1 - MSD



Ministry of Social Development

Living Standards Research Programme

Questionnaire for couples

|Ministry of Social Development |Questionnaire ID number: | |

| | | |

|Living Standards | | |

| | | |

|1301466 | | |

|Week No: |COUPLES QUESTIONNAIRE |Started: |

| | | |

| | |Time Finished: |

| | | |

| | |Interview Duration: |

| | |(MINS) |

|AREA: | | |

|Map Number: | | |

| | |

|Number of Calls (CIRCLE) |Respondent’s Name______________________________________ |

| | |

|One Two Three | |

|Four Five Six |Respondent’s Phone No: ( )_____________________________ |

|Seven | |

| | |

| |City:______________________ Date: ____/____/2004 |

| | |

| | |

| |Interviewer:________________ Employ No:_________________ |

| | |

| | |

| |Supervisor Checked:_________ Audit:______ Coded:__________ |

|AREA (CIRCLE) |INTERVIEWER RECORD: |INTERVIEWER ASK: |

|Whangerei | |May we recontact you if we have any queries with|

|01 |Consent given to use data for other purpose? |this survey you have just completed? |

| | | |

|Auckland |Yes |Yes |

|02 |1 |1 |

| | | |

|Hamilton |No |No |

|03 |2 |2 |

| | | |

|Tauranga | | |

|04 | | |

| | | |

|Rotorua | | |

|05 | | |

| | | |

|New Plymouth | | |

|06 | | |

| | | |

|Wanganui | | |

|07 | | |

| | | |

|Palmerston North | | |

|08 | | |

| | | |

|Napier | | |

|09 | | |

| | | |

|Hastings | | |

|10 | | |

| | | |

|Gisborne | | |

|11 | | |

| | | |

|Wellington | | |

|12 | | |

| | | |

|Nelson | | |

|13 | | |

| | | |

|Christchurch | | |

|14 | | |

| | | |

|Dunedin | | |

|15 | | |

| | | |

|Invercargill | | |

|16 | | |

| | | |

| | | |

| | | |

|MAP NUMBER | | |

| | | |

|______________________________ | | |

| |RESPONDENT SIGNATURE: |

| | |

| |I have received the Voucher: |

| |CIRCLE |

| | |

| |Yes |

| | |

| |No |

| | |

| | |

| | |

| |Signature: ----------------------------------------------------------------- |

|I hereby certify that this is an accurate and complete interview, taken in accordance with my instructions and the ICC/ESOMAR International Code. |

| |

|Signature Date |

I am going to ask you a series of questions about the people living in your household. This is to establish the people in your Family Group.

Identify the REspondents’ family group by asking the following Questions and filling ouT TABLEs 1 and 2.

A Family Group is the respondent plus their partner or spouse (if any) plus their children under the age of 18 (if any), unless the children have their own partner or children living in the household. if children are working full time they are considered financially independent and therefore a separate family group. single people are their own family group.

Q2 Can you please tell me the names of everyone in this household who is aged 18 years or older, beginning with yourself?

IF YES: Write names in Table 1.

Q3 Now can you tell me the names of all people aged 17 or under who usually live in the household?

IF YES: Write names in Table 2.

Q4 What is the relationship of each household member to you, starting with

READ OUT ALL NAMES IN TABLES 1 AND 2 (NOT INCLUDING RESPONDENT)

SHOWCARD 1.

SELECT only one relationship.

record double digit code in table.

IF RESPONDENT HAS A PARTNER LIVING IN HOUSE IDENTIFY THE PARTNER AND CIRCLE YES IN FAMILY GROUP 1 COLUMN

IF NO ONE AGED UNDER 18 YEARS IN THE HOUSEHOLD SKIP TO Q9

IF RESPONDENT OR RESPONDENTS PARTNER HAS CHILDREN LIVING IN THE HOUSEHOLD CONTINUE IF NOT GO TO Q9

Q5 Are you or your partner the parents or primary care-givers/ legal guardian of any of those aged 17 years or under in the household?

IF LEGAL GUARDIAN ENSURE THAT THEY ARE THE PRIMARY CARE GIVER

|Yes |1 |

|No |2 |

IF YES: ASK Q6

IF NO: GO TO Q9

Q6 Are they all financially dependent on you or your partner?

|Yes |1 |

|No |2 |

IF NO: IDENTIFY CHILD AND CIRCLE NO IN FAMILY GROUP ONE COLUMN

Q7 Do any of your or your partner’s (dependent) children have a partner or spouse living in this house?

IF YES: Identify child and CIRCLE NO IN FAMILY GROUP 1 COLUMN

Q8 Do any of these (dependent) children (or does this child) have a child (or children) of their own living in this house?

IF YES: IDENTIFY CHILD AND CIRCLE NO IN FAMILY GROUP 1 COLUMN

IF NO: Identify child and CIRCLE YES IN FAMILY GROUP 1 COLUMN

CHECK ALL CHILDREN HAVE BEEN CIRCLED AS YES OR NO IN FAMILY GROUP

Q9 What is the gender of all household members starting with

READ OUT SECOND NAME IN GRID AND CONTINUE

Q10 What is the age, to the nearest year, of each household member, starting with yourself…? Please estimate if you don’t know the exact year.

COMPLETE TABLE 1 and table 2 with respondent

CIRCLE YES OR NO in family group 1 column for each PERSON IN EACH table

TABLE 1: Adults (all household members aged 18 years or over)

| |Q2 Name |Family Group 1 |Q4 |Q9 |Q10 |

| | | |Relationship to respondent |Gender |Age (Years) |

| | |Yes |No | |M |F | |

|2 | |1 |2 | |1 |2 | |

|3 | |1 |2 | |1 |2 | |

|4 | |1 |2 | |1 |2 | |

|5 | |1 |2 | |1 |2 | |

|6 | |1 |2 | |1 |2 | |

|7 | |1 |2 | |1 |2 | |

|8 | |1 |2 | |1 |2 | |

|9 | |1 |2 | |1 |2 | |

|10 | |1 |2 | |1 |2 | |

TABLE 2: Children (all household members aged 17 years or younger).

| |Q3 Name |Family Group 1 |Q4 |Q9 |Q10 |

| | | |Relationship to respondent |Gender |Age (Years) |

| | |Yes |No | |M |F | |

|2 | |1 |2 | |1 |2 | |

|3 | |1 |2 | |1 |2 | |

|4 | |1 |2 | |1 |2 | |

|5 | |1 |2 | |1 |2 | |

|6 | |1 |2 | |1 |2 | |

|7 | |1 |2 | |1 |2 | |

|8 | |1 |2 | |1 |2 | |

|9 | |1 |2 | |1 |2 | |

|10 | |1 |2 | |1 |2 | |

|11 | |1 |2 | |1 |2 | |

|12 | |1 |2 | |1 |2 | |

INTERVIEWER: IF RESPONDENT REFUSES TO ANSWER (E.G. AGE OR GENDER) PUT CODE 97 IN TABLE AS APPROPRIATE

If there IS MORE THAN ONE ADULT in Table 1 not in FAMILY GROUP 1 ask Q11

IF THERE IS ONE ADULT in Table 1 not in FAMILY GROUP 1 ASK Q12

if no other adults in Table 1 not in FAMILY GROUP 1 go to Q13

Q11 How many couples live in this household apart from you and your partner?

|Number | |

|Don’t know |99 |

|Refused |97 |

Q12 Are any of the adults living with you in this household, not including your partner, dependent on you financially or for physical care?

|Yes |1 |

|No |2 |

|Don’t know |9 |

|Refused |7 |

FILL IN SEParate family group card FOR ALL THOSE WHO ARE IN FAMILY GROUP 1 now. keep this card in front of you throughout the interview

Q13 Which of the following best describes your relationship with your partner?

READ OUT

|De facto relationship |1 |

|Legally married |2 |

|Don't know (DO NOT READ) |9 |

|Refused (DO NOT READ) |7 |

see Family Group card: If respondent has children, ask Q14 – Q15, otherwise GO TO Q16

Q14 What is the relationship of each of the children in this family group to your PARTNER, starting with the first child on this card?

SHOW FAMILY GROUP CARD

|Child’s relationship to respondent’s partner |

Ask the following questions for members of Family Group ONE only.

Q16 Please tell me the ethnicity of each person in this family group. You may choose up to three ethnic groups for each person.

