9AGETNE 66. How concerned are you about the possibility that you might not be able to provide yourselfwith the bare essentials in the next 12 months?

Very concerned . . . . . . . . . . . . . . . . . . . . . . . . . . . 1A little concerned . . . . . . . . . . . . . . . . . . . . . . . . . 2Both yes and no . . . . . . . . . . . . . . . . . . . . . . . . . . 3Not too concerned . . . . . . . . . . . . . . . . . . . . . . . . 4Not at all concerned . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

18. J.


I9SATECC 66.1 Tell me, please, how satisfied are you with your economic conditions at the present time?

Fully satisfied . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Rather satisfied . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Both yes and no . . . . . . . . . . . . . . . . . . . . . . . . . . 3Less than satisfied . . . . . . . . . . . . . . . . . . . . . . . . . 4Not at all satisfied . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9SKILLS 69.1 People who have achieved a high level of skill in their profession are called “professionalsof the highest class.” But once they were “beginners,” “pupils,” “apprentices”–after all,professionalism is acquired through the years. Imagine a “ladder of professional skill”which is composed of 9 steps, where the first step is the level of the beginner or pupil andthe ninth is the level of “professional of the highest class.” On which of these would youplace yourself?


I9VALUED 69.3 And this statement–is it like you or not: “It seems to me that I have few of those qualitiesthat are valued in the economic situation of today”?

It is exactly like you . . . . . . . . . . . . . . . . . . . . . . . 1It is somewhat like you . . . . . . . . . . . . . . . . . . . . . 2It is not much like you . . . . . . . . . . . . . . . . . . . . . 3It is not at all like you . . . . . . . . . . . . . . . . . . . . . . 4DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9NINLAW 69.3A How do you relate to the family of your son- or daughter-in-law who are of a differentnationality?

The nationality of your daughter’s husband or your son’s wife makes no difference to you . . . . . . . . . . . . . . . . . . . . . . . . . 1You would prefer a person of your own nationality but you would not object to their choice . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Nationality makes no difference if your daughter’s husband or your son’s wife observes the customs of your people . . . . . . . . . 3You want your daughter’s husband or your son’s wife to be only of your nationality . . . . . . 4IT DEPENDS ON THE NATIONALITY . . . . 6DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9PRIVAT 69.5 Now I will read several phrases to you. Tell me, please, if you agree with them or not. Doyou agree or disagree that it is better to work for a private owner than for the government: more organized and higher pay?

Completely agree . . . . . . . . . . . . . . . . . . . . . . . . . 1Agree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Disagree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Completely disagree . . . . . . . . . . . . . . . . . . . . . . . 4DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

19. J.


I9WWIFEB 69.6.1 Do you agree or disagree with the notion that it is usually bad for a family if the wifeworks?


I9WWIFER 69.6.2 Do you agree or disagree with the notion that if the wife works then she is held in higherrespect in the family than if she were simply a housewife?


I9GOODJB 69.6.3 What do you think?

Men and women have the same possibility of finding good, high paying work . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Men have a greater possibility . . . . . . . . . . . . . . . 2Women have a greater possibility . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

69.6.4 Tell me, please, are men or women more suitable for the professions I will name? Who,in your opinion, is more suitable?

Men Women Men and D/K Refusesare more are more women aresuitable suitable equally suitable

I9MFTCHR 1. Teacher . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFMSDR 2. Director of a middle school . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFCSHR 3. Cashier . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFDSGR 4. Designer . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFSHOP 5. Store director . . . . . . . . . . . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFCNCL 6. Deputy on a city council,

city legislative committee . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFBRIK 7. Bricklayer . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFBUSN 8. Business person . . . . . . . . . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFDUMA 9. State Duma Deputy . . . . . . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFHIND 10. Director of a strong

enterprise . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFGMIN 11. Minister in the Russian

government . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFMD 12. Doctor . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8I9MFJUDG 13. Judge . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . 2 . . . . . . . . . . . . 3 . . . . . . . 7 . . . . . 8

20. J.


I9ATRUST 69.6.5. Which authorities do you trust more and which do you trust less...?

Trusts central authorities more . . . . . . . . . . . . . . . . . . . . . . . . . 1Trusts local authorities more . . . . . . . . . . . . . . . . . . . . . . . . . . . 2TRUSTS BOTH THE SAME . . . . . . . . . . . . . . . . . . . . . . . . . . 3DISTRUSTS BOTH THE SAME . . . . . . . . . . . . . . . . . . . . . . 4DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

I9FRIEND 69.7.1. Tell me, in the past 5 years?

Your old friends and acquaintances were basically replaced by new ones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1You preserved your old friends and acquaintances and added new ones to them . . . . . . . . . . . . . . . . . . . . . . . . . 2Your circle of friends and acquaintances remained the same or got smaller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

I9ECCOMP 69.7.2. Among your friends and acquaintances today...?

Most of them live better economically than you . . . . . . . . . . . 1Most of them live worse economically than you . . . . . . . . . . . 2THE MAJORITY LIVE THE SAME AS THE RESPONDENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

I9SLFBTR 69.7.3. Do you believe that you yourself can do something to change your life for the better?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 69.8A ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 69.8A ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 69.8A ]

I9CANCHG 69.7.4. And what specifically can you change? (char)

[INTERVIEWER! WRITE IN DETAIL ALL THAT THE RESPONDENT SAYS. ]

_______________________________________________________________________________________________________________________________________________________________________________________DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9MONEYN 69.8A. What do you think: How much money would be needed per month for your family tolive normally?


69.9 Let’s talk a little about something else. Tell me, please, in what year, in what month, andon what day were you born?

|__|__| |__|__| 19 |__|__|day month year

I9BIRTHD I9BIRTHM I9BIRTHY

21. J.


I9HIGHSC 70. I would like to ask you a few questions about your education. Do you have a high schooldiploma?


I9GRDLEV 70.1 What grade level in school did you complete?

__________ gradeDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

I9STUDEW 71. Did you study or are you studying anywhere besides school?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 72.11 ON PAGE 22 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 72.11 ON PAGE 22 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 72.11 ON PAGE 22 ]

72. Did you study or are you studying in the educational establishments that I will now list foryou and, if yes, how many years did you study in each of them and did you receive adiploma?

[INTERVIEWER! IF STUDIED LESS THAN ONE YEAR, WRITE 0 YEARS. ]

You studied How many In what Did you receive Inor now study? years have field? a diploma? what

you studied? year?1. Professional courses,

e.g., tractor driving,chauffeuring, typing,accounting . . . . . . . . . . Yes . . . . 1 � |_______| _____________________ Yes . . . 1 � |_______|

No . . . . 2 I9PROFYR I9ILOPR1 I9PRPROF No . . . 2 I9PROFDYI9STPROF I9ILOPR2 (char) I9PROFCO

2. PTU, FZU, FZO,without a secondaryeducation . . . . . . . . . . . Yes . . . . 1 � |_______| _____________________ Yes . . . 1 � |_______|

No . . . . 2 I9PTUFYR I9ILOPF1 I9PRPTUF No . . . 2 I9PTFDYI9STPTUF I9ILOPF2 (char) I9PTUFZU

3. PTU with a secondaryeducation, technicaltrade school . . . . . . . . . Yes . . . . 1 � |_______| _____________________ Yes . . . 1 � |_______|

No . . . . 2 I9PTUSYR I9ILOPS1 I9PRPTUS No . . . 2 I9PTSDYI9STPTUS I9ILOPS2 (char) I9PTUSEC

4. Technical, medical, music, pedagogical, art school . . . . . . . . . . Yes . . . . 1 � |_______| _____________________ Yes . . . 1 � |_______|

No . . . . 2 I9TECMYR I9ILOTE1 I9PRTECM No . . . 2 I9TECDYI9STTECM I9ILOTE2 (char) I9TECMED

5. Institute, university,academy . . . . . . . . . . . Yes . . . . 1 � |_______| _____________________ Yes . . . 1 � |_______|

No . . . . 2 I9INSUYR I9ILOSU1 I9PRINSU No . . . 2 I9INSDYI9STINSU I9ILOSU2 (char) I9INSUNI

6. Graduate school,residency . . . . . . . . . . . . Yes . . . . 1 � |_______| _____________________ Yes . . . 1 � |_______|

No . . . . 2 I9GRADYR I9ILOGRA I9PRGRAD No . . . 2 I9GRADYI9STGRAD (char) I9GRADRE

22. J


I9PRFSTD 72.11 During the last 2 years did you study or are you now studying courses for the improvement

of professional skills, or any other courses, including courses in foreign languages andeducation at the work place?

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 ]

72.12 In what profession? Was this your How many How was this

profession when days have paid for?you started this you studied?course?

1. ________________________________________ Yes . . . . . . . . . . 1 ÷ | ______ | At the expense ofI9PRFST1 I9ILOPC1 No . . . . . . . . . . 2 an enterprise . . . . . . 1 (char) I9PS1CUR I9PS1DAY Personal funds . . . . . . 2

From other sources . . 32. ____________________ I9PS1PAY

____________________ Yes . . . . . . . . . . 1 ÷ | ______ | At the expense ofI9PRFST2 I9ILOPC2 No . . . . . . . . . . 2 an enterprise . . . . . . 1 (char) I9PS2CUR I9PS2DAY Personal funds . . . . . . 2

From other sources . . 3I9PS2PAY

I9CMPTR 72.16.1 Tell me, please: Have you had to use a personal computer at any time for any reason,

except printing documents, computer games, etc.?

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

No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ÷ [ SKIP TO 72.17 ]

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7 ÷ [ SKIP TO 72.17 ]

REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . 8 ÷ [ SKIP TO 72.17 ]

72.16.2 In the course of the last year have you used a personal computer:

Yes No D/K REFUSES

I9CMPTRH 1. At home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8I9CMPTRW 2. At your place of work or study . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8I9CMPTRE 3. In other places, for example, at

friends’ homes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8

I9MARSTA 72.17 What is your marital status?

Never married . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1In a registered marriage . . . . . . . . . . . . . . . . . . . . . . 2Living together, not registered . . . . . . . . . . . . . . . . 3Divorced and not remarried . . . . . . . . . . . . . . . . . . 4Widower (widow) . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8

I9BELIEF 72.18 In our society in the past there was much said about religion. What is your opinion of

religion?

You are a believer . . . . . . . . . . . . . . . . . . . . . . . . . . 1You are more a believing person than a non-believing person . . . . . . . . . . . . . . . . . . . . . . 2You are more a non-believing person than a believing person . . . . . . . . . . . . . . . . . . . . 3You are a non-believer . . . . . . . . . . . . . . . . . . . . . . 4You are an atheist . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8

23. J.


I9RELIGN 72.19 Of what religion do you consider yourself?

