model set of the questions for household budget survey …
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MODEL SET OF THE QUESTIONS FOR HOUSEHOLD BUDGET SURVEY Part 1. Household Expenditures Questionnaire
Module I. FOOD Data collection on food, beverage, tobacco (and narcotics) expenditures is done in the Daily Food Expendi-ture Diary. The data are aggregated at the COICOP class level.
COICOP code Type Expenditures How much
was spent
Received in kind: from household plots, by barter,
as a gift: monetary value
Purchased for gift
01.1.1 ND Cereals and cereal products
01.1.2 ND Live animals, meat and other parts of slaughtered land animals
01.1.3 ND Fish and other seafood 01.1.4 ND Milk, other dairy products and egg 01.1.5 ND Oils and fats 01.1.6 ND Fruits and nuts
01.1.7 ND Vegetables, tubers, plantains, leguminous vege-tables
01.1.8 ND Sugar, confectionery and desserts
01.1.9 ND Ready-made food and other food products
01.2.1 ND Fruit and vegetable juices
01.2.2 ND Coffee and coffee substitutes
01.2.3 ND Tea, maté and other plant products for infusion
01.2.4 ND Cocoa drinks
01.2.5 ND Water 01.2.6 ND Soft drinks 01.2.9 ND Other non-alcoholic beverages 02.1.1 ND Spirits and liquors 02.1.2 ND Wine 02.1.3 ND Beer 02.1.9 ND Other alcoholic beverages 02.3.0 ND Tobacco 02.4.0 ND Narcotics
ND Expenditures for the purchase of goods in the "FOOD" module TOTAL: ∑ ∑ ∑
Total household consumption expenditure on food = food purchase expenditures + consumption of food re-ceived in kind – expenditures on food purchased for a gift
01.3.0 S Services for processing primary goods for food and non-alcoholic beverages
02.2.0 S Alcohol production services
11.1.1 S Meal outside the home: Restaurants, cafés and the like
11.1.2 S Meal outside the home: Canteens, cafeterias and refectories, including delivery services
S Expenditures for payment of services under the "FOOD" module TOTAL: ∑ ∑ ∑
Total household consumption expenditure on meals at home and outside the home = expenditures for food and beverage services + services received in kind – expenditures for food and beverage services for a gift
The total amount of household consumption expenditures on goods and services by the "FOOD" module ∑
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Module II. PERSONAL USE GOODS AND SERVICES
What expenditures did your household members spend on clothing, footwear and other personal goods and services during the quarter?
COICOP code Type Expenditures
How much paid
I month II month III month
Expenditures for clothing, footwear and other personal goods
03.1.2 SD Garments
03.1.3 SD Ties, scarves, gloves, belts, aprons, robes, hats, caps, berets and other clothing accessories
03.2.1 SD Footwear
03.1.1 SD Clothing materials
03.1.3 SD Sewing threads, knitted yarns and other accessories, items for clothing
Expenditures for the purchase of clothing and footwear TOTAL: ∑ ∑ ∑
Personal goods expenditures
13.1.1 SD Electric razors, hair trimmers, hair dryers, hair tongs, electric toothbrushes and other electric appliances for personal dental hygiene and personal care, etc.;
13.1.2
ND Non-electric appliances: shavers, razors, scissors, combs, toothbrushes, curlers, scales, etc.
ND Soap, shaving cream and foam, toothpaste, tissue paper, dia-pers and other hygiene items
ND Cosmetics: lipstick, nail polish, hair sprays, deodorants, per-fumes, etc.
13.2.9
SD Travel goods and other carriers of personal belongings: suit-cases, bags, wallets, etc.
SD Baby strollers, bassinets, baby chairs and other goods for chil-dren
SD Pipes, lighters, cigarette cases, e-cigarette devices and other articles for smokers
SD Miscellaneous personal items: umbrellas, walking sticks, sun-glasses, key rings, etc.
