Post on 01-Aug-2020
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
2
Enrollment section
BEGINNING SECTION - ENROLLMENT
Our interview begins with the Household Module. This section can be answered by any
household resident who is able to provide accurate information about the other
residents.
Now let's start the interview with general questions about the residents of this house.
iddom HOUSEHOLD ID |__|__|__|__|__|
________________________________________
region Region
(1) North
(2) Northeast
(3) Southeast
(4) South
(5) Center-West
zone Zone (1) Urban
(2) Rural
ar4
Date of interview:
___|___|___
Today!
ar5 Name of interviewer:
________________________________________
ar6
In total, how many people live in this
home?
Resident: is a person who has the
household as a usual place of
residence at the time of the interview.
Household: is a place that is
structurally separated and
independent, used as housing for one
or more people.
|__|__| residents
Resident ID |__|__|
ar7 Full name (do not abbreviate) of the
head of the household: |__|__|__|__|__|__|__|__|__|__|
ar8 What is the gender of Mr. /Mrs. (name
of the head of the household)?
(0) Female
(1) Male
ar9 What is the date of birth of Mr./Mrs.
(name of the head of the household)?
|__|__|/|__|__|__|/|__|__|__|__|
(99999999999) Didn’t know/didn’t answer
ar10
How old is Mr. /Mrs. (name of the
head of the household) at the date of
the interview?
|__|__| years
ar11_1 a
ar11_14
Full name (do not abbreviate) of the
other resident of the household: |__|__|__|__|__|__|__|__|__|__|
ar12_1 a
ar12_14
What is the gender of Mr. /Mrs. (name
of the other household resident)?
(0) Female
(1) Male
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
3
ar13_1 a
ar13_14
What is the date of birth of Mr. /Mrs.
(name of the other household
resident)?
|__|__| /|__|__|__|/|__|__|__|__| (999) Didn’t know/didn’t answer
ar14_1 a
ar14_14
How old is Mr. /Mrs. (name of the
other household resident) at the date
of the interview?
|__|__| years
(999) Didn’t know/didn’t answer
ar15_1 a
ar15_14
What is the relationship of Mr./Mrs.
(name of the other household
resident) with the head of the
household?
(1) Person in charge of or head of the
household (DISABLED OPTION for the other
residents)
(2) Spouse or partner (3) Child (4) Stepchild (5) Son or daughter-in-law (6) Grandchild (7) Great-grandchild (8) Parents/stepparents (9) Father or mother-in-law (10) Grandfather or grandmother (11) Siblings (12) Other relative (13) Aggregated (non-family member that
does not share expenses) (14) Cohabitant (non-family member that
shares expenses) (15) Boarder (non-family member that pays
for lodging)
(16) Others
(17) Aggregated/Cohabitant
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
4
Section A: Household characteristics
Interviewer: the following questions should be answered according to your
observation.
a1 Interviewer: this property is: (1) House
(2) Apartment
a2
Is the access to the household made
through a staircase?
Consider the access from the street to
the household.
(0) No (GO TO a4)
(1) Yes
a3 How many steps does this staircase
have?
(1) Between 1 and 5 steps
(2) Between 6 and 15 steps
(3) 15 steps or more
a4 Is there a ramp to access the household? (0) No
(1) Yes
a5
The access to the apartment is made by:
Consider the access from the reception
or gate of the building to the apartment
door.
(0) Staircase
(1) Elevator (GO TO a7)
a6
How many stairwells leading to the
apartment?
Stairwell: gap between stair landings.
|__|__| stairwells (99) Didn’t know/didn’t answer
a7
The predominant material on the
outside walls of the household is:
Do not consider fences, railings etc.
(1) Masonry with coating (2) Masonry without coating (3) Others (wood, straw, uncoated clay
walls or other material)
(99) Didn’t know/didn’t answer
a8
The street where the household is
located is asphalted or paved with stones
or other material?
(0) No
(1) Yes
The following questions should be answered by any resident of the household,
preferably by someone who could better inform the expenses and income of the other
residents.
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
5
a9
How many rooms are there in this
house, including living rooms,
bathrooms etc.?
Room: each compartment of the
household covered by a ceiling and
separated by walls, including bathroom
and kitchen.
Do not consider as a room: corridors,
open porches, garage and other spaces
for non-residential purposes.
|__|__| rooms
(99) Didn’t know/didn’t answer
a10
How many rooms are permanently
serving as dormitory for the residents of
this house?
|__|__| rooms
(99) Didn’t know/didn’t answer
a11 Is there running water (piped) in this
house in at least one room?
(0) No
(1) Yes, from the general water distribution
system
(2) Yes, from the well or spring on the
property
(3) Yes, from the well or spring outside of
the property
(4) Yes, from another source
(99) Didn’t know/didn’t answer
a12
How many bathrooms or toilets are
there in this house?
Bathroom: room intended to bathe,
that also has a toilet bowl or a hole for
excrements.
Restroom: room or spot constrained by
walls of any material, covered or not
with a ceiling, which has a toilet bowl
or a hole for excrements.
Consider all bathrooms exclusively used
by the residents of the household,
including the ones on the service area
and outside of the house. Shared
bathrooms - serving more than one
dwelling – should not be considered
|__|__| bathrooms/toilets
(99) Didn’t know/didn’t answer
a13
Are there adaptations in this house for
people with limited mobility, such as
handrails in the bathroom, kitchen or
stairs, widened doors or ramps?
Read the alternatives to the respondent.
(0) No (GO TO a15)
(1) Yes
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
6
Next, I’ll list some adaptations for people with limited mobility. I’ll ask you to tell me if
they exist or not in this house.
a14_1 Are there handrails or adaptations on
the bathrooms in this house?