SHOWCARD 2

|Ethnicity |Respo-ndent |Partner |

|New Zealand |01 |01 |GO TO Q19 |

|Australia |02 |02 |CONTINUE |

|Samoa |03 |03 | |

|Tonga |04 |04 | |

|Cook Islands |05 |05 | |

|Niue |06 |06 | |

|Fiji |07 |07 | |

|Other Pacific |08 |08 | |

|South Korea |09 |09 | |

|China |10 |10 | |

|India |11 |11 | |

|Other Asian |12 |12 | |

|United Kingdom |13 |13 | |

|Other European |14 |14 | |

|South African |15 |15 | |

|Other African |16 |16 | |

|Other |17 |17 | |

|Don’t know |99 |99 |GO TO Q19 |

|Refused |97 |97 | |

IF DON’T KNOW OR REFUSED FOR BOTH RESPONDENT AND PARTNER GO TO Q19, IF there is an ANSWER OTHER THAN NZ FOR EITHER respondent or partner ASK Q18

Q18 How many years have you lived in New Zealand? And how long has your partner lived in New Zealand?

|Number of years |Respondent |Partner |

|Less than 1 year |1 |1 |

|Between 1 and 2 years |2 |2 |

|Between 2 and 5 years |3 |3 |

|Between 5 and 10 years |4 |4 |

|More than 10 years |5 |5 |

|Don’t know |9 |9 |

|Refused |7 |7 |

Q19 Please tell me what your highest qualification is? And that of your partner?

|Highest Qualifications |Respondent |Partner |

|No qualification |01 |01 |

|School qualification |02 |02 |

|Trade certificate, advanced trade certificate, NZ certificate |03 |03 |

|or diploma, technicians certificate, local polytechnic | | |

|certificate or diploma | | |

|Nursing certificate or diploma |04 |04 |

|Teachers certificate or diploma |05 |05 |

|Undergraduate university qualification (e.g. certificate, |06 |06 |

|diploma, bachelors) | | |

|Postgraduate university qualification (e.g. masters, doctorate)|07 |07 |

|Other qualification |08 |08 |

|Don’t Know |99 |99 |

|Refused |97 |97 |

|Economic Standard of Living |

Now I have some questions about you and your family group.

INTERVIEWER: Shuffle blue cards

Q20 I am now going to show you some cards naming some different items. Can you please sort these cards into two piles? In one pile I’d like you to put the things that you have, and in the other pile I’d like you to put the things that you don’t have. By have, I mean have access to in your household.

record ‘don’t have’ pile first then ‘have’ pile. Record in column Q20.

IF RESPONDENT HAS ALL ITEMS GO TO Q23.

see Family Group card: If respondent has children, ask Q23 – Q25, otherwise GO TO Q26

Give respondent pile of ‘don’t have’ items and ask Q21 for each item

Q21 For each of these items that you don’t have, can you tell me if you would like to have one? If necessary: If someone gave it to you

Record in column Q21

For each item that the respondent would like to have, ask Q22.

IF RESPONDENT WOULD NOT LIKE TO HAVE ANY ITEMS GO TO Q23.

see Family Group card: If respondent has children, ask Q23 – Q25, otherwise GO TO Q26.

Q22 Is the reason that you don’t have that item because of the cost, or some other reason?

Record response in column Q22 for each item

|Item No. |Q20 |Q21 |Q22 |

| |Have |Don’t have |Like |Wouldn’t like |Cost |Other reason |

|2 |1 |2 |1 |2 |1 |2 |

|3 |1 |2 |1 |2 |1 |2 |

|4 |1 |2 |1 |2 |1 |2 |

|5 |1 |2 |1 |2 |1 |2 |

|6 |1 |2 |1 |2 |1 |2 |

|7 |1 |2 |1 |2 |1 |2 |

|8 |1 |2 |1 |2 |1 |2 |

|9 |1 |2 |1 |2 |1 |2 |

|10 |1 |2 |1 |2 |1 |2 |

|11 |1 |2 |1 |2 |1 |2 |

|12 |1 |2 |1 |2 |1 |2 |

|13 |1 |2 |1 |2 |1 |2 |

|14 |1 |2 |1 |2 |1 |2 |

see Family Group card: If respondent has children, ask Q23 – Q25, otherwise GO TO Q26

Shuffle green cards

Q23 Can you please sort these cards into two piles as before? In one pile put the things that you have and in the other pile can you put the things that you don’t have.

If necessary: By have, I mean have access to in your household.

record ‘don’t HAVE’ pile first then ‘HAVE’ pile. Record in column Q23.

IF RESPONDENT HAS ALL ITEMS GO TO Q26.

Give respondent pile of ‘don’t HAVE’ items and ask Q24 for each item

Q24 For each of these items that you don’t have, can you tell me if you would like to have one?

If necessary: If someone gave it to you

Record in column Q24.

For each item that the respondent would like to have ask Q25.

IF RESPONDENT WOULD NOT LIKE TO HAVE ANY ITEM GO TO Q26.

Q25 Is the reason that you don’t have that item because of the cost, or some other reason?

Record response in column Q25

|Item number |Q23 |Q24 |Q25 |

| |Have |Don’t have |Like |Wouldn’t like |Cost |Other reason |

|16 |1 |2 |1 |2 |1 |2 |

|17 |1 |2 |1 |2 |1 |2 |

|18 |1 |2 |1 |2 |1 |2 |

Shuffle yellow cards

Q26 I am now going to show you some cards naming different things to do. Can you please sort these cards into two piles? In one pile I’d like you to put the things that you do, and in the other pile I’d like you to put the things that you don’t do.

record ‘don’t Do’ pile first then ‘Do’ pile. Record in column Q26.

IF RESPONDENT DoeS ALL ITEMS GO TO Q29.

see Family Group card: If respondent has children, ask Q29 – Q31, otherwise GO TO Q32

Give respondent pile of ‘don’t do’ items and ask Q27 for each item

Q27 For each of these things that you don’t do, can you tell me if you would like to do them?

If necessary: Not thinking about the cost

Record in column Q27

For each item that the respondent would like to do, ask Q28. IF RESPONDENT WOULD NOT LIKE TO DO ANY OF THEM GO TO Q29.

see Family Group card: If respondent has children, ask Q29-Q31; otherwise go to Q32.

Q28 Is the reason that you don’t do this thing because of cost, or some other reason?

Record response in column Q28 for each item

|Item number |Q26 |Q27 |Q28 |

| |Do |Don’t do |Like |Wouldn’t like |Cost |Other reason |

|20 |1 |2 |1 |2 |1 |2 |

|21 |1 |2 |1 |2 |1 |2 |

|22 |1 |2 |1 |2 |1 |2 |

|23 |1 |2 |1 |2 |1 |2 |

|24 |1 |2 |1 |2 |1 |2 |

|25 |1 |2 |1 |2 |1 |2 |

see Family Group card: If respondent has children, ask Q29-Q31; otherwise go to Q32

Shuffle pink cards

Q29 Can you please sort these items into two piles as before? In one pile I’d like you to put the things that you do, and in the other pile I’d like you to put the things that you don’t do.

record ‘don’t Do’ pile first then ‘Do’ pile. Record in column Q29.

IF RESPONDENT DoeS ALL ITEMS GO TO Q32.

Give respondent pile of ‘don’t do’ items and ask Q30 for each item.

Q30 For each of these things that you don’t do, can you tell me if you would like to do them?

If necessary: Not thinking about the cost

Record in column Q30

For each item that the respondent would like to do, ask Q31. IF RESPONDENT WOULD NOT LIKE TO DO ANY GO TO Q32.

Q31 Is the reason that you don’t do this thing because of the cost, or some other reason?

Record response in column Q31 for each item

|Item number |Q29 |Q30 |Q31 |

| |Do |Don’t do |Like |Wouldn’t like |Cost |Other reason |

|27 |1 |2 |1 |2 |1 |2 |

|28 |1 |2 |1 |2 |1 |2 |

|29 |1 |2 |1 |2 |1 |2 |

Q32 I am going to read out a list of things some people do to help keep down costs. In the last 12 months, have you done these things not at all, a little, or a lot?

|Read out statements |Not at all |A little |A lot |Don’t Know |Refused |

|Gone without fresh fruit and vegetables to help keep down |1 |2 |3 |9 |7 |

|costs? | | | | | |

|Bought second-hand clothing instead of new to help keep |1 |2 |3 |9 |7 |

|down costs? | | | | | |

|Continued wearing clothing that was worn out because you |1 |2 |3 |9 |7 |

|couldn’t afford replacement? | | | | | |

|Put off buying clothes for as long as possible to help |1 |2 |3 |9 |7 |

|keep down costs? | | | | | |

|Relied on gifts of clothing to help keep down costs? |1 |2 |3 |9 |7 |

|Continued wearing shoes that were worn out because you |1 |2 |3 |9 |7 |

|couldn’t afford replacements? | | | | | |

|Put up with feeling cold to save heating costs? |1 |2 |3 |9 |7 |

|Stayed in bed longer to save heating costs? |1 |2 |3 |9 |7 |

|Postponed or put off visits to the doctor to help keep |1 |2 |3 |9 |7 |

|down costs? | | | | | |

|Gone without glasses you needed because you couldn’t |1 |2 |3 |9 |7 |

|afford them? | | | | | |

|NOT picked up a prescription to help keep down costs? |1 |2 |3 |9 |7 |

|Gone without or cut back on visits to family or friends to|1 |2 |3 |9 |7 |

|help keep down costs? | | | | | |

|Done without or cut back on trips to the shops or other |1 |2 |3 |9 |7 |

|local places to help keep down costs? | | | | | |

|Spent less time on hobbies than you would like, to help |1 |2 |3 |9 |7 |

|keep down costs? | | | | | |

|NOT gone to a funeral or tangi you would have liked to |1 |2 |3 |9 |7 |

|have gone to because of the cost? | | | | | |

see Family Group card: If respondent has children, ask Q33; otherwise GO TO Q34

I am now going to read out another list of things some people do to help keep down costs.