SD Funerary articles: coffins, gravestones, urns, etc.;
13.2.1.1 D Jewellery, costume jewellery and watches
Expenditures for the purchase of personal goods TOTAL: ∑ ∑ ∑
Personal household services:
03.1.4 S Services for tailoring, repair and hire of garments
03.2.2 S Shoe cleaning, repair and hire services
13.1.1 S Repair of electrical appliances for personal care
13.1.3 S Services of hairdressing salons, beauty salons, manicure, pedi-cure, baths, saunas, solariums for body care
13.2.1.2 S Repair of jewelry, costume jewellery and watches
13.2.9.2 S Repair and hire of other personal hygiene items
Personal household service expenditures TOTAL: ∑ ∑ ∑
The total amount of expenditures for goods and services in the "PERSONAL USE GOODS AND SERVICES" module: ∑
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Module III. DWELLING
What are the expenditures for housing, utilities and the dwelling maintenance made by members of your household for the quarter?
COICOP code Type Expenditures
How much paid
I month II month III month Housing and utilities:
04.1.1 S Actual rentals paid by tenants for main residence
04.1.2 S Other actual rentals for secondary residences, self-storage unit, garage / parking
04.3.2 S Services of plumbers, electricians, carpenters, glaziers, paint-ers, decorators for maintenance and minor repairs of housing; security services
04.4.2 S Refuse collection and disposal
04.4.3 S Sewerage
04.4.4 S Other services: membership fees to condominiums / HOAs, general housekeeping payments for, cleaning, lighting, eleva-tor maintenance, etc.
Information and communication services:
08.3.1 S Subscription fee for a stationary telephone
S Regional, national and international and international com-munication services
08.3.2 S Mobile services
08.3.3 S Internet access provision services and net storage services
08.3.4 S Bundled telecommunication services: telephony + Internet + TV packages
08.3.9
S Telegraphy, telex and telefax services
S TV and radio licenses
S Subscription to cable TV, satellite TV, IPTV, and pay TV;
08.3.5 S Repair and rental of information and communication equip-ment
08.3.9 S Other services related to housing
Service expenditures TOTAL: ∑ ∑ ∑
Utilities:
04.4.1 ND Water supply
04.5.1 ND Electricity
04.5.2 ND Natural gas through networks
ND Liquefied hydrocarbons (butane, propane, etc.).
04.5.3 ND Liquid fuels: fuel oil, kerosene, diesel fuel
04.5.4 ND Coal, coke, briquettes,
ND Wood fuel, including wood waste and briquettes
04.5.5 ND Hot water and steam from district heating plants
04.3.1.1 ND Materials for the maintenance and repair of housing: paint, wallpaper, cement, glass, etc.
04.3.1.2 SD Security equipment: alarms, intercoms, CCTV cameras, smoke detectors
Expenditures on the purchase of goods TOTAL: ∑ ∑ ∑
The total amount of household expenditures on goods and services for the "HOUSING" module: ∑
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Module IV. HOUSE MAINTENANCE EXPENDITUREs
What house maintenance expenditures did members of your household make per quarter?
COICOP code Type Expenditures
How much paid I month II month III month
Purchase of durable goods:
05.1.1 D Furniture, furnishings and design (paintings, sculptures, clocks, mirrors, etc.), lamps, carpets and other floor coverings
05.3.1 D Major household appliances, whether electric or not for kitch-ens, laundry and cleaning, climate control, etc.
05.5.1 D Motorized tools and equipment for home and garden: drills, lawn mowers, pumps, electric screwdrivers ...
08.1.1 D Fixed telephone equipment, telefax machines, telephone-answering machines
08.1.2 D Mobile telephone equipment
08.1.3 D Computers and information processing equipment (tablets; printers, scanners, calculators, etc.)
08.1.4 D Television sets, radio receivers and other equipment for the reception, recording and reproduction of sound and visio
08.1.9 D Other information and communication equipment and acces-sories: baby monitors; smart-watches; chargers devices
07.1.1 D Motor cars
07.1.2 D Motorcycles
07.1.3 D Bicycles
07.1.4 D Animal drawn vehicles
Durable goods purchase expenditures TOTAL: ∑ ∑ ∑
Purchase of non-durable goods:
05.2.1 SD Household textiles: furniture fabrics, curtains, fabric blinds, bedding and bed linen, table linen and bathroom linen, etc.
