INDONESIA FAMILY LIFE SURVEY 2007

INDONESIA FAMILY LIFE SURVEY 2007 BOOK IIIA SECTIONS: DL, SW, HR, HI, KW, PK, BR, MG, TK, RE, SI, TR, CP

Respondent is an adult 15 years or older

TO BE FILLED OUT BY INTERVIEWER WHO COMPLETED ROSTER AR:

PID

TO BE FILLED OUT BY INTERVIEWER FOR BOOK III

INDONESIAN LANGUAGE CODES

00. Indonesian

QUESTIONS FOR RESPONDENT:

RESPONDENT’S NAME: __________________________________________

└─┴─┘ 01. Javanese

years └─┴─┴─┘ 03. Balinese

02. Sundanese

AGE. How old are you?

RSPNDNT. RESPONDENT IS:

Head of Household (AR02b=01).............. 1 MARSTAT.

04. Batak

What is your marital status:

05. Bugis

Spouse of Household (AR02b=02) .......... 2

Single ........................ 1 Divorced........................ 4 06. Chinese

07. Maduranese Other Householder................................... 3 Married ...................... 2 Widow/er ....................... 5

08. Sasak

Separated.................. 3

09. Minang 10. Banjar

PANEL.

FOR BOOK III IS SEX.

Sex:

Male ................................................1

11. Bima

HOUSEHOLDER?: Panel Respondent (AR01g=1)................. 1

Female ...............................................3

12. Makassar

13. Nias New Respondent (AR01g=3)................... 3

BIRTHDATE. Date of Birth:

14. Palembang

└─┴─┘/ └─┴─┘/ └─┴─┴─┴─┘ 15. Sumbawa

Day Month

Year 16. Toraja 17. Lahat # INTERVIEW SESSIONS OF BOOK IIIA: └─┘ (NUMVIS) 18. Other South Sumatra 19. Betawi

INTERVIEW 1

2 3 LANGMAIN. Interview was entirely/mostly

20. Lampung 96. NO OTHER

DATE:

└─┴─┘/ └─┴─┘/ └─┴─┴─┴─┘ └─┴─┘/ └─┴─┘/ └─┴─┴─┴─┘ └─┴─┘/ └─┴─┘/ └─┴─┴─┴─┘

conducted in what language?

DAY MONTH YEAR DAY MONTH YEAR DAY MONTH YEAR

95. Other

└─┴─┘ Other ............................................................

HOUR / MINUTE HOUR / MINUTE HOUR / MINUTE LANGOTHR. Other language used (if any):

HOUR / MINUTE HOUR / MINUTE HOUR / MINUTE └─┴─┘

Other ............................................................

FINISHED:

RESULT OF INTERVIEW OF BOOK IIIA

REASON

EDITOR_CK

SUP. LOCAL SUPERVISOR MONITORING

1. CompletedÎEDIT_CK

1. Respondent was not at home/not available

1. Entered, no corrections necessary

Yes No

2. Partially completed

2. Respondent was seriously ill

2. Entered AND corrected

a. Observed by local supervisor ........................... 1

3. Not completed

3. Respondent refused (to be interviewed)

4. Manual edit without CAFÉ

b. Edited by local supervisor ................................. 1 3

5. Other: ..........................................................

3. Entered, but not corrected,

c. Verified by local supervisor ............................... 1 3

explain: ________________________

SECTION DL (EDUCATION)

DL07.

What is the highest grade completed Did not complete first grade at that level ............. 00 at that school?

DON’T KNOW ............ 98

DL05a.

At what age did you first attend the

Age

elementary school?

DL05b.

Did you attend a kindergarten?

No....................................................... 3 Î DL05d Yes. .................................................... 1

DL05c.

At what age did you first attend the

Age

kindergarten?

DL05d.

Did you attend a playgroup?

No....................................................... 3 Î DL05

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

DL05e.

At what age did first you attend the

Age

playgroup?

DL05. INTERVIEWER CHECK COV3:

RESPONDENT’S AGE ≥50 YEARS...... 1 Î SECTION SW RESPONDENT’S AGE < 50 YEARS..... 3

DL05f. INTERVIEWER CHECK DL04: (EVER

DL04=3 .................................................. 3 Î SECTION SW

/CURRENTLY ATTEND SCHOOL)

DL04=1 .................................................. 1

DL06x. INTERVIEWER CHECK DL06: 14

NO .......................................................... 3 Î SECTION SW

(PESANTREN)?

YES ........................................................ 1

DL07a.

Are you currently attending school?

No....................................................3 Î DL07x Yes ..................................................1

DL07aa.

How many effective hours did you

hours

attend your school last week or the

last week the school was in session?

(NOT INCLUDING BREAKS)

DL07x.

INTERVIEWER CHECK: PANEL

PANEL RESPONDENT ..................1 Î DL07d

RESPONDENT? (COV 2)

NEW RESPONDENT ......................3 Î DL08b

SECTION DL (EDUCATION)

PANEL RESPONDENT BOOK 3 (AR01g=1)

NEW RESPONDENT BOOK 3 (AR01g=3)

DL07d.

INTERVIEWER CHECK DL07a:

YES. ................................................... 1 ÎDL08a DL08b. INTERVIEWER CHECK DL06: HIGHEST

ELEMENTARY .................................. 1

CURRENTLY ATTENDING

LEVEL OF SCHOOLING

JUNIOR HIGH ................................... 2

SCHOOL?

NO...................................................... 3 ATTENDED/CURRENTLY ATTENDING

SENIOR HIGH ................................... 3

DL07b.

In what month and year did you last

└─┴─┘/└─┴─┴─┴─┘

D1, D2, D3, UNIVERSITY.................. 4

graduate or leave school?

Month / Year

DL07e.

INTERVIEWER CHECK DL07b:

BEFORE JUNE 2000......................... 1 ÎDL16xc DL09b. INTERVIEWER CHECK DL08a AND WRITE

└─┘

columns

GRADUATED/LEFT SCHOOL

JUNE 2000 OR AFTER ..................... 3 DOWN THE NUMBER OFCOLUMNS

BEFORE JUNE 2000? ACCORDING TO THE HIGHEST LEVEL OF

COMPLETE DL10-DL16j FOR EACH LEVEL OF

DL08a.