Q33 In the last 12 months, have you done these things not at all, a little, or a lot?

|Read out statements |Not at all |A little |A lot |Don’t Know |Refused |

|Postponed child’s visit to the dentist because of the cost? |1 |2 |3 |9 |7 |

|Child wore clothes or shoes too small or too large because |1 |2 |3 |9 |7 |

|of the cost? | | | | | |

|Made do with very limited space for the children to study or|1 |2 |3 |9 |7 |

|play because of the cost? | | | | | |

|Been unable to pay for your child to go on a school outing |1 |2 |3 |9 |7 |

|because of the cost? | | | | | |

|NOT bought school books or school supplies because of the |1 |2 |3 |9 |7 |

|cost? | | | | | |

|NOT bought children’s books for reading at home because of |1 |2 |3 |9 |7 |

|the cost? | | | | | |

|Child went without prescription glasses (or contact lenses) |1 |2 |3 |9 |7 |

|when they were needed? | | | | | |

|Child went without music, dance, art or other cultural |1 |2 |3 |9 |7 |

|lessons because of the cost? | | | | | |

|Had to limit your child’s involvement in sport because of |1 |2 |3 |9 |7 |

|the cost? | | | | | |

|Child shared a bed because of the cost? |1 |2 |3 |9 |7 |

Q34 How well does your and your partner’s combined total income meet your everyday needs for such things as accommodation, food, clothing and other necessities? Would you say that you have not enough money, just enough money, enough money, or more than enough money?

|Not enough |1 |

|Just enough |2 |

|Enough |3 |

|More than enough |4 |

|Don’t Know |9 |

|Refused |7 |

Now I am going to ask you a couple of questions about your material standard of living – the things that money can buy. Your material standard of living does NOT include your capacity to enjoy life. You should NOT take your health into account.

Q35 Generally, how would you rate your material standard of living?

|High |1 |

|Fairly high |2 |

|Medium |3 |

|Fairly low |4 |

|Low |5 |

|Don’t Know |9 |

|Refused |7 |

Q36 Generally, how satisfied are you with your current material standard of living? Would you say you are very satisfied, satisfied, neither satisfied nor dissatisfied, dissatisfied, very dissatisfied?

|Very satisfied |1 |

|Satisfied |2 |

|Neither satisfied nor dissatisfied |3 |

|Dissatisfied |4 |

|Very dissatisfied |5 |

|Don’t Know |9 |

|Refused |7 |

Q37 How would you rate your material standard of living now compared to one year ago?

And how would you rate your material standard of living now compared to five years ago?

|One year ago |Five years ago |

|Much better |1 |Much better |1 |

|Better |2 |Better |2 |

|About the same |3 |About the same |3 |

|Worse |4 |Worse |4 |

|Much worse |5 |Much worse |5 |

|Don’t Know |9 |Don’t Know |9 |

|Refused |7 |Refused |7 |

|HEALTH |

Now I am going to ask you about your health and the health of your family. I am going to begin with your health.

Q38 Roughly on how many occasions in the past 12 months would you have consulted the following for your own health needs? (For you, not your partner or children.)

| |Number |D/K |Refused |

|Doctor or general practitioner | |99 |97 |

|Accident and Emergency | |99 |97 |

|A medical specialist | |99 |97 |

|IF NECESSARY: A Specialist is usually a doctor you are “referred to” by a| | | |

|GP or other doctor, for example: Cardiac surgeon; Ear, Nose and Throat | | | |

|specialist; Oncologist. | | | |

|Other mainstream health professional such as dentists, opticians, | |99 |97 |

|physiotherapists, registered clinical psychologists etc | | | |

|IF NECESSARY: people who are governed by a health registration process. | | | |

|Māori healer | |99 |97 |

|Alternative therapist (this includes therapists such as Chiropractors, | |99 |97 |

|Naturopaths, Homeopaths, Acupuncturists, Aromatherapists). | | | |

Q39 In the past 12 months, have you had any medical conditions or injuries that have caused you serious health problems or disabilities? These could include physical problems (e.g. rheumatoid arthritis, partial deafness) or mental health problems (e.g. chronic depression, bipolar disorder).

N.B “serious” means something that affects your ability to do everyday things or means that you have substantial costs

|Yes |1 |CONTINUE |

|No |2 | |

| | |SKIP TO Q42 |

|Don’t know |9 | |

|Refused |7 | |

Q40 And can you please tell me what those conditions were and how long you have had them?

| |Name of condition |D/K |Refused |How long you |D/K |Refused | |

| | | | |have had it? | | | |

|9 | |99 |97 | | |99 |97 |

|10 | |99 |97 | | |99 |97 |

|1 |

IF MORE THAN 10 CONDITIONS PLEASE CIRCLE 1 IN BOX

Q41 To what extent have these conditions restricted the following areas of your life in the last 12 months? Not at all, a little or a lot?

| |Not at all |A little |A lot |N/A |D/K |Refused |

|Education or training |1 |2 |3 |6 |9 |7 |

|Daily living (for example: personal care, transport, |1 |2 |3 |6 |9 |7 |

|housework, gardening) | | | | | | |

|Social activities |1 |2 |3 |6 |9 |7 |

|Finances |1 |2 |3 |6 |9 |7 |

Q42 On roughly how many occasions in the past 12 months would your partner have consulted the following for their own health needs? (Not for you or any children.)

PLEASE NOTE APPROXIMATIONS (BEST GUESS ESTIMATES) ARE FINE

| |Number |D/K |Refused |

|Doctor or general practitioner | |99 |97 |

|Accident and Emergency | |99 |97 |

|A medical specialist | |99 |97 |

|(IF NECESSARY: A Specialist is usually a doctor you are “referred to” by a GP or other doctor, | | | |

|for example: Cardiac surgeon; Ear, Nose and Throat specialist; Oncologist.) | | | |

|Other mainstream health professional such as dentists, opticians, physiotherapists, registered | |99 |97 |

|clinical psychologists etc | | | |

|(IF NECESSARY: people who are governed by a health registration process) | | | |

|Māori healer | |99 |97 |

|Alternative therapist (this includes therapists such as Chiropractors, Naturopaths, Homeopaths, | |99 |97 |

|Acupuncturists, Aromatherapists). | | | |

Q43 In the past 12 months, has your partner had any medical conditions or injuries that caused them serious health problems or disabilities? These could include physical problems (e.g. heart disease) or mental health problems (e.g. chronic depression, bipolar disorder).

|Yes |1 |CONTINUE |

|No |2 | |

| | |SKIP TO Q46 |

|Don’t know |9 | |

|Refused |7 | |

Q44 And can you please tell me what those conditions were and how long your partner has had them?

| |

IF MORE THAN 10 CONDITIONS PLEASE CIRCLE 1 IN BOX

Q45 To what extent have these conditions restricted the following areas of your partner’s life in the last 12 months? Not at all, a little or a lot?

| |Not at all |A little |A lot |N/A |DK |Refused |

|Education or training |1 |2 |3 |6 |9 |7 |

|Daily living (for example: personal care, transport, |1 |2 |3 |6 |9 |7 |

|housework, gardening) | | | | | | |

|Social activities |1 |2 |3 |6 |9 |7 |

|Finances |1 |2 |3 |6 |9 |7 |

see Family Group Card: If respondent has children, ask Q46-Q49; otherwise GO TO Q50

Q46 On roughly how many occasions would your children (as listed on the family group card) have been to the following in the last 12 months?

Put total sum of visits for all children in household for each category as appropriate

PLEASE NOTE APPROXIMATIONS (BEST GUESS ESTIMATES) ARE FINE

| |Number |D/K |Refused |

|Doctor or general practitioner | |99 |97 |

|Accident and Emergency | |99 |97 |

|A medical specialist | |99 |97 |

|(IF NECESSARY: A Specialist is usually a doctor you are “referred to” by a GP or | | | |

|other doctor, for example: Cardiac surgeon; Ear, Nose and Throat specialist; | | | |

|Oncologist.) | | | |

|Other mainstream health professional such as dentists, opticians, physiotherapists,| |99 |97 |

|registered clinical psychologists etc | | | |

|(IF NECESSARY: people who are governed by a health registration process) | | | |

|Māori healer | |99 |97 |

|Alternative therapist (this includes therapists such as Chiropractors, Naturopaths,| |99 |97 |

|Homeopaths, Acupuncturists, Aromatherapists). | | | |

Q47 In the past 12 months, have any of your children had any medical conditions that caused them serious health problems or disabilities? These could include physical problems (e.g. diabetes) or mental health problems or learning difficulties.

|Yes |1 |CONTINUE |

|No |2 | |

| | |SKIP TO Q50 |

|Don’t know |9 | |

|Refused |7 | |

Q48 And can you please tell me what those conditions were?

