STATISTICS ON INCOME AND LIVING CONDITIONS

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1 Approved NSI PRESIDENT Sergey Tsvetarski NATIONAL STATISTICAL INSTITUTE STATISTICS ON INCOME AND LIVING CONDITIONS HOUSEHOLD QUESTIONNAIRE EU-SILC District 2. Household (HH) status DB110 Settlement code I. HH from the previous survey : N of cluster within the district - sample or derivative HH observed in N of household within the cluster 2.1. The HH address is the same as during the previous survey 1 >> q. 3 Consecutive N of the household (DB030) 2.2. The whole HH has moved to another address in the country All sample persons aged 16+ have moved to another address in the country 2 info for NSI 2.3. The whole HH has moved to a collective household The HH resides abroad 4 Rotation group 2.5. All HH members have died There is no person subject of survey in the HH 6 Interviewer code 2.7. The access to the HH is impossible Erased HH Dates of visits: - HH without sampe persons, 10 first:.../.../ 2016 due to incorporation in a new HH second:.../.../ No information is available on what has happened to the HH 11 If answers 3, 4, 5, 6, 7, 10 or 11 are given - end of interview! II. New survey HH Derivative HH, determined during the 2015 survey 8 >> q. 3 info for NSI 1. Update of addresses DB New address is added to the sample: 1.1. The address exists 11 - new HH in the sample (rotation group 13 ) 9 >> q The address cannot be found The address exists, but 3. Is the interview with the HH conducted: DB130 cannot be accessed >> q Uninhabited dwelling No, the HH refuses to participate The dwelling is used 3.3. No, the HH is absent during the survey period 22 for business purposes No, impossible contact Other reasons 24 If answers 21, 22, 23 or 24 are given - end of interview! 4. N of person who has delivered the information НВ Duration of interview... Minutes НВ100 Leader of survey in the RSO:... (Name, family) signature... Interviewer:... signature:... MARCH -MAY 2016

2 REGISTER 1. HH COMPOSITION AND TRACING OF FORMER MEMBERS OF A HH OBSERVED IN 2015 (PERSONS WHO HAVE LEFT OR DIED WITHIN THE PERIOD OF 2015 SURVEY AND 2016 REFERENCE PERIOD) Name RB030 RB090 Day RB070 RB080 Age at former HH If If If If Name Personal Sex Date of birth members RB110=5 or RB110=5 or RB110=5 or RB110=6 RB110=2 or 9 number RB110=6 RB110=6 or RB110=7 or RB110=3 1 І І І І І I I I 2 І І І І І I I I 3 І І І І І I I I 4 І І І І І I I I 5 І І І І І I I I 6 І І І І І I I I 7 І І І І І I I I 8 І І І І І I I I 9 І І І І І I I I 10 І І І І І I I I 1. Male Person is: 2. Female RB100 RB110 RB120 RB140 RB150 RB160 RB170 RB180 RB Person 1. Sample 1. In another HH is 16 person (Table of in the country 1. Employed years and 2.Co-resident codes 1) 2. In institutional 2. Unemployed over HH 3. In retirement, 2. Person 3. Abroad early retirement, is under 4. No information given up business 16 years on person 4. Other inactive Day Month Year 5. Dead person Month Year Months person Month Year 1. Person has been in the HH during the previous survey 6. Person has died after the previous survey 2. Person has participated in previous survey, but in another HH 7. Person is not in the HH register for 2015, but has lived in the HH at least 3 months 3. Person comes from a HH which is not interviewed in 2015 within the period between the two surveys and is not HH member at the reference moment 4. Newly born 8. Person is from the new sub-sample (rotation group 13) 5. Person has left the HH, but is observed during the previous survey 9. Person comes from abroad Interviewer! 1. For persons for who RB110=5 and RB120=. For HH members who are not surveyed in 2015 Give the new addresses of these persons to the person in charge of the survey, in order to be surveyed there! Present and Membershi p status Table of codes 1 for question RB110 fill in RB110=3 TRACING OF FORMER MEMBERS OF A HH OBSERVED IN 2014 (HH MEMBERS WHO HAVE LEFT OR DIED AFTER 2014 SURVEY) Where did the person move? When did the person leave or die? How many months did the person live in the HH in 2014? To which category did the person belong during that period? NEW MEMBERS Since when the person is member of the HH?