(0) No
(1) Yes
a14_2
Are there handrails or adaptations on
other rooms or in the areas of
circulation in this house?
(0) No
(1) Yes
a14_3
Are there handrails or adaptations on
the staircases located inside or outside
this house?
(0) No
(1) Yes
a14_4 Are there other adaptations in this
house not mentioned before?
(0) No
(1) Yes
a15
Is this household registered with the
Family Health Program / Strategy / Unit?
(0) No (GO TO a17)
(1) Yes
(99) Didn’t know/didn’t answer
(GO TO a17)
a16 When did this household get registered?
(1) Less than 2 months
(2) Between 2 and less than 6 months
(3) Between 6 months and less than a year
(4) One year or more
(9) Didn’t know/didn’t answer
a17
In the last 12 months, how often was
this household visited by a Community
Health Agent or by any other member of
the Family Health Team?
Community Health Agents:
professionals that work in the Basic
Healthcare Unit with the purpose of
enrolling all residents within their area
of operation; periodically visit families
and individuals under their
responsibility; develop individual and
collective educational activities in the
households and in the community; and
provide guidance to the families on the
use of available health services.
(1) Monthly
(2) Every other month
(3) Between 2 and 4 times a year
(4) Once
(5) Was never visited
(9) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
7
Section B: Assets (possessions)
Next, I’ll ask questions about this household and other assets and properties. This
information is confidential and will be exclusively used for the purposes of this study.
This information is of interest of the Ministry of Health.
b1
This house/property is:
(0) Owned and paid off
(1) Owned but not yet paid off
(2) Rented (GO TO b5)
(3) Made available by a family member
(GO TO b7)
(4) Made available by an employer
(GO TO b7)
(5) Other condition (GO TO b7)
b2
Who is the main owner of this
house/property?
Resident |__|__|__|__|__|
(99) Didn’t know/didn’t answer
A list with the names of all residents
identified in the Enrollment Section will
appear on the screen.
b3
Considering the LAST 3 MONTHS, what
was the amount spent with the last
monthly mortgage payment of this
house/property?
ONLY IF b1=(1)
(0) No expenditure on this item
(1) Less than R$50 (2) Between R$50 and R$99 (3) Between R$100 and R$199 (4) Between R$200 and R$299 (5) Between R$300 and R$399 (6) Between R$400 and R$499 (7) Between R$500 and R$599 (8) Between R$600 and R$699 (9) Between R$700 and R$799 (10) Between R$800 and R$899 (11) Between R$900 and R$999 (12) Between R$1,000 and R$1,499 (13) Between R$1,500 and R$1,999 (14) Between R$2,000 and R$2,999 (15) Between R$3,000 and R$3,999 (16) Between R$4,000 and R$4,999 (17) Between R$5,000 and R$9,999 (18) R$10,000 and up (99) Didn’t know/didn’t answer
b4
How much is still remaining for you to
pay this house/property off (i.e. how
much is the outstanding mortgage)?
ONLY IF b1=(1)
(1) Less than R$ 10,000
(2) Between R$ 10,000 and R$ 49,999
(3) Between R$ 50,000 and R$ 99,999
(4) Between R$ 100,000 and R$ 199,999
(5) R$ 200,000 and up
(9) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
8
b5
Considering the LAST 3 MONTHS, what
was the amount spent with the last
rental payment of this house/property?
ONLY IF b1=(2)
(0) No expenditure on this item
(1) Less than R$50 (2) Between R$50 and R$99 (3) Between R$100 and R$199 (4) Between R$200 and R$299 (5) Between R$300 and R$399 (6) Between R$400 and R$499 (7) Between R$500 and R$599 (8) Between R$600 and R$699 (9) Between R$700 and R$799 (10) Between R$800 and R$899 (11) Between R$900 and R$999 (12) Between R$1,000 and R$1,499 (13) Between R$1,500 and R$1,999 (14) Between R$2,000 and R$2,999 (15) Between R$3,000 and R$3,999 (16) Between R$4,000 and R$4,999 (17) Between R$5,000 and R$9,999 (18) R$10,000 and up (99) Didn’t know/didn’t answer
(GO TO b7)
b6
In your opinion, how much would this
house/property be worth if it was sold
now?
ONLY IF b1=(0) OR b1=(1)
(1) Less than R$50,000
(2) Between R$50,000 and R$99,999
(3) Between R$100,000 and R$199,999
(4) Between R$200,000 and R$299,999
(5) Between R$300,000 and R$399,999
(6) Between R$400,000 and R$499,999
(7) Between R$500,000 and R$599,999
(8) Between R$600,000 and R$999,999
(9) Between R$1 million and R$1,499,999
million
(10) Between R$1,5 million and
R$1,999,999 million
(11) Two million and up
(99) Didn’t know/didn’t answer
b7
Excluding this house/property, do you
or any other member of this household
own another house, flat, land or farm?
(0) No (GO TO b9)
(1) Yes
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
9
b8
Apart from this house, how much all
these properties would be worth, if
they were sold now?
(1) Less than R$50,000
(2) Between R$50,000 and R$99,999
(3) Between R$100,000 and R$199,999
(4) Between R$200,000 and R$299,999
(5) Between R$300,000 and R$399,999
(6) Between R$400,000 and R$499,999
(7) Between R$500,000 and R$599,999
(8) Between R$600,000 and R$999,999
(9) Between R$1 million and R$1,499,999
million
(10) Between R$1,5 million and
R$1,999,999 million
(11) Two million and up
(99) Didn’t know/didn’t answer
Next, I’ll list a number of appliances. I’ll ask you to tell me how many of them are
present in this house. I’ll also request information regarding vehicles and services
available here.
b9 Refrigerator
(0) None (GO TO b11)
(1) Yes
(99) Didn’t know/didn’t answer(GO TO b11)
b10 How many? |__|__|
b11
Washing machine
Do not consider the semiautomatic
ones - “tanquinho”.
