Ifls5 Book 3a

INTERVIEWER: ____________________ └─┴─┴─┘ CONFIDENTIAL HHID : └─┴─┴─┘└─┴─┘└─┴─┘└─┴─┘
INDONESIA FAMILY LIFE SURVEY 2014
BOOK IIIA
SECTIONS: DL, SW, PNA, HR, HI, KW, PK, BR, MG, TK, RE,SI, TR, CP
Respondent is an adult 15 years or older
COV00aa. CAPI CHECK : HAS THE RESPONDENT BEEN READ THE INFORMED CONSENT EARLIER AND AGREED TO BE 1. Yes  RESVIS
INTERVIEWED (COV00x=1 IN BOOK K OR 1 , OR 2) 3. No
B3A_COV BOOK IIIA - 1 IFLS5

INTERVIEWER: └─┴─┴─┘ HHID : └─┴─┴─┘└─┴─┘└─┴─┘└─┴─┘ PID └─┴─┘
health, retirement and social security policies suitable for Indonesia, which will benefit you and other
COV00x. Informed Consent (to be read to each individual the first time the individual is interviewed): people just like you.
Good morning/afternoon/evening, The interview is completely voluntary and all survey information will be kept confidential. With
your consent, we also will take picture of you and the front of your house solely for the purpose of
My name is _____________ and my colleague here is _______________. We are both from confirming your identity and your address in the follow up survey. The photos and all your personal
SurveyMeter, an independent research organization based in Yogyakarta. We are currently records including, questionnaires, and physical examination and test results are confidential; we will
conducting the fieldwork for Sakerti 5, a survey project conducted with collaboration with RAND not tell others, include your family, friends, local hospitals, etc. Your personal information, including
Corporation. We will start by reading the informed consent form and ask whether you would be name, address, phone number, and other information which can be used to identify you will not be
willing to participate in the survey. You can ask about anything that is not clear at any time. Please do disclosed. You are identified by a number in the questionnaires and test records, which will be stored
discuss with your family members before deciding to participate in the survey. safely in IFLS5 project office. You may withdraw from the study any time, which will not impact any
of your benefits. The researcher will keep your information confidentially until it is destroyed, and
The IFLS is a longitudinal survey that was first fielded in 1993, and again in 1997, 2000, and 2007. your information will not be used or disclosed during this period.
You may remember that we visited your households to interview you or your household members in
2007 or in an earlier round. Your household was interviewed since it was one of the households or If you agree to participate in this study, all the interviews, physical examination, tests and counseling
part of the households that were randomly chosen to participate since the beginning of the survey in are provided to you for free. You do not need to pay anything.
1993. This year, we will visit the same households again to conduct the interview and to see whether
there have been some changes since the last time we visited you. If you agree to participate in this study, you will get Rp _________________ as a token gift of
appreciation for the time you spend with us.
If you choose to participate in the study, our interviewer will first ask you about your basic
demographics, family information, health status, health care and insurance, work, retirement and If you have any questions about this study, you may contact Bondan Sikoki at SurveyMETER at
pensions, household and individual income, expenditure, and assets, etc. Then the interviewer will email address: sm@surveymeter.org atau telpon 62-274-4477464 dan fax: 62-274-4477004
give you a physical examination to better understand your true health conditions. The measurements
include height, weight, waist circumference, blood pressure, peak meter flow lung capacity, grip Interviewer’s Statement
strength, balance, timed walk, and timed sit to stand. We will also do a finger prick to measure your “I have informed the respondent about the background, goals, procedure, risks and benefits of the
blood hemoglobin level [and to collect blood spot on a filter paper which we will store and use in the survey, given him/her enough time to read the informed consent and discuss with others, and
lab for analysis of C-reactive Protein that can be used to measure inflammation and the risk to answered all questions related to the survey; I have informed the respondent that he/she can contact
cardiovascular diseases and HbA1c that can be used to measure risk of diabetes]. the SurveyMETER, when having problems about the surveand provided the accurate contact
information. I have informed the respondent that he/she can withdraw from the survey anytime. I
This survey will take some time to complete, but we will be doing it at your convenience. If you need have informed the potential respondent that he/she can get a copy of this informed consent with
to take a break or run some errands, please let us know so we can stop the interview and continue signatures of mine.”
later in the day or the next day.
□ Signed by interviewer. Interviewer name: _______ day/month/year
Generally, the study will pose no health risk. The blood drawing procedure will not transmit diseases
to you, because the syringe and needle are new and disinfected. The small amount of blood drawn has Respondent’s statement:
no harm to your health. There maybe discomfort or very mild pain, we will help you deal with it.
“I have been read the informed consent and I agree to participate in”: □ questionnaire survey
If you agree to participate in the survey, the physical examination and test results related to your
health will be feed back to you directly. And the information you provided can be used to help make
RESVIS. RESPONDENT INTERVIEWED? 3. No  C1
1. Yes
COMPLETED FROM ROSTER

TO BE FILLED OUT BY INTERVIEWER FOR BOOK III
RESPONDENT’S NAME: __________________________________ PID └─┴─┘ AGE. How old are you.? └─┴─┴─┘ years old
MARSTAT. Marital status: ........ Never married 1
Married ........................................ 2
RSPNDNT (CAPI CHECK) Head of household (AR02b=01) ............................ 1 Separated ................................... 3
Spouse of household head (AR02b=02) ............... 2 Divorced ...................................... 4
Other hh member…….. ......................................... 3 Widow/er ..................................... 5
PANEL. FOR BOOK 3, IS HOUSEHOLDER (CAPI CHECK AR01g) : Cohabitate................................... 6
Panel Respondent ................................................. 1
SEX. Sex: Male ............................................ 1
New Respondent ................................................... 3
Female ........................................ 3
DOB. Date of birth: └─┴─┘/ └─┴─┘/ └─┴─┴─┴─┘ COV11. Now with your consent we would like to take a picture of you. The sole purpose o the picture
Day Month Year is to help us in confirming your identity in the follow up survey. The photo will not be
disclosed to anyone.
RANDOM_SI. RANDOM SI : 1. RANDOM A 2. RANDOM B
□ Agreed to have picture taken
RANDOM_PNA. 1. LIST A 2. LIST B 3. LIST C 4. LIST D
NAT_ID. Do you have a national ID (KTP)? 1. Yes, regular ID card

2. Yes, electronic ID card (e-KTP)
3. No
BIRTH_CERT. Do you have a birth certificate? 1. Yes, can show it if asked  COV11
3. No
BIRTH_CERT_REASON. Main reason not have a birth certificate : └──┘
1 Expensive 6 Complicated process

2 Didn’t know how to get one 7 Cannot show if asked /misplaced birth certificae
3 Not important
4 Too far
5. Didn’t know it was required

SECTION DL (EDUCATION)
The following questions pertain to your education.
DL01a. What languages do you speak in your Indonesian ............................................... W DL01e. Which ethnical group is primarily 01 02 03 04 05 06 07 08
daily life at home? Javanese .................................................. A influential in daily activities of 09 10 11 12 13 14 15 16
Sundanese ............................................... B your household? 17 18 19 20 21 22 23 25
(CIRCLE ALL THAT APPLY) Maduranese ............................................. C 26 27 28 29 95 96
Balinese ................................................... D DL02. Can you read an Indonesian- Yes. .................................................... 1
Sasak ....................................................... E language newspaper? No ...................................................... 3
Minang ..................................................... F DL02a. Can you read a newspaper in Yes. .................................................... 1
Batak ........................................................ G another language? No ...................................................... 3
Bugis ........................................................ H DL03. Can you write a letter in Yes. .................................................... 1
Chinese ..................................................... I Indonesian? No ...................................................... 3
Banjar ........................................................J
DL03a. Can you write a letter in another Yes. .................................................... 1
Bima ......................................................... L
Makassar ................................................. M language? No ...................................................... 3
Nias .......................................................... N DL03b. Do you have cell phone? Yes. .................................................... 1
Palembang ............................................... O No ...................................................... 3DL3d
Sumbawa ................................................. P DL03c. What do you usually use the cell A.Private conversation
Toraja ....................................................... Q phone for? B.Bussiness Conversation
Lahat ........................................................ R C.Text Message
Other South Sumatra ............................... S D.Email
Betawi ...................................................... T
E.Social Media (chatting,facebook,Twitter)
Lampung .................................................. U
Other ........................................................ V F.Mobile Banking
G.Transfer phone minutes
DL01f. What is your ethinicity? A B C D E F G H H. Entertainment/multimedia (games, ringtone, TV, Radio,MP3)
I J K L M N O P I. Internet (browsing)
(CIRCLE ALL THAT APPLY) Q R S T U A1 B1 C1
DL03d. Do you have internet access? No ...................................................... 3DL04
D1 E1 F1 G1 V ................................
Yes. .................................................... 1
DL01g. What is your father’s ethinicity? A B C D E F G H DL03e. Where do you get internet A.Computer at home
I J K L M N O P access? B.Computer at school
(CIRCLE ALL THAT APPLY) Q R S T U A1 B1 C1 C.Computer at place of work
D1 E1 F1 G1 V ................................ D.Computer at internet cafe (or public hotspots)
E.Handphone
DL01h. What is you rmother’s ethinicity? A B C D E F G H
V.Others
I J K L M N O P
(CIRCLE ALL THAT APPLY) DL04. Have you ever attended/are you No ...................................................... 3 DL05b
Q R S T U A1 B1 C1
D1 E1 F1 G1 V ................................ attending school? Yes. .................................................... 1
CODE DL01f, DL01g, DL01h