For each condition: How many of your children have this condition?

| |

IF MORE THAN 10 CONDITIONS PLEASE CIRCLE 1 IN BOX

Q49 To what extent have any or all of these conditions restricted the following areas of family life? Not at all, a little or a lot?

|Area |Not at all |A little |A lot |D/K |N/A |Refused |

|Finances |1 |2 |3 |9 |6 |7 |

|Parental employment |1 |2 |3 |9 |6 |7 |

|Parental education or training |1 |2 |3 |9 |6 |7 |

|Social Activities |1 |2 |3 |9 |6 |7 |

Q50 In the last 12 months, what payments have you and your partner made for medical care for yourself and your family?

Exclude any reimbursements you have received or expect to receive from your health insurer.

SHOWCARD 4

Interviewer Note: Use the Family Group Card to specify who is included for this question.

|Read Out |

The next series of questions relates to when you were growing up. If your family circumstances changed over your childhood think about the situation when you started high school or were aged 13 years.

Q51 Did you have a male primary caregiver, your father or someone else, living in your household when you were aged 13?

|Yes |1 |CONTINUE |

|No |2 | |

| | |GO TO Q54 |

|Don’t know |9 | |

|Refused |7 | |

The next two questions refer to your father or primary male care-giver when you were growing up.

Q52 What was his highest qualification?

|No qualification |01 |

|School qualification |02 |

|Trade certificate, technicians certificate, local polytechnic certificate or diploma |03 |

|Nursing certificate or diploma |04 |

|Teachers certificate or diploma |05 |

|Undergraduate university qualification (e.g. certificate, diploma, bachelors) |06 |

|Postgraduate university qualification (e.g. masters, doctoral) |07 |

|Other qualification |08 |

|Don’t Know |99 |

|Refused |97 |

Q53 Was he in paid work when YOU were a teenager?

|Yes |1 |

|No |2 |

|Sometimes |3 |

|Don’t know |9 |

|Refused |7 |

Q54 Did you have a female primary caregiver, your mother or someone else, living in your household when you were aged 13?

|Yes |1 |CONTINUE |

|No |2 | |

| | |GO TO Q57 |

|Don’t know |9 | |

|Refused |7 | |

The next two questions refer to your mother or primary female care-giver when you were growing up.

Q55 What was her highest qualification?

|No qualification |01 |

|School qualification |02 |

|Trade certificate, technicians certificate, local polytechnic certificate or diploma |03 |

|Nursing certificate or diploma |04 |

|Teachers certificate or diploma |05 |

|Undergraduate university qualification (e.g. certificate, diploma, bachelors) |06 |

|Postgraduate university qualification (e.g. masters, doctoral) |07 |

|Other qualification |08 |

|Don’t Know |99 |

|Refused |97 |

Q56 Was she working in paid work when YOU were a teenager?

|Yes |1 |

|No |2 |

|Sometimes |3 |

|Don’t know |9 |

|Refused |7 |

Q57 When you were a teenager, most of the time would you say your parents or primary caregivers were …?

READ OUT

|Very well off |1 |

|Quite well off |2 |

|All right |3 |

|A bit hard up |4 |

|Very hard up |5 |

|Don’t Know |9 |

|Refused |7 |

|Not applicable |8 |

Q58 Thinking about the period since you left high school, which of the following types of help have you received from your parents, partner’s parents, or other family members?

|N.B This includes loans |Yes |No |D/K |Refused |

|Help with education costs |1 |2 |9 |7 |

|Contribute money towards a deposit for a home |1 |2 |9 |7 |

|Assist with car costs (i.e. purchase or maintenance) |1 |2 |9 |7 |

|Act as a guarantor for a loan or mortgage |1 |2 |9 |7 |

|Gave you money to help reduce debt |1 |2 |9 |7 |

|Help you to get established when leaving home (e.g. gave you furniture, house-ware, etc)|1 |2 |9 |7 |

|Paid for a wedding, or significantly assisted with cost |1 |2 |9 |7 |

|Paid for an overseas trip |1 |2 |9 |7 |

|Assist with daily living costs (e.g. paid rent, paid medical costs) |1 |2 |9 |7 |

|Help you gain employment |1 |2 |9 |7 |

IF Q58 IS YES (CODE 1) to any item, ask Q59, otherwise GO to Q60

Q59 Who provided this help (choose as many as apply)?

| |Yes |No |D/K |Refused |

|Your parents, care-givers or your parents in law |1 |2 |9 |7 |

|Brothers and/or sisters (including in laws) |1 |2 |9 |7 |

|Grandparents |1 |2 |9 |7 |

|Other family members |1 |2 |9 |7 |

|Life History - Your Family |

Q60 When did you and your partner start living together?

|Less than 1 year ago |01 |

|1 to 2 years ago |02 |

|2 to 5 years ago |03 |

|5 to 10 years ago |04 |

|10 to 20 years ago |05 |

|More than 20 years ago |06 |

|Don’t Know |99 |

|Refused |97 |

Q61 Do you or your partner have any dependent children (17 years or younger) not in your household?

|Yes |1 |CONTINUE |

|No |2 |SKIP TO Q68 |

|Don’t know |9 | |

|Refused |7 | |

Q62 In the last 12 months have you or your partner made regular child support payments for any of these children?

|Yes |1 |CONTINUE |

|No |2 |SKIP TO |

| | |Q65 |

|Don’t know |9 | |

|Refused |7 | |

Q63 How much per week in total were these payments?

|$ per week | | | | |. |0 |0 |

|Don’t know |99 |

|Refused |97 |

Q64 How many children are these regular payments for?

|Number of children | |

|Don’t know |99 |

|Refused |97 |

Q65 In the last 12 months have you or your partner made irregular payments for child support in terms of clothing, accommodation etc for any of these children?

|Yes |1 |

|No |2 |

|Don’t know |9 |

|Refused |7 |

Q66 In the last 12 months, what was the approximate total value of this support?

|Nil |01 |

|Less than $100 |02 |

|$101 - $500 |03 |

|$501 - $1,000 |04 |

|$1,001 - $2,000 |05 |

|$2,001 - $5,000 |06 |

|$5001 or more |07 |

|Don’t Know |99 |

|Refused |97 |

Q67 How many children are these irregular payments for?

|Number of children | |

|Don’t know |99 |

|Refused |97 |

|Life events |

We are now going to ask you some questions about events that have happened to you in the past. We are only going to ask how often they have happened and when, not any further details. Some or all of these may not apply to you.

Q68 Have any of the following happened to you since you turned 18? SHOWCARD 5

IF YES Ask the number of times and when this last occurred.

Interviewer: This is since the respondent’s turned 18 and only refers to events that have happened to them (not their parents or partner)

| |Yes |IF YES: Number of times |When last occurred |

| | |Once |

Q69 Have you ever experienced the break up of a marriage or de facto relationship?

THIS REFERS TO A MARRIAGE OR DE FACTO RELATIONSHIP OF THE RESPONDENT (THIS INCLUDES THE CURRENT RELATIONSHIP)

|Never |1 |SKIP TO Q74 |

|Once |2 |CONTINUE |

|More than once |3 | |

|Don’t know |9 |SKIP TO Q74 |

|Refused |7 | |

Q70 How many years ago did your last break up occur?

|Less than a year ago |1 |

|1 to 5 years ago |2 |

|5 to 10 years ago |3 |

|More than 10 years ago |4 |

|Don’t Know |9 |

|Refused |7 |

Q71 How many years had you been together?

|Less than 1 year |1 |

|1 to 5 years |2 |

|5 to 10 years |3 |

|More than 10 years |4 |

|Don’t Know |9 |

|Refused |7 |

Q72 Did the last breakup lead to any of the following outcomes (choose all those that apply)?

| |Yes |No |D/K |Refused |

|Sale of family home |1 |2 |9 |7 |

|Reduction of savings |1 |2 |9 |7 |

|Having to move to cheaper accommodation |1 |2 |9 |7 |

|Reduced weekly income |1 |2 |9 |7 |

|Stress due to making child support payments |1 |2 |9 |7 |

|Stress due to not receiving expected child support payments |1 |2 |9 |7 |

|Stress due to not receiving adequate child support payments |1 |2 |9 |7 |

|Overall reduction in standard of living |1 |2 |9 |7 |

Q73 How would you rate your material standard of living now compared to before that relationship broke up?

|My standard of living is much better now |1 |

|My standard of living is somewhat better now |2 |

|My standard of living is about the same now |3 |

|My standard of living is somewhat worse now |4 |

|My standard of living is much worse now |5 |

|Don’t know |9 |

|Refused |7 |

Q74 Has your partner ever experienced the break-up of a marriage or de facto relationship?

THIS REFERS TO A MARRIAGE OR DE FACTO RELATIONSHIP OF THE RESPONDENT’S PARTNER (THIS INCLUDES THE CURRENT RELATIONSHIP)

|Never |1 |SKIP TO Q76 |

|Once |2 |CONTINUE |

|More than once |3 | |

|Don’t know |9 |SKIP TO Q76 |

|Refused |7 | |

Q75 How many years ago did their last break up occur?

|During the last 12 months |1 |

|1 to 5 years ago |2 |

|5 to 10 years ago |3 |

|More than 10 years ago |4 |

|Don’t know |9 |

|Refused |7 |

|Tobacco |

Now I’d like to ask you about the extent to which you and your partner smoke tobacco.