(0) None (GO TO b13)
(1) Yes
(99) Didn’t know/didn’t answer (GO TO b13)
b12 How many? |__|__|
b13 Dryer (attached or not to the washing
machine)
(0) None (GO TO b15)
(1) Yes
(99) Didn’t know/didn’t answer(GO TO b15)
b14 How many? |__|__|
b15 Dishwasher
(0) None (GO TO b17)
(1) Yes
(99) Didn’t know/didn’t answer(GO TO b17)
b16 How many? |__|__|
b17 Microwave
(0) None (GO TO b19)
(1) Yes
(99) Didn’t know/didn’t answer(GO TO b19)
b18 How many? |__|__|
b19 Color TV
(0) None (GO TO b21)
(1) Yes
(99) Didn’t know/didn’t answer(GO TO b21)
b20 How many? |__|__|
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
10
b21
VCR and/or DVD and/or equivalent
DVD (Digital Video Disc or Digital
Versatile Disc): household device
capable of playing media in DVD
format or other more updated
formats, including videogames,
computers, and notebooks.
Consider portable devices and the
ones coupled in microcomputers. Do
not consider automobile DVD.
(0) None (GO TO b23)
(1) Yes
(99) Didn’t know/didn’t answer(GO TO b23)
b22 How many? |__|__|
b23
Landline
Consider all landline accounts.
(0) None (GO TO b25)
(1) Yes
(99) Didn’t know/didn’t answer(GO TO b25)
b24 How many? |__|__|
b25
Cellular phone
Consider all cellular accounts.
(0) None (GO TO b27)
(1) Yes
(99) Didn’t know/didn’t answer(GO TO b27)
b26 How many? |__|__|
b27 Air conditioner
(0) None (GO TO b29)
(1) Yes
(99) Didn’t know/didn’t answer(GO TO b29)
b28 How many? |__|__|
b29
Computer
Consider: desktop computers, lap tops,
notebooks and net books.
Do not consider: calculators, electronic
organizers, tablets, palmtops, smart
phones and other devices.
(0) None (GO TO b32)
(1) Yes
(99) Didn’t know/didn’t answer(GO TO b32)
b30 How many? |__|__|
b31
Access to the Internet in this household
Consider access to the Internet when it
is done through a desktop computer or
a portable computer (laptop, notebook
or netbook).
Do not consider when the access is
through a cellular phone on the
household.
(0) None
(1) Yes
(99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
11
b32 Cable or satellite TV (Net, Sky, Direct
TV etc)?
(0) None
(1) Yes
(99) Didn’t know/didn’t answer
b33
Motorcycles or other motor two-
wheelers combustion vehicles
Consider a motorcycle lent by an
employer when the resident has that
vehicle available for his/her personal
use, including during the weekends.
Do not consider a motorcycle lent by
an employer when this vehicle is only
available to the resident for the daily
work commute.
(0) None (GO TO b35)
(1) Yes
(99) Didn’t know/didn’t answer(GO TO b35)
b34 How many? |__|__|
b35
Automobiles
Include: automobiles, SUVs (Sport
Utility Vehicle), trucks with open or
closed body, pick-ups, Kombis, station
wagons, vans, among others.
Consider the car lent by the employer
when the resident has that vehicle
available for his/her personal use,
including during the weekends. Do not
consider the car when this vehicle is
only available to the resident for the
daily work commute.
(0) None (GO TO b38)
(1) Yes
(99) Didn’t know/didn’t answer (GO TO b38)
b36 How many? |__|__|
(99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
12
b37
If all these vehicles were sold today,
how much would they be worth?
If more than one vehicle, consider the
sum of all values.
(1) Less than R$ 10.000
(2) Between R$ 10,000 and R$ 14,999
(3) Between R$ 15,000 and R$ 19,999
(4) Between R$ 20,000 and R$ 24,999
(5) Between R$ 25,000 and R$ 29,999
(6) Between R$ 30,000 and R$ 34,999
(7) Between R$ 35,000 and R$ 39,999
(8) Between R$ 40,000 and R$ 44,999
(9) Between R$ 45,000 and R$ 49,999
(10) Between R$ 50,000 and R$ 54,999
(11) Between R$ 55,000 and R$ 59,999
(12) Between R$ 60,000 and R$ 64,999
(13) Between R$ 65,000 and R$ 69,999
(14) Between R$ 70,000 and R$ 74,999
(15) Between R$ 75,000 and R$ 79,999
(16) Between R$ 80,000 and R$ 84,999
(17) Between R$ 85,000 and R$ 89,999
(18) Between R$ 90,000 and R$ 94,999
(19) Between R$ 95,000 and R$ 99,999
(20) R$ 100,000 and up
(99) Didn’t know/didn’t answer
b38
Are there any domestic employees
working at this household, such as
cleaning personnel, cooks,
housekeepers or gardeners (among
others)?
Do not consider caregiver(s) or health
professionals.
(0) No (GO TO b40)
(1) Yes
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
13
b39
In the PAST MONTH, what was the total
spent by this household with all
domestic employees?
Consider: salaries, payments to daily
domestic employees, Social Security
payments and others. Do not consider
food.
Mark down the value that best
represents the total amount spent and
remember that (SM) MW=Minimum
Wage.