Orthodoxy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01Catholicism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02Protestantism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03Islam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 04Judaism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 05Buddhism, Lamaism . . . . . . . . . . . . . . . . . . . . . . . . 06Krishnaism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 07Hindu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08If other, please write _________________________I DON’T FOLLOW ANY RELIGION . . . . . . . . 96DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 98

I9PENSIO 73. Do you now receive a pension?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 77 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 77 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 77 ]

I9PENSTY 74. What kind of pension do you now receive?

For retirement . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1For disability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2For loss of provider . . . . . . . . . . . . . . . . . . . . . . . 3For years of service . . . . . . . . . . . . . . . . . . . . . . . . 4DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9PENSLM 75. Did you receive a pension in the last 30 days?


I9AMPENS 76. How much money did you receive as a pension in the last 30 days?


I9PENNOT 76.1 In the past did the government owe you some pension money which you have currently notbeen paid?


I9PENMOS 76.2 For how many months have you not received a pension?


I9CURWRK 77. [INTERVIEWER! CHECK YOURSELF! TURN TO QUESTION 1 ON PAGE 2AND SEE WHAT THE RESPONDENT SAID ABOUT HIS PRESENT WORK. MAKE THE CORRESPONDING NOTATION BELOW. ]

RESPONDENT WORKS OR IS ON PAID LEAVE OR UNPAID LEAVE . . . . . 1 � [SKIP TO 79 ON PAGE 24 ]RESPONDENT IS UNEMPLOYED . . . . . . . . 2

24. J.


I9EVERWK 78. Have you ever worked?


80. In what year and month did you leave your last place of work or stop working?

In |__|__|__|__| year . . . . . . . . . . . . . |__|__| number of month I9YRLEFT I9MOLEFTDOESN’T KNOW . . . . . . . . . . . . 7 DOESN’T KNOW . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . 8 REFUSES TO ANSWER . . . . . 98

I9REGSTA 85. Are you registered with a state employment agency as unemployed?


I9DAYREG 86. How many days ago did you register with a state employment agency?

__________ daysDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . 9997REFUSES TO ANSWER . . . . . . . . . . . . . . . 9998

I9RECUEG 87. Do you receive unemployment benefits?


I9UNEMGR 88. Did you receive unemployment benefits in the last 30 days?


I9AMUNGR 89. How much money did you receive in unemployment benefits in the last 30 days?


I9YRSWRK 79. How many years does your general employment record cover?

[INTERVIEWER! IF EMPLOYMENT HISTORY IS LESS THAN ONE YEAR, WRITE 0 YEARS. ]

|__|__| yearsDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

I9WANTJB 81. Would you like to find work?


25. J.


I9APPLJB 82. Did you go anywhere or see anyone in order to search for work in the last 30 days?


83. You searched for work:Yes No D/K Refuses

I9APWKST 1. At state employment services, laborregistry offices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . 8

I9APWKPR 2. At non-governmental employment services . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . 8I9APWKFR 3. Through friends, acquaintances . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . 8I9APWKRL 4. Through relatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . 8I9APWKEN 5. Directly to the enterprise . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . 8I9APWKAD 6. Through advertising notices . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . 8

I9WSTART 84.2 If in the last week you had been offered suitable work, would you have been able to start itright away?

Able to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Not able to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9WFIND 84.1 Approximately how much time do you think it would take you to find (other) work?

________ daysFINDING WORK IS IMPOSSIBLE . . . . . . . 996DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . 998

26. J.


I9MAINOC 90. And one more question. In finishing this part of our interview, please look at the list. Readit carefully and say which answer best describes your primary occupation at the presenttime. Please choose only one answer.

[INTERVIEWER! SHOW THE RESPONDENT THE FOLLOWING LIST OFPOSSIBLE ANSWERS TO QUESTION 90. ]

A high school or vocational school student . . . . . . . . . . . . . . . . . . . . . . 01A university or technical school student . . . . . . . . . . . . . . . . . . . . . . . . . 02Unable to work for health reasons, disabled . . . . . . . . . . . . . . . . . . . . . . 03Retired and not working . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 04On maternity leave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 05On official leave for looking after a child under 3 years old, not interrupting your employment . . . . . . . . . . . . . . . . . . . . . . . . 06A housewife, caring for other family members, raising children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 07Temporarily not employed for other reasons and looking for a job . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08Temporarily not employed for other reasons and not looking for a job . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09A farmer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10An entrepreneur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Working at an enterprise, organization, collective farm, state farm, or cooperative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Working at other than an enterprise, organization, collective farm, state farm, or cooperative . . . . . . . . . . . . . . . . . . . . . . 13Other, specify . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 [INTERVIEWER! WRITE ANSWER. ] ____________________________DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

I9D1985 95. [INTERVIEWER! RETURN TO QUESTION 69.9 ON PAGE 20. ASKQUESTIONS 95-97.2 ONLY OF RESPONDENTS WHO WERE BORN IN 1975OR EARLIER. ASK THE REMAINING RESPONDENTS QUESTION 107 ONPAGE 27. ]

And if you recall the past–what were you doing in 1985?

Working . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Studying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 97 ON PAGE 27 ]Not working . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 � [SKIP TO 97 ON PAGE 27 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 97 ON PAGE 27 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 97 ON PAGE 27 ]

I9ILOW85 96. For whom and where did you work in 1985?


I9W1985 ________________________________________________________________(char) ________________________________________________________________

________________________________________________________________DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

27. J.


I9S1985 96.1 Let’s talk about your salary in 1985. We understand that remembering your salary from 15years ago is difficult. However, please try. Maybe it will help if I tell you that the averagemonthly salary in 1985 was 200 rubles. The majority of people worked for from 50 to 800rubles a month. Approximately how much did you work for in 1985?

__________ rublesDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9D1990 97. And what were you doing in 1990?

Working . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Studying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 107 ]Not working . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 � [SKIP TO 107 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 107 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 107. ]

I9ILOW90 97.1 For whom and where did you work in 1990?


I9W1990 ________________________________________________________________(char) ________________________________________________________________

________________________________________________________________DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9S1990 97.2 And what was your salary in 1990? In order to help you remember about your salary 10years ago, I will tell you that the average monthly salary in 1990 was 300 rubles. But themajority of people worked for from 100 to 1,000 rubles a month. Can you remember, please,how much you worked for in 1990?

__________ rublesDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9BESTPS 107. What kind of political system, in your opinion, is most suitable for Russia: (char)

The Soviet system which was in our country until perestroika . . . . . . . . . . . . . . . . . . 1The Soviet system, but in a different, more democratic form . . . . . . . . . . . . . . . . . . . 2The political system which exists today . . . . . . . 3Western-type democracy . . . . . . . . . . . . . . . . . . . 4OTHER [INTERVIEWER! WRITE DOWN:________________________________________________________________ ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9VOTED 108. On March 26 of this year a Presidential election was held in Russia. Tell me, please, didyou participate in this election?


28. J.


I9CHOICE 109. Is it possible for you to say for whom you voted in the Presidential elections?

[INTERVIEWER! DO NOT READ THE LIST OF LAST NAMES. NOTE THE ANSWER OF THE RESPONDENT. ]

GOVORUKHIN . . . . . . . . . . . . . . . . . . . . . . . . 01DZHABRAILOV . . . . . . . . . . . . . . . . . . . . . . . 02ZHIRINOVSKII . . . . . . . . . . . . . . . . . . . . . . . . . 03ZIUGANOV . . . . . . . . . . . . . . . . . . . . . . . . . . . 04PAMFILOVA . . . . . . . . . . . . . . . . . . . . . . . . . . 05PODBEREZKIN . . . . . . . . . . . . . . . . . . . . . . . . 06PUTIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 07SKURATOV . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08TITOV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09TULEEV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10IAVLINSKII . . . . . . . . . . . . . . . . . . . . . . . . . . . 11AGAINST ALL . . . . . . . . . . . . . . . . . . . . . . . . 96DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 98

I9PUTIN 110. Some people like the actions of Vladimir Putin, others do not. Do you approve ordisapprove of the actions of Putin in his post as President of Russia?

Completely approve . . . . . . . . . . . . . . . . . . . . . . . 1Approve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Approve of some things, not of others . . . . . . . . 3Disapprove . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Completely disapprove . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

29. L.


SECTION “MEDICAL SERVICES”

I9CMEDIN 2.1 Do you have compulsory medical insurance, that is, a medical insurance policy?


I9SMEDIN 2.2 Do you have supplementary voluntary medical insurance, with some form of service froman insurance firm, polyclinic, hospital, or medical center?


3.1 Who pays for this supplementary medical service?

Yes No D/K RefusesI9SMSELF 1. You, yourself . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . . 8I9SMENTR 2. Your enterprise, organization . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . . 8I9SMOTHR 3. Others . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . . 8

I9SMCOST 3.2 How much does this policy cost for a year?


I9HPRBLM 5. Have you in the last 30 days had any health problems?


I9HPRTYP 6. Recall, please, what were these problems? (char)

__________________________________________________________________________________________________________________________________________________________________________________________DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9TREABY 7. What did you do to solve the health problems that you had in the last 30 days?

Went to medical institutions or just health workers . . . . . . . . . . . . . . . . . . . . . . . . . . 1Did not go to a health worker, treated self . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 20 ON PAGE 31 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 20 ON PAGE 31 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 20 ON PAGE 31 ]

30. L.


I9CALLDR 8. Let’s talk about the most recent time you visited a medical worker in the last 30 days. Tellme, please, last time did you yourself go to an appointment or did you call the medicalworker to your house?

Walked or rode to an appointment . . . . . . . . . . . 1Called to the house . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 15 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 15 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 15 ]

I9TYPMIN 9. Tell me, please, where did you go the last time?

A polyclinic of the raion, city, state, village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1A commercial polyclinic . . . . . . . . . . . . . . . . . . . . 2A hospital of the raion, city, state, village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3A commercial hospital . . . . . . . . . . . . . . . . . . . . . 4A private physician . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

10. How much time did you spend on this last occasion traveling to this medical institutionand back?

__________ hours __________ minutesI9TDRHRS I9TDRMINDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . 998

I9TDRPAY 11. Did you spend any money to travel to and from this medical institution?


I9TDRAMT 12. How much money did you spend last time to travel to and from this medical institution?