What levels of schooling you have

ELEMENTARY ...................................A

SCHOOLING

SCHOOLING EVER ATTENDED

attended/are attending since June

JUNIOR HIGH ....................................B

2000?

SENIOR HIGH....................................C D1, D2, D3, UNIVERSITY ..................D

DL09a.

INTERVIEWER CHECK DL08a

└─┘

columns

AND WRITE DOWN THE NUMBER

OF COLUMNS ACCORDING TO

COMPLETE DL10-DL16j ONLY FOR THE LEVELS

THE LEVELS OF SCHOOLING

OF SCHOOLING ATTENDED SINCE JUNE 2000

ATTENDED SINCE JUNE 2000

SECTION DL (EDUCATION)

Now we want to ask about your education history. School Level

1. Elementary 2. Junior High 3. Senior High 4. D1, D2, D3//University DL10. What is the school level you

(DL2TYPE)

College (D1, D2, D3) .................... 60 attended or you are still attending?

Elementary ....................................02

Junior high general .......................03

Senior high general ...................... 05

Adult Education A..........................11

Junior high vocational ...................04

Senior high vocational .................. 06

University (BA) ............................. 61

School for Disabled .......................17

Adult Education B .........................12

Adult Education C......................... 15

University (MA)............................. 62

Madrasah Elementary ...................72

School for Disabled.......................17

School for Disabled ...................... 17

University (PhD) ........................... 63

Other .............................................95

Madrasah Junior High School.......73

Madrasah Senior High School ...... 74

Open University............................ 13

Other ............................................ 95 DL11. Under whose administration is/was

Other.............................................95

Other............................................. 95

Public non-religious ...................... 01 the school?

Public non-religious.......................01

Public non-religious.......................01

Public non-religious ...................... 01

Public religious ..............................02

Public religious..............................02

Public religious ............................. 02

Public religious ............................. 02

Private non-religious .....................03

Private non-religious .....................03

Private non-religious..................... 03

Private non-religious..................... 03

Private Islam .................................04

Private Islam .................................04

Private Islam................................. 04

Private Islam................................. 04

Private Catholic .............................05

Private Catholic.............................05

Private Catholic ............................ 05

Private Catholic ............................ 05

Private Protestant and others........06

Private Protestant and others .......06

Private Protestant and others ....... 06

Private Protestant and others....... 06

Private Buddhist ............................08

Private Buddhist............................08

Private Buddhist ........................... 08

Private Buddhist ........................... 08

DL16xa. INTERVIEWER CHECK DL06 AND

NO...................................3ÎDL16j DL07a: CURRENTLY IN SCHOOL AT THIS [...] LEVEL? YES ................................. 1 YES................................. 1 YES ................................ 1 YES ................................. 1

NO...................................3 ÎDL16j

NO .................................. 3ÎDL16j

NO .................................. 3ÎDL16j

DL16f.

What is the name and address of the N. Name :

8. DK

N. Name :

8. DK

N. Name :

8. DK

N. Name :

3. Same as current residence 1. _________________________

1. Specify

Add. Address:

8. DK

Add. Address:

8. DK

Add. Address:

8. DK

Add. Address:

8. DON’T KNOW (DK)

Loc. Loc. Note:

8. DK

Loc. Loc. Note:

8. DK

Loc. Loc. Note:

8. DK

Loc. Loc. Note:

A. Vill:

A. Vill:

A. Vill:

A. Vill:

B. Kec:

B. Kec:

B. Kec:

B. Kec:

C. Kab:

C. Kab:

C. Kab:

C. Kab:

D. Prov:

D. Prov:

D. Prov:

D. Prov:

CODE CF └─┴─┴─┘└─┘└─┴─┴─┘ CODE CF └─┴─┴─┘└─┘└─┴─┴─┘ CODE CF └─┴─┴─┘└─┘└─┴─┴─┘

DL16j.

Approximately how much time does

1. 1. it take to make a one-way trip to the └─┴─┴─┘ └─┴─┴─┘

Hour ............................. 1 school at this level.

school, now/in your last year of

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

Î DL10 NEXT COLUMN/DL16xb Î DL10 NEXT COLUMN/DL16xb Î DL10 NEXT COLUMN/DL16xb Î DL10 NEXT COLUMN/DL16xb

BOOK IIIA - 5

IFLS4

SECTION DL (EDUCATION)

DL16xb.

INTERVIEWER CHECK

PANEL RESPONDENT BOOK 3 (AR01g=1) ..................1 ÎCOMPLETE DL16a-DL16i ACCORDING TO LEVELS OF SCHOOLING ATTENDED SINCE JUNE 2000 NEW RESPONDENT ≥30 ................................................2ÎDL16xc NEW RESPONDENT<30 ..................................................3 ÎCOMPLETE DL16a-DL16i FOR ALL LEVELS OF SCHOOLING EVER ATTENDED

School Level

1. Elementary 2. Junior High 3. Senior High 4. D1, D2, D3//University DL16a. Have you ever taken the

(DL2TYPE)

No ....................... 3 Î DL16g

No ....................... 3Î DL16g

No....................... 3 Î DL16g

EBTANAS/UAN/UN exam at [...]

UAN/UN .............. 2

UAN/UN .............. 2

UAN/UN.............. 2

DL16b. Can you show us the official record Yes ..................... 1

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

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

of your EBTANAS/UAN/UN score No ....................... 3

INTERVIEWER NOTE: EBTANAS/UAN/UN SCORES SHOULD BE COPIED FROM THE OFFICIAL

RECORD (DANEM) . DL16c. What month and year did you take

the EBTANAS/UAN/UN [...]? └─┴─┘ / └─┴─┴─┴─┘ 1. └─┴─┘ / └─┴─┴─┴─┘

Month Year

Month Year

Month Year

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

DL16c1.

INTERVIEWER CHECK DL16a:

EBTANAS ............................... 1

EBTANAS ............................... 1

EBTANAS................................1 EBTANAS/UAN/UN UAN/UN .................................. 2 UAN/UN .................................. 2 UAN/UN...................................2

DL16c2

Number of subjects tested in the national exam (EBTANAS/UAN/UN)

for the […] school level:

DL16d.

What was your ebtanas score for the following subjects: (If the respondent shows you official record (DANEM) copy from danem, if you cannot see official record (DANEM) ask the respondent for their score).

