individual questionnaire...individual questionnaire cross sectional survey region 1 is the...

NATIONAL STATISTICAL INSTITUTE

STATISTICS AND LIVING CONDITIONS

(EU _ SILC PROJECT)

PILOT SURVEY - PHASE 1

INDIVIDUAL QUESTIONNAIRE

CROSS SECTIONAL SURVEY

Region 1 Is the Individual Questionnaire filled in (RB250)Town,village 11 Yes >> q. 2No of cluster in region 21 No, the person is unable to give informationNo of household in cluster 22 Lost questionnaire, left for filling in

23 No, the person rejects to give informationNo of household in the national sample 31 No, the person is temporarily absent and nobody

else can give information for him32 No, because of other reason for lack of contact with

Personal No of person person(From question RB030 of HH Questionnaire 33 No, the interview was not carried out for other

reasonDates of interview: 2 How did you get the information from the per (RB260)

1 By direct interview with the personfirst ........./........./ 2006 2 From another member of the householdsecond ........./........./ 2006 3 No of the person that gave the information (RB270)

(Show the number from col. 2 "No Person" from theHH Questionnaire)………………………….

Interviewer:Supervisor: 4 Length of interview (PB120)………………….

(in minutes)

APRIL - MAY 2006

No QUESTION Code Routing ТV

PART 1

ECONOMIC ACTIVITY, EMPLOYMENT AND UNEMPLOYMENT DURING THE LAST WEEK

1 According to your everyday activities, Full time working 1 PL030in which group would you put yourself in? Part time working 2

Unemployed 3Student, pupil 4Pensioner or business closed 5Not able to work because of disability 6Compulsory military service 7Fulfilling domestic tasks 8Other inactive person 9

2 During the last week did you do any work Yes 1 >> 8 PL035even for one hour for payment in money or No 2kind?

3 Although you have not work for profit during the Yes 1 >> 8last week, have you had a work (or business) from which No 2 >> 4you were absent (because of illness, leave, maternity leave,bad weather and other) and to which you will return after some time?

4 Have you been looking for work during the last 14 days Yes 1 PL020No 2 >> 7

5 For all of the listed ways of looking for workanswer with 'Yes' or 'No' depending on whether youhave been using it during the last 14 days? Yes No PL020

5.1 Registration at an employment agency 1 25.2 Registration at a private employment agency 1 25.3 Contacts with employers 1 25.4 With friends and relatives 1 25.5 Posting and reading adds in newspapers, magazines

and Internet 1 25.6 Going to an interview, taking tests and exams 1 25.7 Preparing to start own business

in agriculture 1 25.8 Preparing to start own business

not in agriculture 1 25.9 Waiting for results from employers outside of the

private sector where he has been a candidate 1 25.10 Other ways 1 2

Interviewer: Check the answers to the subquestion of question 5!If the answers to all subquestion are "No" >> 7If there is at least one "Yes" >> 6


6 If now you are offered a job can you start Yes 1 >> 7а PL025work in at least 2 weeks No 2 >> 23

7 Which is the main reason for you not to be looking for work PL0107.1 Already found work and is starting

in less than 3 months 1 >> 7а7.2 Already found work and is starting

after more than 3 months 2 >>237.3 Expecting to be called at the job after

forced leave 3 >>237.4 Illness/disability 4 >>237.5 Family obligations 5 >>237.6 Student (incl. qualification courses) 6 >>237.7 Pensioner 7 >>237.8 Military service 8 >>237.9 Does not believe that will find a job 9 >>23

7.10 Other reasons 10 >>23

7а Interviewer: Check once more whether the person is 16 years of age or moreI.e. in the household register in RB245 "1" is filled in.If 1 is filled in >> 7bIf 2 or 3 is filled in >> 23

7b How old are you? 75 and over 1 >>23Under 75 2

7c Have you ever worked? Yes 1No 2 >> 72

7c1 When have you started your first job? year ............… PL190

7c2 How many years you have worked in total years ...........… PL200

1. DATA ON THE LAST JOB OF THE PERSONS,WHO DO NOT WORK AT THE MOMENT

7c3 When have you had your last job? Year ............Month ............

7d What was your profession at your last ..............................................job? ..............................................

7e You were working at your last job like what? Employer with employees 1 >>23Self-employed 2 >>23Employee 3 >> 7еFamily worker 4 >>23

7f What kind of a contract did you have with your employer? Permanent 1Temporary 2Without written contract 3

7g Did you have managerial functions at this job? Yes 1No 2 >>23


7h Did the raise of pay or promotion of your employees depend on you? Yes 1 >>23No 2 >>23

2. DATA ON THE MAIN JOB OF THE PERSONS WHO WORK AT THE MOMENT

8 What is your profession at your .............................................. PL050main job? ..............................................

