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1、CHINA HEALTH AND RETIREMENTLONGITUDINAL STUDY BASELINEQUESTIONNAIRE中国健康与养老追踪调查全国问卷August 2011中国经济研究中心CHINA CENTER FOR ECONOMIC RESEARCHPEKING UNIVERSITY1CONTENTS 目 录COVERSCREEN 过滤问卷 .2A HOUSEHOLD ROSTER 家户登记表 .8B 基本信息 .15C FAMILY 家庭 .26C1 PARENT CHILDREARING AND SIBLING INFORMATION 父母、子女、兄弟姐妹信息 26CA
2、 PARENT INFORMATION 父母信息 .26CB CHILDREARING INFORMATION 子女信息 .30CC SIBLINGS 兄弟姐妹 .42C2 TIME TRANSFER AND TRANSFERS 家庭交往与经济帮助 .44CD TIME TRANSFER 与父母、子女间的交往 .44CE TRANSFERS 家庭得到及提供的经济帮助 .46CF TIME SPENT PROVIDING CARE 提供照料时间 .56D HEALTH STATUS AND FUNCTIONING 健康状况和功能 .59DA HEALTH STATUS 健康状况 .59DB FU
3、NCTIONAL LIMITATIONS AND HELPERS 身体功能障碍以及辅助者 .76DC COGNITION & DEPPRESSION 认知和抑郁 .83DE SELF-REPORTED HEALTH &VIGNETTES 自我评价健康和情景选择题 .87E HEALTH CARE AND INSURANCE 医疗保健与保险 .94PART I MEDICAL INSURANCE 第一部分：医疗保险 .94PART II HEALTH CARE COSTS AND UTILIZATION 第二部分：医疗成本与使用情况 98F WORK, RETIREMENT AND PENSIO
4、N 工作、退休和养老金 .112FA JOB STATUS 就业状况 .112FB WORK HISTORY 工作史 .113FC CURRENT PRIMARY JOB/OCCUPATION 当前、主要工作 .115FK UNEMPLOYMENT AND JOB SEARCH ACTIVITIES 失业，求职经历 .131FL MOST RECENT JOB 最近一份工作 .132FM RETIREMENT 退休与退职 .136FN PENSION INSURANCE 养老保险 .143G &H INCOME, EXPENDITRUES AND ASSETS 收入、支出与资产 .156G1
5、VIGNETTS ON INCOME 情景选择题 .156G2 HOUSEHOLD INCOME AND EXPENDITURES 家户收入与支出 .156HA HOUSEHOLD ASSETS 家户资产 .165HB INDIVIDUAL ASSETS 个人资产 .176I. HOUSING CHARACTERISTICS 住房情况 .184HOUSEHOLD CONTACTS 家户联系信息表 .187J. INTERVIEWER OBSERVATION 访问员观察 .189APPENDIX 附表 .191COVERSCREEN 过滤问卷2COVERSCREEN 过滤问卷IWER: Find
6、 a respondent (he/she does not have to be 45+ years of age, but could not be nanny, short workers or visitors) from the sample house.访员注意：在这个房子中找一人（这人可以不到45岁，但不能是保姆、做工的人或者客人等）回答下列问题.CV000. Did the household receive “a letter to the resident”? 该户是否收到 “致居民的一封信” ？（1）Yes 是 （2）No 否CV001. How many househo
7、lds live in this dwelling? 你们这座房子里住了几户人？一户人是指一起吃饭并且共同承担其它生活费用的人。_0.25Households 户 PROCEDURE: Ask each household the following questions.程序:对每户人家问以下问题：CV002_1. Is this the main home for this household? Is there another house located elsewhere in which the family lives most of the time? 这一户大多数时间居住在这个房
8、子里，还是居住在其他地方的房子里？（1）Theres another house they live most of the time. 大多数时间居住在其他地方（2）Its the main home. 大多数时间住在这个房子里 skip to CV002 跳至CV002 CV002_2. Is that house located in this neighbourhood? 主要居住的房子是在本村/社区吗？（1）Yes 是（2）No 否 go to next household 询问下一家户PROCEDURE：If each household answered no in CV002_2，QUIT. 程序：如果每户对CV002_2题都回答否，退出.We appreciate your time. However, there is no eligible household for us to interview this time.谢谢您的配合，但您这里没有符合我们调查条件的家户。耽误您时间了，抱歉！PROCEDURE：If more than o