A. Moral and Civic Education from

1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA

the nation’s five principal/Pancasila

8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW

(PMP/PPKn)

B. Indonesian

1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA

8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW

C. English

1. 6 . NA └─┴─┘.└─┴─┘ 1. 6 . NA └─┴─┘.└─┴─┘ 1. └─┴─┘.└─┴─┘

6 . NA

8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW

D. Math

1. 6 . NA 1. 6 . NA 1. 6 . NA └─┴─┘.└─┴─┘ └─┴─┘.└─┴─┘ └─┴─┘.└─┴─┘

8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW

BOOK IIIA - 6

IFLS4

SECTION DL (EDUCATION)

School Level

(DL2TYPE)

1. Elementary 2. Junior High 3. Senior High 4. D1, D2, D3//University

E. Science

1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA

8. DON’T KNOW 8. DON’T KNOW

I. Social studies

1. └─┴─┘.└─┴─┘ 6 . NA 1. 6 . NA └─┴─┘.└─┴─┘

8. DON’T KNOW 8. DON’T KNOW

F. Biology

1. └─┴─┘.└─┴─┘ 6 . NA 1.

└─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA

8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW

G. Chemistry

1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA

8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW

H. Physics

1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA

8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW J. Economics 1. └─┴─┘.└─┴─┘ 6 . NA

8. DON’T KNOW

K. Sociology

1. └─┴─┘.└─┴─┘ 6 . NA

8. DON’T KNOW

L. Anthropology

1. └─┴─┘.└─┴─┘

6 . NA

8. DON’T KNOW

M. Government

1. └─┴─┘.└─┴─┘

6 . NA

8. DON’T KNOW

N. Accounting

1. 6 . NA └─┴─┘.└─┴─┘

8. DON’T KNOW

V. Total score for other subjects not

1. 6 . NA └─┴─┘.└─┴─┘ 1. 6 . NA 1. 6 . NA └─┴─┘.└─┴─┘ └─┴─┘.└─┴─┘

listed above:

8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW

DL16e.

Total EBTANAS/UAN/UN

1. 1. 1. └─┴─┘.└─┴─┘ └─┴─┘.└─┴─┘ └─┴─┘.└─┴─┘

8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW

DL16g.

How many hours on average do you attend school each day now/in your

└─┴─┘ last year at school? └─┴─┘ └─┴─┘ └─┴─┘

Hours/Day COMPLETING THEIR THESIS, ETC.

Hours/Day

Hours/Day

Hours/Day

FILL IN ‘96’ IF THE RESPONDENT IS

DL16i.

Approximately how many students

Person(s) .......... 1 are/were in your class now/in last

└─┴─┘

Person(s) .......... 1

└─┴─┘

Person(s) .......... 1

└─┴─┘

Person(s) .......... 1

└─┴─┘

year of school attended at this level? DON’T KNOW ................. 8

DON’T KNOW .................. 8

DON’T KNOW .................. 8

DON’T KNOW .................. 8

Î DL16a NEXT COLUMN\DL16xc

Î DL16a NEXT COLUMN\DL16xc

Î DL16a NEXT COLUMN\DL16xc

Î DL16xc

BOOK IIIA - 7

IFLS4

SECTION DL (EDUCATION)

School Level (DL2TYPE)

1. Elementary 2. Junior High 3. Senior High 4. D1, D2, D3//University DL11f. When did you leave/graduate

from this [...] level of └─┴─┴─┴─┘ ÎDL14a

1. Year

ÎDL13 └─┴─┴─┴─┘ 1. Year └─┴─┴─┴─┘ ÎDL13 1. Year └─┴─┴─┴─┘ ÎDL13 1. Year

schooling?

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

DL11g. At what age did you

└─┴─┘ years old

└─┴─┘ years old

└─┴─┘

years old

└─┴─┘ years old

leave/graduate from this […]

level of schooling? DL13. Have you ever failed a grade

No..............................3 ÎDL14a

No ............................. 3 ÎDL14a

No ..............................3 ÎDL14a

at [...] school ?

DL14. What grades have you failed

Class Number of

Class Number of

and how many times did you

Number of repeats

Class

Number of repeats

repeat that grade?

CIRCLE ALL THAT APPLY

B. 2

└─┘ times

E. 5 └─┘times

└─┘times C. 3 └─┘ times

C. 3

└─┘ times

DL14a. When you are at this [...]

3. No ÎDL15

3. No ÎDL15

3. No ÎDL15

3. No ÎDL15

school level, did you ever leave school for 4

consecutive weeks or more, including not enrolling in a full year?

DL14b. How many times did the

Class Number of

Class Number of

school disruptions occur?

Number of disruptions

Class

Number of disruptions

Year

Number of disruptions

A. 1

└─┘times

D. 4 └─┘times

└─┘times B. 2 └─┘ times

└─┘times C. 3

DL14c.

When did the school

A. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ A. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ disruptions occur? A. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ A. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘

Month / Year

Month / Year

Month / Year

Month / Year

Month / Year

Month / Year

Month / Year

Month / Year

B. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ B. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ B. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ B. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘

(IF MORE THAN 3 TIMES,

WRITE THE THREE LONGEST)

Month / Year

Month / Year

Month / Year

Month / Year

Month / Year

Month / Year

Month / Year

Month / Year

C. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘

C. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘

C. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ C. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘

Month / Year DL14d. Why did the school disruption

Month / Year

Month / Year

Month / Year

Month / Year

Month / Year

Month / Year

Month / Year

BCD EF BCD EF BCD EF BCD EF occur ? GH I K

V .............................................................. DL15. While attending [...] school,

Yes.................................................. 1 did you work?

ÎDL10a/DL11a NEXT COL/DL30

ÎDL10a/DL11a NEXT COL/DL30 ÎDL10a/DL11a NEXT COL/DL30

Î DL30

Code DL14d

Working/helping to earn income ............ B

Not able to study.................................... E

School had no teachers ......................... H

Help at home.......................................... L

Could not afford .....................................C

Not admitted at school............................F

School closed/ruined ...............................I

Marriage ................................................ M

No schools/schools too far.....................D

Sick or disabled ..................................... G

Doesn’t want to go ................................. K

Others ....................................................V

We would like to know your opinion on the quality of your life.

SW08.

