SECTIONS: SC, AR, KRK, IK, FP, CP Respondent is a HH Member 18 Years or Older who is Knowledgeable About Characteristics of Household Members NAME OF RESPONDENT: RSPNDNT: RESPONDENT

BOOK K

(CONTROL BOOK)

SECTIONS: SC, AR, KRK, IK, FP, CP Respondent is a HH Member 18 Years or Older who is Knowledgeable About Characteristics of Household Members

NAME OF RESPONDENT: _________________________________________ └─┴─┘ AR00 (PID)

INTERVIEW LANGUAGE CODES RSPNDNT: RESPONDENT

IS: ................................... 1. HEAD OF HOUSEHOLD

2. SPOUSE OF HEAD OF HOUSEHOLD

00. Indonesian

3. OTHER HOUSEHOLD MEMBER

01. Javanese

02. Sundanese

4. NON-HOUSEHOLD MEMBER

03. Balinese

R1. TOTAL NUMBER OF INDIVIDUAL 04. Batak R2. CODE OF FINAL INTERVIEW OUTCOME:

05. Bugis

RESPONDENTS WHO MUST BE

1. COMPLETED ALL BOOKS K - 5

06. Chinese

TRACKED (FROM FP10):

└─┴─┘

2. COMPLETED SOME OF BOOKS K - 5

07. Maduranese

3. BOOK K ONLY NO ONE INTERVIEWED (AR01i=3 OR AR01i=1 BUT 08. Sasak 09. Minang ALL HHM MOVED OR DIED)

10. Banjar

4. BOOK K ONLY, OTHERS.............................................................

11. Bima

12. Makassar # INTERVIEW SESSIONS OF BOOK K: └───┘ (NUMVIS) 13. Nias 14. Palembang

INTERVIEW 123 LANGMAIN. Interview was entirely/mostly conducte

15. Sumbawa

16. Toraja

DATE:

/ / / / / / └─┴─┘ 17. Lahat └─┴─┘ └─┴─┴─┴─┘ └─┴─┘ └─┴─┘ └─┴─┴─┴─┘ └─┴─┘ └─┴─┘ └─┴─┴─┴─┘ Other: .......................................... 18. Other South Sumatra

DAY/MONTH/YEAR DAY/MONTH/YEAR DAY/MONTH/YEAR └─┴─┘

19. Betawi

TIME STARTED:

└─┴─┘ 20. Lampung └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘

/ / / LANGOTHR Other language used (if any):

96. NONE HOUR/MINUTE HOUR/MINUTE HOUR/MINUTE 91. Other

TIME END: / / / └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘

Other: ..........................................

HOUR/MINUTE HOUR/MINUTE HOUR/MINUTE

RESULT OF BOOK K

SUP. LOCAL SUPERVISOR

INTERVIEWER

REASON

EDIT_CK. REVIEW BY EDITOR

MONITORING CLOSEST EA

1. CompletedÎ EDIT_CK

1. Respondent was not at home/not available

1. Entered, no corrections necessary

Yes No 1. EA:

└─┴─┴─┘ Distance to EA: └─┘,└─┴─┴─┘ km

2. Partially completed

2. Respondent was seriously ill

2. Entered AND corrected

a. Observed........1

3. Not completed

3. Respondent refused (to be interviewed)

2. Outside EA Range:

4. Manual edit without CAFÉ

b. Edited .............1 3

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

3. Entered, but not corrected,

Province:____________ Province Code:

└─┴─┘

c. Verified ...........1 3

explain: ____________________

Kab./Kota:___________ Kab/Kota Code: └─┴─┘

SECTION SC (SAMPLING DESCRIPTION AND INTERVIEW NOTES) SC22. INTERVIEWER NOTES AND SKETCH OF LOCATION (INCLUDE ROUTE TO THE LOCATION)

HHID └─┴─┴─┘└─┴─┘└─┴─┘└─┴─┘

VILLAGE:__________________└─┴─┴─┘ KECAMATAN:__________________ └─┴─┴─┘ KABUPATEN:__________________ └─┴─┘ PROVI NCE:______________

└─┴─┘

NORTH

SECTION AR (LIST OF HOUSEHOLD MEMBERS) HOUSEHOLD ROSTER

AR00c. INTERVIEWER CHECK

PANEL HOUSEHOLD .................... 1 NEW HOUSEHOLD......................... 3

INSERT PREPRINTED HH ROSTER USE NEW HH ROSTER

SECTION AR (LIST OF HOUSEHOLD MEMBERS)

HOUSEHOLD (RT):

is a person or group of persons who occupy a part of or an entire building and who usually live together and eat from the same kitchen. What is meant by eating from one kitchen is that the arrangement to fulfill daily necessities is jointly managed.

HEAD OF THE HOUSEHOLD (KRT):

is a person among the group of householders who is responsible for satisfying daily necessities of the household or a person who is regarded/assigned as the head of the household.

HOUSEHOLDER (ART):

is anyone who usually lives in the household, whether she/he is at home during the survey or is temporarily absent. A householder who has been away for 6 or more months, and a householder who has been away for less than 6 months but plans to move out/be away for 6 or more months is not regarded as a householder. A guest who has stayed in the household for 6 or more months or a guest who has stayed in the household for

less than 6 months but plans to stay for 6 or more months is regarded as a householder. ( THE NAME OF A

HOUSEHOLDER IS TO BE WRITTEN ON ONE LINE ONLY.)