9 Branch? ………………………………………………. PL110

10 You were working at your main job like what? Employer with employees 1 >> 11 PL040Self-employed 2 >> 12Employee 3 >> 11Family worker 4 >> 11

11 What is the size of the firm, enterprise, organisation, Exact number of 1 to 10 …….. PL130etc. where you are working? 11 - 19 11(If there are branches, show the size of the 20 - 49 12unit where you are working!) 50 and more 13

I don't know but less than 1 14I don't know but more than 15

12 What is your usual weekly working time? PL060(for employed include also overtime) ..................… hours

Interviewer: Check the answers to question 10!If the person is EMPLOYEE (answer 3 to q. 10) >> 13In all other cases >> 17

13 You said you are working …..hours a week at your main job.How much do you earn at this job (including payments Total (levs) ........... PY040for overtime)? For what period: week 1

month 2

14 What kind of contract do you have with Permanent contract or in PL140your employer/ official relation 1

Temporary 2Other contract 3No written contract 4

15 Do you have managerial functions at this job? Yes 1 PL150(manages/controls the work of others although No 2he/she may not be in a manager's position)

16 Does the raise of salary or promotion of your colleagues Yes 1 PL150whom you supervise depends on you? No 2

17 Have you changed your job during the last 12 months? Yes 1No 2 >> 19 PL160


18 What was the MAIN reason for you to leave To start a better job 1 PL170your previous job? To look for a better job 2

End of a seasonal job 3

Because of the employer (bancrupcy, reduction

of staff, early retirement, dismissal, othe 4

Selling or closing of own/family

business 5

Marriage 6

Bearing of a child/ care for children 7

Care for a disabled member of

the household 8

Transfer to another town/village

because of job change of spouse

or partner 9

Education/military service 10

Illness/ disability 11

On own will 12

Other causes 13

19 Do you have an additional (second, third, etc.) job at the moment? Yes 1 PL100No 2 >> 21

20 How many hours in total you work at all additional Usual weekly PL100jobs you have? working time at

all jobs .........…(hours)

21 Interviewer: If the hours shown in q.12 are less than 30, mark 1in all other cases mark 2

Usual weekly working time less than 30 hours 1 >> 22Usual weekly working time 30 hours or more 2 >> 23

22 What is the main reason for you to work less than 30 hours PL120

22.1 Education or training 1

22.2 Illness or disability 2

22.3 Wants to work more but unable to find a full time job or to workmore at this job 3

22.4 Does not want to work more 4

22.5 The number of hours are considered full time 5

22.6 Family reasons (child care or care for another household member) 6

22.7 Other reasons 7


PART 2

INCOME FOR 2005

1. ECONOMIC ACTIVITY DURING 2005

23 Please remember with what were you mainly engaged during thedifferent months of 2005

EmployedEmployed Other Milit-Month full part Self-employed UnemployedPensioner Student inactiveary

tome time person service

Jan 1 2 3 4 5 6 7 8 PL210AFeb 1 2 3 4 5 6 7 8 PL210BMar 1 2 3 4 5 6 7 8 PL210CApr 1 2 3 4 5 6 7 8 PL210DMay 1 2 3 4 5 6 7 8 PL210EJun 1 2 3 4 5 6 7 8 PL210FJul 1 2 3 4 5 6 7 8 PL210GAug 1 2 3 4 5 6 7 8 PL210HSep 1 2 3 4 5 6 7 8 PL210IOct 1 2 3 4 5 6 7 8 PL210JNov 1 2 3 4 5 6 7 8 PL210KDec 1 2 3 4 5 6 7 8 PL210L

23а Have you received income from labour activity Yes 1 >> 24 PY010(permanent or temporary) with oficial labour contract(s)? No 2 >> 36

2. INCOME OF PERSONS WHO HAVE BEEN 5 WORKING AS EMPLOYEES IN 2005

24 Do you know your GROSS income for 2005 total for all contracts if more than o Yes 1 >> 25 PY010G(Gross income = income before deductions) No 2 >> 26

25 How much is your GROSS income for 2005? (levs) ............ PY010GHY140

26 Do you know your NET income for 2005 Yes 1 >> 27 PY010N(Net income = income after deductions) No 2 >> 28

27 What is the amount of your NET income for 2005? (levs) ........... PY010NHY140

27a Have your employers been paying your social insurance? Yes 1 >> 27bNo 2 >> 28

27b On what sum did they insure you? (levs) ..........

28 In 2005 how much did you get when you were paid? PY010/Please show GROSS and NET pay! HY140

28.1 Gross pay (levs) ............28.2 Net pay (levs) ............28.3 Period (week, month)……………..…………..…..…………………week 1


29 For what period did you get this income in 2005? Numbe ........... PY010/

Period weeks 1 HY140

months 2

30 Did you get any of the listed payments in 2005? PY010Yes No

30.1 Supplement for overtime 1 2

30.2 Commissions 1 2

30.3 Tips 1 2

30.4 Profit sharing 1 2

30.5 Stock options 1 2

30.6 Allowances for working in remote locations 1 2

30.7 Bonuses (for Christmas, Easter, etc.) 1 2

30.8 Other payments 1 2

Interviewer: When at least one answer "Yes" >> 31When all answers "No" >> 33

31 These additional payments are outside the

amounts shown by you in question 28

or they are included in them? Yes, excluded from these amounts 1 >> 32 PY010

No, included into these amounts 2 >> 33

32 What is the GROSS and NET amount of all additional

payments shown by you in q. 30 and received in 2005?