Concerning your children’s standard It is less than adequate for their needs............1 of living, which of the following is

It is just adequate for their needs ....................2

SW01.

Please imagine a six-step ladder

true?

It is more than adequate for their needs..........3

where on the bottom (the first step), DON’T KNOW .................................................8 stand the poorest people, and on

Poorest Richest

the highest step (the sixth step), stand the richest people. On which

8. DON’T KNOW

step are you today?

SW09.

Concerning your children’s food

It is less than adequate for their needs............1

consumptio, which of the following

It is just adequate for their needs ....................2

SW02.

It is more than adequate for their needs..........3 ago?

On which step were you five years

Poorest Richest

is true?

DON’T KNOW .................................................8

SW10.

Concerning your children’s

It is less than adequate for their needs............1

8. DON’T KNOW

healthcare, which of the following is

It is just adequate for their needs ....................2

On which step do you expect to find

true?

It is more than adequate for their needs..........3

SW03.

five years from now? DON’T KNOW .................................................8

Poorest Richest

SW11.

Concerning your children’s

It is less than adequate for their needs............1

education, which of the following is

It is just adequate for their needs ....................2

8. DON’T KNOW

true?

It is more than adequate for their needs..........3

Children not yet in school ................................6

Now, we would like to know about your conditions, food consumption, health care and education of you

DON’T KNOW .................................................8

and your children.

SW12.

Taken all things together how would Very happy ......................................................1

SW03a.

Happy..............................................................2 in recent year, do you think you can

Knowing about how prices change

Very likely........................................................ 1

you say things are these days -

keep the standard of living you have Likely............................................................... 2

would you say you were very

Unhappy..........................................................3 today in the next 5 years?

happy, pretty happy, or not too

Unlikely ........................................................... 3

happy?

Very unhappy ..................................................4

Very unlikely.................................................... 4 DON’T KNOW................................................. 8

SW03b.

Concerning your current family life,

Less than adequate......................................... 1

which of the following is true?

Adequate......................................................... 2 More than adequate ........................................ 3 DON’T KNOW................................................. 8

SW04.

Concerning your current standard of It is less than adequate for my needs.............. 1 living, which of the following is true? It is just adequate for my needs ...................... 2

It is more than adequate for my needs............ 3 DON’T KNOW................................................. 8

SW05.

Concerning your food consumption,

It is less than adequate for my needs.............. 1

which of the following is true?

It is just adequate for my needs ...................... 2 It is more than adequate for my needs............ 3 DON’T KNOW................................................. 8

SW06.

Concerning your healthcare, which

It is less than adequate for my needs.............. 1

of the following is true?

It is just adequate for my needs ...................... 2 It is more than adequate for my needs............ 3 DON’T KNOW................................................. 8

SW07 . Do you have children under 15 still

No ...................................................................3 Î SW12

residing in this household?

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

HR00a. INTERVIEWER CHECK:

YES .......................................................................................... 1 Î SECTION HI

DID RESPONDENT ALREADY ANSWER BOOK II?

NO ........................................................................................... 3

HR00b. Are you currently married?

No ............................................................................................. 3 Î SECTION HI

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

Next, we would like to know about assets owned by you or by members of the household but not used for a business. Do not report assets used mostly or only for a business.

HR01. HR02. HR05. HR06. HR07. HR08. HR10. HR11. HR12. Do you or does any

ONLY IF THE RESPONSE TO TYPE OF

What is the total value of [...] at

What is the total income from the

Is the entire [...]

What is the

Who outside the

Which

How many

HR10 INCLUDES A OR B. ASSETS

other member of the

present?

rent/lease/interest/ profit sharing of

owned by the

percentage

household also

householders

householders own

household own [...]?

[...] in the past 12 months?

householders?

share of [...]

You told me that members of this

that is

household own ____%

(HRTYPE) owned by

(CIRCLE ALL

(CIRCLE ALL

(REFER TO

(RESPONSE FROM HR07) of the

the house-

THAT APPLY) THAT APPLY) ANSWER OF HR10) [...]. Of that ____%, how much is

holders?

owned by you and how much is owned by your spouse?

A. House and 3. No

1. YesÎ

land occupied

1. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. Î

1. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.

1. Yes Î HR10

by this

7. UNWILLING TO ANSWERÐ

7. UNWILLING TO ANSWER

8. DON’T KNOWÐ

8. DON’T KNOW IF 01ÎROW B UV ……….. UV ………….. 6. Neither A nor B owns 8. DON’T KNOW

HR02p. Is it […]

11. > 40 mil

1. > 20 mil

12. < 40 mil 18. DK

Î HR05 ROW A

B. Other house/ 3. No

1. A └─┴─┘ % (including

1. Yes Î HR10

ROW C 7. UNWILLING TO ANSWERÐ

7. UNWILLING TO ANSWER

MP QR

MP QR

8. DON’T KNOWÐ

8. DON’T KNOW IF 01ÎROW C UV ……….. UV ………….. 6. Neither A nor B owns 8. DON’T KNOW

HR02p. Is it […]

Î HR05 ROW B

HR08 AND HR10

HR12:

A. Respondent

E. Respondent’s parents-in-law

J. Grandparents

P. Non family

V. Others

A. Respondent

B. Respondent’s wife/husband

F. Respondent’s sibling

K. Uncle/aunt

Q. Step/adopted child

..................... B. Respondent’s spouse

C. Respondent’s biological and in-law

IF A AND B ARE THE ONLY OWNERS IN HOUSEHOLD, THEIR ANSWERS SHOULD SUM TO 100%. D. Respondent’s parents

G. Respondent’s brother/sister-in-law

L. Nephew/niece

R. Family of spouse

I. Respondent’s grandchild/great grandchild

M. Cousin

U. Ex spouse

IF MORE HH MEMBERS THAN A AND B ARE OWNERS, THE ANSWERS OF A AND B SHOULD SUM TO LESS THAN 100%.

HR01. HR02. HR05. HR06. HR07. HR08. HR10. HR11. HR12. Do you or does any

What is the total value of [...] at

What is the total income from the

Is the entire [...]

Who outside the

Which

How many

TYPE OF

ONLY IF THE RESPONSE TO other member of the

present?

rent/lease/interest/ profit sharing of

owned by the

What is the

household also

householders

householders own

ASSETS

household own [...]?