I9TDRWAI 13. Did you spend any time waiting for your appointment on that occasion?


14. How much time did you spend waiting for your appointment?

__________ hours __________ minutesI9TDRHRW I9TDRMNWDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . 998

I9PAIDDR 15. Did you pay for the visit?


31. L.


16.1 Whom and how much did you pay for this visit?

Did How much D/K Refusesyou pay? in rubles?

1. Officially in the medical enterprises’scashier’s office . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . .1 � |_______| 9997 9998

No . . . . 2 I9AMTPVC2. Paid money or gifts directly to the I9PDVCSH

medical personnel . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . .1 � |_______| 9997 9998No . . . . 2 I9AMTPVPI9PDVPSL

I9ADTEST 17. Besides being seen by a medical worker, did you undergo any additional tests orprocedures?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 20 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 20 ]REFUSES TO ANSWER . . . . . . . . . . . . . 8 � [SKIP TO 20 ]

I9PAYADT 18. Did you pay extra for these tests or procedures?


19.1 Whom and how much did you pay?Did How much D/K Refuses

you pay? in rubles?1. Officially in the medical enterprises’s

cashier’s office . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . .1 � |_______| 9997 9998No . . . . 2 I9AMTPTC

2. Paid money or gifts directly to the I9PDTCSHmedical personnel who performed theinvestigation or procedure . . . . . . . . . . . . . . . . . Yes . . . .1 � |_______| 9997 9998

No . . . . 2 I9AMTPTPI9PDTPSL

I9HOSL3M 20. Have you been in the hospital in the last three months?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 26 ON PAGE 33 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 26 ON PAGE 33 ]REFUSES TO ANSWER . . . . . . . . . . . . . 8 � [SKIP TO 26 ON PAGE 33 ]

I9WHYHOS 21. For what reason or reasons were you hospitalized? (char)

______________________________________________________________________________________________________________________DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . 8

I9HOSTYP 22. Tell me, please, in what kind of facility were you hospitalized (the last time)?

In a raion, city, state, village hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . 1In a commercial hospital . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . 8

32. L.


I9DYSHOS 23. How many days in total in the last three months did you spend in the hospital?

__________ daysDOESN’T KNOW . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . 98

I9PDHOSP 24.1 Did you pay for a stay in the hospital, medical help, treatment, not counting payments formedicine, syringes, and dressing materials, with money or gifts?


24.2 Whom and how much money in all have you paid in the last three months for stays in thehospital?


1. For treatment and care, not counting payments for medicine, officiallyin the hospital cashier’s office . . . . . . . . . . . . . . Yes . . . .1 � |_______| 9997 9998

No . . . . 2 I9AMTPHCI9PDHCSH

2. For treatment and care, not countingpayments for medicine, paid to doctors and other medical personnelwith money or gifts . . . . . . . . . . . . . . . . . . . . . . . Yes . . . .1 � |_______| 9997 9998

No . . . . 2 I9AMTPHPI9PDHPSL

I9PAYMED 25.1 Did you receive medicine, syringes, and dressing materials, which were necessary for yourtreatment in a hospital, for free or did you pay for them with money or gifts?

All medicines, syringes, and dressing materials were received free . . . . . . . . . . 1 � [SKIP TO 26 ON PAGE 33 ]Some medicines were received free and we paid for others . . . . . . . . . . . . . . 2We paid for all the medicines . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 26 ON PAGE 33 ]REFUSES TO ANSWER . . . . . . . . . . . . . 8 � [SKIP TO 26 ON PAGE 33 ]

33. L.


25.2 Whom and how much in all did you pay for medicines, syringes, and dressings when youwere in the hospital?


1. Officially in the cashier’s office or the drug store of the hospital inwhich you stayed . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . .1 � |_______| 9997 9998

No . . . . 2 I9AMTPMC2. Paid doctor or other medical personnel I9PDMCSH

in the hospital in which you stayedwith money or gifts . . . . . . . . . . . . . . . . . . . . . . . Yes . . . .1 � |_______| 9997 9998

No . . . . 2 I9AMTPMP3. Did you yourself or according to your I9PDMPSL

request buy medicines, syringes, anddressings in the drug store insidethe hospital in which you stayed . . . . . . . . . . . . Yes . . . .1 � |_______| 9997 9998

No . . . . 2 I9AMTPMDI9PDMDST

I9CHECKU 26. Tell me, please, in the last three months have you gone to a medical institution or simply toa specialist, not because you were sick but for a preventive check-up?


I9CKUWHO 27. Who carried out this check-up last time?

[INTERVIEWER! IF THIS MEDICAL EXAMINATION WAS DONE BYMORE

THAN ONE PERSON, NOTE THE SPECIALIST WITH THE HIGHESTQUALIFICATIONS. ]

Physician . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Physician’s assistant . . . . . . . . . . . . . . . . . . 2Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Someone else . . . . . . . . . . . . . . . . . . . . . . . 4DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . 8

I9CKUTYP 28. Tell me, please, where did you go to be seen?

A polyclinic of the raion, city, state, village . . . . . . . . . . . . . . . . . . . . . . . 1A commercial polyclinic . . . . . . . . . . . . . . . 2A hospital of the raion, city, state, village . . . . . . . . . . . . . . . . . . . . . . . 3A commercial hospital . . . . . . . . . . . . . . . . 4A private physician . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . 8

I9CKUPAY 29. Did you pay for this preventive check-up either in money or in gifts?


34. L.


30.1 Whom and how much did you pay for this check-up?


1. Officially in the cashier’s office of a medical institute . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . .1 � |_______| 9997 9998

No . . . . 2 I9AMTPCC2. Paid doctors and other medical I9PDCCSH

personnel directly with moneyand gifts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . .1 � |_______| 9997 9998

No . . . . 2 I9AMTPCPI9PDCPSL

I9MISILL 31. In the last 30 days did you miss any work or study days due to illness?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 33 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 33 ]REFUSES TO ANSWER . . . . . . . . . . . . 8 � [SKIP TO 33 ]

I9DYSMIS 32. How many days in total did you miss due to illness in the last 30 days?

______ daysDOESN’T KNOW . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . 98

I9MEDLMO 33. Tell me, please, in the last 30 days did a physician or some other specialist at a medicalinstitution–hospital, polyclinic–write a prescription or advise you to take some kind ofmedicine?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO NEXT SECT. ON PAGE 36 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . 7 � [SKIP TO NEXT SECT. ON PAGE 36 ]REFUSES TO ANSWER . . . . . . . . . . . . 8 � [SKIP TO NEXT SECT. ON PAGE 36 ]

I9FINMED 34. Were you able to find or buy some of these medicines?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 41 ON PAGE 35 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 41 ON PAGE 35 ]REFUSES TO ANSWER . . . . . . . . . . . . 8 � [SKIP TO 41 ON PAGE 35 ]

35. Where did you manage to find the necessary medicines?

Yes No D/K Refuses1. At the physician’s who prescribed or

I9MEDDRO recommended the medicine . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . . 8I9MEDSTA 2. In a state pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . . 8I9MEDPRI 3. In a non-state pharmacy . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . . 8I9MEDIND 4. From individuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . . 8I9MEDOTH 5. In some other place . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . . 8

I9DISMED 36. Tell me, please, were you entitled to a discount on these medicines?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 38 ON PAGE 35 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 38 ON PAGE 35 ]REFUSES TO ANSWER . . . . . . . . . . . . 8 � [SKIP TO 38 ON PAGE 35 ]

35. L.


I9SIZDIS 37. How much of a discount were you entitled to?

100 percent . . . . . . . . . . . . . . . . . . . . . . . . 150 percent . . . . . . . . . . . . . . . . . . . . . . . . . 220 percent . . . . . . . . . . . . . . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . 8

I9PAIDPR 38. Did you pay anything for these medicines?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 40 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 40 ]REFUSES TO ANSWER . . . . . . . . . . . . 8 � [SKIP TO 40 ]

I9PRAMNT 39. How much did you pay for these medicines?

__________ rublesDOESN’T KNOW . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . 998

I9NOLOCM 40. Tell me, please, were there any medicines prescribed or recommended for you in the last 30days that you were not able to find or buy?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO NEXT SECT. ON PAGE 36 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . 7 � [SKIP TO NEXT SECT. ON PAGE 36 ]REFUSES TO ANSWER . . . . . . . . . . . . 8 � [SKIP TO NEXT SECT. ON PAGE 36 ]

41. Why weren’t you able to obtain these medicines?

Yes No D/K RefusesI9MNOTIM 1. Didn’t have time to buy them . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9MNOFIN 2. Couldn’t find them in a pharmacy . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9MNOMON 3. Didn’t have enough money . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9MNOWAN 4. Didn’t want to buy them . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8

5. Physically couldn’t buy them myself andI9MNOCAN there was no one else to do it . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8

36. M.


SECTION “HEALTH EVALUATION”

1. Now a few questions about health. But first I would like to ask for your height and weight.

I9WTSELF How many kilograms do you weigh?

__________ kgDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . 998

I9HTSELF 2. What is your height in centimeters?

__________ cmDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . 998

I9WTCHNG 2.1 Tell me, please, how has your weight changed in the course of the last two years?

Lost weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Gained weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2WEIGHT DID NOT CHANGE . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9EVALHL 3. Tell me, please, how would you evaluate your health? It is:

Very good . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Good . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Average, not good, but not bad . . . . . . . . . . . . . . 3Bad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Very bad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

4. [INTERVIEWER! RETURN TO QUESTION 69.9 ON PAGE 20. QUESTIONS4-20.5 SHOULD BE ASKED ONLY OF RESPONDENTS BORN IN 1945 OREARLIER. ASK ALL OTHERS QUESTION 20.6 ON PAGE 40. ]

Let’s talk about what difficulties people can encounter in carrying out different activities inconnection with the state of their health and whether you encounter any of them at thepresent time.

I9RUN1KM Tell me, please, how difficult is it for you to run about a kilometer?

Not at all difficult . . . . . . . . . . . . . . . . . . . . . . . . . 1 � [SKIP TO 8 ON PAGE 37 ]Slightly difficult . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 8 ON PAGE 37 ]Somewhat difficult . . . . . . . . . . . . . . . . . . . . . . . . 3Very difficult, but possible . . . . . . . . . . . . . . . . . . 4Cannot do it . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9WLK1KM 5. How difficult is it for you to walk about a kilometer?