Gross amoun(levs) ............ PY010/Net amount (levs) ............ HY140

33 When you were working as an employee during 2005 have you had at Yes 1 >> 34 PY020

your disposal a car (including for your own personal needs) No 2 >> 36

given to you by the company, firm for which you were working?

34 Would you say what car you were using? Make .............. PY020

Model ..............

Year ..............

35 How many months in 2005 did you use this (or other similar) car? PY020

Months ............


3. INCOME FROM LABOUR AS A "Sole Trader",INCOME FROM SERVICES RENDERED BY YOU,OTHER ADITIONAL INCOME, INCL. PRODUCINGAGRICULTURAL UNPROCESSED GOODS

36 Did you received income from cervices rendered by you and other addiditional income?

incl. income from civil contracts Yes 1 >> 37 PY050/

No 2 >> 41 PY060

37 How much is the gross amount of this income? (levs) ...........

38 How much is the net amount of this income? (levs) ...........

39 How much income tax did you pay on this income? (levs) ........... HY140

40 How much insurance contributions did you pay on this income? (levs) ........... HY140

40a How much license tax did you pay for the activity from which this income is?

41 Did you received income from creating works of art, science, culture, inovations, etc.?Yes 1 >> 42 PY050/No 2 >> 46 PY060





45a How much license tax did you pay for the activity from which this income is? (levs) ...........

46 Did you received income from participating in managerial boards, control bodies, etc.?Yes 1 >> 47 PY050/No 2 >> 51 PY060





51 Did you received income fromproducing unprocessed agricultural productioYes 1 >> 52 PY050/No 2 >> 59 PY060


52 Was this income from animal production, bee-keeping, sericulture or mushroom-Yes 1No 2

53 Was this income from forestry, fishery and plant growing? Yes 1No 2

54 Was this income from growing decorative plants and flowers? Yes 1No 2





59 In 2005 did you receive income as an "ET", from owning a firm or a compa Yes 1 >> 60 PY050/

by yourself or in partnership? No 2 >> 65 PY060

60 How much is the gross amount of this income? (levs) ...........(levs)




64 How much license tax did you pay for the activity from which this income is? (levs) ........... HY140

65 Did you have income from own business during 2005? Yes 1 >> 66 PY050/No 2 >> 82 PY060

66 Do you compile a balance for the activity of your company? Yes 1 >> 67 PY050/No 2 >> 72 PY060

No, but I will start 3 >> 72

67 For what period was the last balance?From month PY050/Year PY060To monthYear

68 How many weeks is this period? Weeks ........... PY050/PY060

69 What was your revenue or loss for 2005? (levs) .......... PY050/PY060


70 Interviewer: Write down from what kind of Tax return 1 PY050/

document is the information. Yearly balance 2 PY060

Another document 3

There is no documen 4

71 What does the amount in q. 46 mean - revenue or loss?Revenu 1 PY050/Loss 2 PY060

72 Does your business have a bank account?Yes 1 >> 73 PY050/No 2 >> 76 PY060

73 Do you take out money from your business account for other purposes Yes 1 >> 74 PY050/

such as the listed below? No 2 >> 76 PY060

(As a "salary" for yourself or other personal expenses

Paying household bills

Transfer of amounts to private accounts

Other expenses not connected with the business)

74 During 2005 how much on the average weekly or monthly did you take PY050

from the business money for purposes not connected with the business?Average amount............

75 How often did you use money from the business for

purposes not connected with business? Period: weekly 1 PY050monthly 2

76 What is the AVERAGE AMOUNT of your income for a week or PY050

a month from your work/business?

(Show the amount after deducting expenses for equipment,

materials and others connected with the business)

Average amount...........

Period: weekly 1

monthly 2


77 What deductions (tax, social insurance have been made HY140on this income? Only tax 1 >> 78

Only social insurance 2 >> 79

Tax and social insurance 3 >> 78

Neither of these two deduc 4 >> 82

78 What taxes did you pay last time? Amoun.......... HY140

79 What is the amount of social insurance you paid last time? Amoun........... HY140

80 Besides Income tax did you pay other taxes connectedwith your work/business? Yes 1 HY140

No 2

81 What is the total amount of these payments for 2005? Amoun............ HY140

4. INCOME FROM RENTING AND SELLING

82 IN 2005 did you receive income from renting real estate or other Yes 1 >> 83 PY050/property? No 2 >> 87 PY060

83 How much is the gross amount of this income? ...........

84 How much is the net amount of this income? ...........

85 How much income tax did you pay on this income? ........... HY140

86 Did you made donations from this income? ........... HY140

87 IN 2005 did you receive income from selling real estate or otherproperty? Yes 1 >> 88 PY050/

No 2 >> 91 PY06088 How much is the gross amount of this income? (levs) ...........