[...] in the past 12 months?

HR10 INCLUDES A OR B. You

householders?

told me that members of this

share of [...]

(HRTYPE)

that is

(CIRCLE ALL

(CIRCLE ALL

(REFER TO

household own ____%

owned by

THAT APPLY) THAT APPLY) ANSWER OF

(RESPONSE FROM HR07) of

HR10) the [...]. Of that ____%, how much is owned by you and how

the house-

much is owned by your spouse? C. Land (not

holders?

1. A └─┴─┘ % nonfarm, or

1. Yes Î HR10

BC D AB CD

used for farm

ROW D1 7. UNWILLING TO ANSWERÐ

7. UNWILLING TO ANSWER

8. DON’T KNOWÐ

8. DON’T KNOW

UV ………..

UV …………..

IF 01 ÎROW D1

6. Neither A nor B owns 8. DON’T KNOW

HR02p. Is it […]

Î HR05 ROW C

D1. Poultry 3. No

1. Yes Î HR10

ROW D2 7. UNWILLING TO ANSWER

7. UNWILLING TO ANSWER

8. DON’T KNOW

IF 01ÎROW D2

8. DON’T KNOW

UV ………..

UV …………..

6. Neither A nor B owns 8. DON’T KNOW

D2. Livestock/ 3. No

ROW D3 7. UNWILLING TO ANSWER

7. UNWILLING TO ANSWER

8. DON’T KNOW

UV ………..

UV …………..

8. DON’T KNOW IF 01ÎROW D3 6. Neither A nor B owns 8. DON’T KNOW

D3 . Hard stem 3. No

1. A └─┴─┘ % used for farm

1. Yes Î HR10

plant that not

ROW E 7. UNWILLING TO ANSWER

B └─┴─┘ % business IF 01ÎROW E 8. DON’T KNOW

or non-farm

7. UNWILLING TO ANSWER

MP QR

MP QR

8. DON’T KNOW

UV ………..

UV …………..

6. Neither A nor B owns 8. DON’T KNOW

E. Vehicles 3. No

1. A └─┴─┘ % bicycles,

1. Yes Î HR10

BC D AB CD

(cars, boats,

ROW F 7. UNWILLING TO ANSWER

7. UNWILLING TO ANSWER

MP QR

MP QR

8. DON’T KNOW

IF 01 ÎROW F 6. Neither A nor B owns 8. DON’T KNOW

8. DON’T KNOW

UV ………..

UV …………..

HR08 AND HR10

HR12:

A. Respondent

E. Respondent’s parents-in-law

J. Grandparents

P. Non family

V. Others

A. Respondent

B. Respondent’s wife/husband

F. Respondent’s sibling

K. Uncle/aunt

Q. Step/adopted child

B. Respondent’s spouse

C. Respondent’s biological and in-law

IF A AND B ARE THE ONLY OWNERS IN HOUSEHOLD, THEIR ANSWERS SHOULD SUM TO 100%. D. Respondent’s parents

G. Respondent’s brother/sister-in-law

L. Nephew/niece

R. Family of spouse

I. Respondent’s grandchild/great grandchild

M. Cousin

U. Ex spouse

IF MORE HH MEMBERS THAN A AND B ARE OWNERS, THE ANSWERS OF A AND B SHOULD SUM TO LESS THAN 100%.

HR01. HR02.

HR05. HR06. HR07. HR08.

Do you or does any

What is the total value of [...] at

What is the total income from the

Is the entire [...]

Who outside the

Which

How many

TYPE OF

household also

householders

householders own

ONLY IF THE RESPONSE TO

other member of the

HR10 INCLUDES A OR B. You household own [...]?

present?

rent/lease/interest/ profit sharing of

owned by the

What is the

ASSETS

[...] in the past 12 months?

householders?

share of [...] told me that members of this

that is

(CIRCLE ALL

(CIRCLE ALL

(REFER TO

household own ____%

owned by

THAT APPLY) THAT APPLY) ANSWER OF

(RESPONSE FROM HR07) of the

HR10) [...]. Of that ____%, how much is owned by you and how much is

the house-

owned by your spouse? F. Household

holders?

1. A └─┴─┘ % (radio, tape

1. Yes Î HR10

7. UNWILLING TO ANSWER

recorder, tv, ROW G

B └─┴─┘ % fridge, sewing

7. UNWILLING TO ANSWER

Percent

6. Neither A nor B owns or washing

8. DON’T KNOW

MP QR

MP QR

IF 01ÎROW G

8. DON’T KNOW machine, VCD

8. DON’T KNOW

UV ………..

UV …………..

player, HP, etc.) G. Savings/

1. A └─┴─┘ % deposit/

1. Yes Î HR10

BC D AB CD

certificate of

7. UNWILLING TO ANSWER

3. NONE

Persons

7. UNWILLING TO ANSWER

8. DON’T KNOW

8. DON’T KNOW IF 01ÎROW H UV ……….. UV ………….. 6. Neither A nor B owns 8. DON’T KNOW

HR02p. Is it […]

Î HR05 ROW G

H. Receivables 3. No

1. Yes Î HR10

7. UNWILLING TO ANSWER

7. UNWILLING TO ANSWER

8. DON’T KNOW

ÎROW J

8. DON’T KNOW

6. Neither A nor B owns 8. DON’T KNOW

HR08 AND HR10

HR12:

A. Respondent

E. Respondent’s parents-in-law

J. Grandparents

P. Non family

V. Others

A. Respondent

B. Respondent’s wife/husband

F. Respondent’s sibling

K. Uncle/aunt

Q. Step/adopted child

B. Respondent’s spouse

C. Respondent’s biological and in-law

IF A AND B ARE THE ONLY OWNERS IN HOUSEHOLD, THEIR ANSWERS SHOULD SUM TO 100%. D. Respondent’s parents

G. Respondent’s brother/sister-in-law

L. Nephew/niece

R. Family of spouse

I. Respondent’s grandchild/great grandchild

M. Cousin

U. Ex spouse

IF MORE HH MEMBERS THAN A AND B ARE OWNERS, THE ANSWERS OF A AND B SHOULD SUM TO LESS THAN 100%.

HR01. HR02.

HR05. HR06. HR07. HR08. HR10.

HR11.

HR12.