AR00x. INTERVIEWER CHECK AR00c

NEW HH .......................................................................... 3 ÎAR00b PANEL HH........................................................................ 1

AR00a.

I would like to know about the people who live in this household. In 2000 a fieldworker came to your home and listed the names of household members. Now we would like to know whether those individuals still live in this household

INTERVIEWER INSTRUCTION:

READ THE NAME OF HOUSEHOLD MEMBERS AND ASK QUESTION AR01a.

AR00b.

I would like to know the names of all the people who live in this household. Please list all the people that stay here, eat and cook together in the household.

(NOTE WITH REFERENCE TO THE ROSTER: THE NAMES THAT ARE RECORDED HERE ARE ONLY THE PEOPLE WHO USUALLY STAY IN THIS HOUSEHOLD: ADULTS, CHILDREN, AND INFANTS. LIST THE HOUSEHOLD HEAD, THE WIFE OF THE HOUSEHOLD HEAD, THEIR CHILDREN (BIRTH, STEP, ADOPTED), PARENTS, IN-LAWS, SIBLINGS, SIBLINGS IN-LAW, GRANDCHILDREN, GRANDPARENTS, AUNTS AND UNCLES, NIECES AND NEPHEWS, COUSINS, BOARDERS, AND SERVANTS (NON-FAMILY MEMBERS).

SECTION AR (LIST OF HOUSEHOLD MEMBERS)

AR00 AR10. AR11.

AR15d.

AR15a.

AR15b.

AR15c.

Line No. of

Marital Status

Did [...] work in the last 12

What were the total earnings of [...] in What was […]’s

months? (>5 years)

the last 12 months?

primary activity

during the past

1. └─┴─┘ └─┴─┘ Rp. └─┴─┘ 1, 3, 4, 5, 8 Î AR15 └─┴─┘

04 05 07 AR15c 8. DKÎAR15c

1. Yes

6. UNPAID FAMILY WORKER

6.<5YearsÎ AR16

8.DON’T KNOW

3. NoÎ AR15c 8. DKÎAR15c

1. Rp.

1. Yes

6. UNPAID FAMILY WORKER

6.<5YearsÎ AR16

8.DON’T KNOW

1. └─┴─┘ └─┴─┘ Rp. └─┴─┘ 1, 3, 4, 5, 8 Î AR15 └─┴─┘

04 05 07 AR15c 8. DKÎAR15c

1. Yes

6. UNPAID FAMILY WORKER

6.<5YearsÎ AR16

8.DON’T KNOW

1. └─┴─┘ └─┴─┘ Rp. └─┴─┘ 1, 3, 4, 5, 8 Î AR15 └─┴─┘ 3. NoÎ

04 05 07 1. Yes AR15c 8. DKÎAR15c

6. UNPAID FAMILY WORKER

6.<5YearsÎ AR16

8.DON’T KNOW

04 05 07 AR15c 8. DKÎAR15c

1. Yes

6. UNPAID FAMILY WORKER

6.<5YearsÎ AR16

8.DON’T KNOW

04 05 07 AR15c 8. DKÎAR15c

1. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp.

1. Yes

6. UNPAID FAMILY WORKER

6.<5YearsÎ AR16

8.DON’T KNOW

3. NoÎ AR15c 8. DKÎAR15c

1. Yes

6. UNPAID FAMILY WORKER

6.<5YearsÎ AR16

8.DON’T KNOW

1. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ └─┴─┘ Rp.

1, 3, 4, 5, 8 Î AR15

3. NoÎ AR15c 8. DKÎAR15c

1. Yes

6. UNPAID FAMILY WORKER

6.<5YearsÎ AR16

8.DON’T KNOW

1. └─┴─┘ └─┴─┘ Rp. └─┴─┘ 1, 3, 4, 5, 8 Î AR15 └─┴─┘

04 05 07 AR15c 8. DKÎAR15c

1. Yes

6. UNPAID FAMILY WORKER

6.<5YearsÎ AR16

8.DON’T KNOW

3. NoÎ AR15c 8. DKÎAR15c

1. Rp.

1. Yes

6. UNPAID FAMILY WORKER

6.<5YearsÎ AR16

8.DON’T KNOW

AR10, AR11

AR15 AR15c

AR13

AR15d

51. Don’t live in this HH

1. Not married

01. Javanese 08. Sasak

01. Working/helping to earn income

02. Sundanese 09. Minang

02. Job searching

3. Separated

03. Bali 10. Banjar

17. Betawi

25. Other Southern Sumatrans

03. Catholic

03. Attending school

AR12

4. Divorced

04. Batak 11. Bima-Dompu

96. >=15 years old

5. Widow/er

05. Bugis 12. Makasar

51. Don’t live in this HH

8. Don’t Know

06. Chinese 13. Nias

06. At home /don’t work

07. Maduranese 14. Palembang

07. Sick/disabled

AR14

95. Others

98. DON’T KNOW

51. Don’t live in this HH

SECTION AR (LIST OF HOUSEHOLD MEMBERS)

AR00 AR16.

AR17.

AR18a.

AR18b.

AR18c.

Highest Level of Schooling

Highest grade ever completed by

INTERVIEWER

INTERVIEWER CHECK:

No.

Attended by HHM

HHM

CHECK: AR09

AR01a

Is [...] in school this year?

AGE < 25

AR01a = 1, 2, 5, or 11

HHM

(PID)

(LIVE IN THIS HH)

1. Yes Î

1. Yes Î SCHOOL LIST