(1) Less than R$788 (less than 1 MW)
(2) Between R$788 and R$1,575 (1 to 1,99
MW)
(3) Between R$1,576 and R$ 2,363 (2 to
2,99 MW)
(4) Between R$2,364 and R$3,151 (3 to 3,99
MW)
(5) Between R$3,152 and R$3,939 (4 to 4,99
MW)
(6) Between R$3,940 and R$4,727 (5 to 5,99
MW)
(7) Between R$4,728 and R$5,515 (6 to 6,99
MW)
(8) Between R$5,516 and R$6,303 (7 to 7,99
MW)
(9) Between R$6,304 and R$7,091 (8 to 8,99
MW)
(10) Between R$7,092 and R$7,879 (9 to
9,99 MW)
(11) R$7,880 and up (10 MW or more)
(99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
14
Section C: Household expenses
The following questions are related to the expenses of this household residents.
c1 In the LAST WEEK, in a normal day, how
many people had meals in this house?
|__|__| person(s) (99) Didn’t know/didn’t answer
c2
In the PAST MONTH, how much was
spent, on average, with grocery
shopping, butchers, street markets?
Includes purchases of food, personal
hygiene products, and cleaning supplies.
Also includes home delivered meals. It does not include meals away from
home.
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50 (2) Between R$50 and R$99 (3) Between R$100 and R$199 (4) Between R$200 and R$299 (5) Between R$300 and R$399 (6) Between R$400 and R$499 (7) Between R$500 and R$599 (8) Between R$600 and R$699 (9) Between R$700 and R$799 (10) Between R$800 and R$899 (11) Between R$900 and R$999 (12) Between R$1,000 and R$1,499 (13) Between R$1,500 and R$1,999 (14) Between R$2,000 and R$2,999 (15) Between R$3,000 and R$3,999 (16) Between R$4,000 and R$4,999 (17) Between R$5,000 and R$9,999 (18) R$10,000 and up (99) Didn’t know/didn’t answer
c3
Do you or anyone else who lives in this
house eat legumes/vegetables, fruits or
meat that are farmed, produced, caught
or harvested by yourselves?
(0) No (GO TO c5) (1) Yes
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
15
c4
In the PAST MONTH, what was the worth
of the food produced at home that you
and the other residents of this household
consumed? In other words, how much
would you have to pay for this food if
you had to buy it?
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50
(2) Between R$50 and R$99
(3) Between R$100 and R$199
(4) Between R$200 and R$299
(5) Between R$300 and R$399
(6) Between R$400 and R$499
(7) Between R$500 and R$599
(8) Between R$600 and R$699
(9) Between R$700 and R$799
(10) Between R$800 and R$899
(11) Between R$900 and R$999
(12) Between R$1,000 and R$1,499
(13) Between R$1,500 and R$1,999
(14) Between R$2,000 and R$2,999
(15) Between R$3,000 and R$3,999
(16) Between R$4,000 and R$4,999
(17) Between R$5,000 and R$9,999
(18) R$10,000 and up
(99) Didn’t know/didn’t answer
c5
In the PAST MONTH, how much did your
household spend on eating out?
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50 (2) Between R$50 and R$99 (3) Between R$100 and R$199 (4) Between R$200 and R$299 (5) Between R$300 and R$399 (6) Between R$400 and R$499 (7) Between R$500 and R$599 (8) Between R$600 and R$699 (9) Between R$700 and R$799 (10) Between R$800 and R$899 (11) Between R$900 and R$999 (12) Between R$1,000 and R$1,499 (13) Between R$1,500 and R$1,999 (14) Between R$2,000 and R$2,999 (15) Between R$3,000 and R$3,999 (16) Between R$4,000 and R$4,999 (17) Between R$5,000 and R$9,999 (18) R$10,000 and up (99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
16
c6
In the PAST MONTH, how much was
spent by this household with electricity,
water, and cooking gas?
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50
(2) Between R$50 and R$99
(3) Between R$100 and R$199
(4) Between R$200 and R$299
(5) Between R$300 and R$399
(6) Between R$400 and R$499
(7) Between R$500 and R$599
(8) Between R$600 and R$699
(9) Between R$700 and R$799
(10) Between R$800 and R$899
(11) Between R$900 and R$999
(12) Between R$1,000 and R$1,499
(13) Between R$1,500 and R$1,999
(14) Between R$2,000 and R$2,999
(15) Between R$3,000 and R$3,999
(16) Between R$4,000 and R$4,999
(17) Between R$5,000 and R$9,999
(18) R$10,000 and up
(99) Didn’t know/didn’t answer
c7
In the PAST MONTH, how much was
spent, approximately, with the payment
of condo fees of this property?
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50
(2) Between R$50 and R$99
(3) Between R$100 and R$199
(4) Between R$200 and R$299
(5) Between R$300 and R$399
(6) Between R$400 and R$499
(7) Between R$500 and R$599
(8) Between R$600 and R$699
(9) Between R$700 and R$799
(10) Between R$800 and R$899
(11) Between R$900 and R$999
(12) Between R$1,000 and R$1,499
(13) Between R$1,500 and R$1,999
(14) Between R$2,000 and R$2,999
(15) Between R$3,000 and R$3,999
(16) Between R$4,000 and R$4,999
(17) Between R$5,000 and R$9,999
(18) R$10,000 and up
(99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
17
c8
In the PAST MONTH, how much was
spent by this household on local
transportation (to go to work, school,
leisure etc.)?
Includes: bus, train, taxi, underground
train, and parking. Includes transport
ticket scheme. It does not include fuel
expenses.