3 REGISTER 2. PRESENT HH MEMBERS Name RB030 Relation PB210 PB220A PB220B RB031 PB190 PB200 E1 RB240 RB220 RB230 Personal Relation to the Country Citizenship Since which Legal De facto Ethnicity Number of Number of Number of Name number head of HH of birth year does the marital marital spouse person's person's person live in 1. Head of HH Bulgaria status status (partner) father mother 2. Husband/wife First Second 3. Son, daughter 4. Son-in-law, daughter-inlaw (Table of codes 2) (to be filled 1. Single 1. Not in marriag1.bulgarian 5. Grantchild in for 2. In marriage 2.Turkish persons born 6. Parent of the HH head outside of 2. Married 3. Cohabiting 3.Roma 7. Parent of spouse Bulgaria) 3. Widowed without marriage4.other 8. Other relative 4. Divorced (brother, sister, etc.) 5. Not stated 9. Non-relatives 6.Not answered 1 І І І І І I I I І І І І І I I I І І І І І I I I І І І І І I I I 2 І І І І І I I I І І І І І I I I І І І І І I I I І І І І І I I I 3 І І І І І I I I І І І І І I I I І І І І І I I I І І І І І I I I 4 І І І І І I I I І І І І І I I I І І І І І I I I І І І І І I I I 5 І І І І І I I I І І І І І I I I І І І І І I I I І І І І І I I I 6 І І І І І I I I І І І І І I I I І І І І І I I I І І І І І I I I 7 І І І І І I I I І І І І І I I I І І І І І I I I І І І І І I I I 8 І І І І І I I I І І І І І I I I І І І І І I I I І І І І І I I I 9 І І І І І I I I І І І І І I I I І І І І І I I I І І І І І I I I 10 І І І І І I I I І І І І І I I I І І І І І I I I І І І І І I I I Table of codes 2 - for questions PB220A and PB220B 01. Bulgaria - BG 13. Russia - OEU 25. Netherlands- NL 38. Monte Negro - ME 02. Greece - EL 14. Ukraine - OEU 26. Finland - FI 39. Bosnia and Herzegovina - OEU 03. Turkey -TR 15. Moldova - OEU 27. Belgium - BE 40. Other European country - OEU 04. Romania - RO 16. Estonia - EE 28. Luxembourg - LU 41. North Africa - NAF 05. Poland - PL 17. Lithuania - LT 29. Swetzerland - CH 42. West Africa - WAF 06. Hungary - HU 18. Latvia - LV 30. Ireland - IE 43. Other African countries - OAF 07. Check republic - CZ 19. Cyprus - CY 31. Sweden - SE 44. United States of America - USA 08. Slovakia - SK 20. France - FR 32. Denmark - DK 45. Canada - CAN 09. Germany - DE 21. Spain - ES 33. Norway - NO 46. Central and South America - CSA 10. Austria - AT 22. Portugal -PT 34. Malta - MT 47. Near and Middle East - NME 11. Macedonia - MK 23. Italy - IT 35. Slovenia - SI 48. Other Asia countries - OAS 12. Croatia - HR 24. Great Bretain - UK 36. Iceland - IS 49. Аaustralia and Oceania - OCE 37. Serbia - RS 50. Other - OTH The respective personal numbers from RB030 are to be filled in. If the spouse (partner), father or mother are not members of the HH, 99 is to be filled in, following the HH code in the last 2 digits of each column.