Do you or does any

What is the total value of [...] at

What is the total income from the

Is the entire

Who outside

Which

How many

TYPE OF

ONLY IF THE RESPONSE TO HR10 other member of the

present?

rent/lease/interest/ profit sharing of

What is the

the household

householders

householders own

ASSETS

[...] owned by

household own [...]?

[...] in the past 12 months?

percentage

also owns [...]?

own [...]?

INCLUDES A OR B. You told me that

the

members of this household own

share of [...]

(HRTYPE)

____% (RESPONSE FROM HR07) of

householders?

that is

(CIRCLE ALL

(CIRCLE ALL

(REFER TO

owned by

THAT APPLY) THAT APPLY) ANSWER OF

the [...]. Of that ____%, how much is

HR10) owned by you and how much is owned by your spouse?

the house-

holders?

J. Jewelry 3. No

1. YesÎ

1. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.

1. Yes Î HR10

ROW K1 7. UNWILLING TO ANSWER

8. DON’T KNOW

UV ………..

IF 01ÎROW K1 6. Neither A nor B owns

8. DON’T KNOW

HR02p. Is it […]

Î HR06 ROW J

K1. Household 3. No

1. YesÎ

1. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.

1. Yes Î HR10

BC D AB CD

Furniture and

ROW K2 7. UNWILLING TO ANSWER

8. DON’T KNOW

UV ………..

IF 01 ÎROW K2 6. Neither A nor B owns

8. DON’T KNOW K2. Other assets:

1. Yes Î HR10

HR16 7. UNWILLING TO ANSWER

7. UNWILLING TO ANSWER

8. DON’T KNOW

8. DON’T KNOW

UV ………..

IF 01ÎHR16 6. Neither A nor B owns

8. DON’T KNOW

HR08 AND HR10

HR12:

A. Respondent

E. Respondent’s parents-in-law

J. Grandparents

P. Non family

V. Others

A. Respondent

B. Respondent’s wife/husband

F. Respondent’s sibling

K. Uncle/aunt

Q. Step/adopted child

B. Respondent’s spouse

IF A AND B ARE THE ONLY OWNERS IN HOUSEHOLD, THEIR ANSWERS SHOULD SUM TO 100%. D. Respondent’s parents

C. Respondent’s biological and in-law

G. Respondent’s brother/sister-in-law

L. Nephew/niece

R. Family of spouse

I. Respondent’s grandchild/great grandchild

M. Cousin

U. Ex spouse

IF MORE HH MEMBERS THAN A AND B ARE OWNERS, THE ANSWERS OF A AND B SHOULD SUM TO LESS THAN 100%.

TYPE OF ASSETS HR16. HR17.

What is/was the total value in rupiah of any […] purchased

What is the total value of any […] sold in the past 12

(HR2TYPE) in the past 12 months?

months?

A. House occupied by this household

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

3. NO PURCHASE 3. NO SALES

7. UNWILLING TO ANSWER

7. UNWILLING TO ANSWER

8. DON’T KNOW

8. DON’T KNOW

B. Other house/building

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

3. NO PURCHASE 3. NO SALES

7. UNWILLING TO ANSWER

7. UNWILLING TO ANSWER

8. DON’T KNOW

8. DON’T KNOW

C. Land (not used for farm business)

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

3. NO PURCHASE 3. NO SALES

7. UNWILLING TO ANSWER

7. UNWILLING TO ANSWER

8. DON’T KNOW

8. DON’T KNOW

E. Vehicles (cars, boats, bicycles, motorbikes)

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

3. NO PURCHASE 3. NO SALES

7. UNWILLING TO ANSWER

7. UNWILLING TO ANSWER

8. DON’T KNOW

8. DON’T KNOW

J. Jewelry

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

3. NO PURCHASE 3. NO PURCHASE

7. UNWILLING TO ANSWER

7. UNWILLING TO ANSWER

8. DON’T KNOW

8. DON’T KNOW

L. Other assets, not used for farm or non-farm business:

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

1 . └─┴─┴─┘ , └─┴─┴─┘ , └─┴─┴─┘ Rp.

........................................................................................ 3. NO PURCHASE 3. NO PURCHASE

7. UNWILLING TO ANSWER

7. UNWILLING TO ANSWER

8. DON’T KNOW

8. DON’T KNOW

Now we would like to ask about your marital history.

KW01a

What is your current marital status?

Never married ................................. 1ÎSECTION MG Cohabitation ................................... 2 Married, formal (KUA or Civil Registration) ................................... 3 Married, formal according to religious law (nikah sirri) ................. 4 Married, formal according to adat law ......................................... 5 Separated ....................................... 6 Divorced ......................................... 7 Widow/Widower .............................. 8

KW01. INTERVIEWER CHECK BOOK COVER: RESPONDENT FEMALE < 50 YEARS

(COV3):

Yes ..........................................1ÎSECTION PK No ............................................3

KW02a.

What is the name of your current/latest spouse?

KW02g.

INTERVIEWER VERIFY KW02a AND AR00:

1. If […] lives in the household fill in AR00 (line # from Roster).

2. If […] died/does not live in household, but registered in the Roster, fill in AR00

3. If […] is not registered in the Roster

KW02h.

INTERVIEWER CHECK AR01g AND AR01h: RESPONDENT IS PANEL RESPONDENT (AR01g=1 OR AR01h=1).

NO .................................................3 Î KW02x

YES ...............................................1

KW02i.

INTERVIEWER CHECK AR01h :

RESPONDENT IS PANEL RESPONDENT BOOK IV IN 2000

(AR01h=1)?

YES ......................................... 1ÎSECTION PK

NO ........................................... 3

KW02x.

INTERVIEWER CHECK KW01a = 2

YES .......................... 1ÆKW02l

NO……………………\3

KW02j.

What was the date of your current/most recent marriage?

Month Year

8. DON’T KNOW

KW02k.

INTERVIEWER CHECK: YEAR IN KW02j IS BEFORE 2000.

YES, PANEL RESPONDENT......... 1ÎKW05

NO, PANEL RESPONDENT ........ 2 ÎKW12a

NEW RESPONDENT ..................... 3ÎKW12a

KW02l.

When did you start living together with your partner ?

Month Year

8. DON’T KNOW

KW02m.

What was the value of the assets you owned just prior to of your living together with your partner?