91 IN 2005 did you receive income from interest, shares, stocks, business investments, etc.? Yes 1 >> 92 HY090

No 2 >> 95

92 How much is the gross amount of this income? (levs) ........... HY140

93 How much is the net amount of this income? (levs) ........... HY140



5. PERSONAL INCOME FROM PENSIONS, BENEFITS, ASSISTANCE AND OTHER

95 Which of the listed personal incomes did you receive in 2005, amount and for what period?

Source of the income Number Monthly Yes No months amount

PENSIONS95.1 Private pension 1 2 PY10095.2 Disability pension 1 2 PY13095.3 Social old age pension 1 295.4 Social pension for low income 1 295.5 Inherited pension 1 2 PY11095.6 Pension from abroad 1 295.7 Other pension 1 2

Benefits and assistance95.8 Illness assistance 1 2 PY12095.9 Unemployment benefits 1 2 PY090

95.10 Assistance for dismissal 1 2Education assistance

95.11 Fellowship 1 295.12 Other assistance for education 1 2 PY140

Other sources95.14 Other personal income 1 2

96 What is the total amount of the tax paid by you on the Amoun.......... >> 98income for 2005? Does not know 9 >> 97(From the Tax return declaration)

97 Would you say in what limits were the taxes paid by you?< 100 lv. 1100 - 200 2201 - 500 3501 - 1000 41001 - 2000 52001 - 3000 63001 - 5000 7> 5000 8

98 What is the total amount of the social insurance contributions paid by you on the Amoun.......... >> 99income for 2005? Does not know 9 >> 100(From the Tax return declaration)


99 Would you say in what limits were the contributions paid by you?

< 100 lv. 1

100 - 200 2

201 - 500 3

501 - 1000 4

1001 - 2000 5

2001 - 3000 6

3001 - 5000 7

> 5000 8

PART 3:

HEALTH STATUS

100 How do you find your health? Very good 1 PH010Good 2Satisfactory 3Bad 4Very bad 5

101 Do you have chronic illnesses? Yes 1 PH020No 2

102 During the last 12 months did you have problems with your health Yes 1 PH030that limited you in your daily activities? No 2

103 During the last 12 months did you need to consult a Yes 1 >> 104 PH040physician? (not dentist) No 2 >> 105

104 Why did you not consult a physician? I cannot afford it (lack of finances) 1 PH050No time (work, family obligations, etc.) 2It is too far away 3You have to wait for long for check up/t 4Other reasons 5I consulted a phisician 6

105 During the last 12 months did you have dental problems? Yes 1 >> 106 PH060No 2 >> 107

106 Why did you not consult a dentist? I cannot afford it (lack of finances) 1 PH070

No time (work, family obligations, etc.) 2

It is too far away 3

You have to wait for long for check up/t 4

Other reasons 5

I consulted a dentist 6


PART 4: MODULE 2006

1. ATTENDING CULTURAL EVENTS AND AKTIVITESDURING 2005

107 How many times have you been to the cinema? PS010

Have not been 1 >> 108

1 - 3 2

4 - 6 3

7 - 12 4

more than 12 5

108 How many times have you been to the theatre, opera, ballet, concert, etc? PS020

Have not been 1 >> 109

1 - 3 2

4 - 6 3

7 - 12 4

more than 12 5

109 Have you visited art galleries, museums, historical monuments, archaeological sites? PS030

I have not 1 >> 110

1 - 3 2

4 - 6 3

7 - 12 4

more than 12 5

110 How many times have you attended sport events? PS040Have not been 1 >> 111 1 - 3 2 4 - 6 3 7 - 12 4more than 12 5

2. INTEGRATION - MEETINGS, ASSOCIATION WITH RELATIVES

FRIENDS AND NEIGHBOURS DURING 2005

111 Have you been meeting with relatives? PS060Yes 1No 2 >> 113

No relatives 3 >> 115


112 How often have you been meeting with your relatives? PS060

daily 1

several times a week but not every day 2

several times a month but not every wee 3

every month 4

at least once a year 5

113 Have you had indirect contacts with your relatives PS070

(by telephone, Internet or mail) Yes 1

No 2 >> 115

114 How often did you have contacts with your relatives? PS070

daily 1



every month 4

at least once a year 5PS080

115 Have you had contacts with your friends?Yes 1

No 2 >> 117No friends 3 >> 117

116 How often did you have contacts with your friends? PS080

daily 1



every month 4

at least once a year 5

117 Have you had problems which you solved with the help of your relatives, friends or neighbours? PS090

Yes 1

No 2

No friends, relatives or neig 3


3. PARTICIPATION IN FORMAL AND INFORMAL ACTIVITIES DURING 2005

118 Did you participate voluntarily in charity activities? PS100Yes 1No 2 >> 120

119 How often did you participate voluntarily in charity activities? PS100daily 1several times a week but not every day 2several times a month but not every wee 3every month 4at least once a year 5