Jawa ........................................... A Bima-Dompu ................................. K Ambon .......................................... U CODE DL01e
Sunda ......................................... B Makassar ....................................... L Manado ....................................... A1 Jawa.......................................... 01 Bima-Dompu................................ 11 Ambon ......................................... 21
Bali.............................................. C Nias............................................... M Aceh............................................ B1 Sunda........................................ 02 Makassar ..................................... 12 Manado ....................................... 22
Batak .......................................... D Palembang .................................... N Other South Sumatera ................ C1 Bali ............................................ 03 Nias ............................................. 13 Aceh ............................................ 23
Bugis........................................... E Sumbawa ...................................... O Banten ........................................ D1 Batak ......................................... 04 Palembang .................................. 14 Other South Sumatera ................. 25
Tionghoa ..................................... F Toraja ............................................ P Cirebon ....................................... E1 Bugis ......................................... 05 Sumbawa .................................... 15 Banten ......................................... 26
Madura ....................................... G Betawi ........................................... Q Gorontalo .....................................F1 Tionghoa ................................... 06 Toraja .......................................... 16 Cirebon........................................ 27
Sasak.......................................... H Dayak ............................................ R Kutai............................................ G1 Madura ...................................... 07 Betawi ......................................... 17 Gorontalo .................................... 28
Minang ..........................................I Melayu .......................................... S Other ............................................. V Sasak ........................................ 08 Dayak .......................................... 18 Kutai ............................................ 29
Banjar .......................................... J Komering....................................... T Minang ...................................... 09 Melayu ......................................... 19 Other ........................................... 95
Banjar........................................ 10 Komering ..................................... 20 NONE .......................................... 96
B3A_DL1 BOOK IIIA - 4 IFLS5

DL07. What is the highest grade completed Did not complete first grade at that level ............. 00
DL06. What is the highest education level ELEMENTARY ............................................................................... 02 at that school? 1 .............................. 01 5 .............................. 05
attended? JUNIOR HIGH GENERAL .............................................................. 03
JUNIOR HIGH VOCATIONAL ........................................................ 04 2 .............................. 02 6 .............................. 06
[NOTE TO INTERVIEWER: IF THEY ARE SENIOR HIGH GENERAL .............................................................. 05 3 .............................. 03 Graduated ............... 07
CURRENTLY ATTENDING SCHOOL, SENIOR HIGH VOCATIONAL ........................................................ 06 4 .............................. 04 DON’T KNOW ........... 98
RECORD THE LEVEL THEY ARE COLLEGE (D1, D2, D3).................................................................. 60
CURRENTLY ATTENDING] UNIVERSITY (BACHELOR) ........................................................... 61 DL05a. At what age did you first attend the
UNIVERSITY (MASTER) ................................................................ 62 elementary school? └─┴─┘ Age
UNIVERSITY (DOCTORATE) ........................................................ 63
ADULT EDUCATION A. ................................................................. 11 DL05b. Did you attend a kindergarten? No ...................................................... 3DL05
ADULT EDUCATION B .................................................................. 12 Yes. .................................................... 1
ADULT EDUCATION C .................................................................. 15
DL05c. At what age did you first attend the
OPENUNIVERSITY ........................................................................ 13
kindergarten? └─┴─┘ Age
ISLAMIC SCHOOL (PESANTREN) ................................................ 14 DL05b
SCHOOL FOR DISABLED ............................................................. 17 DL05. CAPI CHECK COV3: RESPONDENT’S AGE ≥50 YEARS...... 1  SECTION SW
ISLAMIC ELEMENTARY SCHOOL (MADRASAH IBTIDAIYAH)..... 72 RESPONDENT’S AGE < 50 YEARS .... 3
JUNIOR/HIGH SCHOOL (MADRASAH TSANAWIYAH) ................. 73
DL05f. CAPI CHECK DL04: (EVER DL04=3 ................................................. 3  SECTION SW
ISLAMIC SENIOR HIGH SCHOOL (MADRASAH AALIYAH) .......... 74
/CURRENTLY ATTEND SCHOOL) DL04=1 ................................................. 1
KINDERGARTEN ........................................................................... 90
DON’T KNOW ................................................................................ 98
OTHER:.......................................................................................... 95 DL06x. CAPI CHECK DL06: 14 YES ....................................................... 3  SECTION SW
(PESANTREN)? NO ........................................................ 1
DL07a. Are you currently attending school? No ................................................... 3 DL07x
NOTES :IF DL07a=1 , THEN DL 07 Yes .................................................. 1
MUST NOT= 07
DL07aa. How many effective hours did you
attend your school last week or the └─┴─┘ hours
last week the school was in session?
(NOT INCLUDING BREAKS)
DL07x. CAPI CHECK : PANEL PANEL RESPONDENT .................. 1  DL07d
RESPONDENT? (COV 2)
NEW RESPONDENT ...................... 3  DL08b

PANEL RESPONDENT BOOK 3 NEW RESPONDENT BOOK 3

 
DL07d. CAPI CHECK DL07a: CURRENTLY YES. .................................................. 1DL08a DL08b. CAPI CHECK DL06: HIGHEST LEVEL OF ELEMENTARY ................................... 1
ATTENDING SCHOOL? SCHOOLING ATTENDED/CURRENTLY JUNIOR HIGH .................................... 2
NO ..................................................... 3 ATTENDING
SENIOR HIGH ................................... 3
DL07b. In what month and year did you last └─┴─┘/└─┴─┴─┴─┘
graduate or leave school? D1, D2, D3, UNIVERSITY .................. 4
Month / Year
DL07e. CAPI CHECK DL07b: BEFORE JUNE 2007 ........................ 1DL16xc DL09b. CAPI CHECK DL08a AND WRITE DOWN
GRADUATED/LEFT SCHOOL JUNE 2007OR AFTER ...................... 3 THE NUMBER OFCOLUMNS ACCORDING └─┘columns
BEFORE JUNE 2007? TO THE HIGHEST LEVEL OF SCHOOLING COMPLETE DL10-DL16j FOR EACH LEVEL OF SCHOOLING
DL08a. What levels of schooling you have ELEMENTARY .................................. A EVER ATTENDED
attended/are attending since June JUNIOR HIGH ................................... B
2007?
SENIOR HIGH ................................... C
D1, D2, D3, UNIVERSITY.................. D
DL09a. CAPI CHECK DL08aAND WRITE
DOWN THE NUMBER OF └─┘ columns
COLUMNS ACCORDING TO THE COMPLETE DL10-DL16j ONLY FOR THE LEVELS
LEVELS OF SCHOOLING OF SCHOOLING ATTENDED SINCE JUNE 2007
ATTENDED SINCE JUNE 2007

Now we want to ask about your education history.
School Level
(DL2TYPE) 1. Elementary 2. Junior High 3. Senior High 4. D1, D2, D3//University
DL10. What is the school level you Elementary ....................................02 Junior high general ....................... 03 Senior high general ...................... 05 College (D1, D2, D3) .....................60
attended or you are still attending? Adult Education A ..........................11 Junior high vocational ................... 04 Senior high vocational .................. 06 University (BA) ..............................61
School for Disabled .......................17 Adult Education B ......................... 12 Adult Education C ......................... 15 University (MA) ..............................62
Madrasah Elementary ...................72 School for Disabled ....................... 17 School for Disabled....................... 17 University (PhD) ............................63
Other .............................................95 Madrasah Junior High School ....... 73 Madrasah Senior High School ...... 74 Open University .............................13
Other ............................................. 95 Other............................................. 95 Other .............................................95
DL11. Under whose administration is/was Public non-religious .......................01 Public non-religious....................... 01 Public non-religious ...................... 01 Public non-religious .......................01
the school? Public religious ..............................02 Public religious .............................. 02 Public religious ............................. 02 Public religious ..............................02
Private non-religious .....................03 Private non-religious ..................... 03 Private non-religious ..................... 03 Private non-religious......................03
Private Islam .................................04 Private Islam ................................. 04 Private Islam ................................. 04 Private Islam..................................04
Private Catholic .............................05 Private Catholic ............................. 05 Private Catholic ............................ 05 Private Catholic .............................05
Private Protestant and others ........06 Private Protestant and others........ 06 Private Protestant and others ....... 06 Private Protestant and others ........06
Private Buddhist ............................08 Private Buddhist ............................ 08 Private Buddhist ........................... 08 Private Buddhist ............................08
Other .............................................95 Other ............................................. 95 Other............................................. 95 Other .............................................95
DL16xa. CAPI CHECK DL06 AND DL07a: NO ................................... 3DL16fa NO .................................. 3DL16fa NO .................................. 3DL16fa NO ...................................3DL16fa
CURRENTLY IN SCHOOL AT THIS
[...] LEVEL? YES ................................. 1 YES................................. 1 YES ................................ 1 YES .................................1
DL16f. What is the name and address of the N. Name : 8. DK N. Name : 8. DK N. Name : 8. DK N. Name : 8. DK
school? 1. _________________________ 1. _________________________ 1. _________________________ 1. _________________________
Add. Address: 8. DK Add. Address: 8. DK Add. Address: 8. DK Add. Address: 8. DK
1. _________________________ 1. _________________________ 1. _________________________ 1. _________________________
1. Specify
___________________________ ___________________________ ___________________________ ___________________________
3. Same as current residence Loc. Loc. Note: 8. DK Loc. Loc. Note: 8. DK Loc. Loc. Note: 8. DK Loc. Loc. Note: 8. DK
8. DON’T KNOW (DK) 1. _________________________ 1. _________________________ 1. _________________________ 1. _________________________
___________________________ ___________________________ ___________________________ ___________________________
A. Vill: 1. ____________________ A. Vill: 1. ____________________ A. Vill: 1. ____________________ A. Vill: 1. ____________________
3. Same 8. DK 3. Same 8. DK 3. Same 8. DK 3. Same 8. DK
B. Kec: 1. ____________________ B. Kec: 1. ____________________ B. Kec: 1. ____________________ B. Kec: 1. ____________________
C. Kab: 1. ____________________ C. Kab: 1. ____________________ C. Kab: 1. ____________________ C. Kab: 1. ____________________
D. Prov: 1. ____________________ D. Prov: 1. ____________________ D. Prov: 1. ____________________ D. Prov: 1. ____________________
CODE CF└─┴─┴─┘└─┘└─┴─┴─┘ CODE CF└─┴─┴─┘└─┘└─┴─┴─┘ CODE CF└─┴─┴─┘└─┘└─┴─┴─┘
DL16fa. What languages are used in teaching A. Indonesia C. Mandarin A. Indonesia C. Mandarin A. Indonesia C. Mandarin A. Indonesia C. Mandarin
at this school [ ... ] ?
B. Engglish D. Daerah B. Engglish D. Daerah B. Engglish D. Daerah B. Engglish D. Daerah
DL16j. Approximately how much time does
it take to make a one-way trip to the 1.└─┴─┴─┘ 1.└─┴─┴─┘ 1.└─┴─┴─┘ 1.└─┴─┴─┘
school, now/in your last year of Minute .......................... 1 Minute .......................... 1 Minute ........................... 1 Minute .......................... 1
school at this level. Hour ............................. 2 Hour ............................. 2 Hour .............................. 2 Hour ............................. 2
8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW
DL10 NEXT COLUMN/DL16xb DL10 NEXT COLUMN/DL16xb DL10 NEXT COLUMN/DL16xb DL10 NEXT COLUMN/DL16xb