05.3.2 SD Small household appliances, electrical and non-electrical
05.4.0 SD Glassware, tableware and household utensils
05.5.2 SD Non-motorized tools and miscellaneous accessories for home and garden: hammers, saws, screwdrivers, watering cans, shovels, rakes, light bulbs, flashlights, etc.
05.6.1 ND Detergents for washing and cleaning, napkins and rags, brushes and sponges for dishes, vacuum cleaner bags
05.6.1.9 ND Other non-durable household goods: insecticides, parchment and foil for baking, garbage bags; household gloves; matches; nails, screws, glue and other household items
09.3.1 ND Gardening items: soil, peat, fertilizers; lawns; garden pots, etc. Indoor and garden plants and flowers, seeds, etc.
09.3.2 ND Pets and products for pets pet foods, veterinary and grooming products, leashes, collars, kennels, cages, aquariums, etc.
07.2.1 SD Parts and accessories for personal transport equipment
07.2.2 ND Fuels and lubricants for personal transport equipment
08.1.5 SD Unrecorded recording media: CDs, DVDs, cassettes, flash cards and other recording media
08.1.9 SD Chargers, cables, floppy drives, hard drives and other computer accessories
13.2.2 SD Devotional articles and articles for religious and ritual celebra-tions
Expenditures of purchasing non-durable goods TOTAL: ∑ ∑ ∑
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COICOP code Type Expenditures
How much paid
I month II month III month
Household service expenditures
05.6.2 S Domestic services provided by specially hired staff: maids, cooks, cleaners, au pair, gardeners)
08.2.0 S Computer software packages, such as operating systems, appli-cations (Microsoft Office, antivirus, programs for learning for-eign languages, etc.)
09.4.5 S Veterinary and other services for pets
Repair and maintenance services for household goods
05.1.2 S Repair, installation and hire of furniture, furnishings and loose carpets
05.2.2 S Repair, hire and sewing services of household textiles
05.3.3 S Repair, installation and hire of household appliances
05.4.0 S Repair and hire of glassware, tableware and household utensils
05.5.3 S Repair, installation and hire of household appliances
Services related to the use of personal vehicles
07.2.3 S Maintenance and repair of personal transport equipment
07.2.4 S
Charges for street parking or for parking places in shopping centers Driving lessons, driving tests and driving licenses, vehicle in-spection Hire of personal transport equipment without driver
Other services
13.3.0 S Non-medical help to maintain elderly and disabled persons at home; family counseling services
13.9.0
S Prostitution
S Religious services
S Ritual and ceremonial services
S Services of notaries, lawyers and other legal services
S Fees for the issue of birth, marriage and death certificates and other administrative documents; visa fee and other administra-tive services
S Services of estate agents, housing agents and other intermedi-aries
S Photocopies printing services and other reproductions of doc-uments
S Other services: services of astrologers, private detectives, bod-yguards, marriage agencies, etc.
Service expenditures TOTAL: ∑ ∑ ∑
The total amount of household expenditures on goods and services for the "HOUSE MAINTENANCE" module: ∑
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Module V. EDUCATION AND CHILD CARE
How much did your household members spend on education and childcare for the quarter?
COICOP code Type Expenditures
How much paid
I month II month III month
10.1-10.5 S Payment for basic services on educational in accordance with
the concluded contract, by education levels (classes 10.1-10.5)
10.1-10.5 S
Payment for additional educational services in development centers, circles; extended day groups; teacher-tutor services; exam preparation; reexamination, by education levels (classes 10.1-10.5)
10.1-5 S Payment for excursions and trips determined by the educa-tional program of the educational institution
10.1-5 S Other education related fees for the needs of an educational institution (repair, purchase of inventory, etc.)
10.1-5 S Informal payments for education 03.1.2.4 SD School uniform purchase
09.7.1.1 SD Purchase (rent) of formal education text books (school/academic manuals, etc.), including electronic media and software; library fee
09.7.4 ND Stationery and drawing materials purchase
07.3.1-07.3.3 S
Transport expenditures related to education, by the transport mode, including school bus services (classes 07.3.1-07.3.3)
11.1.2.1 S Food expenditures in canteens and cafeterias of the educa-tional institution
04.1.1. S Payment for renting housing for students, living in a rented
apartment, in a hostel, etc.