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50 (2) Between R$50 and R$99 (3) Between R$100 and R$199 (4) Between R$200 and R$299 (5) Between R$300 and R$399 (6) Between R$400 and R$499 (7) Between R$500 and R$599 (8) Between R$600 and R$699 (9) Between R$700 and R$799 (10) Between R$800 and R$899 (11) Between R$900 and R$999 (12) Between R$1,000 and R$1,499 (13) Between R$1,500 and R$1,999 (14) Between R$2,000 and R$2,999 (15) Between R$3,000 and R$3,999 (16) Between R$4,000 and R$4,999 (17) Between R$5,000 and R$9,999 (18) R$10,000 and up (99) Didn’t know/didn’t answer
c9
In the PAST MONTH, how much was
spent by this household on fuel
(gasoline, ethanol or diesel) and
maintenance or repair of vehicles?
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50 (2) Between R$50 and R$99 (3) Between R$100 and R$199 (4) Between R$200 and R$299 (5) Between R$300 and R$399 (6) Between R$400 and R$499 (7) Between R$500 and R$599 (8) Between R$600 and R$699 (9) Between R$700 and R$799 (10) Between R$800 and R$899 (11) Between R$900 and R$999 (12) Between R$1,000 and R$1,499 (13) Between R$1,500 and R$1,999 (14) Between R$2,000 and R$2,999 (15) Between R$3,000 and R$3,999 (16) Between R$4,000 and R$4,999 (17) Between R$5,000 and R$9,999 (18) R$10,000 and up (99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
18
c10
In the PAST MONTH, how much was
spent by this household with telephone
bills (landline and mobile), cable/satellite
TV and Internet?
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50
(2) Between R$50 and R$99
(3) Between R$100 and R$199
(4) Between R$200 and R$299
(5) Between R$300 and R$399
(6) Between R$400 and R$499
(7) Between R$500 and R$599
(8) Between R$600 and R$699
(9) Between R$700 and R$799
(10) Between R$800 and R$899
(11) Between R$900 and R$999
(12) Between R$1,000 and R$1,499
(13) Between R$1,500 and R$1,999
(14) Between R$2,000 and R$2,999
(15) Between R$3,000 and R$3,999
(16) Between R$4,000 and R$4,999
(17) Between R$5,000 and R$9,999
(18) R$10,000 and up
(99) Didn’t know/didn’t answer
c11
In the PAST MONTH, how much was
spent by this household on
entertainment?
Includes: fees to buy books, newspapers
and/or magazines; going to the cinema,
theatre and/or shows; going to bars etc.
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50
(2) Between R$50 and R$99
(3) Between R$100 and R$199
(4) Between R$200 and R$299
(5) Between R$300 and R$399
(6) Between R$400 and R$499
(7) Between R$500 and R$599
(8) Between R$600 and R$699
(9) Between R$700 and R$799
(10) Between R$800 and R$899
(11) Between R$900 and R$999
(12) Between R$1,000 and R$1,499
(13) Between R$1,500 and R$1,999
(14) Between R$2,000 and R$2,999
(15) Between R$3,000 and R$3,999
(16) Between R$4,000 and R$4,999
(17) Between R$5,000 and R$9,999
(18) R$10,000 and up
(99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
19
c12
In the LAST YEAR, how much did you or
the other residents of this house spend
with the payment of the LAST PROPERTY
TAX BILL (IPTU)?
In case of a country estate, consider the
Rural Property Tax (ITR)
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50
(2) Between R$50 and R$99
(3) Between R$100 and R$199
(4) Between R$200 and R$299
(5) Between R$300 and R$399
(6) Between R$400 and R$499
(7) Between R$500 and R$599
(8) Between R$600 and R$699
(9) Between R$700 and R$799
(10) Between R$800 and R$899
(11) Between R$900 and R$999
(12) Between R$1,000 and R$1,499
(13) Between R$1,500 and R$1,999
(14) Between R$2,000 and R$2,999
(15) Between R$3,000 and R$3,999
(16) Between R$4,000 and R$4,999
(17) Between R$5,000 and R$9,999
(18) R$10,000 and up
(99) Didn’t know/didn’t answer
c13
In the LAST YEAR, how much was spent
by this household with the latest
Automotive Ownership Tax (IPVA)?
Consider all vehicles, including
motorcycles.
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50
(2) Between R$50 and R$99
(3) Between R$100 and R$199
(4) Between R$200 and R$299
(5) Between R$300 and R$399
(6) Between R$400 and R$499
(7) Between R$500 and R$599
(8) Between R$600 and R$699
(9) Between R$700 and R$799
(10) Between R$800 and R$899
(11) Between R$900 and R$999
(12) Between R$1,000 and R$1,499
(13) Between R$1,500 and R$1,999
(14) Between R$2,000 and R$2,999
(15) Between R$3,000 and R$3,999
(16) Between R$4,000 and R$4,999
(17) Between R$5,000 and R$9,999
(18) R$10,000 and up
(99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
20
c14
In the LAST YEAR, how much did you or
the other residents in this house spend
on the purchase of motor vehicles?
Includes automobiles, SUVs (Sport
Utility Vehicle), trucks with open or
closed body, pick-ups, Kombis, station
wagons, vans, motorcycles, among
others.
(0) No expenditure on this item
(1) Less than R$5,000
(2) Between R$5,000 and R$9,999
(3) Between R$10,000 and R$14,999
(4) Between R$15,000 and R$19,999
(5) Between R$20,000 and R$24,999
(6) Between R$25,000 and R$29,999
(7) Between R$30,000 and R$34,999
(8) Between R$35,000 and R$39,999
(9) Between R$40,000 and R$44,999
(10) Between R$45,000 and R$49,999
(11) Between R$50,000 and R$99,999
(12) R$100,000 and up
(99) Didn’t know/didn’t answer
c15
In the PAST 12 MONTHS, how much did
you or other residents of this house
spend with education/school?
Includes: day care and/or school fees,
school transportation, tuition fees,
books, school supplies, school uniforms,
tutoring, language courses and music
classes, computer classes, swimming,
gymnastics, ballet, among others.