4 REGISTER 2. PRESENT HH MEMBERS RB200 RB160 RB210 PE010 PE020 PE040 PE030 RB245 RL010 RL020 RL030 RL040 RL050 RL060 Is the person How many To which category Is the person studying at What does Highest degree Year of Person status How many hours does your child spend at: absent at months did the does the person present? the person of education completion of (age) Creche, At school Study-room Center Babysitter Carer without person live in the belong at present: study? completed the highest the moment? kindergarten, or for payment HH in 2014? degree of years and pre-school center for children (not parent) education 1. No 1. Employed 1. Yes, (level of over at establishment out-of-school 2. Yes, temporary 2. Unemployed (including semester or education) activities * in hospital 3. In retirement, summer break) (Table of codes 3) 2. Up to 12years *in institution (prison) early retirement, 2.No >> PE040 at the interview * working out of town given up business 3. No, because he/she is moment *on travel 4. Other inactive looked after at home >> RL010 Months Hours Hours Hours Hours Hours *other reasons person >>RB years Table of codes 3 - for filling in questions PE020 and PE Tertiary "Doctor" 8. Upper Secondary general education (technical school or vocational gymnasium) - 2.Tertiary "Master" ІІ level of professional qualification 3. Tertiary "Bachelor" 9. Vocational training with entrance after 8th grade ( I level of professional qualification) 4. Tertiary "Professional Bachelor" 10. Vocational training with entrance after 6th or 7th grade - І degree of professional qualification 5. Post secondary, non-tertiary vocational education 11. Lower secondary (basic) education (5th to 8th grade) (2 years, ІV level of professional qualification) 12. Primary education(1-4 grade) 6. Secondary (Special) Vocational education (secondary vocationa school, vocational gymnasiums, 13. Uncompleted Primary education health schools, schools for deaf and blind) 14. Pre-school education (kindergarten or preparatory group) 7. Secondary education (technical school or vocational gymnasium) - ІІІ level of professional qualification 15. Person who has never visited school Interviewer! - Highest degree of education completed is to be recorded in РЕ040, for which the person is issued a document (diplome, certificate, etc.) - For children aged 3-7 years visiting a kindergarten, code "1" is to be recorded for question РЕ010 and code "14" for question РЕ020 - Code 15 Person who has never visited school" is to be recorded for persons aged 8+ only, who have never visited school - Code 13 Uncompleted Primary is to be recorded for persons only who are not studying at present, but who have completed several grades of the primary education, without completing it To be filled in for children aged 0-12 years Hours

5 Question Answer Code DWELLING AND LIVING CONDITIONS Q1 Type of dwelling: Detached house 1 HH010 Part of house 2 Apartment in a building with less than 10 dwellings 3 Apartment in a building with more than 10 dwellings 4 Hostel 5 Primitive/mobile dwelling 6 Other 7 Q2 Number of rooms (bigger than 4 м 2 ) used by the HH: HH030 (without kitchens, toilets, bathrooms and studies) Number of rooms... (If the number of rooms is 1 to 9 - record the exact number in column "Code"; if there are 10 rooms or more - record 10) Q2a Useful dwelling space in м 2 m2... Yes, for Q3 Are there in the dwelling: sole use Yes, shared No Q3.1. Bathroom with a shower or bathtub 3 HH081 Q3.2. Inner toilet with a running water 3 HH091 Q3a Does your HH possesses (or uses) Yes No, No, the following household items: cannot due to afford it other reasons Q3а.1. Telephone (incl. mobile) 3 HS070 Q3а.2. Color TV set 3 HS080 Q3а.3. Computer 3 HS090 Q3а.4. Automatic washing machine 3 HS100 Q3а.5. Car (incl. company car used for private porposes) 3 HS110 Q3b Which is the main source used for heating? (One answer, please) Central/local heating 1 Fireplace, stove, air-conditioner, others 2 Portable devices: radiator, electric heater, others 3 Dwelling does not have heating facilities 4 Q4 Do you have any of the following problems connected to the dwelling: Q4.1. Leaking roof, damp walls, fondations, broken or rotten Yes No HH040 window frames, doors, floor Q4.2. Darkness, insufficient light HS160 Q4.3. Noise (transport, noisy neighbours) HS170 Q5 Can you afford adequate heating of your dwelling? HH050 No 2 Can you afford replacement of Yes No, No, HD1 old furniture? cannot due to afford it other HD080 reasons 3 Q6 Do you have any of the following problems, connected to the quarter (village) you are living in: Yes No Q6.1. Dirty, depressing environment HS180 Q6.2. Risk of crimes and vandalism HS190 Co1 Co2 Does your household have another dwelling, house, villa outside the place in which she/he lives? During the last 12 months did your household visit another dwelling, house, villa? No 2 Yes - every week 1 Yes - once a month 2 Yes - at least once a year 3 No 4 Q7 Are you owner, tenant or tenant without rent? HH021 Owner 1 >>q. Q8 Tenant at market prices 2 >>q. Q12 Tenant at a price lower than the market one 3 >>q. Q11a Tenant without rent 4 >>q. Q16