11.2.0.3
05.6.2.1 S Home babysitting (governesses) services
13.3.0 S Child-minding outside the home (other than educational): nurseries, day-care facilities
Other expenditures related to education and childcare
The total amount of household expenditures on goods and services for the "EDUCATION AND CHILD CARE" module: ∑
Footnote: in the forms of the NSO, the rows corresponding to the education levels and transport modes could be added
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Module VI. HEALTH
What health care expenditures did your household members make in the quarter?
COICOP code Type Expenditures
How much paid
I month II month III month
06.1.3 D
Ancillary medical equipment and assistive products:
− for vision (corrective eyeglasses and contact lenses)
− for hearing (hearing aids)
− for mobility (bandages; prostheses; crutches; walking frames; wheelchairs)
06.1.1 ND Medicines
06.1.2
ND Diagnostic equipment for self-test: pregnancy tests; ther-mometers, glucose meters, blood pressure meters, and other point of care tests, baby scales, etc.
ND Prevention and protective devices: masks, medicinal gloves, etc.
ND Treatment devices for personal use: nebulizers, inhalers, sy-ringes, etc.
D, ND
Expenditures on the purchase of durable and non-durable goods TOTAL: ∑ ∑ ∑
06.1.4 S Services on repair, rental and maintenance of medical and assistive products
06.2.1 S Preventive medicine services: vaccinations and immunizations, family planning consultations, prenatal screening, etc.
06.2.2 S Outpatient dental services
06.2.3 S
Other outpatient care services: initial appointment with a pri-mary care physician and a visit to a specialist doctor; services of nurses and midwives; services of physiotherapists, chiro-practors, speech therapists, psychologists, etc.
S Outpatient long-term care services (home-based and in medi-cal institutions)
06.3.1 S Inpatient curative and rehabilitative services
06.3.2 S Inpatient long-term care services
06.4.1 S Diagnostic imaging services and medical laboratory services: sonography, CT, MRI, X-rays, urine/blood test
06.4.2 S Patient emergency transportation services and emergency rescue
S Moving to a medical institution and back by the following modes of transport, by mode of transport (classes 07.3.1-07.3.3)
06.2-4 S Informal payments for health
S Service expenditures TOTAL: ∑ ∑ ∑
The total amount of household expenditures on goods and services for the "HEALTHCARE" module: ∑
Footnote: in the forms of the NSO, the rows corresponding to the transport modes could be added
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Module VII. RECREATION, SPORT, ENTERTAINMENT AND CULTURE
What are the expenditures for recreation, sports and entertainment and cultural events made by mem-bers of your household for the quarter?
COICOP code Type Expenditures
How much paid
I month II month III month
Purchase of durable goods:
09.1.1 D Photographic and cinematographic equipment and optical instruments
09.1.2 D Major durables for recreation: boats, diving equipment, po-nies, billiard tables
09.5.1 D Musical instruments
Purchase of non-durable goods for recreation, sports and hobbies:
09.2.1 SD Games (including video-game software), toys and hobbies
09.2.2 SD Items and equipment for sport, camping and open-air recrea-tion
09.5.2 SD Audio-visual media
09.7.1 SD Books
09.7.2 ND Newspapers and periodicals
09.7.3 ND Miscellaneous printed matter
09.7.4 ND Drawing materials
Expenditures for the purchase of goods for recreation, sports and hobbies TOTAL: ∑
Hire and repair of the next recreation goods:
09.4.1 S photographic and cinematographic equipment and optical instruments
09.4.2 S major durables for recreation
09.4.3 S games, toys and hobbies
09.4.4 S equipment for sport, camping and open-air recreation
Recreational and sporting service:
09.4.6 S amusement park, water park, disco, etc. skating rink, swimming pool, fitness center, tennis court, etc. entrance tickets to sports matches and competitions
09.4.7 S Games of chance
Services for organizing cultural event:
09.6.1 S Services provided by cinemas, theatres and concert venues
09.6.2 S Services provided by museums, libraries, and cultural sites, zoological and botanical gardens, aquaria
09.6.3 S Photographic services
09.6.9 S Other services for organizing recreation, sports and cultural events
09.8.0 S Package holidays
11.2.0 S Accommodation services: accommodation in resorts, hotels, holiday homes, recreation centers and boarding houses, camping, etc.