Q76 Have you or your partner smoked tobacco in the last 12 months? (Includes cigarettes, pipes, cigars)

| |Respondent |Partner |

|Yes |1 |1 |

|No |2 |2 |

|Don’t know |9 |9 |

|Refused |7 |7 |

IF BOTH RESPONDENT AND PARTNER NO, DON’T KNOW OR REFUSED GO TO Q81

Q77 How many cigarettes or roll-your-owns would you and your partner smoke per day?

| |Respondent |Partner |

|Less than 1 per day |1 |1 |

|1-4 per day |2 |2 |

|5-9 per day |3 |3 |

|10-20 per day |4 |4 |

|21+ per day |5 |5 |

|None – e.g. smokes other forms of tobacco – cigars or pipes |6 |6 |

|Don’t Know |9 |9 |

|Refused |7 |7 |

Q78 Do you or your partner smoke other forms of tobacco (e.g., cigars, pipe)?

| |Respondent |Partner |

|Yes |1 |1 |

|No |2 |2 |

|Don’t know |9 |9 |

|Refused |7 |7 |

IF BOTH RESPONDENT AND PARTNER NO, DON’T KNOW OR REFUSED GO TO Q80

Q79 How often?

| |Respondent |Partner |

|At least once a day |1 |1 |

|At least once a week |2 |2 |

|At least once a month |3 |3 |

|Less than once a month |4 |4 |

|Don’t Know |9 |9 |

|Refused |7 |7 |

Q80 On average, how much do you and your partner spend on tobacco per week?

|Nothing or nothing on most weeks |01 |

|Up to $10 |02 |

|$11 - $20 |03 |

|$21 - $40 |04 |

|$41 - $60 |05 |

|$61 - $80 |06 |

|$81 - $100 |07 |

|$101 - $150 |08 |

|$151 - $200 |09 |

|$201 or more |10 |

|Don’t Know |99 |

|Refused |97 |

|Not applicable |96 |

|Alcohol CONSUMPTION |

Now I have some questions about your and your partner’s alcohol consumption.

Q81 Do you and your partner drink alcohol?

| |Respondent |Partner |

|Yes |1 |1 |

|No |2 |2 |

|Don’t know |9 |9 |

|Refused |7 |7 |

IF BOTH RESPONDENT AND PARTNER NO, DON’T KNOW OR REFUSED GO TO Q85

Q82 How often do you and your partner have a drink containing alcohol?

| |Respondent |Partner |

|At least once a day |1 |1 |

|At least once a week |2 |2 |

|At least once a month |3 |3 |

|Less than once a month |4 |4 |

|Don’t Know |9 |9 |

|Refused |7 |7 |

Q83 How often do you and your partner have six or more drinks on one occasion?

| |Respondent |Partner |

|Never |1 |1 |

|At least once a day |2 |2 |

|At least once a week |3 |3 |

|At least once a month |4 |4 |

|Less than once a month |5 |5 |

|Don’t Know |9 |9 |

|Refused |7 |7 |

Q84 On average, how much do you and your partner spend on alcohol per week?

|Nothing or nothing on most weeks |01 |

|Up to $10 |02 |

|$11 - $20 |03 |

|$21 - $40 |04 |

|$41 - $60 |05 |

|$61 - $80 |06 |

|$81 - $100 |07 |

|$101 - $150 |08 |

|$151 - $200 |09 |

|$201 or more |10 |

|Don’t Know |99 |

|Refused |97 |

|Not applicable |96 |

|Gambling |

Now I am going to ask you about different kinds of lotteries and gambling activities:

Q85 Have you or your partner done any of the following in the past 12 months?

| |Respondent |Partner |

| |Yes |

|Up to $10 |02 |

|$11 - $20 |03 |

|$21 - $40 |04 |

|$41 - $60 |05 |

|$61 - $80 |06 |

|$81 - $100 |07 |

|$101 - $150 |08 |

|$151 - $200 |09 |

|$201 or more |10 |

|Don’t Know |99 |

|Refused |97 |

|Not applicable |96 |

Q87 Over the past year would you say yours, and your partner’s winnings on gambling outweighed the losses?

| |Respondent |Partner |

|Yes, gains outweigh losses a lot |1 |1 |

|Yes, gains outweigh losses a little |2 |2 |

|No, gains and losses roughly even |3 |3 |

|No, small loss overall |4 |4 |

|No, large loss overall |5 |5 |

|Don’t Know |9 |9 |

|Refused |7 |7 |

|Not applicable |6 |6 |

|Drugs |

Now I have some questions on whether you, or your partner, use any drugs.

Q88 Thinking about the last 12 months, have you used any of the following drugs? IF YES: How often do you take these drugs?

|SHOWCARD 6 |Yes |D/K |Refused |IF YES: How often do you take those drugs? |

| | | | |At least once a day |

Q89 Thinking about the last 12 months, has your partner used any of the following drugs?

IF YES: How often does your partner take these drugs?

|SHOWCARD 6 |Yes |D/K |Refused |IF YES: How often do you take those drugs? |

| | | | |At least once a day |

If all items in Q88 AND Q89 are none of the above, DK, OR Refused, put in not applicable for Q90 and go to Q91

Q90 On average, how much do you and your partner spend on drugs per week?

|Nothing or nothing on most weeks |01 |

|Up to $10 |02 |

|$11 - $20 |03 |

|$21 - $40 |04 |

|$41 - $60 |05 |

|$61 - $80 |06 |

|$81 - $100 |07 |

|$101 - $150 |08 |

|$151 - $200 |09 |

|$201 or more |10 |

|Don’t Know |99 |

|Refused |97 |

|Not applicable |96 |

|Employment |

Now I would like to ask you about paid employment.

Q91 Are you currently in full time or part time paid employment (includes self employed)?

|Yes |1 |CONTINUE |

|No |2 | |

| | |SKIP TO Q96 |

|Don’t know |9 | |

|Refused |7 | |

Q92 Which of these best describes your current status in your main paid job?

READ OUT

|Working for wages or salary |1 |

|An employer of others in own business |2 |

|Self-employed and not employing others |3 |

|Don’t Know |9 |

|Refused |7 |

Q93 How many hours do you usually work per week (including all paid jobs)?

|Hours | |

|Don’t know |199 |

|Refused |197 |

Q94 How many paid jobs do you have?

|Number | |

|Don’t know |99 |

|Refused |97 |

Q95 What is your occupation? And what are the main tasks and duties?

Record details below for each PAID job (up to 3)

Q95a Job 1

Occupation: _____________________________________________________________________

Main tasks or duties: ______________________________________________________________

Q95b Job 2

Occupation: _____________________________________________________________________

Main tasks or duties: ______________________________________________________________

Q95c Job 3

Occupation: _____________________________________________________________________

Main tasks or duties: ______________________________________________________________

Q96 In the last 12 months have you been unemployed and looking for work?

(Not necessarily registered as unemployed)

|Yes |1 |CONTINUE |

|No |2 | |

| | |SKIP TO Q98 |

|Don’t know |9 | |

|Refused |7 | |

Q97 For what length of time were you unemployed?

|Years |Months |

| | |

|Don’t know |99 |

|Refused |97 |

Q98 What was your previous occupation and main tasks or duties?

Occupation: _____________________________________________________________________

Main tasks or duties: ______________________________________________________________

|Don’t know |99 |

|Refused |97 |

|Not applicable |96 |

Q99 Is your partner currently in full time or part time paid employment (includes self employed)?

|Yes |1 |CONTINUE |

|No |2 | |

| | |SKIP TO Q104 |

|Don’t know |9 | |

|Refused |7 | |

Q100 Which of these best describes your partner’s current status in their main paid job?

|Working for wages or salary |1 |

|An employer of others in own business |2 |

|Self-employed and not employing others |3 |

|Don’t Know |9 |

|Refused |7 |

Q101 How many hours does your partner usually work per week (including all paid jobs)?

|Hours | |

|Don’t Know |99 |

|Refused |97 |

Q102 How many paid jobs does your partner have?

|Number | |

|Don’t Know |99 |

|Refused |97 |

Q103 What is your partner’s occupation? And what are their main tasks and duties?

Record details below for each job (up to 3)

Q103a Job 1

Occupation: _____________________________________________________________________

Main tasks or duties: ______________________________________________________________

Q103b Job 2

Occupation: _____________________________________________________________________

Main tasks or duties: ______________________________________________________________

Q103c Job 3

Occupation: _____________________________________________________________________

Main tasks or duties: ______________________________________________________________

Q104 In the last 12 months has your partner been unemployed and looking for work?

|Yes |1 |CONTINUE |

|No |2 | |

| | |SKIP TO Q106 |

|Don’t Know |9 | |

|Refused |7 | |

Q105 For what length of time was your partner unemployed?

|Years |Months |

| | |

| |99 |

|Don’t Know | |

|Refused |97 |

Q106 What was your partner’s previous occupation and main tasks or duties?