6 Question Answer Code OWNERS Q8 When did you buy or acquire (by endowment, inheritance) HH031 the dwelling you are living in? Year... Q9 Do you repay loans to banks or other institutions (without individuals) for the purchase of this dwelling? No 2 >>q. Q11 Q10 Please indicate the loan conditions: Year of granting... Total loan amount... Leva Term... years interest rate... % НН070 Q11 Monthly repayment... Leva HH071 How much do you think you would pay as monthly rent (at market prices) if you were a tenant of this dwelling,? Leva... >>q. Q18 HH061 Q11a Q12 Q13 If you were a tenant at market prices, how much do you think you would pay as monthly rent? Leva... HH061 Since when are you a tenant of this dwelling? Year... HH031 What is the monthly rent you pay for this dwelling? (If the expenses on heating, electricity, water supply, etc. are included in the rent, please indicate the amount paid on rent only) Leva... HH060 Q14 Are the expenses on water supply, electricity, heating, etc. HH070 Q15 TENANTS included in the rent? No 2 >>q. Q18 What is the approximate amound of expenses included in the rent? MONTHLY amount leva... >>q. Q18 HH070 TENANTS WITHOUT RENT Q16 Q17 Since which year did you live in this dwelling without rent? Year... HH031 How much do you think you would pay as monthly rent (at market prices) if you were a tenant of this dwelling,? Leva... HH061 EXPENSES ON DWELLING (owners, tenants and users without rent) Q18 Q18a Which of the expenses on dwelling listed below do you pay and what is the average monthly amount paid? (Excluding the expenses included in the monthly rent! ) In case part of the expenses are paid several times per year, please indicate 1/12 of the total annual expenditure! If a given type of expenditure is not available, please mark 2 and record 0 in column Average "Average monthly sum". Otherwise mark 1 and record the average monthly expenditure Yes No monthly in column "Average monthly sum" sum Q18.1. Electricity (excluding for heating) Q18.2. Cold water Q18.3. Hot water Q18.4. Other expenditure (lift, cleaner, protection, etc.) Q18.5. Current maintenance of the dwelling What was the amound of expenditure on heating in the last heating period? average monthly sum... leva HH070 expenditure is paid by the social services 1 HH070

7 Question Answer Code Q18б Did your household receive a social assistance on heating in 2015 Yes No and for which heating period? - heating period 2014/2015 Q19 In 2015, did you pay and what amount did you pay on: Yes No No of months Monthly sum HY060 Q19.1. Dwelling insurance.. НН070 Q19.2. Tax on property, tax on waste disposal.. HY120 Q19а How do the expenditure on dwelling influence the financial situation of your household? (loan on dwelling, current maintenance, taxes, insurance, repairs) HS140 Heavy burden 1 Burden to a certain extent 2 Not a burden at all 3 Q20 During the last 12 months, did your HH faced some problems with Yes, Yes, 2 No Such payment on time of the expenditure on the dwelling you are once times and expenditure living in? more is not done Q20.1. Loan on purchase of the dwelling you are living in 3 4 HS011 Q20.2. Rent on the dwelling 3 4 HS011 Q20.3. Current expenditure on electricity, heating, water supply, etc. (excluding expenditure on telephone) 3 4 HS021 Q21 During the last 12 months, did you or members of your HH borrow money or take loans from banks HS150 and other financial institutions (excluding individuals) on goods and services (purchase of car, furniture, holiday)? No 2 >>q. Q23 Q21а To what extent the expenditure on loans (mentioned in q. Q21) influences the financial situation of your HH? HS150 Heavy burden 1 Burden to a certain extent 2 No burden at all 3 Q22 During the last 12 months, did your HH faced some problems with Yes, Yes, 2 No payment on time of expenditure on loans (Q21)? once times and HS031 more 3 Q23 What is the total net monthly income of your HH at present? (the total sum of income of all HH members received from wages, pensions, social and family benefits, regular transfers from persons outside the HH and from other sources) Leva... Q24 In general, could your HH afford (if wishes): Yes No Q24.1. Each year, one-week holiday out of home, including stay in HS040 second home/country house or at friends/relatives Q24.2. Consumption of meat, chicken or fish (or vegetarian equivalent) each second day HS050 Q25 Could your HH meet with own resources unexpected expenditure up to 300 leva? (urgent rapairs of the dwelling, car, replacement of washing machine or Q26 Q27 - heating period 2015/2016 refrigerator, sudden illness, etc.) No 2 HS060 Considering the total monthly income of your HH, (sum of income from all sources of all HH members) HS120 how do you "make ends meet" i.e. can you meet everyday expenses? With great difficulty 1 With difficulty 2 With some difficulties 3 Relatively easily 4 Easily 5 Quite easy 6 In your opinion, what is the minimum net monthly income needed by your HH in order to "make ends meet"? Leva... HS130 Please consider the current financial situation of your HH and the usually necessary expenses! sum