120 Did you take part in events organised by political parties or trade unions? PS110Yes 1No 2

121 Did you participate in activities of organisations connected with your profession? PS120(unions, associations, etc.) Yes 1

No 2

122 Did you take part in activities of religious organisations? PS130Yes 1No 2

123 Did you take part in your free time in the activity of clubs according to your interests? PS140Yes 1No 2

124 Did you take part in avtivities and events of charity organisations such asthe Red Cross, UNESCO, etc.? PS150

Yes 1No 2

125 Did you take part in activities of other organisations not mentioned till now? PS160Yes 1

No 2


END OF THE INTERVIEW

Interviewer: The following questions concern the length and quality of the interview!

1 Length of the interview (in minutes) ...........

(fill in the same data on the title page)

2 Which questions were difficult for the interviewed persons? Questio...........

(show at most 10 questions) Questio...........

Questio...........

Questio...........

Questio...........

Questio...........

Questio...........

Questio...........

Questio...........

Questio...........

3 What is your estimate of the interview? Very good 1Good 2Satisfactory 3Bad 4Very bad 5

NATIONAL STATISTICAL INSTITUTE

STATISTICS AND LIVING CONDITIONS

(EU _ SILC PROJECT)

Crosssectional Survey

HOUSEHOLD QUESTIONNAIRE

Region 1. Updating of addressesTown,village 1.1. The address exists 11 >> q. 2No of the cluster in the region 1.2. The address does not exist 21No of the household in the cluster 1.3. Uninhabited dwelling 22

1.4. Dwelling used for other purposesNo of the household in the (office, shop, etc.) 23national sample

For answers 21, 22 or 23 - end of interview!

2. Is the interview carried out with the household:Dates of visit: 2.1. Yes 11 >> q. 3

2.2. No, the HH rejects to participate 21first ........./........./ 2005 2. 3. No, the HH is absent during thesecond ........./........./ 2005 survey period 22

2.4. No, impossible contact with the HH(illness, other causes) 23

2.5. Other causes 24Interviewer:Supervisor: For answers 21, 22, 23 or 24 - end of interview!

3. No of person who gave the information…………..

April-May 2006

HOUSEHOLD REGISTER - Phase I

RB030 RB070 RB080 PB210 PB220A PB220B RB220 RB230 RB090 PB190 PB200 RB240Relation to household Personal Month of Year of Country No of No of Sex De jure marital De facto marital No of

No No head number birth birth of person's person's status status spouse ofRow person 1.Household head birth First Second father mother 1.Male the person

2. Spouse 2.Female 1. Single 1. In marriage3. Son, daughter 2. Married 2. Cohabiting4. Son, daughter in law

3. Widowed 3. Single5. Grand son, daughter

4. Divorced6. Other relative7. Other person, not related

123456789

Interviewer In questions RB220, RB230 и RB240 FILL IN - 2 , if the father, mother or spouse are not household members!!In all other cases fill in the number from col. 2 - No of person.Code table 1. for questions PB210, PB220A , PB220B01. Bulgaria 10. France 19. Nederland 28. Norway02. Greece 11. Spain 20. Finland 29. Countries of former Jugoslavia03. Turkey 12. Portugal 21. Poland 30. Other European country04. Romania 13. Italy 22. Belgium 31. African country05. Hungary 14. Luxembourg 23. Estonia 32. US06. Check Rep. 15. UK 24. Lithonia 33. Canada07. Slovakia 16. Ireland 24. Latvia 34. Central and South America08. Germany 17. Sweden 26. Cyprus 35. Near and Far East09. Austria 18. Denmark 27. Switzerland 36. Another country

Citizenship

HOUSEHOLD REGISTER - Phase I

RB200 RB160 RB210 PE040 PE030 PE010 PE020 RB245 RL010 RL020 RL030 RL040 RL050 RL060No Is the How many What category iHighest Year of Is the At what Status of How many hours weekly your child spends at:

No pers. person months has the person in at educational graduation person level is the Creche, School Out of Other At home, At home,Raw absent at the person the moment degree of the highest studying the person respon- kindergar- school centre cared for cared for

the moment lived in the 1. Employed completed education at the studying? dent ten, nursery child centre for by a nanny by grand1. No HH during 2. Unemployed degree moment school children babysitter mother or2. Yes, 2003 3. Pensioner (see Code 1. Yes (see Code other HHtemporarily 4. Other inactivTable 2) 2. No Table 2) member

Months person >>RB245 Hours Hours Hours Hours Hours Hours123456789

Code Table 2 for question PE020 and PE040

1.Higher Ph.D. 8. Secondary2.Higher "Master" 9. I degree professional qualification3.Higher "Bachelor" (professional vocational PVU after completed basic)4.Higher "Specialist" 10. I degree professional qualification5. IV degree professional qualification (professional vocational PVU after completed VI andVII class)(professional education after secondary) 11. Basic6. III degree professional qualification 12. Primary Interviewer:(secondary special excluding SPVU) 13. Not completed primary For question R245 fill in: 7. II degree professional qualification 14. Illiterate 1 for persons 16 and over years of age also fill in the individual questionnaire(secondary professional vocational SPVU) 2 for children 0 to 12 years of age also fill in quest. RL010-RL060