Occupation: _____________________________________________________________________

Main tasks or duties: ______________________________________________________________

|Don’t know |99 |

|Refused |97 |

|Not applicable |96 |

|Income |

The next series of questions are about you and your partner’s income over the last 12 months.

Q107 Have you received income from any of the following sources over the last 12 months?

IF YES: What was the total income received over the last 12 months? Was this before tax or after tax?

SHOWCARDS 7 AND 8 & WORKSHEET A AND B.

Note: If the respondent and partner receive income jointly, divide income by 2 and credit each partner with 50% of the income.

| |Yes |Respondent’s Income |Was this before or after tax? |

| | |

Q108 Has your partner received income from any of the following sources over the last 12 months?

IF YES: What was the total over the last 12 months? Was this before tax or after tax?

SHOWCARDS 7 AND 8 & WORKSHEET A AND B.

Note: If the respondent and partner receive income jointly, divide income by 2 and credit each partner with 50% of the income.

| |Yes |Partner’s Income |Was this before or after tax? |

| | |

Q109 From the information provided about your income what is your best estimate of the following? Was this before tax or after tax?

| |SHOWCARD 8 |Income |Tax |

| | |Income Code |D/K |Refused |Before tax |After tax |D/K |Refused |

|b) |Your partner’s total income (for the past 12 months) | |99 |97 |1 |2 |9 |7 |

|c) |Your joint income (for the past 12 months) | |99 |97 |1 |2 |9 |7 |

Q110 In the past 12 months have you received any of the following from the government?

IF YES: Are you currently receiving the benefit? For what length of time have you received this benefit?

|SHOWCARD 9 |Respondent |IF YES: How long was the most recent period that you received these benefits? |IF YES: are you currently receiving this |

| | | |benefit |

| |Yes |

Q111 In the past 12 months has your partner received any of the following from the government? IF YES: Are they currently receiving the benefit? For what length of time have they received this benefit?

|SHOWCARD 9 |Respondent’s Partner |IF YES: How long was the most recent period that they received these benefits? |IF YES: are they currently receiving this |

| | | |benefit |

| |Yes |

Q112 Do you or your partner pay for any of the following insurance?

READ OUT

| | |Yes |No |D/K |Refused |

|2 |Contents |1 |2 |9 |7 |

|3 |Vehicle |1 |2 |9 |7 |

|4 |Health |1 |2 |9 |7 |

|5 |Life |1 |2 |9 |7 |

|6 |Other insurances |1 |2 |9 |7 |

|Economic Support |

Q113 Do you, your partner or any of your children have a Community Services Card?

| |Respondent |Partner |Children aged under 18 |

| | | |years |

|Yes |1 |1 |1 |

|No |2 |2 |2 |

|Don’t Know |9 |9 |9 |

|Refused |7 |7 |7 |

Q114 Do you, your partner or any of your children have a High Users Health Card or a pharmaceutical subsidy card?

| |Respondent |Partner |Children aged under 18 |

| | | |years |

|Yes |1 |1 |1 |

|No |2 |2 |2 |

|Don’t Know |9 |9 |9 |

|Refused |7 |7 |7 |

Q115 In the last 12 months, have you or your partner received any of the following benefits from your employer or as a result of self-employment?

| |Yes |No |D/K |Refused |N/A |

|Subsidised superannuation |1 |2 |9 |7 |6 |

|Other (e.g. clothing, meals) |1 |2 |9 |7 |6 |

Q116 In the past 12 months, have you or your partner received financial (cash) support from any of the following?

| |Yes |No |D/K |Refused |

|Relatives living with you |1 |2 |9 |7 |

|Relatives in New Zealand who are not living with |1 |2 |9 |7 |

|you | | | | |

|Relatives who are living overseas |1 |2 |9 |7 |

|Flatmates / friends |1 |2 |9 |7 |

If yes to any item in Q116, ask Q117, OTHERWISE GO TO Q118

Q117 In total, approximately how much money did you and your partner receive in the past year from these people?

|$ $ | | | | | | |. |0 |0 |

|Don’t know |99 |

|Refused |97 |

Q118 In the past 12 months, have you or your partner received any of the following types of support from your family or friends?

IF USED TO HELP OUT FINANCIALLY OR CONTRIBUTE TO MATERIAL WELL BEING, CAN INCLUDE GIFTS.

| |Yes |No |D/K |Refused |N/A |

|Kitchenware |1 |2 |9 |7 |6 |

|Clothing |1 |2 |9 |7 |6 |

|Food |1 |2 |9 |7 |6 |

|Bedding and linen |1 |2 |9 |7 |6 |

|Free or subsidised accommodation |1 |2 |9 |7 |6 |

|Children’s toys |1 |2 |9 |7 |6 |

|Children’s clothing |1 |2 |9 |7 |6 |

|Use of a vehicle |1 |2 |9 |7 |6 |

|Other |1 |2 |9 |7 |6 |

Q119 In the past 12 months, have you or your partner provided financial (cash) support to any of the following?

| |Yes |No |D/K |Refused |N/A |

|Relatives in New Zealand who are not living |1 |2 |9 |7 |6 |

|with you | | | | | |

|Relatives who are living overseas |1 |2 |9 |7 |6 |

|Flatmates / friends |1 |2 |9 |7 |6 |

If Yes to any item in Q119, ask Q120; otherwise GO TO Q121

Q120 In total, approximately how much did you and your partner give over the past year to these people?

|$ | | | | | | |. |0 |0 |

|Don’t know |99 |

|Refused |97 |

Q121 In the past 12 months, have you or your partner provided any of the following types of support to your family or friends?

| |Yes |No |D/K |Refused |

|Furniture |1 |2 |9 |7 |

|Kitchenware |1 |2 |9 |7 |

|Clothing |1 |2 |9 |7 |

|Food |1 |2 |9 |7 |

|Bedding and linen |1 |2 |9 |7 |

|Free or subsidised accommodation |1 |2 |9 |7 |

|Children’s toys |1 |2 |9 |7 |

|Children’s clothing |1 |2 |9 |7 |

|Use of a vehicle |1 |2 |9 |7 |

|Other |1 |2 |9 |7 |

Q122 Do you or your partner regularly contribute money to a church, marae or charity? This does not include door-to-door or street appeals.

|Yes |1 |CONTINUE |

|No |2 |GO TO Q124 |

|Don’t know |9 | |

|Refused |7 | |

Q123 In total, approximately how much money did you and your partner give to a church, marae or charity in the past year? Again, do not include door-to-door street appeals.

|$ | | | | | | |. |0 |0 |

|Don’t know |99 |

|Refused |97 |

|ACCOMMODATION |

The following questions are about the house/flat/apartment that you and your family group live in.

Q124 How long have you been living at this address?

|Less than 12 months |1 |

|12 months or more |2 |

|Don’t Know |9 |

|Refused |7 |

Q125 How many times have you changed address in the last five years?

|Not at all |01 |

|Once |02 |

|Twice |03 |

|Three times |04 |

|Four times |05 |

|Five times or more |06 |

|Don’t Know |99 |

|Refused |97 |

Q126 Who owns the house/flat/apartment that you and your partner live in?

|You (and/or your partner) own this house/flat/apartment |01 |CONTINUE |

|You (and/or your partner) jointly own this house/flat/apartment with other people |02 | |

|A family trust owns this house/flat/apartment |03 | |

|Parents or other family members own this house/flat/apartment |04 | |

| | | |

| | |GO TO Q128 |

|A private landlord who is NOT related to you owns this house/flat/apartment |05 | |

|A local authority or city council owns this house/flat/apartment |06 | |

|Housing New Zealand owns this house/flat/apartment |07 | |

|Don’t Know |99 | |

|Refused |97 | |

Q127 Which of these best describes the latest government or rating valuation of your property?

SHOWCARD 10

|Nil |01 |

|$25,000 or less |02 |

|$25,001 - $50,000 |03 |

|$50,001 - $100,000 |04 |

|$100,001 - $150,000 |05 |

|$150,001 - $200,000 |06 |

|$200,001 - $250,000 |07 |

|$250,001 - $300,000 |08 |

|$300,001 - $350,000 |09 |

|$350,001 - $400,000 |10 |

|$400,001 - $500,000 |11 |

|$500,001 - $650,000 |12 |

|$650,001 - $900,000 |13 |

|More than $900,000 |14 |

|Don’t Know |99 |

|Refused |97 |

Q128 Which of these do you and your partner pay?

|Mortgage for this house/flat/apartment |1 |CONTINUE |

|Rent for this house/flat/apartment |2 |GO TO Q131 |

|Board for this house/flat/apartment |3 | |

|Payments to a family trust for accommodation |4 | |

|Do not pay any of the above |5 | |

|Don’t Know |9 |GO TO Q132 |

|Refused |7 | |

Q129 How many mortgages do you and your partner have for this house/flat/apartment?

|Number | |

|Don’t know |99 |

|Refused |97 |

Q130 How much is the total debt you and your partner owe on this house/flat/apartment?