8 Question Answer Code SOCIAL AND FAMILY BENEFITS RECEIVED BY THE HOUSEHOLD IN 2014 BASIC NEEDS OF CHILDREN AGED 1 TO 15 YEARS Q28 Interviewer! Specify whether there are children in the HH aged up to 16 at No 2 >>q. Q29 Q28a In 2015, did any of the children aged up to 16 has independent Yes No sources of income from: sum Q28а.1. Survivors pension HY110 Q28а.2. Disability pension Q28а.3. Scholarship Q28а.4. Other income (reward, employment during the summer vacation, etc., excluding transfers between HH members) Interviewer!In column "Sum", record the total annual amount received by all children in the HH. Basic needs of children (aged 1 to 15 years) in the HH In case the needs of one child cannot be satisfied, No, due to No, due to the same refers for all children in the HH Yes financial other HD2 Can your HH ensure to all of the children living in the HH: reasons reasons HD2.1. Purchase of new clothes 3 HD100 HD2.2. Purchase of two pairs seasonal and /or multi-seasonal shoes 3 HD110 HD2.3. Fresh fruits and vegetables once a day (excluding canned) 3 HD120 HD2.4. One meal based on meat, chicken or fish (or vegetarian equivalent) once a day 3 HD140 HD2.5. Books appropriate to their age (excluding textbooks and school aids) 3 HD150 HD2.6 Equipment for outdoor games (bicycle, wheek scates, skates, etc.) 3 HD160 HD2.7. Parlour and solo games (educational games for youngest children, cubes, 3 dominoes, computer games, etc.) HD170 HD2.8. Regular swimming, playing misical instruments, participation in youth 3 organisations, etc. HD180 HD2.9. Celebrations (birthday parties and similar) 3 HD190 HD2.10. Visits of friends (to play or have a snack together) 3 HD200 HD2.11. Rest out of home for one week per year 3 HD240 (incl. family celebrations, visits to relatives, friends, vacations organised by the school, etc.) Yes No, due to financial reasons No, due to other reasons The child does not attend school HD2.12. School excurtions, paid activities and celebrations 3 4 HD210 HD2.13. Place suitable for homework preparation 3 4 HD220 Q29 In 2015, did your HH receive any assistance, how long did you Yes No Number Monthly receive it and what was the monthly amount received? of months amount Q29.1. Monthly assistance for rent of municipal or state housing HY070 Q29.2. Monthly monetary assistance for low income HY060 Q29.3. Lump-sum for accidental necessities х HY060 Interviewer! Monthly assistance for rent of municipal housing is granted to: - orphans up to 25 years, graduated social vocational education; - lone people over 70; - single parents.