(SHOW CARD 1)
(0) No expenditure on this item
(1) Less than R$50
(2) Between R$50 and R$99
(3) Between R$100 and R$199
(4) Between R$200 and R$299
(5) Between R$300 and R$399
(6) Between R$400 and R$499
(7) Between R$500 and R$599
(8) Between R$600 and R$699
(9) Between R$700 and R$799
(10) Between R$800 and R$899
(11) Between R$900 and R$999
(12) Between R$1,000 and R$1,499
(13) Between R$1,500 and R$1,999
(14) Between R$2,000 and R$2,999
(15) Between R$3,000 and R$3,999
(16) Between R$4,000 and R$4,999
(17) Between R$5,000 and R$9,999
(18) R$10,000 and up
(99) Didn’t know/didn’t answer
c16
Do you or other members of this
household have private health
insurance?
(0) No (GO TO c18)
(1) Yes
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
21
c17
In the PAST MONTH, how much was
spent by this household on private
health insurance monthly fees?
(SHOW CARD 1)
(0) No expenditure on this item (1) Less than R$50 (2) Between R$50 and R$99 (3) Between R$100 and R$199 (4) Between R$200 and R$299 (5) Between R$300 and R$399 (6) Between R$400 and R$499 (7) Between R$500 and R$599 (8) Between R$600 and R$699 (9) Between R$700 and R$799 (10) Between R$800 and R$899 (11) Between R$900 and R$999 (12) Between R$1,000 and R$1,499 (13) Between R$1,500 and R$1,999 (14) Between R$2,000 and R$2,999 (15) Between R$3,000 and R$3,999 (16) Between R$4,000 and R$4,999 (17) Between R$5,000 and R$9,999 (18) R$10,000 and up (99) Didn’t know/didn’t answer
c18
In the LAST 12 MONTHS, how much did
you or other residents of this house
spend with other expenses not
mentioned in the previous questions,
including purchase of clothing, bed linen
and bedroom, pantry and kitchen
accessories, decorative items and
appliances?
(SHOW CARD 1)
(0) No expenditure on this item (1) Less than R$50 (2) Between R$50 and R$99 (3) Between R$100 and R$199 (4) Between R$200 and R$299 (5) Between R$300 and R$399 (6) Between R$400 and R$499 (7) Between R$500 and R$599 (8) Between R$600 and R$699 (9) Between R$700 and R$799 (10) Between R$800 and R$899 (11) Between R$900 and R$999 (12) Between R$1,000 and R$1,499 (13) Between R$1,500 and R$1,999 (14) Between R$2,000 and R$2,999 (15) Between R$3,000 and R$3,999 (16) Between R$4,000 and R$4,999 (17) Between R$5,000 and R$9,999 (18) R$10,000 and up (99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
22
Section D: Residents income
Now let’s talk about Mr./Mrs. (name of the eligible resident), resident who is not
the householder, aged 50 years or older.
d1_1 a
d1_14
In the LAST 30 DAYS, have Mr./Mrs.
(name of the eligible resident) had
any income from salaries or from
independent activities (self-
employed)?
Consider the usual gross earnings.
Do not include: retirement benefit,
death benefit, alimony, Continuous
Cash Benefit, Conditional Cash
Transfer (Bolsa Família), cash
donations or any income from rents,
leases, financial investments or other
sources.
(0) No (GO TO d4)
(1) Yes
(99) Didn’t know/didn’t answer (GO TO d4)
d2_1 a
d2_14 What is the amount of this income?
R$ |__|__|__|__|__|.00
(9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with the
range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
d3_1 a
d3_14
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW)
(13) R$9,456 to R$10,243 (12 to 12,99 MW)
(14) R$10,244 to R$11,031 (13 to 13,99 MW)
(15) R$11,032 to R$11,819 (14 to 14,99 MW)
(16) R$11,820 to R$15,759 (15 to 19,99 MW)
(17) R$15,760 and up (20 MW or more)
(99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
23
d4_1 a
d4_14
In the PAST 30 DAYS, have Mr./Mrs.
(name of the eligible resident)
received any income from retirement
benefits or death pension?
Includes: social security benefit – INSS
– as well as benefits from the private
pension system or the public
municipal/state/federal system. Do
not include alimony/spousal support.
(0) No (GO TO d7) (1) Yes (99) Didn’t know/didn’t answer (GO TO d7)
d5_1 a
d5_14 What is the amount of this income?
R$ |__|__|__|__|__|.00 (9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with
the range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
d6_1 a
d6_14
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW) (13) R$9,456 to R$10,243 (12 to 12,99 MW) (14) R$10,244 to R$11,031 (13 to 13,99 MW)
(15) R$11,032 to R$11,819 (14 to 14,99 MW) (16) R$11,820 to R$15,759 (15 to 19,99 MW) (17) R$15,760 and up (20 MW or more) (99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
24
d7_1 a
d7_14
In the LAST 30 DAYS, have Mr./Mrs.
(name of the eligible resident)
received the Continuous Cash Benefit
(BPC-LOAS), Conditional Cash Transfer
Program (Bolsa Família) or any
monetary donation from someone
who is not a resident in this
household?
Consider alimony received
spontaneously or resulting from
lawsuit and also donation or
allowance received without any
services provided, from non-
resident(s) of the household.
(0) No (GO TO d16) (1) Yes (99) Didn’t know/didn’t answer (GO TO d16)
d8_1 a
d8_14 What is the amount of this income?