DL16xb. CAPI CHECK PANEL RESPONDENT BOOK 3 .................................... 1COMPLETE DL16a-DL16i ACCORDING TO LEVELS OF SCHOOLING ATTENDED SINCE JUNE 2007
NEW RESPONDENT  30 ............................................... 2DL16xc
NEW RESPONDENT< 30 ................................................. 3COMPLETE DL16a-DL16i FOR ALL LEVELS OF SCHOOLING EVER ATTENDED
School Level
DL16a. Have you ever taken the No........................ 3  DL16g No ....................... 3 DL16g No ....................... 3  DL16g
EBTANAS/UAN/UN exam at [...] EBTANAS .......... 1 EBTANAS .......... 1 EBTANAS .......... 1
level? UAN/UN .............. 2 UAN/UN .............. 2 UAN/UN.............. 2
DL16b. Can you show us the official record Yes ..................... 1 Yes ..................... 1 Yes .................... 1
of your EBTANAS/UAN/UN score No ....................... 3 No ...................... 3 No ...................... 3
(DANEM)?
INTERVIEWER NOTE:
EBTANAS/UAN/UN SCORES SHOULD
BE COPIED FROM THE OFFICIAL
RECORD (DANEM).
DL16c. What month and year did you take 1. └─┴─┘ / └─┴─┴─┴─┘ 1. └─┴─┘ / └─┴─┴─┴─┘ 1. └─┴─┘ / └─┴─┴─┴─┘
the EBTANAS/UAN/UN [...]?
Month Year Month Year Month Year
8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW
DL16c1. CAPI CHECK DL16a: EBTANAS ............................... 1 EBTANAS ............................... 1 EBTANAS ................................ 1
EBTANAS/UAN/UN UAN/UN .................................. 2 UAN/UN .................................. 2 UAN/UN................................... 2
DL16c2 Number of subjects tested in the
national exam (EBTANAS/UAN/UN) └─┴─┘ └─┴─┘ └─┴─┘
for the […] school level:
DL16d. What was your ebtanas score for the
following subjects: (If the respondent
shows you official record (DANEM)
copy from danem, if you cannot see
official record (DANEM) ask the
respondent for their score).
B. Indonesian 1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA
C. English 1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA
D. Math 1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA 1. └─┴─┘.└─┴─┘ 6 . NA

DL16e. Total EBTANAS/UAN/UN 1. └─┴─┘.└─┴─┘ 1. └─┴─┘.└─┴─┘ 1. └─┴─┘.└─┴─┘

DL16g. How many hours on average do you
attend school each day now/in your └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘
last year at school? Hours/Day Hours/Day Hours/Day Hours/Day
FILL IN ‘96’ IF THE RESPONDENT IS
COMPLETING THEIR THESIS, ETC.
DL16i. Approximately how many students
are/were in your class now/in last └─┴─┘ Person(s) .......... 1 └─┴─┘ Person(s) .......... 1 └─┴─┘ Person(s) .......... 1 └─┴─┘ Person(s) .......... 1
year of school attended at this level? DON’T KNOW ................. 8 DON’T KNOW .................. 8 DON’T KNOW .................. 8 DON’T KNOW .................. 8
DL16a NEXT COLUMN\DL16xc DL16a NEXT COLUMN\DL16xc DL16a NEXT COLUMN\DL16xc DL16xc
DL16xc. CAPI CHECK DL06 └─┘ columns WRITE DOWN THE NUMBER OF COLUMNS ACCORDING TO LEVELS OF SCHOOLING EVER ATTENDED
DL16xd. CAPI CHECK DL07x AND DL07e PANEL RESPONDENT OF BOOK3 WHO IS CURRENTLY ATTENDING SCHOOL/HAS ATTENDED SCHOOL SINCE JUNE 2007 ......................... 1
NEW RESPONDENT ........................................................................................................................................................................................................ 2 
PANEL RESPONDENT OF BOOK 3 WHO GRADUATED/LEFT SCHOOL BEFORE JUNE 2007 ................................................................................. 3  SW
School Level
DL11a. When did you first attended 1. Year: └─┴─┴─┴─┘DL11c 1. Year: └─┴─┴─┴─┘DL11c 1. Year: └─┴─┴─┴─┘DL11c 1. Year: └─┴─┴─┴─┘DL11c
schooling at this level ?
DL11b. At what age did you first
attended schooling at this └─┴─┘ years old └─┴─┘ years old └─┴─┘ years old └─┴─┘ years old
level?
DL11c. What is the highest grade Graduated.................................. 07DL11f Graduated ................................. 07DL11f Graduated .................................. 07DL11f Graduated ................................. 07DL11f
you have ever/are currently 1 ................................................ 01 1 ................................................ 01 1................................................. 01 Year 1 ........................................ 01
enrolled in at this level? 2 ................................................ 02 2 ................................................ 02 2................................................. 02 Year 2 ........................................ 02
3 ................................................ 03 3 ................................................ 03 3................................................. 03 Year 3 ........................................ 03
4 ................................................ 04 DON’T KNOW ............................ 98 DON’T KNOW ............................. 98 Year 4 ........................................ 02
5 ................................................ 05 Year 5 ........................................ 03
6 ................................................ 06 Year 6 ........................................ 02
DON’T KNOW ........................... 98 DON’T KNOW ............................ 98
DL11d. Did you completed this level Yes ............................................ 1DL11f Yes ............................................ 1DL11f Yes ............................................ 1DL11f Yes ............................................ 1DL11f
of schooling […] ? Still in school.............................. 6DL13 Still in school ............................. 6DL13 Still in school .............................. 6DL13 Still in school ............................. 6DL13
No .............................................. 3 No ............................................. 3 No .............................................. 3 No.............................................. 3
DL11e. Why did you leave this level B C D E F B C D E F B C D E F B C D E F
of schooling? G H I K L M G H I K L M G H I K L M G H I K L M
V .................................................................... V .................................................................... V .................................................................... V ....................................................................
Kode DL11e
Working/helping to earn income ............ B Not able to study ................................... E School had no teachers ........................ H Help at home .........................................L
Could not afford .....................................C Not admitted at school .......................... F School closed/ruined .............................. I Marriage ...............................................M
No schools/schools too far.....................D Sick or disabled .................................... G Doesn’t want to go ................................. K Others ................................................... V
B3A_DL3, B3A_DL4 BOOK IIIA - 9 IFLS5

School Level
DL11f. When did you leave/graduate 1. Year └─┴─┴─┴─┘DL13 1. Year └─┴─┴─┴─┘DL13 1. Year └─┴─┴─┴─┘DL13 1. Year └─┴─┴─┴─┘DL14a
from this [...] level of
schooling? 8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW
DL11g. At what age did you
leave/graduate from this […] └─┴─┘ years old └─┴─┘ years old └─┴─┘ years old └─┴─┘ years old
level of schooling?
DL13. Have you ever failed a grade No .............................. 3 DL14a No ............................. 3 DL14a No .............................. 3 DL14a
at [...] school ? Yes ............................ 1 Yes ............................ 1 Yes ............................ 1
DL14. What grades have you failed ClassNumber of Class Number of
and how many times did you repeats repeats Class Number of repeats Class Number of repeats
repeat that grade? A. 1 └─┘times D. 4 └─┘times A. 1 └─┘times A. 1 └─┘ times
CIRCLE ALL THAT APPLY B. 2 └─┘ times E. 5 └─┘times B. 2 └─┘ times B. 2 └─┘ times
C. 3 └─┘ times F. 6 └─┘times C. 3 └─┘ times C. 3 └─┘ times
DL14a. When you are at this [...] 3. No DL15 3. No DL15 3. No DL15 3. No DL15
school level, did you ever
leave school for 4 1. Yes 1. Yes 1. Yes 1. Yes
consecutive weeks or more,
including not enrolling in a
full year?
DL14b. How many times did the Class Number of Class Number of
disruptions disruptions Class Number of disruptions Class Number of disruptions Year Number of disruptions
school disruptions occur?
A. 1 └─┘times D. 4 └─┘times A. 1 └─┘ times A. 1 └─┘ times A. 1 └─┘ times
B. 2 └─┘ times E. 5 └─┘times B. 2 └─┘ times B. 2 └─┘ times B. 2 └─┘ times
C. 3 └─┘ times F. 6 └─┘times C. 3 └─┘ times C. 3 └─┘ times C. 3 └─┘ times

