SURVEY ON ITALIAN HOUSEHOLD INCOME AND WEALTH IN 2016 QUESTIONNAIRE FOR THE REFERENCE PERSON OF THE HOUSEHOLD 1. QUESTIONNAIRE No. |__|__|__|__|__|__|__| (enter the number from the list of names) NQUEST (for new households formed from former PANEL households enter the QUESTIONNAIRE No. for the original panel household and tick the box on the right ) ¶ 2. DATE OF INTERVIEW: |__|__| / |__|__| / 2017 DATA11* DATA12* 3. TIME OF INTERVIEW: | | |,| | | ORA11* ORA12* 4. NAME OF INTERVIEWER __________________________________________________________ 5. CODE OF INTERVIEWER | | | | | | | I I CODINT* _________________________________________________________ 6. PLACE OF INTERVIEW: ICOM* IPROV* _________________________________________________________ 7. TYPE OF SAMPLE UNIT: QUEST - New: unit drawn from primary list (O) .......................................................1 replacement drawn from reserve list (R) .........................................2 - Panel (interviewed in 2015) (P) ........................................................................3 - New household formed by member of panel household (ex PANEL ) ............. 4 NQUESTP CONTINT 8. How many times did you contact the household in order to obtain the interview? (Including present interview) No. | | 9. Random number rotation assigned to the family : Rotation 1............................. 1 ROTAZIONE Rotation 2 ............................ 2 i THE VARIABLES MARKED WITH THE SYMBOL * ARE NOT AVAILABLE FOR OUTSIDE USERS i THE VARIABLES MARKED WITH THE SYMBOL € ARE AMONG THE VARIABLES OF THE HARMONIZED SURVEY IN THE EURO AREA (http://www.ecb.int/home/html/researcher_hfcn.en.html ) 1 A. COMPOSITION OF HOUSEHOLD ON 31-12-2016 ALL HOUSEHOLD MEMBERS I would first like to record the composition of the household. Please list all household members on 31-12-2016. (Include all persons normally living in the dwelling on 31-12-2016 who contributed at least part of their income to the household. Include any members temporarily absent − e.g. on vacation, away for study, etc. − and any non-relatives living permanently in the home on 31-12-2016. Do not include children born in 2017.) A00 . The household comprised ..... persons, including children. |__| Number of persons from 0 years of age upwards living in the household on 31-12-2016. NCOMP € Record the personal data for each member of the household. If the household contains more than 6 members, use 2 forms. Use one column for each person, beginning with the REFERENCE PERSON (R.P.), i.e. the person RESPONSIBLE FOR THE HOUSEHOLD BUDGET, followed one by one by the other household members. For each household member, record name, gender, position in household, place of birth, date of birth, and so on until all the requested information has been given for each person. N.B. Identify the effective reference person of the household, i.e. the PERSON PRIMARILY RESPONSIBLE FOR OR MOST KNOWLEDGEABLE ABOUT THE HOUSEHOLD BUDGET. Record information on the reference person of the household in column 1 and continue with the remaining household members. Keep to the same order in subsequent pages. MEMBERS OF HOUSEHOLD Member number R.P. 1 2 3 4 5 6 NORD NAME (write ) A01. Sex € SEX - male ........................................................................................ 1 1 1 1 1 1 - female ..................................................................................... 2 2 2 2 2 2 (SHOW CARD A02) A02. Status in household PARENT € - reference person of household (R.P.) .................................... 1 - spouse of R.P. ......................................................................... 2 2 2 2 2 - partner of R.P. ......................................................................... 3 3 3 3 3 - parent of R.P. ........................................................................... 4 4 4 4 4 - parent of R.P.’s spouse/partner ............................................... 5 5 5 5 5 - child of R.P. and present spouse/partner ................................ 6 6 6 6 6 - child of R.P. or spouse/partner from previous relationship 7 7 7 7 7 - spouse/partner of child of R.P. or R.P.’s spouse/partner 8 8 8 8 8 - grandchild of R.P. or spouse/partner . ..................................... 9 9 9 9 9 - niece/nephew of R.P. or spouse/partner ................................. 10 10 10 10 10 - sibling of R.P. ......................................................................... 11 11 11 11 11 - sibling of R.P.’s spouse/partner ............................................... 12 12 12 12 12 - spouse/partner of sibling of R.P. or R.P.’s spouse/partner ..... 