Expenditures for payment of services for recreation, sports and cultural events TOTAL: ∑
The total amount of household expenditures on goods and services for the "RECREATION, SPORT, ENTERTAINMENT AND CULTURE" module: ∑
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Module VIII. TRANSPORTATION SERVICES
How much did your household members spend on transportation during the quarter?
COICOP code Type Expenditures
How much paid
I month II month III month
Passenger transport services
07.3.1 S Passenger transport by train: train, tram, underground
07.3.2 S Passenger transport by road: bus, trolleybus, route taxis, taxi
07.3.3 S Passenger transport by air
07.3.4 S Passenger transport by sea and inland waterway: ship ferry, boat, river tram
07.3.5 S Combined passenger transport: multiple modes of transport (e.g. bus, tram, subway, ferry) available on one ticket
07.3.6 S Other purchased transport services: funicular, elevator, cable-car and chairlift transport; services of porters and left-luggage (services to store travellers’ luggage for limited amount of time)
Cargo transportation services
07.4.1 S Postal services
S Payment for courier services
07.4.9 S Removal and storage service: removal and storage of furni-ture; delivery of good
The total amount of household expenditures for the "TRANSPORTATION SERVICES" module: ∑
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Module IX. OTHER FINANCIAL EXPENDITURES
Which of the following expenditures did your household members make during the quarter?
9.1. Taxes and other obligatory payments
Code Type of tax or payment I month II month III month Property tax
Land tax Charges from owners of vehicles (road charges, etc.)
Income tax not withheld by the tax agent at the place of primary and secondary employment (tax paid by someone according to the tax declaration)
Contributions and deductions from wages, in addition to income tax: tax in the form of a patent, business taxation under the simplified sys-tem, other taxes not accounted for by the tax agent at the place of primary and additional work activities
Other tax payments: inheritance tax, donations and so on. State fees Alimony
Paid taxes and other obligatory payments TOTAL: ∑
9.2. Other current financial expenditure
Code Expenditure type I month II month III month
Fees and mandatory payments: various fines and penalties. Fees may include pasture use fees, waste collection fees imposed by local authorities, etc.
Repayment of the loan and debt, including: Principal amount of loan / debt Interest on loan / debt 12.1.1 Payment for all types of insurance (classes 12.1.1-12.1.9) Monetary amounts lent to private individuals
Voluntary gifts and help to friends, relatives, estimated in monetary terms
Voluntary payments: membership fees to public organizations; monetary sums and gifts, valued in monetary terms, directed to charity
Advance / prepaid payments and other (unclassified) expenditures, as well as lost money
12.2.9 Other financial services
The amount of current finance expenditures TOTAL: ∑
9.3. Capital expenditures and savings
Code Expenditure type I month II month III month
Purchase of real estate: house, dacha, plots и etc.
Purchase of building materials for construction and overhaul / pay-ment for construction and major repair services
Purchase of jewelry and antiques for the purpose of investing mon-ey
Purchase of securities
Buying foreign currency for house storage
Contributions to bank accounts, deposits and so on.
The amount of capital expenditures and savings TOTAL: ∑
The total amount of household expenditures for the "OTHER FINANCIAL EXPENDITURES" module ∑
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Part 2. Questionnaire on Household income
Notes: 1. The answer options should also take into account the origin source of the payments: government, the private sector, non-profit organizations, households and foreign receipts, and whether the pay-ment is in cash or in kind. The format of the answers is determined by the national statistical agen-cies themselves, based on established practice, software and hardware requirements for information processing.
2. The splitting questions between the individual questionnaire and the questionnaire for the house-hold as a whole is the prerogative of the national statistical office.
SECTION 1. PRIMARY INCOME
Section code: 1. PRIMARY INCOME
Group code: 1.01. Income from labour activity
Class code: 1.01.01 Income from work
1. What amount of salary did you receive at the main job (net that is, without taxes and other obligatory pay-ments)?
In value terms ______________
In kind ___________
2. What additional income did you receive, in addition to salary, at the main job?
In value terms ______________
In kind ___________
3. What other income did you receive as payment from your job in addition to the above income ("net", "on hands", that is, excluding taxes and other mandatory payments)?