Not at all difficult . . . . . . . . . . . . . . . . . . . . . . . . . 1 � [SKIP TO 8 ON PAGE 37 ]Slightly difficult . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Somewhat difficult . . . . . . . . . . . . . . . . . . . . . . . . 3Very difficult, but possible . . . . . . . . . . . . . . . . . . 4Cannot do it . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

37. M.


I9WK200M 6. How difficult is it for you to walk about 200 meters?

Not at all difficult . . . . . . . . . . . . . . . . . . . . . . . . . 1 � [SKIP TO 8 ]Slightly difficult . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Somewhat difficult . . . . . . . . . . . . . . . . . . . . . . . . 3Very difficult, but possible . . . . . . . . . . . . . . . . . . 4Cannot do it . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9WKROOM 7. How difficult is it for you to walk across a room?

Not at all difficult . . . . . . . . . . . . . . . . . . . . . . . . . 1Slightly difficult . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Somewhat difficult . . . . . . . . . . . . . . . . . . . . . . . . 3Very difficult, but possible . . . . . . . . . . . . . . . . . . 4Cannot do it . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

I9SIT2HR 8. How difficult is it for you to sit for 2 hours?


I9DSTAND 9. How difficult is it for you to stand up after you have been sitting in a chair for an extendedperiod of time?


I9DGETUP 10. How difficult is it for you to lie down and get up from a bed unassisted?


I9DCLIFS 11. How difficult is it for you to climb several flights of stairs without resting?

Not at all difficult . . . . . . . . . . . . . . . . . . . . . . . . . 1 � [SKIP TO 13 ON PAGE 38 ]Slightly difficult . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Somewhat difficult . . . . . . . . . . . . . . . . . . . . . . . . 3Very difficult, but possible . . . . . . . . . . . . . . . . . . 4Cannot do it . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

38. M.


I9DCLI1F 12. How difficult is it for you to climb one flight of stairs without resting?


I9LFT5KG 13. How difficult is it for you to lift and carry a weight of about 5 kilograms, for example, asack of vegetables?


I9CROUCH 14. How difficult is it for you to squat, crouch, or kneel?


I9SHOWER 15. How difficult is it for you to take a shower or bath unassisted?


I9EATING 16. How difficult is it for you to eat unassisted?


I9DRESSI 17. How difficult is it for you to dress unassisted?


39. M.


I9CBHAIR 18. How difficult is it for you to comb your hair unassisted?


I9TOILET 19. How difficult is it for you to use the toilet unassisted?


I9RPSHOP 20.1 How physically difficult is it for you to shop unassisted: to buy products and other essentialitems?


I9RCOOK 20.2 How physically difficult is it for you to prepare food for yourself unassisted?


I9RTRANS 20.3 How physically difficult is it for you to use public transportation unassisted?


I9RSHOP 20.4 How difficult is it for you to account for money coming in and going out without help fromsomeone?


I9RTELEP 20.5 How difficult is it for you to use the telephone unassisted, if you have one?

Not at all difficult . . . . . . . . . . . . . . . . . . . . . . . . . 1Slightly difficult . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Somewhat difficult . . . . . . . . . . . . . . . . . . . . . . . . 3

40. M.


Very difficult, but possible . . . . . . . . . . . . . . . . . . 4Cannot do it . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5No telephone . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8

20.6 Do you have any kind of chronic illness?Yes No D/K Refuses

I9CHEART 1. Heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . 2 . . . . . 7 . . . . . . . 8I9CLUNGS 2. Illness of the lungs . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . 2 . . . . . 7 . . . . . . . 8I9CLIVER 3. Liver disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . 2 . . . . . 7 . . . . . . . 8I9CKIDNY 4. Kidney disease . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . 2 . . . . . 7 . . . . . . . 8I9CGI 5. Gastrointestinal disease . . . . . . . . . . . . . . . . . . . . 1 . . . . . 2 . . . . . 7 . . . . . . . 8I9CSPINE 6. Spinal problems . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . 2 . . . . . 7 . . . . . . . 8I9COTHER 7. Other chronic illnesses . . . . . . . . . . . . . . . . . . . . . 1 . . . . . 2 . . . . . 7 . . . . . . . 8

I9TMEDLW 32. Tell me, please, in the last 7 days have you taken any medicine, for example, pills, shots,drops, mixtures, herbal remedies, excluding vitamins and mineral supplements?

YesNo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 34 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 34 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 34 ]

I9LISMED 33. Please list the names of the medications that you have taken in the last 7 days. (char)

[INTERVIEWER! PLEASE WRITE THE EXACT NAMES OF ALLMEDICATIONS. IF THE RESPONDENT DOESN’T KNOW THE EXACTNAME OF THE MEDICATION, ASK HIM TO SHOW YOU THE PACKAGE. COPY THE NAME OF THE MEDICATION ON THE LABEL, USING THESAME LANGUAGE IN WHICH IT IS WRITTEN. ]

___________________________________________________________________

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I9MULVIT 34. Tell me, please, in the last 7 days have you taken any kind of multivitamins?


41. M.


I9SEPVIT 35. Tell me, please, in the last 7 days have you taken any separate vitamins?


36. Please remember, in the last 7 days have you taken...?

Yes No D/K Refuses

I9VITAMA 1. Vitamin A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9VITAMB 2. B-complex vitamins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9VITAMC 3. Vitamin C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9VITAMD 4. Vitamin D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9VITAME 5. Vitamin E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9VITOTH 6. Other vitamins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8

I9MINERA 37. Tell me, please, in the last 7 days have you taken any mineral supplements, for example,calcium, iron, selenium?


38. Please remember, in the last 7 days have you taken...?

Yes No D/K Refuses

I9CALCIU 1. Calcium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9IRONSU 2. Iron . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9SELENI 3. Selenium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8

I9OPERAT 39. In the last 12 months, have you had a surgical operation?


40. On what organ did you have an operation in the last 12 months? They operated on your...

[INTERVIEWER! ITEMS 6-8 ARE ONLY FOR WOMEN. ITEM 9 IS ONLYFOR

MEN. ]Yes No D/K Refuses

I9OPLUNG 1. Lungs, bronchial tubes . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9OPSTOM 2. Stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9OPKIDN 3. Kidney, liver, urinary bladder . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9OPSINT 4. Small intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9OPLINT 5. Large intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9OPBREA 6. Breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9OPCERV 7. Cervix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9OPUTER 8. Uterus and fallopian tubes . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9OPPROS 9. Prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9OPOTHR 10. Other organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8

42. M.


I9OPINST 41. In what institution were you operated on (the last time)? It was...

City or district hospital, not oncological . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Oncological center, oncological department of a hospital . . . . . . . . . . . . . . . . 2Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . 8

42. Did they carry out additional treatment after the operation, such as...

Yes No D/K Refuses

I9TRMASS 1. Massage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8I9TRRADI 2. Radiation therapy . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8I9TRCHEM 3. Special chemotherapy treatment . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8I9TROTHR 4. Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8

I9DIABET 43. Did a physician tell you at any time that you had diabetes or increased sugar in the blood?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 46 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 46 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . 8 � [SKIP TO 46 ]

I9DIABYR 44. In what year did a physician first tell you about this?

In |__|__|__|__| yearDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . 8

45. To treat diabetes are you using...Yes No D/K Refuses

I9DCDIET 1. Special diet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8I9DCWCON 2. Weight control . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8I9DCORAL 3. Pills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8I9DCSHOT 4. Insulin shots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8I9DCHERB 5. Herbal treatment . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8I9DCHOME 6. Homeopathic treatment . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8I9DCOTHR 7. Something else . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . 7 . . . . . . 8

I9HATTAC 46. Have you ever been diagnosed with a “myocardial infarction”?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 48 ON PAGE 43 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 48 ON PAGE 43 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . 8 � [SKIP TO 48 ON PAGE 43 ]

I9HATTYR 47. In what year did you have a myocardial infarction? If you have had more than one,indicate, please, the year of the most recent.

In |__|__|__|__| yearDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . 8

43. M.


I9CHPAIN 48. [INTERVIEWER! TURN TO QUESTION 69.9 ON PAGE 20. ASKQUESTIONS 48-58 ONLY OF THOSE RESPONDENTS WHO WERE BORNIN 1965 OR EARLIER. ASK THE REMAINING RESPONDENTSQUESTION 58.1 ON PAGE 44. ]

Have you ever experienced pain or some other unpleasant sensation in your rib-cage?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 58.1 ON PAGE 44 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 58.1 ON PAGE 44 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . 8 � [SKIP TO 58.1 ON PAGE 44 ]

I9PNHILL 49. Do you experience pain or some other unpleasant sensation in your rib-cage while climbingstairs or hills, or while walking fast?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 58.1 ON PAGE 44 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 58.1 ON PAGE 44 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . 8 � [SKIP TO 58.1 ON PAGE 44 ]

I9PNRESP 50. What do you usually do when you have pain or another unpleasant sensation in your rib-cage?

Stop or walk more slowly . . . . . . . . . . . . . . . . . 1Take nitroglycerine, valodol and stop or walk more slowly . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 52 ]Take nitroglycerine, valodol and continue walking . . . . . . . . . . . . . . . . . . . . . . 3 � [SKIP TO 52 ]Continue walking at the same pace . . . . . . . . . 4 � [SKIP TO 52 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 52 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . 8 � [SKIP TO 52 ]

I9PNSTOP 51. If you stop, what happens to the pain?

The pain stops . . . . . . . . . . . . . . . . . . . . . . . . . . 1The pain doesn’t stop . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 53 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 53 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . 8 � [SKIP TO 53 ]

I9TIPAST 52. How quickly does the pain stop?

In less than 10 minutes . . . . . . . . . . . . . . . . . . . 1In more than 10 minutes . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . 8

I9PNSITE 53. Will you show me where you experience this pain?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 55 ON PAGE 44 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 55 ON PAGE 44 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . 8 � [SKIP TO 55 ON PAGE 44 ]

54. You experience pain:Yes No D/K Refuses

I9PNUPMI 1. In the upper or middle part of the chest . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9PNLOWC 2. In the lower third of the chest . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9PNLFRO 3. In the left side of the rib-cage near the heart . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9PNLARM 4. In the left arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8I9PNOTHR 5. Somewhere else . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . 2 . . . . . 7 . . . . . 8

44. M.


I9PNDESC 55. Can you say what kind of pain occurs most often?

[INTERVIEWER! RECORD ONLY ONE ANSWER. ]

Squeezing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Stabbing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Aching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Pressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9PNG30M 56. In the last 12 months, have you experienced strong pain in the chest, lasting half an hour ormore?

YesNo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 58.1 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 58.1 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 58.1 ]

I9PNDOCT 57. Have you seen a doctor about this pain?