R$ |__|__|__|__|__|.00 (9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with
the range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
d9_1 a
d9_14
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW) (13) R$9,456 to R$10,243 (12 to 12,99 MW) (14) R$10,244 to R$11,031 (13 to 13,99 MW) (15) R$11,032 to R$11,819 (14 to 14,99 MW) (16) R$11,820 to R$15,759 (15 to 19,99 MW) (17) R$15,760 and up (20 MW or more) (99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
25
d16_1 a
d16_14
In the LAST 30 DAYS, have Mr./Mrs.
(name of the eligible resident)
received any income from rentals or
leases?
Consider income from rentals,
subletting and leasing of properties,
furniture, machinery, equipment,
animals, among others.
(0) No (GO TO d22) (1) Yes (99) Didn’t know/didn’t answer
(GO TO d22)
d17_1 a
d17_14 What is the amount of this income?
R$ |__|__|__|__|__|.00 (9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with
the range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
d18_1 a
d18_14
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW) (13) R$9,456 to R$10,243 (12 to 12,99 MW) (14) R$10,244 to R$11,031 (13 to 13,99 MW) (15) R$11,032 to R$11,819 (14 to 14,99 MW) (16) R$11,820 to R$15,759 (15 to 19,99 MW) (17) R$15,760 and up (20 MW or more) (99) Didn’t know/didn’t answer
d22_1 a
d22_14
In the PAST 30 DAYS, have Mr./Mrs.
(name of the eligible resident)
received any interest from any source
other than the ones previously
mentioned?
(0) No (GO TO d25) (1) Yes (99) Didn’t know/didn’t answer (GO TO d25)
d23_1 a
d23_14 What is the amount of this income?
R$ |__|__|__|__|__|.00 (9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with the
range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
26
d24_1 a
d24_14
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW) (13) R$9,456 to R$10,243 (12 to 12,99 MW) (14) R$10,244 to R$11,031 (13 to 13,99 MW) (15) R$11,032 to R$11,819 (14 to 14,99 MW) (16) R$11,820 to R$15,759 (15 to 19,99 MW) (17) R$15,760 and up (20 MW or more) (99) Didn’t know/didn’t answer
Now let’s talk about Mr./Mrs. (name of the eligible resident), resident who is
householder, aged 50 years or older.
dr1
In the LAST 30 DAYS, have Mr./Mrs.
(name of the eligible resident) had
any income from salaries or from
independent activities (self-
employed)?
Consider the usual gross earnings.
Do not include: retirement benefit,
death benefit, alimony, Continuous
Cash Benefit, Conditional Cash
Transfer (Bolsa Família), cash
donations or any income from rents,
leases, financial investments or other
sources.
(0) No (GO TO dr4) (1) Yes (99) Didn’t know/didn’t answer (GO TO dr4)
dr2 What is the amount of this income?
R$ |__|__|__|__|__|.00 (9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with the
range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
27
dr3
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW) (13) R$9,456 to R$10,243 (12 to 12,99 MW) (14) R$10,244 to R$11,031 (13 to 13,99 MW) (15) R$11,032 to R$11,819 (14 to 14,99 MW) (16) R$11,820 to R$15,759 (15 to 19,99 MW) (17) R$15,760 and up (20 MW or more) (99) Didn’t know/didn’t answer
dr4
In the PAST 30 DAYS, have Mr./Mrs.
(name of the eligible resident)
received any income from retirement
benefits or death pension?
Includes: social security benefit – INSS
– as well as benefits from the private
pension system or the public
municipal/state/federal system. Do
not include alimony/spousal support.
(0) No (GO TO dr7) (1) Yes (99) Didn’t know/didn’t answer (GO TO dr7)
dr5 What is the amount of this income?
R$ |__|__|__|__|__|.00 (9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with the
range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
28
dr6
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW) (13) R$9,456 to R$10,243 (12 to 12,99 MW) (14) R$10,244 to R$11,031 (13 to 13,99MW)
(15) R$11,032 to R$11,819 (14 to 14,99 MW) (16) R$11,820 to R$15,759 (15 to 19,99 MW) (17) R$15,760 and up (20 MW or more) (99) Didn’t know/didn’t answer
dr7
In the LAST 30 DAYS, have Mr./Mrs.
(name of the eligible resident)
received the Continuous Cash Benefit
(BPC-LOAS), Conditional Cash Transfer
Program (Bolsa Família) or any
monetary donation from someone
who is not a resident in this
household?
Consider alimony received
spontaneously or resulting from
lawsuit and also donation or
allowance received without any
services provided, from non-
resident(s) of the household.
(0) No (GO TO dr16) (1) Yes (99) Didn’t know/didn’t answer (GO TO dr16)
dr8 What is the amount of this income?
R$ |__|__|__|__|__|.00 (9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with the
range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
29
dr9
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW)
(13) R$9,456 to R$10,243 (12 to 12,99 MW)
(14) R$10,244 to R$11,031 (13 to 13,99 MW)
(15) R$11,032 to R$11,819 (14 to 14,99 MW)
(16) R$11,820 to R$15,759 (15 to 19,99 MW)
(17) R$15,760 and up (20 MW or more)
(99) Didn’t know/didn’t answer
dr16
In the LAST 30 DAYS, have Mr./Mrs.
(name of the eligible resident)
received any income from rentals or
leases?
Consider income from rentals,
subletting and leasing of properties,
furniture, machinery, equipment,
animals, among others.
(0) No (GO TO dr22)
(1) Yes
(99) Didn’t know/didn’t answer (GO TO dr22)
dr17 What is the amount of this income?
R$ |__|__|__|__|__|.00
(9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with the
range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
30
dr18
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW) (13) R$9,456 to R$10,243 (12 to 12,99 MW) (14) R$10,244 to R$11,031 (13 to 13,99 MW) (15) R$11,032 to R$11,819 (14 to 14,99 MW) (16) R$11,820 to R$15,759 (15 to 19,99 MW) (17) R$15,760 and up (20 MW or more) (99) Didn’t know/didn’t answer
dr22
In the PAST 30 DAYS, have Mr./Mrs.