9 Question Answer Code Q30 In 2015, did you or anybody in your HH receive any of the following family lump sums: Q30.1. Lump sum for pregnancy Q30.2. Lump sum for childbirth Q30.2.а of first child Q30.2.б of second child Q30.2.в of third and subsequent child Yes No Number of recipients HY050 Q30.4. Lump sum for bringing up twins younger than 1 year Q30.5. Additional lump sum benefit for children with disabilities Q30.6 Lump sum for pupils...leva Q30.7. Lump sum for children who cannot enroll in kindergarten.. No of months Q31 In 2015, did you or anybody in your HH receive No of Total No of Yes No any of the following monthly family benefits: children months HY050 Q32 Q33 Q34 Q30.3. Lump sum for bringing up a child younger than 1 year by a student Q31.1. Monthly benefit for bringing up a child younger than 1 year Q31.2. Monthly benefit for bringing up a child with disability younger than 2 years Q31.3. Monthly benefit for child up to completion of secondary school (children benefits up to 20 years of age) Q31.3.a - for a child up to 20 years. Q31.3.б - for twins up to 20 years. Q31.3.в - for disabled children up to 20 years. Q31.4. Monthly benefit for bringing up a child with disability up to completion of secondary education (up to 20 years of age amounting to 70% of the minimum wage) Interviewer! - Monthly benefits for bringing up of a child younger than 1 year (Q31.1) or younger than 2 years (Q31.2) amounting to 100 leva are paid to uninsured and insured persons who do not have the required 6 - months length of insurance. - In the column "Total number of months" the total number of months for all children living in the HH, for who a benefir is received is to be recorded. In 2015, did you or anybody in your HH receive any of the following benefits for bringing up a child up to 18 years accommodated at foster family or relatives: Q32.1. Lump sum х... Q32.2а. Monthly benefit for bringing up a child accommodated at at foster family or relatives Q32.2б. Supplements for disabled child accommodated at foster family or relatives In 2015, did you or anybody in your HH receive benefit for transportation due to the following reasons: Yes No amount Q33.1. Mother of many children Q33.2. Person with disability over 71% Q33.3. Disabled child up to 16 years Q33.4. War disabled In 2015, did you or anybody in your HH receive any of the following disability benefits: Yes No Q34.1. Purchase and repair of supporting devices, appliances and medical products Q34.2. Purchase and/or adaptation of vehicle Q34.3. Dwelling reconstruction Q34.4. Other assistance (personal assistant, etc.) Yes No Number of months amount Amount HY050 HY060 РУ130

10 Question Answer Code TRANSFERS BETWEEN HOUSEHOLDS Q35 Q36 Q37 Q38 Interviewer!Questions Q35 and Q37 refer to transfers between households and persons, living at the country territory. Questions Q36 and Q38 refer to transfers from abroad. In 2015, did you or anybody in your HH provide help in cash to persons outside your HH? Yes No amount Q35.1. In cash... HY130 Q35.2. For child alimony... HY131 (Christmas, birthday and other presents as well as goods produced by the HH are excluded) In 2015, did you or anybody in your HH provide help in cash to persons living abroad? Yes No amount Q36.1. In cash... HY130 Q36.2. For child alimony... HY131 In 2015, did you or anybody in your HH receive assistance in cash from persons who are not members of your HH? Yes No amount Q37.1. In cash... HY080 Q37.2. For child alimony... HY081 In 2015, did you or anybody in your HH receive assistance in cash from persons living abroad? Yes No amount Q38.1. In cash... HY080 Q38.2. For child alimony... HY081 HOUSEHOLD'S AGRICULTURAL ACTIVITY IN 2014 Q39 Are you or anybody in your HH registered as: Yes No Q40 Q41 Q42 Q43 Q44 Q45 Q46 Q47 Q39.1. Farmer Q39.2. Producer of tabacco Did you and your HH cultivate own or rented land? (incl. kitchen garden if used for agricultural purposes) No 2 >>q. Q48 How many decars in total (own and rented land) do you cultivate? Decars... Approximately to what amount would you estimate the agricultural production of your household? (annual amount) Leva... Approximately to what amount would you estimate the agricultural production consumed by your household? (annual amount) Leva... Did you sell own agricultural produntion? No 2 >>q. Q46 What amount did you receive from sales of agricultural production? (annual amount) Leva... PY050 Was part of your own agricultural production given free to persons outside your household? No 2 >>q. Q48 Approximately to what amount would you estimate the agricultural production given free to persons outside your household? (annual amount) Leva... HY130 HY170