YesNo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 58.1 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 58.1 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 58.1 ]

I9PNDIAG 58. What diagnosis did the doctor give you?(char)

Myocardial infarction . . . . . . . . . . . . . . . . . . . . . . . 1Stenocardiac tension . . . . . . . . . . . . . . . . . . . . . . . . 2Another diagnosis, what specifically . . . . . . . . . . . 3

[INTERVIEWER! NOTE EXACTLY WHAT. ]

____________________________________________________________DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9HIGHBP 58.1 Did the doctor tell you that you have high blood pressure?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 59 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 59 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 59 ]

58.2 What is the highest blood pressure you have had?

I9SYSTOL Higher–systolic |__|__|__|I9DIASTL Lower–diastolic |__|__|__|

DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9STROKE 59. Has a doctor diagnosed you as having a stroke (blood hemorrhage in the brain)?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 62 ON PAGE 45 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 62 ON PAGE 45 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 62 ON PAGE 45 ]

45. M.


I9STROKY 60. In what year did you have a stroke (blood hemorrhage in the brain)? If you have had morethan one, tell me in what year the most recent occurred.

In |__|__|__|__| yearDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9STROEF 61. Do you have any after-effects of a stroke, for example, muscular weakness, problems withspeech, or something else?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9ANEMIA 62. In the last 12 months, has a doctor told you that you have anemia?


I9EVERTB 62.1 Has a doctor ever told you that you have tuberculosis?


I9YEARTB 62.2 In what year did you have tuberculosis? If you have had this diagnosis more than once, tellme, when the last time was.

In |__|__|__|__| yearDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9VISION 63. What can you say about your eyesight? How do you see without glasses or contact lenses? Would you evaluate your sight as:

Very good . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 � [SKIP TO 65 ]Good . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 65 ]Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Bad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Very bad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9WRGLAS 64. Do you wear glasses or contact lenses?


I9HEARNG 65. How is your hearing without a hearing aid?

Very good . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 � [SKIP TO 66.1 ON PAGE 46 ]Good . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 66.1 ON PAGE 46 ]Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Bad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Very bad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

46. M.


I9HEAAID 66. Do you use a hearing aid?


66.1 [INTERVIEWER! TURN TO QUESTION 69.9 ON PAGE 20. ASKQUESTIONS 66.1-66.17 ONLY OF THOSE RESPONDENTS WHO WEREBORN IN 1945 OR EARLIER. ASK THE REMAINING RESPONDENTSQUESTION 67 ON PAGE 48. ]

I9MEMORY Now let’s talk about your memory. How is your memory presently?

Very good . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Good . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Bad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Very bad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9MEMCHG 66.2 How has your memory changed in the last 12 months?

Improved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Stayed the same . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Became worse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

66.3 Now I will give you several ordinary memory testing exercises.

First, I will read you ten words, and after that I will ask you to repeat all the words that youhave memorized. We intentionally made the list long in order to make it sufficientlydifficult. The majority of people memorize only a few words. Please listen attentively. When I finish I will ask you to remember and name as many words as possible in any order. Is everything clear to you?

[INTERVIEWER! READ THE WORDS FROM THE LIST SLOWLY AND EVENLY,PRONOUNCING APPROXIMATELY ONE WORD IN TWO SECONDS. ]

House, Wood, Cat, Table, Night, Needle, Cake, Ringing, Bridge, Cross

And now, please, name the words that you have memorized.

[INTERVIEWER! GIVE THE RESPONDENT TIME TO THINK, BUT NOT MORETHAN TWO MINUTES. AFTER THIS, NOTE THE WORDS THAT HE NAMES. ]

House Wood Cat Table Night Needle Cake Ringing Bridge Cross � � � � � � � � � � 01 02 03 04 05 06 07 08 09 10I9MEMW01 I9MEMW02 I9MEMW03 I9MEMW04 I9MEMW05 I9MEMW06 I9MEMW07 I9MEMW08 I9MEMW09 I9MEMW10

I9MEMW97 DOESN’T REMEMBER A SINGLE WORD . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 98

I9MEMDAT 66.4 Tell me, please, what is today’s date?

CORRECT ANSWER . . . . . . . . . . . . . . . . . . . . . . 1INCORRECT ANSWER / D/K . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

47. M.


I9MEMMON 66.5 Tell me, please what month is it?


I9MEMYEA 66.6 What year is it?


I9MEMDAY 66.7 What day of the week is today?


I9COUNTS 66.8 Please will you count from twenty backwards?

[INTERVIEWER! COMPARE THE RESPONDENT’S ANSWER WITH THE ONEPRINTED HERE. ASK THE RESPONDENT TO START FROM THE BEGINNINGIF, ON THE FIRST TRY, HE DID NOT COUNT CORRECTLY. ]

20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1

CORRECT ON THE FIRST TRY . . . . . . . . . . . . 1CORRECT ON THE SECOND TRY . . . . . . . . . 2INCORRECT ON THE TWO TRIES . . . . . . . . . 3REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9CUTPAP 66.9 What do people usually use for cutting paper?

SCISSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1SOMETHING ELSE / D/K . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9PRESID 66.10 Name, please, the last name of the president of Russia.

CORRECT ANSWER (PUTIN) . . . . . . . . . . . . . . 1INCORRECT ANSWER / D/K . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9PRIMEM 66.11 What is the last name of Russia’s prime minister?

CORRECT ANSWER (KAS’IANOV) . . . . . . . . 1INCORRECT ANSWER / D/K . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9SUBTR1 66.12 And now let’s do a little subtraction.Tell me, please, what is the result of one hundred minus seven?

[INTERVIEWER! IF THE RESPONDENT IS ADDING SEVEN INSTEAD OFSUBTRACTING IT, REPEAT THE QUESTION. ]

CORRECT ANSWER - 93 . . . . . . . . . . . . . . . . . . 1INCORRECT ANSWER / D/K . . . . . . . . . . . . . 7 � [SKIP TO 66.17 ON PAGE 48 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 66.17 ON PAGE 48 ]

48. M.


I9SUBTR2 66.13 And now subtract seven from this number one more time. What is the result?

CORRECT ANSWER - 86 . . . . . . . . . . . . . . . . . . 1INCORRECT ANSWER / D/K . . . . . . . . . . . . . 7 � [SKIP TO 66.17 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 66.17 ]

I9SUBTR3 66.14 And now subtract seven from this number one more time. What is the result?


I9SUBTR4 66.15 Subtract seven one more time. What is the result?


I9SUBTR5 66.16 Subtract seven one more time. What is the result?

CORRECT ANSWER - 65 . . . . . . . . . . . . . . . . . . 1INCORRECT ANSWER / D/K . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

66.17 [INTERVIEWER! LOOK TO SEE IF THE RESPONDENT ANSWEREDQUESTION 66.3 ON PAGE 46. IF THE RESPONDENT REFUSED TOANSWER, DO NOT ASK HIM THIS QUESTION AND SKIP TO 67. ]

A while ago I read you a list of words and you repeated the words that you memorized. Please, name the words that you remember now.

[INTERVIEWER! GIVE THE RESPONDENT TIME TO THINK, BUT NOTMORE THAN TWO MINUTES. AFTER THIS, NOTE THE WORDS THATHE NAMES. ]

House Wood Cat Table Night Needle Cake Ringing Bridge Cross � � � � � � � � � � 01 02 03 04 05 06 07 08 09 10I9MEMW01 I9MEMW02 I9MEMW03 I9MEMW04 I9MEMW05 I9MEMW06 I9MEMW07 I9MEMW08 I9MEMW09 I9MEMW10

I9ME2W97 DOESN’T REMEMBER A SINGLE WORD . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 98

I9DRKTEA 67. Tell me, please, do you drink tea?


I9FRETEA 68. How often during the past 30 days did you drink tea?

Every day . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-6 times a week . . . . . . . . . . . . . . . . . . . . . . . . . . . 22-3 times a week . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Once a week . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Less than once a week . . . . . . . . . . . . . . . . . . . . . . 5Never in the past 30 days . . . . . . . . . . . . . . . . . . . . 6DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

49. M.


I9DRKCOF 69. Do you drink coffee?


I9FRECOF 70. How often during the past 30 days did you drink coffee?

Every day . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-6 times a week . . . . . . . . . . . . . . . . . . . . . . . . . . . 22-3 times a week . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Once a week . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Less than once a week . . . . . . . . . . . . . . . . . . . . . . 5Never in the past 30 days . . . . . . . . . . . . . . . . . . . . 6DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

I9SMOKES 71. Do you now smoke?


I9SAGSMK 72. Remember, please, when did you start smoking? How old were you then?

__________ yearsDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . 98

I9SMOKLW 73. In the last 7 days have you smoked anything?


I9SMOKMA 74. What do you mainly smoke? I will list for you various types of tobacco products, and you tellme, please, which you smoke most often.

Papyrosi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Filtered cigarettes . . . . . . . . . . . . . . . . . . . . . . . . . . 2Unfiltered cigarettes . . . . . . . . . . . . . . . . . . . . . . . . 3Self-rolled cigarettes . . . . . . . . . . . . . . . . . . . . . . . . 4Pipe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 � [SKIP TO 76 ON PAGE 50 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 80 ON PAGE 50 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 80 ON PAGE 50 ]

I9CIGNUM 75. About how many individual cigarettes or papyrosi do you usually smoke in a day?

__________ unitsDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 998

50. M.


I9GMPTOB 76. [INTERVIEWER! ASK QUESTION 76 ONLY OF THOSE RESPONDENTS WHO,IN QUESTION 74 ON PAGE 49, ANSWERED THAT THEY NOW MAINLYSMOKE A PIPE. ASK THOSE WHO DIDN’T SAY THEY SMOKE A PIPEQUESTION 80. ]

About how many grams of pipe tobacco do you smoke in a day?

__________ gramsDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . 997REFUSES TO ANSWER . . . . . . . . . . . . . . . . . 998

I9ESMOKE 77. [INTERVIEWER! ASK QUESTIONS 77-79 ONLY OF THOSE RESPONDENTSWHO, IN QUESTION 71 ON PAGE 49, ANSWERED THAT THEY DON’T NOW SMOKE. OF THOSE WHO SAID THEY NOW SMOKE, ASK QUESTION 80. ]

Have you ever smoked?


I9YQUITS 78. How many years ago did you quit smoking?

[INTERVIEWER! IF THE RESPONDENT ANSWERS THAT HE QUITSMOKING A YEAR AGO OR LESS, WRITE 0. ]


I9QAGSMK 79. Please remember, when did you start smoking? How old were you then?