└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ........... 1

DON’T KNOW ..................................................... 8

KW02n.

What was the highest education level attended by your partner?

01. None ....................................................... 02. Elementary School ................................. 03. Junior High General................................ 04. Junior High Vocational ........................... 05. Senior High General .............................. 06. Senior High Vocational ........................... 60. College (D1, D2, D3) .............................. 61. University (BA)........................................ 62. University (MA) ....................................... 63. University (PHD)..................................... 11. Adult Education A ................................... 12. Adult Education B ................................... 15. Adult Education C 13. Open University ...................................... 14. Islamic School (Pesantren)..................... 17. School for the disabled ........................... 70. Madrasah, General................................. 72. Islamic Elementary School

(Madrasah Ibtidaiyah)............................. 73. Islamic Junior/High School

(Madrasah Tsanawiyah) ......................... 74. Madrasah Senior High School

(Madrasah Aaliyah) ................................. 90. Kindergarten ........................................... 98. Don’t Know ............................................. 95. Other ......................................................

KW02o.

What was the highest grade completed by your partner?

00. Didn’t complete 1 st grade at that level

01. 1 04. 4 07. Graduated

02. 2 05. 5 96. Unschooled

03. 3 06. 6 98. DON’T KNOW

06 98 DON’T KNOW

ÆKW23a

KW12a.

NO, lived at the same place...................... 3ÎKW14c most recent marriage?

What was the dowry for your current/

Nothing ...................................WÎKW13a

KW14a. Right after the wedding ceremony of

Sholat (praying) accessory .....A

your current/latest marriage, did you

YES, moved within the same village......... 2ÎKW14c

Money......................................B

move?

YES, moved to another Village................. 1

Building/House .......................D What is the [ ] name at the place you

(CIRCLE ALL THAT APPLY) Land ........................................C

KW14b.

A. Vill: 1._____________________________

Jewelry ....................................E

moved at that time?

3. Same as current residence

Complete set of clothing ......... G

8. DON’T KNOW

Food ........................................H

B. Kec: 1._____________________________

Household Items....................... I

3. Same as current residence

Religious book .........................K

8. DON’T KNOW

Beauty items............................ L

C. Kab: 1._____________________________

Livestock ................................ M

3. Same as current residence

Other .......................................V

8. DON’T KNOW

D. Prov: 1. ____________________________

KW12b.

What was the value of the dowry of

3. Same as current residence your current/most recent marriage at

Rp. ........... 1 └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘

8. DON’T KNOW

the time of the marriage?

KW14c. How long did you reside at your first

Other currency............................................. 2

residence after the wedding?

DON’T KNOW ............................................ 8

Weeks .....................................01

Month ......................................02 What did you receive as a gift, not a

KW13a.

Year ........................................03 dowry, at the time of your

Nothing ...................................WÎKW14

Sholat (praying) accessory .....A

96. Still live there

current/most recent marriage, that

Money......................................B

98. DON’T KNOW

was not consumed for the wedding

Land ........................................C

party?

Building/House .......................D Jewelry ....................................E

KW14d. At the time you married your

Yes ..................................................1 (CIRCLE ALL THAT APPLY) Complete set of clothing ......... G No ....................................................3 husband/wife change residence? Food ........................................H

current/latest husband/wife, did your

KW14d1. Because of adat and the high cost of

Household Items....................... I

wedding, many couples choose to

No ....................................................3 ÎKW14e

Religious book .........................K

live together before the wedding. Did Yes ...................................................1

Beauty items............................ L

you and your current/latest partner

Livestock ................................ M

live together before the wedding?

Other .......................................V

KW14d2. How long did you live together before

KW13b.

What was the value of the gift?

the wedding?

Rp. ........... 1 └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Weeks .....................................01

Month ......................................02

Year ........................................03

Other currency............................................. 2

98. DON’T KNOW

DON’T KNOW ............................................ 8

Yes ...................................................1ÎKW14g What was the value of the assets you

KW14e. Did you and your current/latest

KW14.

Rp. ........... 1 owned just prior to the wedding of No ....................................................3 └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ right after the wedding? your current/latest marriage?

husband/wife start to live together

DON’T KNOW ..................................................... 8

KW14f. How long after the wedding took

96. Don’t live together yet ÎKW03

place did you start to live together

with your husband/wife?

Weeks .....................................01 Month ......................................02

Year ........................................03

98. DON’T KNOW

KW14g. At the time you lived together with

Nobody else ........................................ W

your current/latest husband/wife for

Own parents .......................................... A

the first time, who else lived in the

Parents-in-law .......................................C

house?

Biological brother...................................D Biological sister .................................... E

(CIRCLE ALL THAT APPLY)

Brother-in-law ........................................ F Sister-in-law...........................................G

IN THIS CASE THE WEDDING

Other family members ..........................H

LOCATION IS NOT REGARDED AS Not family-related .................................. I

A JOINT RESIDENCE (REFER TO

Child (biological and non-biological) .......J

ANSWER KW14e = 1 (YES)) AND RESIDENCE REGISTERED IN KW14b.

KW03. How many times have you been

married ?

└─┴─┘ Times

KW04. Who chose your husband/wife (from

Parents .................................................. 01

your first marriage) ?

Self ........................................................ 03 Family.................................................... 04

Other: .................................................... 05

KW05. INTERVIEWER TO VERIFY COV5:

FEMALE ................................................ 3Î KW08 MALE..................................................... 1

KW06. Do you currently have more than one wife?

NO ........................................................ 3Î KW09 YES ....................................................... 1

KW07. Please mention the names of all your wives, starting with your wife in the

household, then your wife in another ÎKW09 household, and all wives from your previous marriages.

( FOR PANEL RESPONDENT WHOSE MARRIAGE WAS BEFORE J ANUARY ,

2000, MENTION ONLY THE CURRENT

(WRITE DOWN THE NAME OF CURRENT/LAST WIFE)

WIFE / HUSBAND )

KW08. Please mention the names of all your husbands, (starting with whom you

are married now or the latest

ÎKW09

marriage, then the previous marriage and so forth).