DL14c. When did the school A. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ A. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ A. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ A. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘
disruptions occur?
Month / Year Month / Year Month / Year Month / Year Month / Year Month / Year Month / Year Month / Year
(IF MORE THAN 3 TIMES, B. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ B. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ B. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ B. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘
WRITE THE THREE LONGEST) Month / Year Month / Year Month / Year Month / Year Month / Year Month / Year Month / Year Month / Year
C. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ C. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ C. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘ C. └─┴─┘/└─┴─┴─┴─┘ to └─┴─┘/└─┴─┴─┴─┘
Month / Year Month / Year Month / Year Month / Year Month / Year Month / Year Month / Year Month / Year
DL14d. Why did the school disruption B C D E F B C D E F B C D E F B C D E F
occur? G H I K L M G H I K L M G H I K L M G H I K L M
V .............................................................. V.............................................................. V .............................................................. V ..............................................................
DL15. While attending [...] school, Yes ................................................. 1 Yes .................................................. 1 Yes ................................................. 1 Yes .................................................. 1
did you work? No ................................................... 3 No ................................................... 3 No ................................................... 3 No ................................................... 3
DL11a NEXT COL/DL30 DL11a NEXT COL/DL30 DL11a NEXT COL/DL30  DL30
Code DL14d
Working/helping to earn income ............ B Not able to study ................................... E School had no teachers ......................... H Help at home ......................................... L
Could not afford..................................... C Not admitted at school .......................... F School closed/ruined .............................. I Marriage ............................................... M
No schools/schools too far .................... D Sick or disabled..................................... G Doesn’t want to go................................. K Others .................................................. V

We would like to ask about school-related expenses for the previous school year.
DL30. Did you attend school in the previous school year (starting 2013-2014) ? No .............................................................................................. 3 DL31c
Yes ............................................................................................. 1
DL31TYPE
DL31a. What were your (approximate) school-related expenses during the 2013-2014school year? Did you spend money for: DL31b. Please give your best estimate of the amount you spent.
3. No 1.
Yes
T. Total (Fees, supplies, transportation, pocket money, other) 3 1 └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
A. School Fees
1. Registration ...................................................................................................................... 3 1 └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
3
2. Tuition and other scheduled fees ..................................................................................... DL31bx 1
└─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.DL31bx How much is the tuition if you have to pay in full?
└─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
3. Exams .............................................................................................................................. 3 1
└─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
B. School supplies
1. Books and writing supplies ............................................................................................... 3 1 └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
2. Uniform and sports ........................................................................................................... 3 1 └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
C. Transportation and Pocket Money
1. Transportation ................................................................................................................. 3 1 └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
2. Housing costs, food 3 1 └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
└─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
3. Special courses ................................................................................................................ 3 1
D. Other: ..................................................................................................................................... 3 1 └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
DL40. Did [NAME] receive any books from the school during the 2013/2014 school year? Yes, for him/herself .................................................................... A
Yes, to share .............................................................................. B
(CIRCLE ALL THAT APPLY) No............................................................................................... C
DL41. Did the school reduce [NAME] Committee fees or other fees during the 2013/2014 school year? Yes ............................................................................................. 1
No............................................................................................... 3
DL42. Did [NAME] receive assistance for school costs from GNOTA,School Committee, government, No............................................................................................... 3 DL31c
community groups, religious groups, or family (outside HH), or other? Yes ............................................................................................. 1

DL43. From what source was this assistance, and what was the total value? (CIRCLE ALL THAT APPLY)
T. Total T └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
A. GNOTA ........................................................................................................................................................... . A. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
C. Government (other than BOS)......................................................................................................................... .
C1. Bantuan Siswa Miskin (BSM) ................................................................................................................ . C1. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
C2. Bidik Misi .............................................................................................................................................. . C2. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
C3. Other non-BOS government assistance ................................................................................................ . C3. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.

D. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
D. Community Group ........................................................................................................................................... .
E. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
E. Religious Group .............................................................................................................................................. .
F. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
F. Family ............................................................................................................................................................. .
I. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
I. School Committee ........................................................................................................................................... .
J. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
J. BOS/BKMFund ................................................................................................................................................
K. Foreign government/foundation/individual ........................................................................................................ K. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
L. Domestic Non-Government Institution ............................................................................................................. L. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
L1.Aid for poor students .......................................................................................................................... L1. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp
.
DL31c. CAPI CHECK : Respondent not in school (DL07a = 3) ............................................................3SECTION SW
Respondent still in school (DL07a = 1)............................................................1
DL44a. What were your (approximate) school-related expenses during the past month? Did you spend money for: DL44b. Please give your best estimate of the amount you spent.
3. No 1. Yes
T 3 1
Total (Fees, supplies, transportation, pocket money, other) └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
A. School Fees
1. Registration ...................................................................................................................... 3 1 └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
2. Other scheduled fees ....................................................................................................... 3 1 └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.DL44bx.How much is the tuition if you have to pay
3. Exams .............................................................................................................................. 3 1 in full?
└─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
B. School supplies
1. Books and writing supplies ............................................................................................... 3 1 └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
2. Uniform and sports ........................................................................................................... 3 1
└─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
C. Transportation and Pocket Money
1. Transportation ................................................................................................................. 3 1 └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
2. Housing costs, food 3 1 └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
3. Special courses ................................................................................................................ 3 1
└─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
D. Other: ..................................................................................................................................... 3 1
└─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.

SECTION SW (SUBJECTIVE WELLBEING)
We would like to know your opinion on the quality of your life. SW07. Do you have children under 15 still No.................................................................... 3 SW12
residing in this household? Yes .................................................................. 1
SW00. Please think about your life as a 1. Completely satisfied. SW08. Concerning your children’s standard It is less than adequate for their needs............ 1
whole. How satisfied are you with 2. Very satisfied of living, which of the following is It is just adequate for their needs .................... 2
it? 3. Somewhat satisfied true? It is more than adequate for their needs .......... 3
4. Not very satisfied DON’T KNOW ................................................. 8
5. Not at all satisfied
SW01. Please imagine a six-step ladder
Poorest Richest
where on the bottom (the first step),
stand the poorest people, and on SW09. Concerning your children’s food It is less than adequate for their needs............ 1
1 2 3 4 5 6 consumptio, which of the following It is just adequate for their needs .................... 2
the highest step (the sixth step),
8. DON’T KNOW is true? It is more than adequate for their needs .......... 3
stand the richest people. On which
step are you today? DON’T KNOW ................................................. 8
SW02. On which step were you five years SW10. Concerning your children’s It is less than adequate for their needs............ 1
Poorest Richest healthcare, which of the following is It is just adequate for their needs .................... 2
ago?
true? It is more than adequate for their needs .......... 3
1 2 3 4 5 6 DON’T KNOW ................................................. 8
8. DON’T KNOW SW11. Concerning your children’s It is less than adequate for their needs............ 1
SW03. On which step do you expect to find education, which of the following is It is just adequate for their needs .................... 2
Poorest Richest
five years from now? true? It is more than adequate for their needs .......... 3
1 2 3 4 5 6 DON’T KNOW ................................................. 8
8. DON’T KNOW SW12. Taken all things together how would Very happy ...................................................... 1
you say things are these days - Happy .............................................................. 2
Now, we would like to know about your conditions, food consumption, health care and education of you would you say you were very
and your children. happy, happy, unhappy or very Unhappy .......................................................... 3
unhappy? Very unhappy .................................................. 4
SW03a. Knowing about how prices change Very likely ........................................................ 1
in recent year, do you think you can
keep the standard of living you have Likely ............................................................... 2
today in the next 5 years? Unlikely ........................................................... 3
Very unlikely .................................................... 4
DON’T KNOW ................................................. 8
SW03b. Concerning your current family life, Less than adequate......................................... 1
which of the following is true? Adequate ......................................................... 2
More than adequate ........................................ 3
DON’T KNOW ................................................. 8
SW04. Concerning your current standard of It is less than adequate for my needs .............. 1
living, which of the following is true? It is just adequate for my needs ...................... 2
It is more than adequate for my needs ............ 3
DON’T KNOW ................................................. 8
SW05. Concerning your food consumption, It is less than adequate for my needs .............. 1
which of the following is true? It is just adequate for my needs ...................... 2
DON’T KNOW ................................................. 8
SW06. Concerning your healthcare, which It is less than adequate for my needs .............. 1
of the following is true? It is just adequate for my needs ...................... 2
DON’T KNOW ................................................. 8
B3A_SW BOOK IIIA - 13 IFLS5
SECTION PNA (POSITIVE AND NEGATIVE AFFECTS)
The next question are about your experiences yesterday. Now, we would like you to think about yesterday. What did you do yesterday and how did you feel?
PNA01. Please tell me what day yesterday ? 1. Sunday 2. Monday 3. Tuesday 4. Wednesday 5. Thursday 6. Friday 7. Saturday 8. DON”T KNOW
PNA02. CAPI CHEK: YESTERDAY IS : 1. RESPONDENT IS CORRECT  PNA04 3. RESPONDENT IS INCORRECT 6. PNA01=8
PNA03. INTERVIEWER CHEK : TELL 1. Sunday 2. Monday 3. Tuesday 4. Wednesday 5. Thursday 6. Friday 7. Saturday
RESPONDENT THAT YESTERDAY IS ……
PNA04. Please tell me what time you woke up └─┴─┘ / └─┴─┘ HOUR / MINUTE
yesterday?
PNA05. What time did you go to sleep yesterday? └─┴─┘ / └─┴─┘ HOUR / MINUTE
Now please take a few quiet seconds to recall your activities and experiences yesterday. Good, now I have questions about your experiences yesterday
PNA05a. CAPI CHECK RANDOM _PNA ON COVER PNA06. 1. LIST A 2. LIST B 3. LIST C 4. LIST D
1. LIST A
PNA06.. Yesterday, did you feel [….]?
1 Frustrated 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
2 Sad 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
3 Enthusiastic 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
4 Lonely 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
5 Content 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
6 Worried 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
7 Bored 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
8 Happy 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
9 Angry 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
10 Tired 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
11 Stressed 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
12 Pain 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very
B3A_PNA1, B3A_PNA2 BUKU IIIA - 14 IFLS5