3 for all other persons

No Question Code Routing TV

DWELLING AND LIVING CONDITIONS

1 Type of dwelling HH010 Detached house 1Part of house 2Apartment in a building with less than 10 dwellings 3Apartment in a building with more than 10 dwellings 4Students/workers dormitory 5Primitive/mobile home 6Other (what?) 7

2 Number of rooms used by the household(not counting kitchen, WC, bathroom and rooms used for offices)

Number of rooms……….. HH030

3 Is there in the dwelling: Yes No 3.1. Running water 1 2 3.2. Hot water 1 2 3.3. Electricity 1 2 3.4. Sewage 1 2 3.5. Bathroom 1 2 HH080 3.6. Flush toilet 1 2 HH090

4 Does the building have a system for central heating?Yes 1No 2

5 How is the dwelling heated during the cold season?

Yes No 5.1. Central heating 1 2 5.2. Electricity 1 2 5.3. Oil 1 2 5.4. Gas 1 2 5.5. Coal 1 2 5.6. Wood 1 2 5.7. Other (what ?)..........................… 1 2

6 How much do you pay on the average monthly for heatingyour dwelling during the cold season?

7 Do you restrict yourself when heating your dwelling? HH050

Yes 1No 2


8 Do you have some of the following problems connected HH040with the dwelling:

Yes No 8.1. Leaking roof, damp walls, foundations 1 2 HH040 8.2. Broken woodwork 1 2 HH040 8.3. Dark, insufficient light 1 2 HS160 8.4. Noisy (transport, noisy neighbours) 1 2 HS170 8.5. Insufficient in size 1 2

9 Do you have some of the following problems connected with theresidential area (the village) where you live:

Yes No 9.1. Bad condition of sidewalk and pavement 1 2 9.2. Not lighted streets 1 2 9.3. Unclean environment 1 2 HS180 9.4. Irregular hauling-away of refuse 1 2 9.5. Frequent electricity cut-offs 1 2 9.6. Frequent water cut-offs 1 2 9.7. Insufficient number of shops 1 2 9.8. Insufficient transportation 1 2 9.9. Risk of crime 1 2 HS190

10 Is your household an owner or renter of the dwelling?

Owner 1 >> 11 HH020 Renter of a private dwelling (free rent) 2 >> 19 Renter of a state/municipal dwelling 3 >> 19 Renter (user) without rent 4 >> 23

OWNERS

11 In which year did you buy or get (by endowment, inheritanceor another means) the dwelling in which you live? HH031

...........................…year

12 Do you pay a loan with which you bought the dwelling?

Yes 1 >> 13 HH070No 2 >> 18

13 During which year did you get the loan? ...............................year HH070

14 Initially for how many years were you supposed to repay the loan?

...............................years HH070

15 Initially how much was the loan?(without the interest)

…………..…………levs HH070


16 What is the interest you are paying now?(show the present interest, not the one with whichyou took the loan)

Interest %........................…

17 What is the sum of your monthly repayment of the loan?(total principal+interest)

…………………...…levs HH070

18 If you were a renter of this dwelling how much HH061would you pay monthly as a rent?

1.………………...…levs >> 252. I do not know >> 25

RENTERS

19 Since which year are you renting this dwelling?

...........................…year HH031

20 What is your monthly rent? HH060(If expenditures for heating, electricity, water, telephone and otherservices are included, show if possible only the rent!)

20.1. Show the whole rent regardless of the fact that part of it might be paid by others: from the job, by relatives or others)

…………………...…levs

20. 2. If you do not know the real rent, show the net amount which are paying.

…………………...…levs

21 Which of the expenditures shown are included in the rent?Yes No

21.1. Water 1 2 HH060 21.2. Electricity 1 2 HH070 21.3. Gas 1 2 21.4. Heating 1 2 21.5. Hot water 1 2 21.6. Telephone 1 2

Interviewer : Check the answers on subquestions 21.1 to 21.6. If there is Yes-1 on some of the subquestions >>22. If the answer is No-2 on all subquestions >> 25.


22 What is the approximate amount of the paymentsincluded in the rent? HH060

Monthly amount .................. >> 25 HH070

23 From which year are you living in this dwelling without paying rent?

.............................…year HH031

24 If you were the renter of this dwelling, how much according to you HH061would you pay monthly as a rent?

1.………………...…Levs 2. I do not know

OWNERS AND RENTERS

25 Which of the listed below expenditures have you made in 2005 for:

Yes No 25.1. Heating 1 2 HH060 25.2. Electricity (without heating) 1 2 HH070 25.3. Cold water 1 2 25.4. Hot water 1 2 25.5. Telephone 1 2 25.6. Mobile phone 1 2 25.7. Other expenditures (lift, cleaner, guard, others) 1 2 25.8. Property tax and waste disposal 1 2 25.9. Insurance 1 2 25.10. Maintenance 1 2

Interviewer: Check the answers on subquestions 25.1 to 25.10. If there is Yes-1 on some of the subquestions >>26. If the answer is No-2 on all subquestions >> 28.