SHOWCARD 10

|Nil |01 |

|$25,000 or less |02 |

|$25,001 - $50,000 |03 |

|$50,001 - $100,000 |04 |

|$100,001 - $150,000 |05 |

|$150,001 - $200,000 |06 |

|$200,001 - $250,000 |07 |

|$250,001 - $300,000 |08 |

|$300,001 - $350,000 |09 |

|$350,001 - $400,000 |10 |

|$400,001 - $500,000 |11 |

|$500,001 - $650,000 |12 |

|$650,001 - $900,000 |13 |

|More than $900,000 |14 |

|Don’t Know |99 |

|Refused |97 |

Q131 How much do you and your partner pay for your accommodation? What period does this cover?

Complete for all that apply.

| | |Period covered | | | |Amount |

|SHOWCARD| | | | | | |

|11 | | | | | | |

|2 |Dampness |1 |2 |3 |9 |7 |

|3 |Plumbing |1 |2 |3 |9 |7 |

|4 |Wiring |1 |2 |3 |9 |7 |

|5 |Interior paintwork |1 |2 |3 |9 |7 |

|6 |Windows |1 |2 |3 |9 |7 |

|7 |Doors |1 |2 |3 |9 |7 |

|8 |The roof |1 |2 |3 |9 |7 |

|9 |Piles or foundations |1 |2 |3 |9 |7 |

|10 |Exterior paintwork |1 |2 |3 |9 |7 |

|11 |Fencing |1 |2 |3 |9 |7 |

|12 |Paving |1 |2 |3 |9 |7 |

|13 |House too small for needs |1 |2 |3 |9 |7 |

|14 |Crime in your neighbourhood |1 |2 |3 |9 |7 |

|15 |Other problems |1 |2 |3 |9 |7 |

Q133 Overall, how would you rate the quality of this accommodation?

|Very good |1 |

|Good |2 |

|Average |3 |

|Below average |4 |

|Very below average |5 |

|Don’t Know |9 |

|Refused |7 |

Q134 Overall, how suitable is this accommodation for you and your family’s needs?

|Very suitable |1 |

|Suitable |2 |

|So-so |3 |

|Not suitable |4 |

|Very unsuitable |5 |

|Don’t Know |9 |

|Refused |7 |

|Savings and Investments |

The next set of questions are about the savings and investments that you and your partner may have.

Q135 Do you or your partner have any of the following savings or investments?

SHOWCARD 13

| | |Yes |No |D/K |Refused |

|1 |Bank savings account |1 |2 |9 |7 |

|2 |Term deposits |1 |2 |9 |7 |

|3 |Stock or shares invested in New Zealand stock-market |1 |2 |9 |7 |

|4 |Stock or shares invested in overseas stock-markets |1 |2 |9 |7 |

|5 |Endowment life insurance policies |1 |2 |9 |7 |

|6 |A managed fund (e.g. unit trusts) |1 |2 |9 |7 |

|7 |Bonds or debentures |1 |2 |9 |7 |

|8 |A self-funded superannuation scheme |1 |2 |9 |7 |

|9 |An employer subsidised or funded superannuation scheme |1 |2 |9 |7 |

|10 |Residential property (e.g. holiday home, rented-out property).|1 |2 |9 |7 |

| |Do not include the home that you live in. | | | | |

|11 |Investments in commercial property |1 |2 |9 |7 |

|12 |Other savings or investments |1 |2 |9 |7 |

If answer no, DON’t know or refused to all the above GO to Q138

Q136 In the last 12 months how much have you and your partner saved or contributed to these investments in total? Do not include any contributions to your own home.

SHOWCARD 14

|$0 |01 |

|$1 - $1,000 |02 |

|$1,001 - $2,000 |03 |

|$2,001 - $5,000 |04 |

|$5,001 - $10,000 |05 |

|$10,001 - $15,000 |06 |

|$15,001 or more |07 |

|Don’t Know |99 |

|Refused |97 |

Q137 What is the total current value of the savings and investments listed above? Do not include the value of your home.

SHOWCARD 15

|$0 |01 |

|$1 - $1,000 |02 |

|$1,001 - $5,000 |03 |

|$5,001 - $10,000 |04 |

|$10,001 - $15,000 |05 |

|$15,001 - $20,000 |06 |

|$20,001 - $25,000 |07 |

|$25,001 - $50,000 |08 |

|$50,001 - $100,000 |09 |

|$100,001 - $150,000 |10 |

|$150,001 - $200,000 |11 |

|$200,001 - $250,000 |12 |

|$250,001 - $300,000 |13 |

|$300,001 - $350,000 |14 |

|$350,001 - $400,000 |15 |

|$400,001 - $500,000 |16 |

|$500,001 - $750,000 |17 |

|More than $750,000 |18 |

|Don’t Know |99 |

|Refused |97 |

|Financial Strain |

Q138 In the last 12 months, have any of the following happened to you or your partner?

| |SHOWCARD 16 |Not at all |Once only |More than once |D/K |Refused |

|2 |You couldn’t keep up with payments for mortgage or rent |1 |2 |3 |9 |7 |

|3 |You couldn’t keep up with payments for such things as hire |1 |2 |3 |9 |7 |

| |purchase, credit cards or store cards | | | | | |

|4 |You borrowed money from family or friends to meet everyday living |1 |2 |3 |9 |7 |

| |costs | | | | | |

|5 |You received help in the form of food, clothes or money from a |1 |2 |3 |9 |7 |

| |community organisation such as a church | | | | | |

|6 |You pawned or sold something to meet everyday living costs |1 |2 |3 |9 |7 |

Q139 Sometimes people find that they need a sum of money at short notice because of an emergency. If all of a sudden you had to get $1500 at short notice for something, could you get the money within a week? Include the use of credit card, borrowing money from family, etc.

|Yes |1 |Continue |

|No |2 |Go to Q143 |

|Don’t know |9 | |

|Refused |7 | |

Q140 Where would you most likely get the money from?

CIRCLE THE MAIN SOURCE ONLY

|I would use my own savings |01 |

|I would get a loan from the bank |02 |

|I would use my credit card |03 |

|I would get a loan from family or friends |04 |

|I would sell or pawn something |05 |

|I would get a loan from a money lender or finance company |06 |

|I would use my flexi-mortgage or revolving credit mortgage |07 |

|Other |98 |

|Don’t Know |99 |

|Refused |97 |

Q141 Would you be able to get $5000 within a week if an emergency came up?

|Yes |1 |Continue |

|No |2 |Go to Q143 |

|Don’t know |9 | |

|Refused |7 | |

Q142 Where would you most likely get the money from?

CIRCLE THE MAIN SOURCE ONLY

|I would use my own savings |01 |

|I would get a loan from the bank |02 |

|I would use my credit card |03 |

|I would get a loan from family or friends |04 |

|I would sell or pawn something |05 |

|I would get a loan from a money lender or finance company |06 |

|I would use my flexi-mortgage or revolving credit mortgage|07 |

|Other |98 |

|Don’t Know |99 |

|Refused |97 |

Q143 Do you or your partner currently have a student loan?

|Yes |1 |CONTINUE |

|No |2 |GO TO Q145 |

|Don’t know |9 | |

|Refused |7 | |

Q144 How much do you and your partner currently owe on your student loan/s?

|$1 - $2,500 |01 |

|$2,501 - $5,000 |02 |

|$5,001 - $7,500 |03 |

|$7,501 - $10,000 |04 |

|$10,001 - $12,500 |05 |

|$12,501 - $15,000 |06 |

|$15,001 - $17,500 |07 |

|$17,501 - $20,000 |08 |

|$20,001 - $25,000 |09 |

|$25,001 - $30,000 |10 |

|$30,001 - $40,000 |11 |

|$40,001 - $50,000 |12 |

|$50,001 - $70,000 |13 |

|$70,001 or more |14 |

|Don’t Know |99 |

|Refused |97 |

Q145 Do you or your partner have any credit cards or store charge cards? (e.g. Farmers card)

|Yes |1 |CONTINUE |

|No |2 |SKIP TO Q147 |

|DK |9 | |

|Refused |7 | |

Q146 Which best describes how you generally repay debt on your credit card/s or store card/s?

|I generally repay only the minimum amount required |1 |

|I generally repay more than the minimum amount but less than the full |2 |

|amount | |

|I generally repay the full amount owing on the card |3 |

|Don’t know |9 |

|Refused |7 |

Q147 Do you or your partner have an overdraft facility on any of your personal bank accounts? (do not include any mortgage accounts)

|Yes |1 |CONTINUE |

|No |2 |SKIP TO Q149 |

|Don’t know |9 | |

|Refused |7 | |

Q148 In the last 12 months, how often was one or more of them in overdraft?

|Never |1 |

|Rarely |2 |

|Sometimes |3 |

|Often |4 |

|All the time |5 |

|Don’t know |9 |

|Refused |7 |

Q149 In the last 12 months, have you and your partner purchased anything using hire purchase?

|Yes |1 |

|No |2 |

|Don’t know |9 |

|Refused |7 |

Q150 In the last 12 months, have payments you and your partner have made for the following caused financial difficulty?