11 Question Answer Code Q48 Q49 Q50 Q51 Did you or members of your household lease out own agricultural land to agricultural cooperative or to third persons? No 2 >>q. Q51 How many decars did you lease out to cooperative or to third persons? Decars... What amount did you receive from the land leased out to cooperative or third persons? (if the payment is received in kind, please indicate the approximate equivalent value in Leva) (annual amount) Leva... HY040 Did your household breed stock, poultry, bees, etc? Q52 Did you sell any of the stock bred? Q53 Q54 Q55 Q56 No 2 >>q. Q61 No 2 >>q. Q54 Approximately what amount did you receive from the sales of the stock bred? (annual amount) Leva... PY050 Did your household produce eggs, milk, meat, honey or other animal products? No 2 >>q. Q61 Would you indicate the approximate value of these production (annual amount) Leva... Approximately to what amount would you estimate the pointed above own production consumed by your household? (incl. meat and animal products) (annual amount) Leva... HY170 Q57 Did you sell own stock-breeding production? Q58 Q59 No 2 >>q. Q59 How much did you receive from the own stock-breeding production sold by your household? (annual amount) Leva... PY050 Was part of your own stock-breeding production given free to persons outside your household? No 2 >>q. Q61 Q60 Approximately to what amount would you estimate the stock-breeding production given free to persons outside your household? (annual amount) Leva HY130 Q61 What are the expenditure done by your HH in 2015 on agricultural activity? (annual amount) Leva... do not have such 1 (Indicate the total amount of expenditure on: sowing, seeds, seedlings, fertilizers, herbicides, transport, purchase of animals, fodder, veterinary services, renting land, remuneration of workers, etc.) Q62 Did you receive a governmental subvention for Q63 agricultural production in 2015? What is the amount of the subvention received? No 2 Leva... Telephone number: Telephone for contacts in ensured during previous survey Household refuses to ensure telephone for contacts No telephone number is available 3 code 1 2

12 Go to Question Answer Code question MODULE 2016 ACCESS TO SERVICES Section Health care MQ1. During the last 12 months has your household used any healthcare services (e.g. consultations, treatment and prescribed medication)? HC160 MQ2. No 2 During last 12 months has your household paid for or contributed to the cost of healthcare services? >> go to Home care HC170 No 2 MQ3. Is your household able to afford to pay for healthcare services provided for all household members: With great difficulty 1 With difficulty 2 With some difficulty 3 Fairly easily 4 Easily 5 Very easily 6 Section Home care >> go to Home care HC180 MQ4. MQ5. MQ6. MQ7. Is there anyone currently living in your household who needs help due to longterm physical or mental ill-health, infirmity or because of old age? No 2 >> end of the interview Does the person (these persons) concerned receive any home care services provided by professional health or care workers? For how many hours per week are such home care services provided No by 2 >> go to q. MQ9В professional health or care workers (if care provided for more people, indicate the For how many hours per week are such home care services provided by professional health or care workers (if care provided for more people, indicate the sum)? Less than 10 hours per week 1 At least 10 but less than 20 hours per week 2 20 hours per week or more 3 Does your household pay for or contribute to the cost of home care services provided by professional health or care workers? No 2 >> go to q. MQ9А HC190 HC200 HC210 HC220

13 Go to Question Answer Code question MQ8. Is your household able to afford to pay for home care services provided by professional health or care workers? With great difficulty 1 With difficulty 2 With some difficulty 3 Fairly easily 4 Easily 5 Very easily 6 Does anybody in your household need home care services provided by MQ9А. professional health or care workers? >> go to q. MQ10 No 2 >> End of the module HC230 HC240 MQ9В. Does anybody in your household need more home care services provided by professional health or care workers than they currently receive? Please state the main reason for not receiving home care services No provided 2 by >> End of the module professional health or care workers or more care services than received at MQ10. present? Cannot afford it 1 Refused by person needing such services 2 No such care services available 3 Quality of the services available not satisfactory 4 Other reason 5 HC240 HC250

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