26 What is the approximate monthly average amount of expenditures HH070made by your household during 2005 for:(If some of these expenditures are made annually include 1/12 of them.Include the expenditures only if they are not included in the rent!)

26.1. Electricity (without heating) ....................................levs 26.2. Water ....................................levs 26.3. Telephone ....................................levs 26.4. Мobile phone ....................................levs 26.5. Heating ....................................levs 26.6. Hot water ....................................levs 26.7. Other expenses ....................................levs 26.8. Property tax and waste disposal ....................................levs 26.9. Insurance ....................................levs 26.10. Maintenance ....................................levs


27 Having in mind all dwelling expenditures for 2005 (loan repayment,expenditures for current maintenance, insurance) how do theyeffect your household financial situation?

They burden it heavily 1 HS140 They burden it lightly 2

They don't burden it at all 3

POSSESSION OF ITEMS FOR LASTING USE

28 Does your household possess some of the items listed below?

Yes No 28.1. Telephone 1 2 HS070 28.2. Colour TV 1 2 HS080 28.3. Computer 1 2 HS090 28.4. Washing machine 1 2 HS100 28.5. Private car 1 2 HS110

Interviewer: Check the answers to subquestions 28.1 to 28.5. If there is Yes-1 on all of the subquestions >>30. If the answer is No-2 on some subquestions >> 29.

29 If your household does not own some of the following items, whatis the main reason for this?

Items: Cannot Does not want Uses Otherafford to own given items reasons

29.1. Telephone 1 2 3 4 29.2. Colour TV 1 2 3 4 29.3. Computer 1 2 3 4 29.4. Washing machine 1 2 3 4 29.5. Private car 1 2 3 4

FINANCIAL SITUATION OF THE HOUSEHOLD

30 Do you or anyone in your household have to repay other debts?(for purchase of another house, villa or car, education, etc.)

Yes 1 >> 31 HS150No 2 >> 32

31 How do they burden your household's financial situation?

A heavy burden 1 HS150 Somewhat of a burden 2 Not burden at all 3


32 Can you afford if you wish: Yes No

32.1. Paying for a week's annual holiday away of home 1 2 HS040 32.2. Eating meat, chicken or fish every second day (or their vegetarian equivalent) 1 2 HS050 32.3. Buying new clothes 1 2 HS060 32.4. Keeping your home adequately warm 1 2 HS050 32.5. To go to the cinema, theatre, concert 1 2 32.6. To visit friends or to invite guests 1 2

33 If you have to make larger unplanned expenditures such as: HS060urgent repair of the car, new washing machine, frige, illness and othershow will your household manage?

We will not be able to manage at all 1 With great difficulty 2 With difficulty 3 Without difficulty 4

I do not know 5

34 Has your household been in arrears during 2005 for some of the HS020following payments?

Payments We do not have Always Sometimes Nosuch payments

34.1. Mortgage 1 2 3 4 HS010

34.2. Other loans 1 2 3 4 HS030

34.3. House rent 1 2 3 4 HS010

34.4. Heating 1 2 3 4 HS020

34.5. Electricity 1 2 3 4 HS020

34.6. Water 1 2 3 4 HS020

34.7. Telephone 1 2 3 4

35 Having in mind your household's total monthly income and the HS120different sources for each of its members would you say that youmanage to make ends meet?

With much difficulty 1

With difficulty 2

With some difficulty 3

Comparatively easy 4

Easy 5

Very easy 6

36 According to you what is the minimal monthly income necessary foryour household to make both ends meet?

.........….......................levs HS130


SOCIAL TRANSFERS AND FAMILY BENEFITS

37 Interviewer: Check whether there are children under 16 in the household?

Yes 1 >> 38 HY070No 2 >> 40

38 Did any of the children under 16 have his/her own source of income during 2005 from: HY110

Yes No 38.1. Pension from deceased parent 1 2 38.2. Disability pension 1 2 38.3. Allowance from a parent 1 2 38.4. Fellowship 1 2

Interviewer: Check the answers to subquestions 38.1 to 38.4. If there is Yes-1 on some of the subquestions >>39. If the answer is No-2 on all subquestions >> 40.