In value terms ______________
In kind ___________
Class code: 1.01.02. Income from self-employment and entrepreneurship
4. Estimate how much as part of the income from your entrepreneurial activity or self-employment, including in-kind, you spent on personal consumption?
In value terms _______________ In kind _____________
Group code: 1.02. Property income
Class code: 1.02.01. Income from tangible assets
1. What income did you receive from the lease of land at your disposal? _________
2. What income did you get from renting out residential and non-residential real estate at your disposal? _____________
3. What income did you receive from the rental of vehicles and equipment at your disposal? _____________
4. What other income did you receive from tangible assets? _____________
Class code: 1.02.02. Income from intangible assets
What income did you receive from your financial assets (securities, bank deposits) and other intangible assets? _____________
Group code: 1.03. Income from individual types of activities
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Class code: 1.03.01. Income from agricultural activities
1. How much did you sell the products of the following types of crop production?
list the types of products: ________________________
2. Estimate net income with regards to product sales _____________
3. What plant products in their natural form (including mushrooms, wild berries and fruits) and how much did you use for personal consumption?
list the types of products: ________________________
4. How much did you sell the products of the following types of animal husbandry??
list the types of products: ________________________
5. Estimate the net income with regards to product sales _____________
6. What livestock products in kind (including hunting products) and how much did you use for personal con-sumption?
list the types of products: ________________________
SECTION 2. CURRENT TRANSFER RECEIVED
Section code: 2. Current transfer received
Group code: 2.01. Current transfers received related to health care and treatment of diseases
1. Specify the amount of paid sick leave _____________
2. Specify the amount of compensation or financial assistance to pay for your expenses for medicines and med-ical equipment _____________
3. Specify the amount of compensation or cash assistance to pay for your hospital and outpatient expenses from various sources, including health-related travel costs _____________
Group code: 2.02. Current transfers received related to education support
1. Specify the amount of compensation or cash assistance to pay for your expenditures for payment of educa-tional services from various sources _____________
2. Specify the amount of compensation or cash assistance to pay for your expenditures for the purchase of school uniforms from various sources _____________
3. Specify the amount of compensation or cash assistance to pay your expenditures for paying for students' accommodation from various sources _____________
4. Specify the amount of compensation or cash assistance to pay for your travel expenditures for related to education from various sources _____________
5. Specify the amount of compensation or cash assistance to pay for your expenditures on textbooks, station-ery and supplies needed to get an education from various sources _____________
6. Specify the amount of compensation or cash assistance to pay for your food expenditures in an educational institution from various sources _____________
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Group code: 2.03. Current transfers received related to support for disabled people
1. Which benefits do you receive from the following? List the answers. Note: This may include answers such as disability pension, early retirement benefit due to disability, disabil-ity care allowance Specify the amount of benefits received __________________________
2. Did you receive additional compensation or cash assistance in addition to these benefits? Specify its value ___________________
Group code: 2.04. Current transfers received related to support for persons of retirement age
1. What pensions do you receive upon reaching the age of the following? List the answers. Note: This may include answers such as retirement age pension, seniority pension, military pensions, pen-sions from non-state pension funds, etc. Specify the amount of received pension payments _____________________________
2. Did you receive additional compensation or cash assistance in addition to these benefits?
Specify its value ___________________
Group code: 2.05. Current transfers received related to support for family that lost a breadwinner
1. Do you receive survivor’s pension? Specify its value ____________________
2. Did you receive survivor’s benefits or cash assistance? Specify its value ____________________
Group code: 2.06. Current transfers received related to support for family and children
1. Which of the following benefits do you receive?
List benefits related to pregnancy, childbirth and childcare, as well as family benefits.