2. LIST B
3. LIST C
B3A_PNA2 BUKU IIIA - 15 IFLS5

4. LIST D
PNA06. Yesterday, did you feel [….]?
Now we would like to ask you about pain you may have felt .
PNA07xx. CAPI CHECK: PNATYPE=12 AND PNA06 = 1 ? 1. Yes  HR00a

3. NO
A. Head G. Hip
PNA08. Yesterday were you bothered by a pain in your […]?
B. Neck H. Knee
C. Shoulder I. Ankle/foot/toes
D. Arm J. Hands
E. Wrists/fingers K. Legs
F. Back/lower back L. Buttocks
PNA09. Does the pain limit your daily activities? 1. Yes, very much so 3. No, not much
2. Yes, to some degree 4. No, not at all
PNA10. Treatment / actions that have you done to treat the pain? A. Pill (modern medicine)
B. Injection
C. External
D. Physiotherapy
E. Traditional (Acupuncture, herbal medicine, and other ways the traditional way)
W. NO TREATMENT / ACTION
B3A_PNA1, B3A_PNA2 BUKU IIIA - 16 IFLS5

SECTION HR (HOUSEHOLD ASSETS)
HR00a. CAPI CHECK : YES .......................................................................................... 1 SECTION HI
DID RESPONDENT ALREADY ANSWER BOOK II? NO ........................................................................................... 3
HR00b. Are you currently married? No ............................................................................................. 3 SECTION HI
Yes ............................................................................................ 1
Next, we would like to know about assets owned by you or by members of the household but not used for a business. Do not report assets used mostly or only for a business.
HR01. HR02. HR05. HR06. HR07. HR08. HR10. HR11. HR12.
Do you or does any What is the total value of [...] at What is the total income from the Is the entire [...] What is the Who outside the Which How many ONLY IF THE RESPONSE TO
TYPE OF other member of the present? rent/lease/interest/ profit sharing of owned by the percentage household also householders householders ownHR10 INCLUDES A OR B.
ASSETS household own [...]? [...] in the past 12 months? householders? share of [...] owns [...]? own [...]? [...]? You told me that members of this
that is household own ____%
(HRTYPE) owned by (CIRCLE ALL (CIRCLE ALL (REFER TO (RESPONSE FROM HR07) of the
the house- THAT APPLY) THAT APPLY) ANSWER OF HR10) [...]. Of that ____%, how much is
holders? owned by you and how much is
owned by your spouse?
A. House and 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D └─┴─┘ 1. A└─┴─┘ %
land occupied  └─┴─┘ E F G E F G
3. NONE 3. No Persons
by this ROW B 7. UNWILLING TO ANSWER I J K L I J K L B└─┴─┘ %
household 7. UNWILLING TO ANSWER Percent M P Q R M P Q R
8. DON’T KNOW IF 01ROW B 6. Neither A nor B owns
8. DON’T KNOW U V ……….. U V …………..
8. DON’T KNOW
HR02p. Is it below Rp […], about Rp
[…], or above Rp […] ?
(UNFOLDING BRACKETS)
Breakpoints: Rp 50 millions, Rp 100

millions, Rp 200 millions
CAPI randomizes entry points:
Rp 50 millions (2UP),
Rp 100 millions (1UP 1DOWN)
HR05 ROW A
B. Other house/ 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D └─┴─┘ 1. A└─┴─┘ %
building  └─┴─┘ E F G E F G
(including ROW C 7. UNWILLING TO ANSWER I J K L I J K L B└─┴─┘ %
land) 7. UNWILLING TO ANSWER Percent M P Q R M P Q R
8. DON’T KNOW IF 01ROW C 6. Neither A nor B owns
8. DON’T KNOW U V ……….. U V …………..
8. DON’T KNOW
HR02p. Is it below Rp […], about Rp
[…], or above Rp […] ?
HR05 ROW B
HR08 AND HR10 HR12:

A. Respondent E. Respondent’s parents-in-law J. Grandparents P. Non family V. Others A. Respondent
B. Respondent’s wife/husband F. Respondent’s sibling K. Uncle/aunt Q. Step/adopted child ......................... B. Respondent’s spouse
C. Respondent’s biological and in-law G. Respondent’s brother/sister-in-law L. Nephew/niece R. Family of spouse IF A AND B ARE THE ONLY OWNERS IN HOUSEHOLD, THEIR ANSWERS SHOULD SUM TO 100%.
D. Respondent’s parents I. Respondent’s grandchild/great grandchild M. Cousin U. Ex spouse IF MORE HH MEMBERS THAN A AND B ARE OWNERS, THE ANSWERS OF A AND B SHOULD SUM TO LESS THAN 100%.
B3A_HR0, B3A_HR1 BUKU IIIA - 17 IFLS5

Do you or does any What is the total value of [...] at present? What is the total income from the Is the entire [...] Who outside Which How many ONLY IF THE RESPONSE TO
TYPE OF other member of the rent/lease/interest/ profit sharing What is the the household householders
ASSETS owned by the householders own HR10 INCLUDES A OR B. You
household own [...]? of [...] in the past 12 months? percentage also owns [...]? own [...]? [...]? told me that members of this
householders? share of [...]
(HRTYPE) household own ____%
that is (CIRCLE ALL (CIRCLE ALL (REFER TO (RESPONSE FROM HR06/ HR07)
owned by THAT APPLY) THAT APPLY) ANSWER OF of the [...]. Of that ____%, how
the house- HR10) much is owned by you and how
holders? much is owned by your spouse?
C. Land (not 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D 1. A└─┴─┘ %
└─┴─┘
used for farm  └─┴─┘ E F G E F G B└─┴─┘ %
nonfarm) ROW D1 7. UNWILLING TO ANSWER I J K L I J K L
7. UNWILLING TO ANSWER Percent M P Q R M P Q R 6. Neither A nor B owns
8. DON’T KNOW IF 01ROW D1 8. DON’T KNOW
8. DON’T KNOW U V ………… U V ………..
HR02p. Is it below Rp […], about
Rp […], or above Rp […] ?
HR05 ROW C
D1. Poultry 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D 1. A└─┴─┘ %
└─┴─┘
 └─┴─┘ E F G E F G B└─┴─┘ %
ROW D2 7. UNWILLING TO ANSWER I J K L I J K L
8. DON’T KNOW IF 01ROW D2 8. DON’T KNOW
8. DON’T KNOW U V ………… U V ………..
HR05 ROW D1
D2. Livestock/ 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D 1. A└─┴─┘ %
└─┴─┘
fishpond  └─┴─┘ E F G E F G B└─┴─┘ %
ROW D3 7. UNWILLING TO ANSWER I J K L I J K L
8. DON’T KNOW IF 01ROW D3 8. DON’T KNOW
8. DON’T KNOW U V ………… U V ………..
HR05 ROW D2
B3A_HR1 BUKU IIIA - 18 IFLS5


Do you or does any What is the total value of [...] at What is the total income from the Is the entire [...] Who outside Which How many ONLY IF THE RESPONSE TO HR10
TYPE OF other member of the present? rent/lease/interest/ profit sharing What is the the household householders
ASSETS owned by the householders own INCLUDES A OR B. You told me that
household own [...]? of [...] in the past 12 months? percentage also owns [...]? own [...]?
householders? [...]? members of this household own ____%
share of [...] (RESPONSE FROM HR06/ HR07) of
(HRTYPE) that is owned (REFER TO
(CIRCLE ALL (CIRCLE ALL the [...]. Of that ____%, how much is
by the house- THAT APPLY) THAT APPLY) ANSWER OF owned by you and how much is owned
holders? HR10) by your spouse?
D3. Hard stem 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D └─┴─┘
1. A└─┴─┘ %
plant that not  └─┴─┘ E F G E F G
Persons B└─┴─┘ %
3. NONE 3. No
used for farm ROW E 7. UNWILLING TO ANSWER I J K L I J K L
or non-farm IF 01ROW E
8. DON’T KNOW U V ………… U V ……….. 8. DON’T KNOW
business 8. DON’T KNOW
millions, Rp 40 millions; CAPI
randomizes entry points: Rp 10
millions (2UP), Rp 20 millions (1UP
1DOWN)
HR05 ROW D3
E. Vehicles 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D 1. A└─┴─┘ %
└─┴─┘
(cars, boats,  └─┴─┘ E F G E F G B└─┴─┘ %
bicycles, ROW F 7. UNWILLING TO ANSWER I J K L I J K L
motorbikes) 7. UNWILLING TO ANSWER Percent M P Q R M P Q R 6. Neither A nor B owns
8. DON’T KNOW IF 01ROW F 8. DON’T KNOW
8. DON’T KNOW U V ………… U V ………..
1DOWN)
HR05 ROW E
F. Household 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D 1. A└─┴─┘ %
└─┴─┘
appliances  └─┴─┘ E F G E F G B└─┴─┘ %
(radio, tape ROW G 7. UNWILLING TO ANSWER I J K L I J K L
recorder, tv, 7. UNWILLING TO ANSWER Percent M P Q R M P Q R 6. Neither A nor B owns
8. DON’T KNOW IF 01ROW G 8. DON’T KNOW
fridge, 8. DON’T KNOW U V ………… U V ………..
sewing or
washing
machine, Rp […], or above Rp […] ?
VCD player, (UNFOLDING BRACKETS)
HP, etc.)
1DOWN)
HR05 ROW E