I9ALCLMO 80. In the last 30 days have you used alcoholic beverages?


I9ALCFLM 81. How often have you used alcoholic beverages in the last 30 days?

Every day . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-6 times a week . . . . . . . . . . . . . . . . . . . . . . . . . . . 22-3 times a week . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Once a week . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42-3 times in the last 30 days . . . . . . . . . . . . . . . . . . 5Once in the last 30 days . . . . . . . . . . . . . . . . . . . . . 6DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . 8

82. Tell me, please, you drink alcoholic beverages...?Yes No D/K Refuses

I9ALCBML 1. Before meals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . 8I9ALCDML 2. During meals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . 8I9ALCNOE 3. Without eating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . 8

51. M.


83. Tell me, you drink alcoholic beverages...?

Yes No D/K Refuses

I9ALCHOM 1. At home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . 8I9ALCBAR 2. In restaurants or bars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . 8I9ALCPRK 3. In a park or on the street . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . 8I9ALCWRK 4. At work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . 8I9ALCGUE 5. As a guest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . 2 . . . 7 . . . . . 8

84. Now I will ask you about various alcoholic beverages and you will tell me, please, which ofthese you drank in the last 30 days and, if so, how many grams did you usually consume in aday?

How manygrams did

Did you you usuallydrink? drink? D/K

1. Beer, home-brewed beer . . . . . . . . . . . . . . . . . Yes . . . . 1 |________| 999997No . . . . 2 I9GMBEERI9DRBEER

2. Dry wine, champagne . . . . . . . . . . . . . . . . . . . Yes . . . . 1 |________| 999997No . . . . 2 I9GMDWINI9DRDWIN

3. Fortified wine . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . . 1 |________| 999997No . . . . 2 I9GMFWINI9DRFWIN

4. Home-made liquor . . . . . . . . . . . . . . . . . . . . . . Yes . . . . 1 |________| 999997No . . . . 2 I9GMHLIQI9DRHLIQ

5. Vodka or other hard liquor . . . . . . . . . . . . . . . Yes . . . . 1 |________| 999997No . . . . 2 I9GMVODKI9DRVODK

6. Anything else . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . . 1 |________| 999997No . . . . 2 I9GMOTHEI9DROTHE

112. Let’s talk a little about how much you move, how physically active you are.

Counting all your moves in a usual day--to and from work or a place of study, stores, or otherplaces--how much time on average do you walk in a day? Do not count strolls here.

__________ hours __________ minutesI9WLKHRS I9WLKMIN


52. M.


113. I will now list various kinds of physical activities and will you please tell me in which of themyou engaged in the last 12 months not fewer than 12 times? For each activity you did engage in,during how many months, how many times per month, and how many minutes per time did theactivity last?

Engaged in? How How many Howmany times per many

months? month? minutes?

1. Jogging . . . . . . . . . . . . . . . . . . . . . Yes . . . . . . 1 � |____| |____| |____|No . . . . . . 2 I9JOGMOS I9JOGTMO I9JOGMINI9JOGGED

1.1 Using exercise equipment . . . . Yes . . . . . . 1 � |____| |____| |____|No . . . . . . 2 I9EQUMOS I9EQUTMO I9EQUMINI9EEQUIP

2. Swimming . . . . . . . . . . . . . . . . . . Yes . . . . . . 1 � |____| |____| |____|No . . . . . . 2 I9SWMMOS I9SWMTMO I9SWMMINI9SWIMMG

3. Dancing, aerobics . . . . . . . . . . . Yes . . . . . . 1 � |____| |____| |____|No . . . . . . 2 I9DANMOS I9DANTMO I9DANMINI9DANCED

4. Basketball, volleyball . . . . . . . . . Yes . . . . . . 1 � |____| |____| |____|No . . . . . . 2 I9PBBMOS I9PBBTMO I9PBBMINI9PBBALL

5. Badminton, tennis . . . . . . . . . . . Yes . . . . . . 1 � |____| |____| |____|No . . . . . . 2 I9PBMMOS I9PBMTMO I9PBMMINI9PBADMI

5.1 Fighting, boxing, karate . . . . . . Yes . . . . . . 1 � |____| |____| |____|No . . . . . . 2 I9BOXMOS I9BOXTMO I9BOXMINI9BOXING

6. Something else . . . . . . . . . . . . . . Yes . . . . . . 1 � |____| |____| |____|No . . . . . . 2 I9PAOMOS I9PAOTMO I9PAOMINI9PAOTHR

I9EXERCI 114. Which of the listed variants best characterizes your physical exercise? Please do not countyour physical activities at work.

Light physical exercise for relaxation, fewer than three times a week . . . . . . . . . . . . . . . . 1Medium and intensive physical exercise fewer than three times a week . . . . . . . . . . . . . . . . 2Intensive physical exercise at least three times a week for 15 minutes or more . . . . . . . . . . . 3Daily exercise not less than 30 minutes a day . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4DOES NOT ENGAGE IN PHYSICAL ACTIVITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8

53. M.


115. [INTERVIEWER! RETURN TO QUESTION 69.9 ON PAGE 20. ASKQUESTIONS 115-128 ONLY OF RESPONDENTS WHO WERE BORN IN 1982OR LATER. FOR THE REMAINING RESPONDENTS, ASK THEQUESTIONS IN THE FOLLOWING SECTION ON PAGE 56. ]

I9RSHAPE Look, please, at these drawings and tell me which of these nine figures most closelyresembles your figure? Name the number of the drawing.

[INTERVIEWER! IF YOU ARE SPEAKING WITH A YOUNG WOMAN, USEENVELOPE NUMBER 3 WITH DRAWINGS 19-27, IF YOU ARE SPEAKINGWITH A YOUNG MAN, USE ENVELOPE NUMBER 4 WITH DRAWINGS28-36. SHUFFLE THE CHOSEN DRAWINGS AND LAY THEM OUT INFRONT OF THE RESPONDENT. ]

NUMBER OF DRAWING |__|__|DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . 98

I9WSHAPE 116. Which of the drawings would you like your figure to resemble? Name the number.

[INTERVIEWER! AGAIN SHUFFLE THE DRAWINGS WHICH YOUSHOWED THE RESPONDENT IN QUESTION 115 AND LAY THEM INFRONT OF HIM. ]

NUMBER OF DRAWING |__|__|DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . 98

I9DIETLY 117. Tell me, in the last 12 months have you been on a diet? We regard a diet as any change inyour usual food in order to lose weight or get thinner.

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8

I9WTOPIN 118. Do you think at the present time that you are under-weight, over-weight, or have a normalweight?

UNDER-WEIGHT . . . . . . . . . . . . . . . . . . . . . . . . . . 1NORMAL WEIGHT . . . . . . . . . . . . . . . . . . . . . . . . . 2OVER-WEIGHT . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8

I9ACOPIN 119. Now let’s talk about physical activity. Here under physical activity we mean only activitiessuch as active sports, games, dances, that is when your heart beats more than usual or yousweat. How do you rate your physical activity? You have...?

Too little . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Too much . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8

I9TVRSTR 120. Does someone restrict your television viewing: for example, not allowing certain programsto be watched or restricting sitting in front of the television for long periods?

Never anything restricted . . . . . . . . . . . . . . . . . . . . . . 1Sometimes there are restrictions . . . . . . . . . . . . . . . . 2There are always restrictions . . . . . . . . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8

54. M.


I9CHANNL 121. Which television channel do you most like to watch? Please tell me which one channel isyour favorite.

[INTERVIEWER! DO NOT READ THE LIST OF CHANNELS. NOTEONLY ONE CHANNEL. ]

ORT–Russian Public Television . . . . . . . . . . . . . . . . . . 01RTR–Russian Television . . . . . . . . . . . . . . . . . . . . . . . . 02NTV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03TVTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 04TV-6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 05MTV–Music Television Channel . . . . . . . . . . . . . . . . . . 06Local or cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 07DOESN’T DISTINGUISH AMONG CHANNELS . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . 98

I9PROGRM 122. Which television program do you most like to watch? Name your one favorite (char) program.

[INTERVIEWER! WRITE THE NAME OF THE PROGRAM. ]

_________________________________________________________________LIKES ALL ALIKE . . . . . . . . . . . . . . . . . . . . . . . . . 6 � [SKIP TO 124 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 124 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 124 ]

I9PTYPE 123. What type of program do you most like to watch?

Sports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01Music . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02News programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03Cartoons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 04Talk shows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 05Artistic films . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06Entertainment programs . . . . . . . . . . . . . . . . . . . . . 07Popular science, educational programs . . . . . . . . . . 08Advertisements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09Soap operas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . 98

I9TVADS 124. Do you watch advertisements for goods and movies, which are sometimes shown ontelevision?

Always . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Sometimes watch . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Never watch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 � [SKIP TO 128 ON PAGE 55 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 128 ON PAGE 55 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 128 ON PAGE 55 ]

I9LIKEAD 125. How much do you like the advertisements for goods and services that are shown ontelevision?

Completely dislike . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Like some, dislike others . . . . . . . . . . . . . . . . . . . . . . 2Very much like . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8

55. M.


I9ABUYAD 126. Do you ever ask your parents or other adults to buy you some food or drinks theadvertisements for which you saw on television?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 128 ]BUY FOR MYSELF . . . . . . . . . . . . . . . . . . . . . . . . . 6 � [SKIP TO 128 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 128 ]REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8 � [SKIP TO 128 ]

I9BUYAD 127. Do they buy you what you ask for?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . . 8

I9TVIDOL 128. You see many people on the television screen. Is there someone among them (char) whom you especially like, whom you want to be like? Who is this person you

have seen on television?