Specify the amount of benefits received ________________________
2. Did you receive additional compensation or cash assistance in addition to these benefits?
Specify its value ___________________
Group code: 2.07. Current transfers received related to support for the unemployed
1. Which benefits and pensions do you receive from the following? List benefits related to unemployment, this also includes a pension awarded in connection with the loss of a job due to problems in the labor market. Also included are benefits related to layoffs and benefits for pro-fessional development and relocation benefits in connection with a new job for the unemployed. Specify the amount of benefits received ____________________
2. Did you receive additional compensation or cash assistance in addition to these benefits? Specify its value ___________________
Group code: 2.08. Current transfers received related to subsidizing housing expenditures
1. Specify the amount of compensation or cash assistance to pay for your housing rental costs (rent and other types of payments) and other costs associated with this housing ____________
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Group code: 2.09. Current transfers received related to support for groups not classified by other functions, as well as multifunctional payments
1. Which of the following low income / poverty benefits do you receive? Specify the type ________________ Specify the amount of benefits received ________________
2. Specify the amount of money transfers received _______________
3. What other social benefits do you still receive (specify) additionally? ______________________
4. Specify the amount of payments received ______________
SECTION 3. Other income
Group code: 3.01. Other income
3.01.01. What other income, except for those listed, have you still received? Specify the type and amount ____________________________________
SECTION 4. CURRENT TRANSFERS PAID
This section takes into account the current transfers paid. National Statistical Offices may detail the questions.
Group code: 4.01. Current transfers paid
1. What direct taxes (net of tax refunds) have you paid? _____________
2. What mandatory fees and fines have you paid? ______________
3. What payments have you made to other households? _____________
4. What charges have you paid to the social insurance system? _____________
5. What payments have you made to non-profit organizations? _____________
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Part 3. Questionnaire on Household Deprivations
1. MATERIAL DEPRIVATIONS
Household level questions
1. In the past twelve months, has the household been in arrears, i.e. has been unable to pay on time due to financial difficulties for: Source: EU SILC1 HS011, HS021,HS031
1 – Yes, once 2 – Yes, twice or more 3 – No
Rent and mortgage
Utility bills
Hire purchase installments or other loan payments
2. Could you tell me if your household replaces furniture (bed, sofa/dresser, cupboard) when worn out or damaged? Source: EU SILC HS080
Yes 1
No, cannot afford 2
No, other reason 3
3. Can your household afford a meal with meat, chicken, fish or vegetarian equivalent every second day? Source: EU SILC HS050
Yes 1
No 2
4. Can your household afford an unexpected required expense (amount to be filled) and pay through its own resources without resorting to a loan, in the amount __________ (each country sets its own amount)? Source: EU SILC HS060
Yes 1
No 2
5. Can your entire household afford to go for a week's annual holiday, away from home, including stays in a second dwelling or with friends/relatives? Source: EU SILC HS040
Yes 1
No 2
6. Does your household have a car/van for private use? Source: EU SILC HS120
Yes 1
No, cannot afford 2
No, other reason 3
7. Can your household afford to keep its home adequately warm? Source: EU SILC HS050
Yes 1
No 2
1 Questions are given in accordance with Methodological guidelines and description of EU-SILC target variables, Eurostat, 2021 operation
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Personal questions
8. Could you tell me if you can replace worn-out clothes by some new (not second-hand) ones? Source: EU SILC PD020
Yes 1
No, cannot afford 2
No, other reason 3
9. Do you have two pairs of shoes in a good condition that are suitable for daily activities? (Note: Two pairs of the suitable size shoes for everyday activities, including a pair of shoes for all weather conditions). Source: EU SILC PD030
Yes 1
No, cannot afford 2
No, other reason 3
10. Do you spend a small amount of money most weeks on yourself, for your own pleasure (buying/doing something for yourself)? Source: EU SILC PD070
Yes 1
No, cannot afford 2
No, other reason 3