Do you or does What is the total value of [...] at What is the total income from the Is the entire Who outside Which How many ONLY IF THE RESPONSE TO HR10
TYPE OF any other member present? rent/lease/interest/ profit sharing of What is the the household householders
ASSETS [...] owned by householders own INCLUDES A OR B. You told me that
of the household [...] in the past 12 months? percentage also owns [...]? own [...]?
the [...]? members of this household own ____%
own [...]? share of [...] (RESPONSE FROM HR06/ HR07) of the
(HRTYPE) householders? that is (REFER TO
(CIRCLE ALL (CIRCLE ALL [...]. Of that ____%, how much is owned by
owned by THAT APPLY) THAT APPLY) ANSWER OF you and how much is owned by your
the house- HR10) spouse?
holders?
G. Savings/ 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D └─┴─┘ 1. A└─┴─┘ %
certificate of  └─┴─┘ E F G E F G
deposit/ ROW H 7. UNWILLING TO ANSWER I J K L I J K L B└─┴─┘ %
stocks 7. UNWILLING TO ANSWER Percent M P Q R M P Q R
8. DON’T KNOW IF 01ROW H 6. Neither A nor B owns
8. DON’T KNOW U V ………… U V ………..
8. DON’T KNOW
1DOWN)
HR05 ROW G
H. Receivables 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D └─┴─┘ 1. A└─┴─┘ %
 └─┴─┘ E F G E F G
ROW J 7. UNWILLING TO ANSWER I J K L I J K L B└─┴─┘ %
7. UNWILLING TO ANSWER Percent M P Q R M P Q R
8. DON’T KNOW IF 01ROW J 6. Neither A nor B owns
8. DON’T KNOW U V ………… U V ………..
8. DON’T KNOW
1DOWN)
HR05 ROW G
J. Jewelry 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D └─┴─┘ 1. A└─┴─┘ %
 └─┴─┘ E F G E F G
3. No Persons
ROW K1 7. UNWILLING TO ANSWER I J K L I J K L B└─┴─┘ %
Percent M P Q R M P Q R
8. DON’T KNOW IF 01ROW K1 6. Neither A nor B owns
U V ………… U V ………..
8. DON’T KNOW
Breakpoints: Rp4 millions, Rp 6
1DOWN)
HR06 ROW J


Do you or does What is the total value of [...] at What is the total income from the Is the entire Who outside Which How many ONLY IF THE RESPONSE TO HR10
TYPE OF any other member present? rent/lease/interest/ profit sharing of What is the the household householders
ASSETS [...] owned by householders own INCLUDES A OR B. You told me that
of the household [...] in the past 12 months? percentage also owns [...]? own [...]?
the [...]? members of this household own
own [...]? share of [...] ____% (RESPONSE FROM HR06/
(HRTYPE) householders? that is (CIRCLE ALL (CIRCLE ALL HR07) of the [...]. Of that ____%, how
owned by THAT APPLY) THAT APPLY) much is owned by you and how much
the house- (REFER TO
ANSWER OF is owned by your spouse?
holders?
HR10)
K1. Household 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D └─┴─┘ 1. A└─┴─┘ %
Furniture and  └─┴─┘ E F G E F G
3. No Persons
Utensils ROW K2 7. UNWILLING TO ANSWER I J K L I J K L B└─┴─┘ %
Percent M P Q R M P Q R
8. DON’T KNOW IF 01ROW K2 6. Neither A nor B owns
U V ………… U V ………..
8. DON’T KNOW
1DOWN)
HR06 ROW K1
K2. Other assets 3. No 1. Yes 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1. Yes HR10 B C D A B C D └─┴─┘ 1. A└─┴─┘ %
 └─┴─┘ E F G E F G
..................... HR16 7. UNWILLING TO ANSWER I J K L I J K L B└─┴─┘ %
7. UNWILLING TO ANSWER Percent M P Q R M P Q R
8. DON’T KNOW IF 01HR16 6. Neither A nor B owns
..................... 8. DON’T KNOW U V ………… U V ………..
8. DON’T KNOW
1DOWN)
HR06 ROW K2
HR08 AND HR10 HR12:

A. Respondent E. Respondent’s parents-in-law J. Grandparents P. Non family V. Others A. Respondent
B. Respondent’s wife/husband F. Respondent’s sibling K. Uncle/aunt Q. Step/adopted child .......................... B. Respondent’s spouse
C. Respondent’s biological and in-law G. Respondent’s brother/sister-in-law L. Nephew/niece R. Family of spouse IF A AND B ARE THE ONLY OWNERS IN HOUSEHOLD, THEIR ANSWERS SHOULD SUM TO 100%.
D. Respondent’s parents I. Respondent’s grandchild/great grandchild M. Cousin U. Ex spouse IF MORE HH MEMBERS THAN A AND B ARE OWNERS, THE ANSWERS OF A AND B SHOULD SUM TO LESS THAN 100%.

SECTION HR (H)
TYPE OF ASSETS HR16. HR17.

What is/was the total value in rupiah of any […] purchased What is the total value of any […] sold in the past 12
(HR2TYPE) in the past 12 months? months?
A. House occupied by this household
1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
3. NO PURCHASE 3. NO SALES
7. UNWILLING TO ANSWER 7. UNWILLING TO ANSWER
8. DON’T KNOW 8. DON’T KNOW
B. Other house/building
1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
C. Land (not used for farm business)
1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
E. Vehicles (cars, boats, bicycles, motorbikes)
1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
J. Jewelry
1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
3. NO PURCHASE 3. NO PURCHASE
L. Other assets, not used for farm or non-farm business:
1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. 1.└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.
3. NO PURCHASE
....................................................................................................................................... 3. NO PURCHASE
B3A_HR2 BOOK IIIA - 22 IFLS5

SECTION HI (NON-LABOR INCOME)
Next, we would like to ask about income you yourself have received from other sources during the past 12 months.
HI14a. INTERVIEWER NOTE: IF INCOME IS SHARED BY SEVERAL HOUSEHOLD MEMBERS, RECORD IN HI14 ONLY THE PORTION OWNED BY THIS RESPONDENT.
SOURCE OF INCOME HI14.
(HITYPE) What is the total income you received from [...] during the past 12 months?
A. Pension 1. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. 3. Did not receive 8. DON’T KNOW
B1. Government scholarship ......................................................................................................... 1. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. 3. Did not receive 8. DON’T KNOW
B2. Private scholarship ................................................................................................................. 1. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. 3. Did not receive 8. DON’T KNOW
C. Insurance Money .................................................................................................................... 1. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. 3. Did not receive 8. DON’T KNOW
D1. Winnings/Lottery ..................................................................................................................... 1. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. 3. Did not receive 8. DON’T KNOW
B3A_HI BOOK IIIA - 23 IFLS5

SECTION KW (MARITAL HISTORY)
Now we would like to ask about your marital history. KW01a What is your current marital status? Never married ................................. 1SECTION BR
Cohabitation ................................... 2
KW00a. CAPI CHECK COV2: IS RESPONDENT Married, formal (KUA or Civil
A PANEL RESPONDENT FOR BOOK No ........................................................ 3 KW01a Registration) ................................... 3
III (AR01g=1) WITH PREPINTED KW Yes, panel with KW 3A preprinted …… 1 Married, formal according to
ROSTER IN BOOK3A? religious law (nikah sirri) ................. 4
Married, formal according to
KW00b. When we interviewed you in 2007, we
1. Marital status : ____________________________ adat law ......................................... 5
have the follwing information about your Separated ....................................... 6
marital status at that time: 2. Name of last spouse/spouse in 2007 : Divorced.......................................... 7
________________________________________
Widow/Widower .............................. 8
INTERVIEWER: READ THE
3. PID of spouse : └─┴─┘ KW01. CAPI CHECK BOOK COVER: Yes........................................... 1SECTION PK
INFORMATION LISTED IN THE KW RESPONDENT FEMALE < 50 YEARS
PREPRINTED ROSTER No ............................................ 3
(COV3) AND PANEL RESPONDENT
BOOK IV:
KW00c. INTERVIEWER CHECK: IS THE KW02a. What is the name of your current/latest
INFORMATION IN KW00B CORRECT? No ..................................................... 3 KW01a __________________________
spouse?
Yes .................................................... 1
KW02a1. Do you have a marriage certificate with Yes.................................................1KW02g
[….] No ..................................................3
KW00d. Since the 2007 interview have you had KW02a2 Reason not have a marriage certificate .└─┘
any changes in your marriage status? No ................................................... 3 KW23a
KW02g. INTERVIEWER VERIFY KW02a AND
Yes .................................................. 1
AR00:
1. If […] lives in the household fill in 1.└─┴─┘
AR00 (line # from Roster).
2. If […] died/does not live in 2.└─┴─┘
household, but registered in the
Roster, fill in AR00
3. If […] is not registered in the 3.
Roster
KW02h. CAPI CHECK :RESPONDENT IS NO .................................................3KW02x
PANEL RESPONDENT .
YES................................................1
KW02i. CAPI CHECK : RESPONDENT IS YES.......................................... 1SECTION PK