[INTERVIEWER! WRITE THE NAME AND RECORD THECORRESPONDING NUMBER IN THE LIST BELOW. IF YOU DO NOTKNOW THE NAMED PERSON, ASK THE RESPONDENT TO CLARIFY. ]

__________________________________________________________________

I9IDOLCD RUSSIAN POLITICIAN . . . . . . . . . . . . . . . . . . . . 01RUSSIAN TELEVISION PERSONALITY . . . . 02RUSSIAN ACTOR/ACTRESS OR SINGER . . . 03FOREIGN ACTOR/ACTRESS OR SINGER . . . 04RUSSIAN SPORTS FIGURE . . . . . . . . . . . . . . . . . 05FOREIGN SPORTS FIGURE . . . . . . . . . . . . . . . . 06LAWYER, DOCTOR, TEACHER . . . . . . . . . . . . 07BUSINESSMAN . . . . . . . . . . . . . . . . . . . . . . . . . . . 08SOMEONE ELSE . . . . . . . . . . . . . . . . . . . . . . . . . . 09DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . . . . . . . 98

56. N.


SECTION ONLY FOR WOMEN

[INTERVIEWER! THE QUESTIONS IN THIS SECTION ARE FOR WOMENONLY. ASK MEN QUESTIONS IN THE NEXT SECTION ON PAGE 63. ]

[INTERVIEWER! RETURN TO QUESTION 69.9 ON PAGE 20. IF YOU ARESPEAKING WITH A WOMAN BORN IN 1945 OR EARLIER WHO HASALREADY PARTICIPATED IN OUR RESEARCH, SKIP TO THE NEXT SECTIONON PAGE 63. ]

1. [INTERVIEWER! NOTE WHO, BESIDES THE RESPONDENT, IS PRESENT INTHE ROOM AT THIS TIME. ]

Yes NoI9WCHL10 1. CHILDREN UNDER 10 . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . 2

I9WCHG10 2. CHILDREN OVER 10 . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . 2

I9WPAREN 3. PARENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . 2

I9WHUSBA 4. HUSBAND OR PARTNER . . . . . . . . . . . . . . . . . 1 . . . . . . . . . 2

I9WMENPR 5. OTHER MEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . 2

I9WWOMEN 6. OTHER WOMEN . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . 2

I9EVRMEN 2. Have you ever menstruated?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO NEXT SECT. ON PAGE 63 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO NEXT SECT. ON PAGE 63 ]REFUSES TO ANSWER . . . . . . . . . . . . . . 8 � [SKIP TO 4 ]

I9AGEMEN 3. How old were you when you started to menstruate?

|___|___| yearsDOESN’T KNOW . . . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . . . 98

I9EVPREG 4. Have you ever been pregnant, even if this pregnancy lasted for only a few weeks?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 37 ON PAGE 58 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 37 ON PAGE 58 ]REFUSES TO ANSWER . . . . . . . . . . . . . . 8 � [SKIP TO 37 ON PAGE 58 ]

I9HADBAB 5. Tell me, please, have you ever given birth? Count only those births when the baby wasborn alive.


I9BABL2Y 6. Tell me, please, have you given birth in the last 24 months?


I9NUMB2Y 6.1 To how many children did you give birth in the last 24 months?

|___| childrenREFUSES TO ANSWER . . . . . . . . . . . . . 8

57. N.


I9BIRCOM 7. Did you have some sort of complications after your last birth?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . 8

I9MISL2Y 24. In the past 24 months, have you had a miscarriage?


I9ABOL2Y 30. Tell me, please, have you had an abortion in the last 24 months?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 31.2 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 31.2 ]REFUSES TO ANSWER . . . . . . . . . . . . . 8 � [SKIP TO 31.2 ]

I9NUML2Y 31. How many abortions have you had in the last 24 months?

__________ abortionsDOESN’T KNOW . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . 98

I9MINIAB 31.1 When we were talking about abortions, did you count mini-abortions?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 � [SKIP TO 31.4 ]No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2HAD NO MINI-ABORTIONS . . . . . . . . . 3 � [SKIP TO 31.4 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 31.4 ]REFUSES TO ANSWER . . . . . . . . . . . . . 8 � [SKIP TO 31.4 ]

I9MABL2Y 31.2 Tell me, please, in the last 24 months have you had a mini-abortion?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 31.4 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO 31.4 ]REFUSES TO ANSWER . . . . . . . . . . . . . 8 � [SKIP TO 31.4 ]

I9NMAB2Y 31.3 How many mini-abortions have you had in the last 24 months?

__________ mini-abortionsDOESN’T KNOW . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . 98

I9ABTYPE 31.4 [INTERVIEWER! ASK QUESTION 31.4 ONLY OF THOSE WOMEN WHOHAD AN ABORTION OR MINI-ABORTION IN THE LAST 24 MONTHS,THAT IS, THOSE WHO ANSWERED “YES” TO QUESTION 30 OR TOQUESTION 31.2. ASK OTHERS QUESTION 37 ON PAGE 58. ]

Let’s talk about your most recent abortion in the last 24 months. Tell me, please,was this an abortion or a mini-abortion?

Abortion . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Mini-abortion . . . . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . 8

58. N.


I9WHERAB 32. Where did you go to have this (abortion/mini-abortion)?

To a polyclinic of the raion, city, state, village . . . . . . . . . . . . . . . . . . . . . . . 1To a commercial polyclinic . . . . . . . . . . . . 2To a hospital of the raion, city, state, village . . . . . . . . . . . . . . . . . . . . . . . 3To a commercial hospital . . . . . . . . . . . . . . 4To a private doctor . . . . . . . . . . . . . . . . . . . 5DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . 8

I9WHOABO 33. Who performed this (abortion/mini-abortion)?

Doctor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Medical assistant . . . . . . . . . . . . . . . . . . . . . 2Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Someone else . . . . . . . . . . . . . . . . . . . . . . . 4DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . 8

I9COMABO 34. Did you have any complications after this (abortion/mini-abortion)?


I9PAYABO 35. Did you pay for this (abortion/mini-abortion), either in money or gifts?


36. Who, how, and how much money did you pay?

Did How muchyou pay? in rubles? D/K Refuses

1. Officially in the cashier’s office of amedical institute . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . 1 � |______| 9997 9998

No . . . 2 I9AMTPAC2. Immediately paid the medical I9PDACSH

personnel with money or gifts . . . . . . . . . . . . . . Yes . . 1 � |______| 9997 9998No . . . 2 I9AMTPAPI9PDAPSL

I9CYCNOW 37. Do you have a menstrual cycle now?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 50 ON PAGE 62 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO NEXT SECT. ON PAGE 63 ]REFUSES TO ANSWER . . . . . . . . . . . . . 8 � [SKIP TO NEXT SECT. ON PAGE 63 ]

I9BCLMON 38. Have you used birth control in the last 30 days?


59. N.


I9BCMETH 39. What method have you used most often in the last 30 days? I will hand you thequestionnaire, and you look, please, at the list of methods that women use for birth controland tell me the number of the method you used most often in the last 30 days.

[INTERVIEWER! GIVE THE WOMAN THE QUESTIONNAIRE SO THAT SHEMAY READ THE LIST AND GIVE YOU THE NUMBER OF ONLY ONEMETHOD. ]

Douche with water . . . . . . . . . . . . . . . . . . 01Douche with solution . . . . . . . . . . . . . . . . 02Given a douche by a doctor, some time after sex . . . . . . . . . . . . . . . . 03Counting the dangerous days of the menstrual cycle . . . . . . . . . . . . . . . . 04Interrupting the sexual act . . . . . . . . . . . . 05Condom . . . . . . . . . . . . . . . . . . . . . . . . . . 06Birth control pills . . . . . . . . . . . . . . . . . . . 07IUD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08Implants–ampules sewn under the skin . . . . . . . . . . . . . . . . . . . . . . . . . . 09Intramuscular injection of hormonal contraceptive . . . . . . . . . . . . 10Diaphragm . . . . . . . . . . . . . . . . . . . . . . . . 11Lotions, suppositories, foam, jelly . . . . . . 12Sterilization of man . . . . . . . . . . . . . . . . . . 13Sterilization of woman . . . . . . . . . . . . . . . 14Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15DOESN’T KNOW . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . 98

I9OBCLMO 41. Have you used some other birth control method in the last 30 days?


60. N.


I9OBCMET 42. Which other method have you used often in the last 30 days? Please look again at the list offemale birth control methods and tell me the number of the method you used most often inthe last 30 days.

[INTERVIEWER! GIVE THE WOMAN THE QUESTIONNAIRE SO THAT SHEMAY READ THE LIST AND GIVE YOU THE NUMBER OF ONLY ONEMETHOD. ]

Douche with water . . . . . . . . . . . . . . . . . . 01Douche with solution . . . . . . . . . . . . . . . . 02Given a douche by a doctor, some time after sex . . . . . . . . . . . . . . . . 03Counting the dangerous days of the menstrual cycle . . . . . . . . . . . . . . . . 04Interrupting the sexual act . . . . . . . . . . . . 05Condom . . . . . . . . . . . . . . . . . . . . . . . . . . 06Birth control pills . . . . . . . . . . . . . . . . . . . 07IUD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08Implants–ampules sewn under the skin . . . . . . . . . . . . . . . . . . . . . . . . . . 09Intramuscular injection of hormonal contraceptive . . . . . . . . . . . . 10Diaphragm . . . . . . . . . . . . . . . . . . . . . . . . 11Lotions, suppositories, foam, jelly . . . . . . 12Sterilization of man . . . . . . . . . . . . . . . . . . 13Sterilization of woman . . . . . . . . . . . . . . . 14Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15DOESN’T KNOW . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . 98

I9NOBCLM 43. Tell me, please, in the last 30 days were there times when you didn’t use birth control?


61. N.


I9NOBCR1 44. Can you say why you didn’t use birth control in the last 30 days? I will give you thequestionnaire and you, please, look over the list of the reasons why women do not use birthcontrol and name one reason, the main one, why you didn’t use birth control in the last 30days.

[INTERVIEWER! GIVE THE WOMAN THE QUESTIONNAIRE SO THAT SHEMAY READ THE LIST HERSELF AND GIVE YOU THE NUMBER OF ONLYONE REASON. ]

Wanted to get pregnant . . . . . . . . . . . . . . 01Physically unable to get pregnant . . . . . . . 02 � [SKIP TO NEXT SECT. ON PAGE 63 ]Health problems . . . . . . . . . . . . . . . . . . . . 03Unable to acquire a means . . . . . . . . . . . . 04Birth control is too expensive . . . . . . . . . 05Uncomfortable or unpleasant to use birth control . . . . . . . . . . . . . . . . . . 06Irregular sexual relations with husband or partner . . . . . . . . . . . . . . . . 07No husband or partner . . . . . . . . . . . . . . . 08Knew that in the extreme case I could get an abortion to interrupt an unwanted pregnancy . . . . . 09Male sterilization . . . . . . . . . . . . . . . . . . . . 10Female sterilization . . . . . . . . . . . . . . . . . . 11DOESN’T KNOW . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . 98

I9WANBAB 47. Do you want to have (another) baby?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO NEXT SECT. ON PAGE 63 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO NEXT SECT. ON PAGE 63 ]REFUSES TO ANSWER . . . . . . . . . . . . . 8 � [SKIP TO NEXT SECT. ON PAGE 63 ]

I9ADDCHD 48. How many (more) children do you want to have?