11. Do you regularly participate in a leisure activity (that costs money) outside home? Source: EU SILC PD060
Yes 1
No, cannot afford 2
No, other reason 3
12. Do you get-together with friends/family (relatives) for a drink/meal at least once a month? Source: EU SILC PD050
Yes 1
No, cannot afford 2
No, other reason 3
13. Do you have an Internet connection at home for personal use when needed? Source: EU SILC PD080
Yes 1
No, cannot afford 2
No, other reason 3
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2. QUESTIONS FOR THE GLOBAL MULTIDIMENSIONAL POVERTY INDEX
1. Does your household have the following items:
Name 1 – owned 2 – are in use 3 – not available
Source
Telephone including mobile, landline, smartphone HDR 20202, MPI, question 10
Computer, including personal, tablet HDR
Car or truck HDR
Washing machine HDR
Color TV HDR
Fridge HDR 2020, MPI, question 10
Radio HDR 2020, MPI, question 10
Animal drawn vehicles, bicycle, motorcycle HDR 2020, MPI, question 10
2. Is there electricity in your household? Source: HDR 2020, MPI, question 5
Yes 1
No 2
3. What type of toilet is mainly used in the household? Source: HDR 2020, MPI, question 6
Toilet with central sewerage system 1
Toilet with individual sewerage system 2
Sump latrines 3
Shared (used by other households) 4
Another 5
No toilet 6
4. Where is the toilet or restroom located? Source: HDR 2020, MPI, question 6
In the house (apartment) 1
In the yard 2
Outside 3
5. What is the main source of water supply for your household? Source: HDR 2020, MPI, question 7
Centralized water supply 1
Well 2
Borehole, protected spring 3
Own water standpipe 4
Public tap 5 Reservoir, river, lake, pond, ditch 6 Delivered water (in barrel) 7
2 Human Development Report, UNDP, 2020, Technical notes 5, Multidimensional Poverty Index
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6. How much time do you spend to get water and return back? Source: HDR 2020, MPI, question 7
Less than 30 minutes 1
30 minutes or more 2
7. Is your dwelling dilapidated? Source: HDR 2020, MPI, question 8
Yes 1
No 2
8. What kind of fuel do you use for cooking? Source: HDR 2020, MPI, question 8
Dung, wood, charcoal or coal 1
Electricity or gas 2
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Part 4. Questionnaire on Personal Subsidiary Farm
These questions are asked when a national statistical office intends to keep a complete record of the expenditures of personal subsidiary farms.
1. Expenses for land, food processing, animal keeping
Code 1 2 3 4 5
Type of expenditures √ I month II month III month
Expenditures on land and obtaining agricultural products
1. Land acquisition
2. Land lease
3. Land cultivation
4. Purchase of fertilizers and pesticides
5. Purchase of seeds and planting materials
6. Instruments
7. Land tax (payment for land) *
8. Expenses to process the grown products
Checksum (filled in by interviewer) Х Х Х
Expenditures for livestock, poultry, bees and other farm animals
9. Purchase of animals
10. Buying feed
11. Payment for veterinary services
12. Livestock insurance
13. Slaughter and butchering of carcasses
14. Expenses to process the livestock products
Checksum (filled in by interviewer) Х Х Х
Other expenses for personal subsidiary farm
15. Transport services, equipment rental
16. Hiring labor
17. Fuel
18. Purchase, rental and maintenance of agricultural machinery and large inventory
19. Construction materials
20. Repair of equipment
21. Other expenses for subsidiary farming
Checksum (filled in by interviewer) Х Х Х
Footnote: * land tax must be included in the part 9.1 «Taxes and other obligatory payments» of the module IX «Other finance expenditures» (Questionnaire on Household Expenditures)
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2. Income from the sale and processing of agricultural products
Code 1 2 3 4 5
Type of income √ I month II month III month
Sale of crops and processed products
1. Cereals
2. Flour
3. Leguminous vegetables
4. Cotton
5. Vegetables (no potatoes)
6. Potato
7. Processed vegetables (tomato, sauces)
8. Fruits
9. Processed fruits (compotes, preserves, jams)
10. Cantaloupes and other melons
11. Nuts, hazelnuts, chestnuts, almonds, sunflowers and others
12. Alcoholic drinks (vodka, wine, etc.)
13. Flowers, seedlings
14. Others (specify) ________________
Checksum (filled in by interviewer) Х Х Х
Sale of livestock products
15. Sale of livestock, birds
16. Sale of milk and dairy products
17. Sale of meat and offal
18. Sale of meat products (smoked, dried meat, canned food)
19. Selling eggs
20. Sale of other livestock products (goat, wool, honey)
Checksum (filled in by interviewer) Х Х Х
Other income
21. Feed sales
22. Sale of seeds
23. Income from the provision of services
24. Other income
Checksum (filled in by interviewer) Х Х Х