39 What is the gross amount of these sources for 2005? HY110.........….......................levs

40 Did you receive assistance payments for heating during 2005? HY070Yes 1 >> 41No 2 >> 43

41 How many months did you receive this assistance?.............................…months

42 What is the average monthly amount of the heating assistancepayment?

.....................................levs HY070

43 Have you or another member of the household received some of the HY070following social benefits during 2005 for:

Yes No 43.1 Monthly monetary benefit for low income 1 2 43.2. Monthly payments for transportation costs 1 2 43.3. Monthly payments for paying municipal rent 1 2 43.4. Monthly payment for stationary telephone 1 2 43.5. Benefits for medical treatment and food 1 2 43.6. One-off payment for incidental health, educational, communal and other needs of the household 1 2

Interviewe: Check the answers to subquestions 43.1 to 43.6. If there is Yes-1 on some of the subquestions >>44. If the answer is No-2 on all subquestions >> 45.


44 What is the total amount of the social benefits received by youor another member of the household during 2005?

.....................................levs HY070

45 Did you or another household member received some of thefollowing family benefits during 2005 for: HY050

Yes No 45.1. One-off benefit for a newly born child 1 2 45.2. Additional one time benefit for permanently disabled children 1 2 45.3. Monthly child benefits till 18 years of age 1 2 45.4. Monthly benefits for upbringing of a child younger than 1 1 2

Interviewer: Check the answers to subquestions 45.1 to 45.4. If there is Yes-1 on some of the subquestions >>46. If the answer is No-2 on all subquestions >> 47.

46 What is the total amount of the family benefits received by youor another member of the household during 2005? HY050

.....................................levs

47 Did you or another household member received any otherbenefits during 2005 for: HY060

Yes 1 >> 48No 2 >> 49

48 What is the total amount of the other benefits received by you HY060or another member of the household during 2005?

.....................................levs

INCOME FROMRENTINGP ROPERTY

49 Have you or another member of your household received incomefrom renting property during 2005?(house, apartment, shop, garage, non-agricultural land and others)

Yes 1 >> 50 HY040No 2 >> 54

50 After subtracting expenditures for the property (loan repaymentmaintenance, insurance and others), what is the gross amount(before tax) which you received during 2005?

.................................levs 1 >> 522 >> 54 HY040

I do not know 3 >> 51No revenue, expenditures more than rent


51 Although you do not know the exact amount, would yousay an approximate amount?

Under 200 lv 1 m 1 - 10 >> 52 201 - 500 lv. 2 501 - 1000 lv. 3 1001 - 1500 lv. 4 1501 - 2000 lv. 5 2501 - 3000 lv. 6 3001 - 3500 lv. 7 3501 - 4000 lv. 8 4501 - 5000 lv. 9 Over 5000 lv. 10

Don't know 11 >> 54

52 Did you pay tax on this income?Yes 1 >> 53No 2 >> 54

53 What is the total amount of tax you paid on this income?

.....................................levs

TRANSFERS BETWEEN HOUSEHOLDS

54 Have you or another member of your household given gratuitous assistance (in money and in kind) to persons outsideyour household during 2005?(Do not include small birthday, Christmas, and other presents)

Yes 1 >> 55 HY130No 2 >> 56

55 What is the total amount of the assistance given by your household?

.....................................levs HY130

56 Have you or another member of your household received gratuitous assistance (in money and in kind) from persons outsideyour household during 2005?(Do not include small birthday, Christmas, and other presents)

Yes 1 >> 57 HY080No 2 >> 58

57 What is the total amount of the assistance received by your household?

.........….......................levs HY080


AGRICULTURAL ACTIVITY

58 Does your household own land?

Yes 1 >> 59No 2 >> 60

59 How many decars do you own?

....................decars

60 Has your household taken (rented) land in 2005?

Yes 1 >> 61No 2 >> 68

61 Did your household grow agricultural crops during 2005? 2005 ?

Yes 1 >> 62No 2 >> 66

62 To what amount approximately would you estimate the agricultural

production of your household for 2005?

.........….......................levs

63 To what amount approximately would you estimate the agricultural

production consumed by your household for 2005?

.........….......................levs

64 Did you sell agricultural production during 2005?

Yes 1 >> 65No 2 >> 66

65 What amount did you get from the sold agricultural

production during 2005?

.........….......................levs

66 Did your household rent or let to a cooperative the land it ownedduring 2005?

Yes 1 >> 67No 2 >> 68


67 What amount did your household get from renting or lettingits land?(if you were paid in kind show an approximate value in levs)

.........….......................levs

68 Did your household breed stock, poultry or bees in 2005?

Yes 1 >> 69No 2 >> 73

69 To what amount approximately would you estimate the stock-breedingproduction of your household for 2005?(meat, milk, cheese, butter, eggs, honey, and others)

.........….......................levs

70 To what amount approximately would you estimate the stock-breedingproduction consumed by your household for 2005?

.........….......................levs

71 Did you sell production from stock-breeding during 2005?

Yes 1 >> 72No 2 >> 73

72 What amount did your household got from the stock-breedingproduction sold during 2005?

.........….......................levs

73 If your household made any expenditures for agriculturalactivity for 2005, would you show their approximate amount?

1.......…............levs 2. No expenses

individual questionnaire...individual questionnaire cross sectional survey region 1 is the...

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