( FOR PANEL RESPONDENT WHOSE MARRIAGE WAS BEFORE J ANUARY , 2000, MENTION ONLY THE CURRENT

WIFE / HUSBAND )

(WRITE DOWN THE NAME OF CURRENT/LAST HUSBAND)

FILL OUT NAMES AND DATES STARTING WITH CURRENT/LATEST MARRIAGE

1. Latest / Current 2. Second Latest

3. Third Latest

4. Fourth Latest

5. Fifth Latest

6. Sixth Latest

KWN: NUMBER OF MARRIAGE .........................

________________ KW10.

KW09.

Name of husband/wife: ....................... _________________

What (month/year) did you get married?.

YEAR MONTH

YEAR MONTH

YEAR MONTH

YEAR MONTH

YEAR MONTH

YEAR

Î KW11a

Î KW11a

Î KW11a

Î KW11a

Î KW11a

Î KW11a

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

KW11.

How old were you when your [...] marriage started?

KW11a.

Because of adat and the high cost of

wedding, many couples choose to live

together before the wedding. Did you

and your current/latest partner live together before the wedding?

KW11b.

Î KW20 2 3 4 5 Î KW20 marriage

What is the status of your […]

When (month/year) did the marriage end/separation begin?

YEAR MONTH

YEAR MONTH

YEAR MONTH

YEAR MONTH

YEAR MONTH

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

8. DON’T KNOW

KW19.

How old were you when the [...] marriage ended/separation began?

└─┴─┘ years old

└─┴─┘ years old

└─┴─┘ years old

└─┴─┘ years old

└─┴─┘ years old

└─┴─┘ years old

KW20.

What was the highest education level attended by your husband/wife of the └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘ [...] marriage

KW21.

What was the highest grade completed by your husband/wife of the [...]

CODE FOR KW11b

CODE FOR KW20

KODE KW21:

2. Cohabitation

00. Didn’t complete school at that level 3. Married, formal (KUA or Civil Registration)

01. None

61. University, Bachelor S1

15. Adult Education C

01. 1 4. Married, formal according to religious law (nikah siri)

02. Elementary School

62. University, Master S2

17. School for the disabled

02. 2 06. 6 5. Married, formal according to adat law

03. Junior High (SLP/SLTP) General

63. University, Doctorate S3

72. Islamic School- Elementary (MI)

03. 3 07. Graduated 6. Separated

04. Junior High (SLP/SLTP) Vocational

11. Adult Education A

73. Islamic School- Junior High(MT)

04. 4 96. No school/not yet 7. Divorced

05. Senior High (SMA/SLA/SLTA) General

12. Adult Education B

74. Islamic School- Senior High (MA)

05. 5 98. TIDAK TAHU 8. Widow/widower

06. Senior High (SMA/SLA/SLTA) Vocat.

13. Open University 90. Kindergarten

60. Academy D1, D2, D3

14. Pesantren

98. DON’T KNOW 95. Others

1. Latest / Current 2. Second Latest

3. Third Latest

4. Fourth Latest

5. Fifth Latest

6. Sixth Latest

KWN: NUMBER OF MARRIAGE .........................

KW09.

Name of husband/wife: ....................... _________________

KW22x.

INTERVIEWER CHECK:

RESPONDENT IS:

3. NEW RESPONDENT Î KW22b

3 Î KW22b 1. PANEL RESPONDENT

3 Î KW22b

3 Î KW22b

3 Î KW22b

3 Î KW22b

3 Î KW22b

1 1 1 1 1 1 KW22a.

INTERVIEWER’S NOTE: CHECK KW10 FOR PANEL:

3 Î KW23a 2. MARRIAGE BEGAN BEFORE 2000

3. NO OTHER MARRIAGE

3 Î KW23a

3 Î KW23a

3 Î KW23a

3 Î KW23a

3 Î KW23a

1....................................................................... 2 Î KW23a

2 Î KW23a

2 Î KW23a

2 Î KW23a

2 Î KW23a

2 Î KW23a

1 Î SUPPLEMENT KW KW22b.

1 Î KW09 COLUMN 2

1 Î KW09 COLUMN 3

1 Î KW09 COLUMN 4

1 Î KW09 COLUMN 5

1 Î KW09 COLUMN 6

INTERVIEWER’S NOTE: FOR NEW:

3. NO OTHER MARRIAGE

3 Î KW23a

3 Î KW23a

3 Î KW23a

3 Î KW23a

1 Î KW09 COLUMN 2

1 Î KW09 COLUMN 2

3 Î KW23a

1 Î KW09 COLUMN 2

3 Î KW23a

1. ANOTHER MARRIAGE 1 Î KW09 COLUMN 3

1 Î KW09 COLUMN 3

1 Î KW09 COLUMN 3

KW23a.

If you could choose exactly the

No .......................................... 3 Î SECTION PK number of children to have in your

KW25.

Do you personally wish to have

└─┴─┘ Children .............................. 1

Yes ......................................... 1 whole life, how many would that

another child (besides the children

you already have)? KW26. How many (more) children do you

be?

UP TO GOD....................................... 95

└─┴─┘

Children

KW23. INTERVIEWER’S NOTE:

FEMALE ..................................... 5 Î SECTION PK

wish to have?

RESPONDENT IS A: UNMARRIED MALE ................... 3 Î SECTION MG

UP TO GOD ...............................95

KW27. MARRIED MALE ......................... 1 Among the children that you (still)

wish to have, how many sons and

01. a.

└─┴─┘ Sons

KW24. Are you and your wife physically

Yes ................................................. 1 Î KW25

daughters do you wish to have?

b. └─┴─┘ Daughters

able to conceive a child (again)

No .................................................. 3

without medical help?

95. UP TO GOD

KW24a.

Have you and your wife ever

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

sought medical attention to help

No .................................................. 3

you conceive?"

PK19a. INTERVIEWER CHECK: RESPONDENT IS PANEL RESPONDENT (ar01g=1)

No ........................................................ 3 Î PK20 Yes ....................................................... 1

PK19b.

What was the date of your current/most recent marriage?

DON’T KNOW....................................... 8 Î PK20 └─┴─┘ / └─┴─┴─┴─┘ ......................... 1

MONTH /

YEAR

PK19c. INTERVIEWER CHECK: YEAR IN PK19b IS BEFORE 1997?

Yes ...................................................... 1 Î SECTION BR

PK20

No ........................................................ 3 Î

PK20. PK21.

At that time that you were married, was [...] alive?

ANSWER PK21 IF “1” IS CIRCLED IN