(name of the eligible resident)
received any interest from any source
other than the ones previously
mentioned?
(0) No (GO TO dr25) (1) Yes (99) Didn’t know/didn’t answer (GO TO dr25)
dr23 What is the amount of this income?
R$ |__|__|__|__|__|.00 (9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with the
range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
dr24
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW) (13) R$9,456 to R$10,243 (12 to 12,99 MW) (14) R$10,244 to R$11,031 (13 to 13,99 MW) (15) R$11,032 to R$11,819 (14 to 14,99 MW) (16) R$11,820 to R$15,759 (15 to 19,99 MW) (17) R$15,760 and up (20 MW or more) (99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
31
Now let’s talk about Mr./Mrs. (name of the eligible resident), resident who is not
householder, aged between 17 and 49 years old.
d25_1 a
d25_14
In the LAST 30 DAYS, have (name of
the resident aged between 17 and 49
years old) had any income from any of
the sources I`ll mention next?
Salary, self-employment, retirement
or death benefit, Continuous Cash
Benefit, Conditional Cash Transfer
(Bolsa Família), alimony, cash
donations by people who does not
live in the household, income from
rentals or leases, profit from savings
or other financial investments, or
earnings of any other source.
(0) No (GO TO d28) (1) Yes (99) Didn’t know/didn’t answer (GO TO d28)
d26_1 a
d26_14 What is the amount of this income?
R$ |__|__|__|__|__|.00 (9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with the
range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
d27_1 a
d27_14
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW) (13) R$9,456 to R$10,243 (12 to 12,99 MW) (14) R$10,244 to R$11,031 (13 to 13,99 MW) (15) R$11,032 to R$11,819 (14 to 14,99 MW) (16) R$11,820 to R$15,759 (15 to 19,99 MW) (17) R$15,760 and up (20 MW or more) (99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
32
Now let’s talk about Mr./Mrs. (name of the eligible resident), resident who is
householder, aged between 17 and 49 years old.
dr25
In the LAST 30 DAYS, have (name of
the resident aged between 17 and 49
years old) had any income from any of
the sources I`ll mention next?
Salary, self-employment, retirement
or death benefit, Continuous Cash
Benefit, Conditional Cash Transfer
(Bolsa Família), alimony, cash
donations by people who does not
live in the household, income from
rentals or leases, profit from savings
or other financial investments, or
earnings of any other source.
(0) No (GO TO d28) (1) Yes (99) Didn’t know/didn’t answer (GO TO d28)
dr26 What is the amount of this income?
R$ |__|__|__|__|__|.00 (9999999) Didn’t know/didn’t answer
If the amount was informed, the following
question will be automatically filled with the
range that best represents the reported
amount and it won’t be necessary to ask the
respondent.
dr27
What is the range that best represents
the total of this gain?
(SHOW CARD 2)
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW)
(13) R$9,456 to R$10,243 (12 to 12,99 MW)
(14) R$10,244 to R$11,031 (13 to 13,99 MW)
(15) R$11,032 to R$11,819 (14 to 14,99 MW)
(16) R$11,820 to R$15,759 (15 to 19,99 MW)
(17) R$15,760 and up (20 MW or more)
(99) Didn’t know/didn’t answer
Questionnaire
Brazilian Longitudinal Study of Aging (ELSI-Brazil)
33
d28
Adding ALL sources of monthly income
from ALL residents from this
household, which of the options best
describe the TOTAL INCOME OF THIS
HOUSELHOLD?
(SHOW CARD 2)
(0) No income
(1) Less than R$788 (less than 1 MW)
(2) R$788 to R$1,575 (1 to 1,99 MW)
(3) R$1,576 to R$ 2,363 (2 to 2,99 MW)
(4) R$2,364 to R$3,151 (3 to 3,99 MW)
(5) R$3,152 to R$3,939 (4 to 4,99 MW)
(6) R$3,940 to R$4,727 (5 to 5,99 MW)
(7) R$4,728 to R$5,515 (6 to 6,99 MW)
(8) R$5,516 to R$6,303 (7 to 7,99 MW)
(9) R$6,304 to R$7,091 (8 to 8,99 MW)
(10) R$7,092 to R$7,879 (9 to 9,99 MW)
(11) R$7,880 to R$8.667 (10 to 10,99 MW)
(12) R$8,668 to R$9,455 (11 to 11,99 MW)
(13) R$9,456 to R$10,243 (12 to 12,99 MW)
(14) R$10,244 to R$11,031 (13 to 13,99 MW)
(15) R$11,032 to R$11,819 (14 to 14,99 MW)
(16) R$11,820 to R$15,759 (15 to 19,99 MW)
(17) R$15,760 and up (20 MW or more)
(99) Didn’t know/didn’t answer
d29
Within the alternatives I’ll mention
next, which one best describes the
income of all residents of the
household?
(1) It is always enough for all expenses
(2) It is sometimes enough for all expenses
(3) It is never enough for all expenses
d30
Who is the main informant of the
Household Module?
Consider the relationship between
the respondent and the head of
household.
(1) Person in charge of or head of the
household
(2) Spouse or partner
(3) Child
(4) Stepchild
(5) Son or daughter-in-law
(6) Grandchild
(7) Great-grandchild
(8) Parents/stepparents
(9) Father or mother-in-law
(10) Grandfather or grandmother
(11) Siblings
(12) Other relative
(13) Aggregated (non-family member that
does not share expenses)
(14) Cohabitant (non-family member that
shares expenses)
(15) Boarder (non-family member that pays
for lodging)
(16) Others
(17) Aggregated/cohabitant