__________ (more) childrenDOESN’T KNOW . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . 98

I9YRSCHD 49. When do you think you would like to have the (next) child–after how many years?

After __________ years � [SKIP TO NEXT SECT. ON PAGE 63 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . 97 � [SKIP TO NEXT SECT. ON PAGE 63 ]REFUSES TO ANSWER . . . . . . . . . . . . 98 � [SKIP TO NEXT SECT. ON PAGE 63 ]

62. N.


I9MENSST 50. For what reason did your menstrual cycle stop? The reason is:

Current pregnancy . . . . . . . . . . . . . . . . . . . 1Age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO 59 ]Removal of fallopian tubes or uterus . . . . . . . . . . . . . . . . . . . . . . . . . . 3 � [SKIP TO 59 ]Have given birth and still do not menstruate . . . . . . . . . . . . . . . . . . . . . . . . 4 � [SKIP TO NEXT SECT. ON PAGE 63 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO NEXT SECT. ON PAGE 63 ]REFUSES TO ANSWER . . . . . . . . . . . . . 8 � [SKIP TO NEXT SECT. ON PAGE 63 ]

I9TPBIRT 55. Tell me, please, are you going to give birth or to have an abortion?

Give birth . . . . . . . . . . . . . . . . . . . . . . . . . . 1Have an abortion . . . . . . . . . . . . . . . . . . . . 2DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . 8

I9TPADCH 56. Not counting your present pregnancy, would you like to have more children?

Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 � [SKIP TO NEXT SECT. ON PAGE 63 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7 � [SKIP TO NEXT SECT. ON PAGE 63 ]REFUSES TO ANSWER . . . . . . . . . . . . . 8 � [SKIP TO NEXT SECT. ON PAGE 63 ]

I9TPNUMC 57. How many more children would you like to have?

__________ childrenDOESN’T KNOW . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . 98

I9TPYRCH 58. Once this pregnancy is over, when do you think you would like another baby? After howmany years?

After __________ years � [SKIP TO NEXT SECT. ON PAGE 63 ]DOESN’T KNOW . . . . . . . . . . . . . . . . . . 97 � [SKIP TO NEXT SECT. ON PAGE 63 ]REFUSES TO ANSWER . . . . . . . . . . . . 98 � [SKIP TO NEXT SECT. ON PAGE 63 ]

I9AGESTP 59. [INTERVIEWER! ASK ONLY THOSE WOMEN WHO IN QUESTION 50ANSWERED AGE OR OPERATION TO REMOVE FALLOPIAN TUBES ORUTERUS. OF EVERYONE ELSE, ASK THE QUESTIONS IN THE NEXTSECTION. ]

At what age did your menstrual cycle stop?

|___|___| yearsDOESN’T KNOW . . . . . . . . . . . . . . . . . . 97REFUSES TO ANSWER . . . . . . . . . . . . 98

63. N.


SEX DAY OF MONTH OF YEAR OF BIRTH BIRTH BIRTH

“I would like you to talk to me about what you ate and drank in the last twenty-fourhours–from the time you woke up in the morning until you went to bed at night. If you ateor drank anything during the night, please tell me about that also. Please don’t forget to tellme what you ate and drank outside the home. Include all forms of food and drink that youconsumed. It is also important for me to know where you ate and where this food wasprepared.

“Now, let’s begin.”

[INTERVIEWER! INDICATE THE DATE OF FILLING IN THIS SECTION: ]

DAY: |___|___| MONTH: |___|___|

SECTION “DIET”

I9YUSUAL 1. With regard to quantity of food, yesterday did you eat about the same amount of food youusually eat, less than usual, or more than usual?

Same amount . . . . . . . . . . . . . . . . . . . . . . . 1Less . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2More . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3DOESN’T KNOW . . . . . . . . . . . . . . . . . . . 7REFUSES TO ANSWER . . . . . . . . . . . . . 8

2. Was your diet yesterday related to:Yes No D/K Refuses

I9DIETDR 1. Doctor’s recommendation . . . . . . . . . . . . . . . . . 1 . . . . . . 2 . . . . . . 7 . . . . . . 8I9DIETSP 2. Observing a special diet . . . . . . . . . . . . . . . . . . . 1 . . . . . . 2 . . . . . . 7 . . . . . . 8I9DIETRE 3. Religious practices . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . 2 . . . . . . 7 . . . . . . 8

I9VITYES 3. Did you take multi-vitamins yesterday?


64. P.


Time firstserved

Place where food wasconsumed

Name of product, dish, or beverage, itscomposition, method of preparation, portion

size, and other characteristicsHome-cooked ornot home-cooked Amount

(g, ml)Code

1 2 3 4 5

1. HOURHome or as a guest . . . . . 1Public eatery . . . . . . . . . . 2Nursery or school . . . . . . 3Workplace . . . . . . . . . . . . 4Other place . . . . . . . . . . . 5

PLACE

Home-cooked . . . . . . . . 1Not home-cooked . . . . . . . . 2

PREPPLCE

GRAMS |__|__|__|__|FOODCODE


PLACE


PREPPLCE



PLACE


PREPPLCE



PLACE


PREPPLCE



PLACE


PREPPLCE


6. HOUR

Home or as a guest . . . . . 1Public eatery . . . . . . . . . . 2Nursery or school . . . . . . 3Workplace . . . . . . . . . . . . 4Other place . . . . . . . . . . . 5

PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE

7. HOUR


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE

65. P.


Time firstserved




(g, ml)Code

1 2 3 4 5


PLACE


PREPPLCE



PLACE


PREPPLCE



PLACE


PREPPLCE



PLACE


PREPPLCE



PLACE


PREPPLCE


13. HOUR


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE

14. HOUR


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE

66. P.


Time firstserved




(g, ml)Code

1 2 3 4 5


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE

67. N.


Time firstserved




(g, ml)Code

1 2 3 4 5


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE

68. P.


Time firstserved




(g, ml)Code

1 2 3 4 5


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE


PLACE


PREPPLCE

GRAMS |__|__|__|__|

FOODCODE

69. R.


SECTION “MEDICAL MEASUREMENTS”

I9LEGAMP 1. [INTERVIEWER! PLEASE NOTE: ]

THE RESPONDENT HAS BOTH LEGS . . . . 1THE RESPONDENT HAS ONLY ONE OR PART OF A LEG . . . . . . . . . . . . . . . . . . . 2THE RESPONDENT IS MISSING ALL OR PART OF BOTH LEGS . . . . . . . . . . . . . . 3

I9ARMAMP 2. [INTERVIEWER! PLEASE NOTE: ]

THE RESPONDENT HAS BOTH ARMS . . . 1THE RESPONDENT HAS ONLY ONE OR PART OF AN ARM . . . . . . . . . . . . . . . . . 2THE RESPONDENT IS MISSING ALL OR PART OF BOTH ARMS . . . . . . . . . . . . . . 3

I9HEIGHT 3. Height

[INTERVIEWER! MAKE SURE RESPONDENTS TAKE OFF THEIR SHOES. ]

__________ cm

I9WEIGHT 4. Weight

[INTERVIEWER! BEFORE TAKING MEASUREMENT, MAKE SURE THE RESPONDENT IS WEARING ONLY LIGHT HOUSEHOLD CLOTHES. ]

__________ kg

I9WAISTC 5. Waist circumference

__________ cm

I9HIPSIZ 6. Hip circumference

__________ cm

70. S.


SECTION “INTERVIEWER’S REMARKS”1. [NOTE IF ANYONE WAS PRESENT DURING THE INTERVIEW, EVEN IF

ONLY FOR A FEW MINUTES: ]YES NO

I9HHPRES 1. SOME OTHER MEMBER OF THE HOUSEHOLD . . . . . . 1 . . . . . . 2I9OTPRES 2. OTHER PEOPLE, NOT MEMBERS OF THIS

HOUSEHOLD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . 2

I9RESATT 2. [ASSESS THE RESPONDENT’S ATTITUDE TOWARD THE INTERVIEW. THE RESPONDENT WAS: ]

FRIENDLY, INTERESTED . . . . . . . . . . . . . . . 1NOT PARTICULARLY INTERESTED . . . . . 2IMPATIENT, WORRIED . . . . . . . . . . . . . . . . . 3HOSTILE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

I9RESUND 3. [NOTE HOW THE RESPONDENT UNDERSTOOD THE QUESTIONS: ]

WELL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NOT VERY WELL . . . . . . . . . . . . . . . . . . . . . . 2POORLY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

I9RESBEH 4. [ASSESS THE RESPONDENT’S BEHAVIOR DURING THE INTERVIEW. THE RESPONDENT: ]

WAS NERVOUS . . . . . . . . . . . . . . . . . . . . . . . . 1WAS OCCASIONALLY NERVOUS . . . . . . . 2FELT COMFORTABLE . . . . . . . . . . . . . . . . . . 3

I9RESRES 5. [ASSESS THE RESPONDENT’S SHARPNESS. THE RESPONDENT WAS: ]

VERY SLOW-WITTED . . . . . . . . . . . . . . . . . . . 1SLOW-WITTED, NEEDED ADDITIONAL EXPLANATIONS . . . . . . . 2AS BRIGHT AS THE MAJORITY OF RESPONDENTS . . . . . . . . . . . . . . . . . . . . 3NOTABLY BRIGHTER THAN THE MAJORITY OF RESPONDENTS . . . . . . . . . 4

I9RESSIN 6. [ASSESS THE SINCERITY AND OPENNESS OF THE RESPONDENT. THERESPONDENT WAS: ]

VERY INTROVERTED, INSINCERE . . . . . . 1AS SINCERE AND OPEN AS MOST RESPONDENTS . . . . . . . . . . . . . . . . . . . . . . . 2MORE SINCERE AND OPEN THAN MOST RESPONDENTS . . . . . . . . . . . . . . . . . 3

I9FDRELY 7. [ASSESS WHETHER IN YOUR OPINION THE INFORMATION GIVENABOUT FOOD CONSUMPTION IS RELIABLE: ]

RELIABLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1INFORMATION INADEQUATE TO ASSESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2NOT RELIABLE . . . . . . . . . . . . . . . . . . . . . . . . 3

I confirm that I completed the interview according to the instructions using the personalinterview method, with the respondent chosen according to the instructions.

Signature __________________________________________________

Documents

€¦ · Project “RUSSIA” Questionnaire for Adults 5-TH ROUND [i.e., 9th round] SITE9 1. [NAME OF POPULATION CENTER