SHOWCARD 17

| | |

|$1 - $1,000 |02 |

|$1,001 - $2,000 |03 |

|$2,001 - $5,000 |04 |

|$5,001 - $10,000 |05 |

|$10,001 - $15,000 |06 |

|$15,001 or more |07 |

|Don’t Know |99 |

|Refused |97 |

Q152 Thinking about the different types of transport that you use (e.g., private car, bus, train, taxi, etc), how much do you and your partner spend in a typical week on transport?

SEE FAMILY GROUP CARD – if respondent has children include any dependent children’s transport costs. CAR Costs includes petrol and parking.

EXCLUDE car depreciation or any transport costs reimbursed by EMPLOYER.

ALSO, If respondent or partner self employed do not include CAR costs that are part of self employment.

|$0 |01 |

|$1 - $20 |02 |

|$21 - $50 |04 |

|$51 - $100 |05 |

|$101 - $150 |06 |

|$150 - $200 |07 |

|$201 - $300 |08 |

|$301 or more |09 |

|Don’t Know |99 |

|Refused |97 |

|Child Care |

SEE family group showcard: If there are no children skip to Q160.

If respondent has pre-school children (children aged under 5 years of age) ask Q153; otherwise GO TO Q154

I would like to ask you some questions about the care and educational arrangements for your children.

Q153 Which of these do you or your partner pay for your children to go to regularly, choose all that apply?

|SHOWCARD 19 |Yes |Don’t Know |Refused |

|Public Kindergarten |1 |9 |7 |

|Playcentre |2 |9 |7 |

|Kohanga Reo |3 |9 |7 |

|Pacific Islands early childhood centre |4 |9 |7 |

|Some other childcare centre, such as a private kindergarten, crèche, preschool or |5 |9 |7 |

|day-care centre | | | |

|Playgroup |6 |9 |7 |

|Organised home-based care programme, or family day-care programme such as Barnardos |7 |9 |7 |

|Family, neighbours or friends |8 |9 |7 |

|Nanny services |9 |9 |7 |

|Other (apart from you or your partner) |10 |9 |7 |

|None of the above |11 | |

Ask Q154 if respondent has school-aged children (aged 5 years of age and over); otherwise GO TO Q155

I would like to ask you some questions about the care and educational arrangements for your school-aged children.

Q154 Which of these do you or your partner pay for your children to go to regularly? Circle all that apply.

|SHOWCARD 20 |Yes |Don’t Know |Refused |

|Before and/or after school care programme |1 |9 |7 |

|Organised home-based care programme, or family day-care programme such as Barnardos |2 |9 |7 |

|Family, neighbours or friends |3 |9 |7 |

|Nanny services |4 |9 |7 |

|Other (apart from you or your partner) |5 |9 |7 |

|None of the above |6 | |

IF YES FOR ANY ITEM IN Q153 OR Q154 CONTINUE.

IF NONE OF THE ABOVE, DON’T KNOW OR REFUSED FOR ALL ITEMS IN Q153 OR Q154 GO TO Q158.

Q155 Did you or providers of care for your children receive a childcare subsidy from Work and Income or the Ministry of Education to help pay for your children’s care?

|Yes |1 |

|No |2 |

|Don’t Know |9 |

|Refused |7 |

Q156 Other than you or your partner, Work and Income and the Ministry of Education, did anyone else help pay towards your children’s childcare?

|Yes |1 |

|No |2 |

|Don’t Know |9 |

|Refused |7 |

Q157 How much in total do you and your partner pay per week for your children’s childcare? Exclude any subsidies you, your partner or your childcare provider receive.

Enter $0 if no cost

|$ | | | | |. |0 |0 |

|Don’t know |99 |

|Refused |97 |

Q158 In the last 12 months has a lack of suitable care or educational arrangements for your children ever…?

SHOWCARD 21

|Stopped you from looking for a paid job? |01 |

|Made you turn down a paid job? |02 |

|Made you quit a paid job? |03 |

|Stopped you from changing the hours you regularly work (e.g. increasing hours, decreasing hours, or |04 |

|working at different times)? | |

|Stopped you from taking up unpaid work for a group or individual outside your household? |05 |

|Made you quit doing some unpaid work? |06 |

|Stopped you from changing the hours you regularly do unpaid work? |07 |

|Stopped you from taking on some study or training? |08 |

|Made you quit a study or training course? |09 |

|Don’t know |99 |

|Refused |97 |

IF YES TO ANY OF THE ABOVE ITEMS ASK Q159, OTHERWISE GO TO Q160

Q159 Why couldn’t a suitable care or education arrangement be made for your children?

SHOWCARD 22

|Cost |01 |

|Waiting list |02 |

|Transport difficulties |03 |

|Lack of age appropriate service |04 |

|Lack of suitable hours or flexible hours |05 |

|Lack of local services/no services around |06 |

|Lack of culturally appropriate services |07 |

|Lack of quality programme/service |08 |

|Lack of informal care by someone known or trusted |09 |

|Other |10 |

|Don’t know |99 |

|Refused |97 |

|HOUSEHOLD ITEMS |

Now I have some questions about things that people sometimes own. The following questions are about items that you and your partner personally own, not ones that you have access to or are owned by someone else.

Q160 Do you and your partner own any of the following? For those items that you own, were any of them acquired in the last 12 months?

IF MULTIPLE ITEMS, REFER TO THE ONE MOST RECENTLY ACQUIRED

|SHOWCARD 23 |Own |Acquired in the last 12 months |

| |Yes |D/K |

Q161 Would you or your partner like to improve the quality of or upgrade any of the following?

Interviewer: Improving the quality includes doing something more often, or having more of something, or having or doing more upmarket (posh/flash) things.

| |Not at all |A little |A lot |Don’t Know |Refused |

|Kitchen equipment |1 |2 |3 |9 |7 |

|Furniture |1 |2 |3 |9 |7 |

|Electronic equipment (e.g., stereo, TV) |1 |2 |3 |9 |7 |

|The area you live in |1 |2 |3 |9 |7 |

|Your holidays |1 |2 |3 |9 |7 |

|Places where you eat out |1 |2 |3 |9 |7 |

|Types of entertainment you go to |1 |2 |3 |9 |7 |

|Personal Style |

These are the last few questions. This set of questions relates to how you approach everyday life. There are no right or wrong answers. Please give me the answer that is closest to how you approach things in your life.

Q162 How often do you personally do each of the following?

SHOWCARD 24

| | |All of the |Most of the |Some of the |A little of |None of the |D/K |Refused |

| | |time |time |time |the time |time | | |

|2 |Make sure that you can afford something before you buy|1 |2 |3 |4 |5 |9 |7 |

| |it | | | | | | | |

|3 |Know where all your money goes each pay |1 |2 |3 |4 |5 |9 |7 |

|4 |Live from one pay day to the next |1 |2 |3 |4 |5 |9 |7 |

|5 |Read bank and credit card statements |1 |2 |3 |4 |5 |9 |7 |

|6 |Regularly pay bills on time |1 |2 |3 |4 |5 |9 |7 |

|7 |Save or invest money out of your pay |1 |2 |3 |4 |5 |9 |7 |

|8 |Save for long term goals such as a car or deposit for |1 |2 |3 |4 |5 |9 |7 |

| |a house | | | | | | | |

Q163 To what extent do you agree or disagree with the following statements?

SHOWCARD 25

| | |Strongly |Disagree |Neither |Agree |Strongly Agree|D/K |Refused |

| | |disagree | |disagree nor | | | | |

| | | | |agree | | | | |

|2 |I feel tired all the time |1 |2 |3 |4 |5 |9 |7 |

|3 |I don’t often feel enthusiastic |1 |2 |3 |4 |5 |9 |7 |

|4 |I put a lot of effort into what I’m doing |1 |2 |3 |4 |5 |9 |7 |

|5 |I’m a highly motivated person |1 |2 |3 |4 |5 |9 |7 |

Q164 In general, how happy would you say you are? Would you say you are…?

|Very happy |1 |

|Happy |2 |

|Neither happy nor unhappy |3 |

|Unhappy |4 |

|Very unhappy |5 |

|Don’t Know |9 |

|Refused |7 |

Q165 Now taking everything into account, how satisfied or dissatisfied are you with life these days?

|Very satisfied |1 |

|Satisfied |2 |

|Neither satisfied nor dissatisfied |3 |

|Dissatisfied |4 |

|Very dissatisfied |5 |

|Don’t Know |9 |

|Refused |7 |

That’s the end of the survey but I have a final question to ask…

Q166 Would you be willing to be contacted in the future to provide more information about your circumstances for this research?

|Yes |1 |

|No |2 |

THE END

THANK & CLOSE

INTERVIEWER PLEASE RECORD THE APPROPRIATE ANSWERS FOR THE FOLLOWING TWO QUESTIONS

DO NOT READ OUT

Q167 Did the respondent’s partner contribute to the interview?

|Not at all |1 |

|On one or two occasions |2 |

|More extensively |3 |

DO NOT READ OUT

Q168 Was the partner present during the interview?

|Present most/all of the time |1 |

|Present some of the time |2 |

|Not present at all |3 |

GO TO KEYS

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