PANEL RESPONDENT BOOK IV IN NO ........................................... 3
2007?
KW02x. CAPI CHECK KW01a = 2 YES........................... 1KW02l
NO……………………\=3
KW02j. What was the date of your
1. └─┴─┘/└─┴─┴─┴─┘
current/most recent marriage?
Month Year
8. DON’T KNOW
KW02k. CAPI CHECK : YES, PANEL RESPONDENT ......... 1KW05
YEAR IN KW02j IS BEFORE 2007. NO, PANEL RESPONDENT ........ 2KW12a
NEW RESPONDENT ...................... 3KW12a
B3A_KW2 BOOK IIIA - 24 IFLS5

KW12a. What was the bride price/dowry for Nothing .................................. WKW13a
KW02l. When did you start living together with your current/ most recent marriage? Sholat (praying) accessory .... A
1. └─┴─┘/└─┴─┴─┴─┘ Money ..................................... B
your partner ?
Month Year (CIRCLE ALL THAT APPLY) Land ........................................ C
8. DON’T KNOW Building/House ....................... D
KW02m.
Jewelry.................................... E
What was the value of the assets you
Complete set of clothing ......... G
owned just prior to of your living └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. ........... 1 Food........................................ H
together with your partner?
DON’T KNOW .................................................... 8 Household Items ....................... I
Religious book ........................ K
KW02n. What was the highest education level
Beauty items ............................ L
attended by your partner? Livestock ................................. M
Other ....................................... V
01. None ..................................................... 01.
02.Elementary School ................................. 02. KW12b. What was the value of the bride
03. Junior High General............................... 03.
04. Junior High Vocational .......................... 04.
price/dowry of your current/most recent └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. ........... 1
marriage at the time of the marriage?
05. Senior High General ............................. 05. └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘
06. Senior High Vocational .......................... 06.
Other currency ............................................. 2
60.College (D1, D2, D3) .............................. 60.
61.University (BA) ....................................... 61. DON’T KNOW ............................................. 8
62.University (MA) ....................................... 62. KW13a. What did you receive as a gift, not a Nothing .................................. WKW14
63.University (PHD) ..................................... 63. dowry/bride price,at the time of your Sholat (praying) accessory .... A
11. Adult Education A .................................. 11. current/most recent marriage, that was Money ..................................... B
12. Adult Education B .................................. 12.
not consumed for the wedding party? Land ........................................ C
15. Adult Education C 15.
13. Open University ..................................... 13. Building/House ....................... D
14. Islamic School (Pesantren) .................... 14. (CIRCLE ALL THAT APPLY) Jewelry.................................... E
17. School for the disabled .......................... 17. Complete set of clothing ......... G
70. Madrasah, General ................................ 70. Food........................................ H
72. Islamic Elementary School Household Items ....................... I
(Madrasah Ibtidaiyah) .................................. 72. Religious book ........................ K
73. Islamic Junior/High School Beauty items ............................ L
(Madrasah Tsanawiyah) .............................. 73.
Livestock ................................. M
74. MadrasahSenior High School
(Madrasah Aaliyah) ................................ 74. Other ....................................... V
90. Kindergarten .......................................... 90. KW13b. What was the value of the gift?
98. Don’t Know ............................................ 98.
95. Other ..................................................... 95. ..................................... └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. ........... 1
KW02o. What was the highest grade completed └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘
by your partner? 00 Other currency ............................................. 2
st
00. Didn’t complete 1 grade at that 01 DON’T KNOW ............................................. 8
level 02 KW14. What was the value of the assets you
01. 1 04. 4 07. Graduated 03 owned just prior to the wedding of your └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. ........... 1
02. 2 05. 5 96. Unschooled 04 07 Graduated current/latest marriage?
03. 3 06. 6 98. DON’T KNOW 05 96 Unschooled DON’T KNOW .................................................... 8
06 98 DON’T KNOW
KW23a
KW02ox. CAPI CHECK COV 2: NO ............................. 3KW05
RESPONDENT IS A PANEL YES ........................ 1KW23a
RESPONDENT?

KW14g. At the time you lived together with Nobody else ......................................... W
KW14a. Right after the wedding ceremony of NO, lived at the same place ......................3KW14c
your current/latest marriage, did you YES, moved within the same village..........2KW14c your current/latest husband/wife for Own parents .......................................... A
move? YES, moved to another Village ..................1 the first time, who else lived in the Parents-in-law........................................ C
house? Biological brother ................................... D
KW14b. What is the [ ] name at the place you A. Vill: 1. _____________________________ Biological sister ..................................... E
moved at that time? 3. Same as current residence (CIRCLE ALL THAT APPLY) Brother-in-law ........................................ F
8. DON’T KNOW Sister-in-law ...........................................G
B. Kec: 1. _____________________________ IN THIS CASE THE WEDDING Other family members .......................... H
3. Same as current residence LOCATION IS NOT REGARDED AS Not family-related .................................. I
8. DON’T KNOW A JOINT RESIDENCE (REFER TO Child (biological and non-biological) ...... J
C. Kab: 1. _____________________________ ANSWER KW14e = 1 (YES)) AND
3. Same as current residence RESIDENCE REGISTERED IN
8. DON’T KNOW KW14b.
D. Prov: 1. _____________________________ KW03. How many times have you been
3. Same as current residence married ? └─┴─┘ Times
8. DON’T KNOW KW04. Who chose your husband/wife (from Parents .................................................. 01
KW14c. How long did you reside at your first your first marriage) ? Self ........................................................ 03
01. └─┴─┘ Family .................................................... 04
residence after the wedding?
Weeks .................................... 01 Other:..................................................... 05
Month ..................................... 02 KW05. CAPI CHECK COV5:
Year ........................................ 03 FEMALE ................................................ 3KW08
96. Still live there MALE ..................................................... 1
98. DON’T KNOW KW06. Do you currently have more than one
KW14d. At the time you married your wife? NO ........................................................ 3KW09
current/latest husband/wife, did your Yes .................................................. 1 YES ....................................................... 1
husband/wife change residence? No .................................................... 3
KW07. Please mention the names of all your
KW14d1. Because of adat and the high cost of wives, starting with your wife in the
wedding, many couples choose to No .................................................... 3 KW14e KW09
household, then your wife in another
live together before the wedding. Did Yes ................................................... 1
household, and all wives from your
you and your current/latest partner previous marriages.
live together before the wedding?
KW14d2. How long did you live together before (WRITE DOWN THE NAME OF CURRENT/LAST WIFE)
01. └─┴─┘
the wedding? KW08. Please mention the names of all your
Weeks .................................... 01 husbands, (starting with whom you
Month ..................................... 02 are married now or the latest KW09
Year ........................................ 03 marriage, then the previous marriage
98. DON’T KNOW and so forth).
KW14e. Did you and your current/latest
Yes ................................................... 1KW14g
husband/wife start to live together (WRITE DOWN THE NAME OF CURRENT/LAST HUSBAND)
No .................................................... 3
right after the wedding?
KW14f. How long after the wedding took 96. Don’t live together yet KW03
place did you start to live together 01. └─┴─┘
with your husband/wife? Weeks .................................... 01
Month ..................................... 02
Year ........................................ 03
98. DON’T KNOW

FILL OUT NAMES AND DATES STARTING WITH CURRENT/LATEST MARRIAGE

1. Latest / Current 2. Second Latest 3. Third Latest 4. Fourth Latest 5. Fifth Latest 6. Sixth Latest
KWN: NUMBER OF MARRIAGE .........................
KW09. Name of husband/wife: ....................... ________________ ________________ ________________ _________________ ________________ ________________
KW10. What (month/year) did you get 1. └─┴─┘/└─┴─┴─┴─┘ 1. └─┴─┘/└─┴─┴─┴─┘ 1. └─┴─┘/└─┴─┴─┴─┘ 1. └─┴─┘/└─┴─┴─┴─┘ 1. └─┴─┘/└─┴─┴─┴─┘ 1. └─┴─┘/└─┴─┴─┴─┘
married? MONTHYEAR MONTHYEAR MONTHYEAR MONTHYEAR MONTHYEAR MONTHYEAR
(CAPI PRELOAD KW02j) KW11a KW11a KW11a KW11a KW11a KW11a
8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW
KW11. How old were you when your [...]
marriage started? └─┴─┘Year └─┴─┘Year └─┴─┘Year └─┴─┘Year └─┴─┘Year └─┴─┘Year
KW11a. Because of adat and the high cost of

wedding, many couples choose to live 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes 1. Yes
together before the wedding. Did you 3. No 3. No 3. No 3. No 3. No 3. No
and your current/latest partner live
together before the wedding?
KW11b. What is the status of your […] 2 3 4 5 KW20 2 3 4 5 KW20 2 3 4 5 KW20 2 3 4 5 KW20 2 3 4 5 KW20 2 3 4 5 KW20
marriage
6 7 8 6 7 8 6 7 8 6 7 8 6 7 8 6 7 8
KW18. When (month/year) did the marriage 1. └─┴─┘/└─┴─┴─┴─┘ 1. └─┴─┘/└─┴─┴─┴─┘ 1. └─┴─┘/└─┴─┴─┴─┘ 1. └─┴─┘/└─┴─┴─┴─┘ 1. └─┴─┘/└─┴─┴─┴─┘ 1. └─┴─┘/└─┴─┴─┴─┘
end/separation begin? MONTHYEAR MONTHYEAR MONTHYEAR MONTHYEAR MONTHYEAR MONTHYEAR
KW20 KW20 KW20 KW20 KW20 KW20
8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW 8. DON’T KNOW
KW19. How old were you when the [...]
marriage ended/separation began? └─┴─┘years old └─┴─┘years old └─┴─┘years old └─┴─┘years old └─┴─┘years old └─┴─┘years old
KW20. What was the highest education level

attended by your husband/wife of the └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘
[...] marriage
KW21. What was the highest grade completed
by your husband/wife of the [...] 00 01 02 03 04 00 01 02 03 04 00 01 02 03 04 00 01 02 03 04 00 01 02 03 04 00 01 02 03 04
marriage? 05 06 07 96 98 05 06 07 96 98 05 06 07 96 98 05 06 07 96 98 05 06 07 96 98 05 06 07 96 98
CODE FOR KW11b CODE FOR KW20 KODE KW21:

