3. Incorrect by >1 day 7. Don't know 8. No answer 9. Not Q24 Month 1. Correct Rate as correct if the subject claims it is the 2. Incorrect by 1 month previous month in the first week of the 3. Incorrect by >1 month month (e.g. March in the first week of 7. Don't know April). 8. No answer 9. Not asked Q25 Year 1. Correct 2. Incorrect by 1 year 3. Incorrect by >1 year 7. Don't know 8. No answer 9. Not asked Q26 OBSERVATION. IN AN AIMLESS FASHION. OBJECT IN VIEW If Q1=0, Q3=O, Q17=0. The computer will AT THE BEGINNING IS NOT automatically go into priority mode and REACHED. skip to Q136 0. No 1. Yes 9. Inapplicable Now I would like to ask some questions about your background. DO NOT ASK IF IN AN INSTITUTION Q27 Does anyone else live here? Q27 If the subject does not live on No own record the relationship of anyone they Yes live with (eg. Parents including in laws, children including in laws, housekeeper, friend etc.). Q28 Spouse/Partner No/Yes Q29 Parents ____ Only include individuals who are Q30 Siblings ____ permanent members of the household. If Q31 Children ____ the subject lives in a granny flat this Q32 Grandchildren ____ count’s as a complete household if it is Q33 Other relatives ____ self-contained. Q34 Friends ____ Q35 Others ____ NB. Part-time members of the household are included if their membership is
3. Incorrect by >1 day 7. Don't know 8. No answer 9. Not Q24 Month 1. Correct 2. Incorrect by 1 month 3. Incorrect by >1 month 7. Don't know 8. No answer 9. Not asked Rate as correct if the subject claims it is the previous month in the first week of the month (e.g. March in the first week of April). Q25 Year 1. Correct 2. Incorrect by 1 year 3. Incorrect by >1 year 7. Don't know 8. No answer 9. Not asked Q26 OBSERVATION. IN AN AIMLESS FASHION. OBJECT IN VIEW AT THE BEGINNING IS NOT REACHED. 0. No 1. Yes 9. Inapplicable If Q1=0, Q3=O, Q17=0. The computer will automatically go into priority mode and skip to Q136 Now I would like to ask some questions about your background. Q27 Does anyone else live here? No Yes Q28 Spouse/Partner No/Yes Q29 Parents ____ Q30 Siblings ____ Q31 Children ____ Q32 Grandchildren ____ Q33 Other relatives ____ Q34 Friends ____ Q35 Others ____ DO NOT ASK IF IN AN INSTITUTION Q27 If the subject does not live on own record the relationship of anyone they live with (eg. Parents including in laws, children including in laws, housekeeper, friend etc.). Only include individuals who are permanent members of the household. If the subject lives in a granny flat this count’s as a complete household if it is self-contained. NB. Part-time members of the household are included if their membership is
CFAS-II-questionnaire-part-1-v5-111008.docx