13 13 13 13 13 - other relative of R.P. or R.P.’s spouse/partner 14 14 14 14 14 - other household member not related to R.P............................ 15 15 15 15 15 2 (Do not change the order in which household members are listed) MEMBERS OF HOUSEHOLD Member number R.P. 1 2 3 4 5 6 Name (write in full) A03. Place of birth LNASC* (SHOW CARD A03a) |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| If in Italy please enter province code .................................... If in Italy please enter the full name of muni cipality ................. ______ ______ ______ ______ ______ ______ CNASC * (SHOW CARD A03b) If abroad please enter country code ..................................... |__|__|__| |__|__|__| |__|__|__| |__|__|__| |__|__|__| |__|__|__| ENASC* A04. Dat e of birth Day |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| ............................................................................... GNASC * Month ............................................................................... |__|__| |__|__| |__|__| |__|__| |__|__| |__|__| MNASC * Year ............................................................................... |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| ANASC A05. Italian national: CIT - Yes Question A07 ........................................ 1 1 1 1 1 1 - No ........................................................................ 2 2 2 2 2 2 A06. (If “No”) SHOW CARD A03b . LCIT* What is the member’s nationality? ........................ |__|__|__| |__|__|__| |__|__|__| |__|__|__| |__|__|__| |__|__|__| (enter country code; for DISPLACED PERSONS write 999) (If born abroad to Question A03; otherwise go to € Question A09) ANINGR |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| A07. Year of arrival in Italy ............................................ (If born abroad to Question A03; otherwise go to Question A09) A08. Why did you settle in Italy? - parents moved here ................................................ 1 1 1 1 1 1 - joined family ............................................................ 2 2 2 2 2 2 - for work ................................................................... 3 3 3 3 3 3 - other (please specify) ______________________ 4 4 4 4 4 4 MOTIV 3 Do not change the order in which household members on 31-12-2016 are listed, PANEL ONLY adding members that left the household in 2015 or 2016 Questions A09, A10, A11, A12 MEMBERS OF HOUSEHOLD Member number R.P. 1 2 3 4 5 6 NAME (write) A09 . If joined household in 2015-2016 give reason : MOTENT - newborn .................................................................... 1 1 1 1 1 1 - other ......................................................................... 2 2 2 2 2 2 A1 0. If left household in 2015-2016 give reason: MOTUSC - death .......................................................................... 1 1 1 1 1 1 - transfer to barracks, nursing home, hospital, prison, etc .. .................................................................................. 2 2 2 2 2 2 - moved abroad ............................................................ 3 3 3 3 3 3 - formed new household, married ................................ 4 4 4 4 4 4 - other .......................................................................... 5 5 5 5 5 5 (For codes 4 and 5 to Question A10) A11. New address (including telephone number) ................................ If joined/left household 2015 2015 2015 2015 2015 2015 A12. Year in which joined/left the household 2016 2016 2016 2016 2016 2016 ANNOENUS MEMBER NUMBER IN 201 5 SURVEY (situation on 31-12-2014) (Interviewer, number must always be entered!) NORDP Remarks: ____________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ ALL HOUSEHOLD MEMBERS (Do not change the order in which household members are listed) CONTINUE WITH MEMBERS PRESENT ON 31 -12 -201 6 Member number R.P. 1 2 3 4 5 6 NAME (write) A13. MARITAL STATUS STACIV € - married/in civil partnership ......................................... 1 1 1 1 1 1 - single .......................................................................... 2 2 2 2 2 2 - separated/divorced .................................................... 3 3 3 3 3 3 - widow/er ..................................................................... 4 4 4 4 4 4 4 (Do not change the order in which household members are listed) MEMBERS OF HOUSEHOLD Member number R.P. 1 2 3 4 5 6 NAME (write) (SHOW CARD A14) A14. EDUCATIONAL QUALIFICATION (Give the highest qualification obtained. NB: if the member is less than 9 years old, code “none” )STUDIO