2. Cohabitation 01. None 61. University, Bachelor S1 15. Adult Education C 00. Didn’t complete school at that level
3. Married, formal (KUA orCivil Registration) 02. Elementary School 62. University, Master S2 17. School for the disabled 01. 1
4. Married, formal according to religious law (nikah siri) 03. Junior High (SLP/SLTP) General 63. University, Doctorate S3 72. Islamic School- Elementary (MI) 02. 2 06. 6
5. Married, formal according to adat law 04. Junior High (SLP/SLTP) Vocational 11. Adult Education A 73. Islamic School- Junior High(MT) 03. 3 07. Graduated
6. Separated 05. Senior High (SMA/SLA/SLTA) General 12. Adult Education B 74. Islamic School- Senior High (MA) 04. 4 96. No school/not yet
7. Divorced 06. Senior High (SMA/SLA/SLTA) Vocat. 13. Open University 90. Kindergarten 05. 5 98. DON’T KNOW
8. Widow/widower 60. Academy D1, D2, D3 14. Pesantren 98. DON’T KNOW
95. Others

1. Latest / Current 2. Second Latest 3. Third Latest 4. Fourth Latest 5. Fifth Latest 6. Sixth Latest
KWN: NUMBER OF MARRIAGE .........................
KW09. Name of husband/wife: ....................... ________________ ________________ ________________ ________________ ________________ _________________
KW22x. CAPI CHECK :
RESPONDENT IS:
3. NEW RESPONDENT  KW22b 3  KW22b 3  KW22b 3  KW22b 3  KW22b 3  KW22b 3  KW22b
1. PANEL RESPONDENT 1 1 1 1 1 1
KW22a. CAPI CHECK KW10
FOR PANEL: 3.KW23a 3.KW23a 3.KW23a
3.KW23a 3.KW23a 3.KW23a
3. NO OTHER MARRIAGE ....................... 2.KW23a 2.KW23a 2.KW23a
2.KW23a 2.KW23a 2.KW23a
2. MARRIAGE BEGAN BEFORE 2007..... 1.KW09 COLUMN 2 1.KW09 COLUMN 3 1.KW09 COLUMN 4 1.KW09 COLUMN 5 1.KW09 COLUMN 6 1.KW09 SUPPLEMENT
1. MARRIAGE BEGAN AFTER 2006.....
KW22b. INTERVIEWER’S NOTE:
FOR NEW:
3. NO OTHER MARRIAGE 3  KW23a 3  KW23a 3  KW23a 3  KW23a 3  KW23a 3  KW23a
1. ANOTHER MARRIAGE 1  KW09 COLUMN 2 1  KW09 COLUMN 3 1  KW09 COLUMN 2 1  KW09 COLUMN 3 1  KW09 COLUMN 2 1  KW09 COLUMN 3
KW23a. If you could choose exactly the KW25. Do you personally wish to have No .......................................... 3 SECTION PK
number of children to have in your └─┴─┘ Children .............................. 1 another child (besides the children Yes ......................................... 1
whole life, how many would that you already have)?
UP TO GOD ....................................... 95
be? KW26. How many (more) children do you
KW23. INTERVIEWER’S NOTE: FEMALE ................................... 5 wish to have? └─┴─┘ Children
RESPONDENT IS A: UP TO GOD ............................... 95
UNMARRIED MALE ................... 3  SECTION MG
KW27. Among the children that you (still)
MARRIED MALE ....................... 1KW24 a 01. a.
wish to have, how many sons and └─┴─┘ Sons
KW23b. daughters do you wish to have? b. └─┴─┘ Daughters
How old were you on your first Never menstruated ........................ 96 KW24a
menstruation?
└─┴─┘Years ................................ 01 95. UP TO GOD
KW23d. Do you now still menstruate? Yes ................................................ 1 SECTION PK
No, because another reason
(medication, contraception
method, etc.) .................................. 2  SECTION PK
No (stop at all)................................ 3
KW23e. How old were you when you └─┴─┘Years  SECTION PK
stopped having menstruation?
KW24a. Are you and your wife physically Yes ................................................. 1
able to conceive a child (again) No .................................................. 3
without medical help?
KW24b. Have you and your wife ever Yes .................................................... 1
sought medical attention to help
you conceive? No ................................................... 3
B3A_KW2, B3A_KW3 BOOK IIIA - 28 IFLS5

SECTION PK (HOUSEHOLD DECISION-MAKING)
PK00a. Are you currently No.............................................. 3 SECTION BR

married/cohabitate? Yes ............................................ 1
(CAPI CEK COVER)
PK00b. Does your spouse live in this Yes ............................................ 1PK18
household now/in the last 6 No.............................................. 3
months?
(CAPI CEK AR01a, AR02b, AR13,
AR14)
PK00c. Where do your spouse live? Same village .............................. 1
Same sub-district....................... 2
Same district ............................. 3
Same province .......................... 4
Same country ............................ 5
Other country ............................ 6
SECTION BR
B3A_PK1 BOOK IIIA - 29 IFLS5

We would like to know how your family makes decisions about expenditures and use of time.
PK18.
In your household, who makes decisions about:
(CIRCLE ALL THAT APPLY ON EACH LINE)
RESPONDENT
SPOUSE
SON
DAUGHTER
MOTHER
FATHER
MOTHER-IN-LAW
FATHER-IN-LAW
BROTHER
SISTER
BROTHER-IN-LAW
SISTER-IN-LAW
GRANDPARENT
SON/DAUGHTER
CAN’T ANSWER
GRANDCHILD
OTHER
X or W or Y
IN-LAW
EXPENDITURES AND USE OF TIME
(PK2TYPE)
A1. Expenditure on food eaten at home ................................................................. A B C D E F G H I J K L M O P V ........................................................ Z

A2. Choice of food eaten at home ......................................................................... A B C D E F G H I J K L M O P V ........................................................ Z
B. Routine purchases for the household of items such as cleaning supplies ........ A B C D E F G H I J K L M O P V ........................................................ Z
C. Your clothes ..................................................................................................... A B C D E F G H I J K L M O P V ........................................................ Z
D. Your spouse’s clothes ...................................................................................... A B C D E F G H I J K L M O P V ........................................................ Z
E. Your children’s clothes ..................................................................................... A B C D E F G H I J K L M O P V ........................................................ W Z
F. Your children’s education ................................................................................. A B C D E F G H I J K L M O P V ........................................................ W Z
G. Your children’s health ....................................................................................... A B C D E F G H I J K L M O P V ........................................................ W Z
H. Large expensive purchases for the household (i.e., refrigerator or TV) ........... A B C D E F G H I J K L M O P V ....................................................... Z
I. Giving money to your parents/family ................................................................ A B C D E F G H I J K L M O P V ....................................................... X Z
J. Giving money to your spouse’s parents/family ................................................. A B C D E F G H I J K L M O P V ....................................................... X Z
K. Gifts for parties/weddings ................................................................................. A B C D E F G H I J K L M O P V ....................................................... Z
L. Money for monthly arisan (savings lottery) ....................................................... A B C D E F G H I J K L M O P V ....................................................... X Z
M. Money for monthly savings .............................................................................. A B C D E F G H I J K L M O P V ....................................................... X Z
N. Time the husband spends socializing .............................................................. A B C D E F G H I J K L M O P V ....................................................... Z
O. Time the wife spends socializing ...................................................................... A B C D E F G H I J K L M O P V ....................................................... Z
P. Whether you/your spouse works? .................................................................... A B C D E F G H I J K L M O P V ....................................................... Z
INTERVIEWER NOTE : ASK WHETHER RESPONDENT OR SPOUSE DOES OR DOES NOT WORK
Q. Whether you and your spouse use contraception? ..........................................
INTERVIEWER NOTE : ASK FOR COUPLES USING AND NOT USING CONTRACEPTION A B C D E F G H I J K L M O P V ....................................................... Y Z
Code PK18: X. Never used money for this purpose.Y. Never consider the use of contraception.W. No childrenV. OTHER Z. CAN’T ANSWER
B3A_PK2 BOOK IIIA - 30 IFLS5

PK19a. CAPI CHECK : RESPONDENT IS PANEL RESPONDENT No ........................................................ 3 PK20

Yes ....................................................... 1
PK19b. What was the date of your current/most recent marriage? DON’T KNOW ....................................... 8 PK20
(CAPI CEK KW02j or KW10 last column)
└─┴─┘ / └─┴─┴─┴─┘ ......................... 1
MONTH /YEAR
PK19c. CAPI CHECK : YEAR IN PK19b IS BEFORE 2007? Yes ...................................................... 1 SECTION BR
No ........................................................ 3 PK20
PK20. PK21.
At that time that you were married, was [...] alive? ANSWER PK21 IF “1” IS CIRCLED IN At the time that you were married/first cohabitate, how did the status of your parents compare to
BOTH PK20 COLUMNS the status of your parents-in-law?
(PK3TYPE)
PK20a. PK20b. PK20c. PK20d.
Father Mother Father-in-Law Mother-in-Law
1. Yes 1. Yes 1. Yes 1. Yes
3. No 3. No 3. No 3. No
INTERVIEWER NOTE: (CIRCLE 1 (YES), 3 (NO)
IN EACH COLUMN FOR LINES A-H. BASED ON THE INFORMATION IN
PK20a-PK20d.
A. 1 1 Father’s job Higher Lower NA UA DK
3 3 1 2 3 4 5 6 7 8
B. 1 1 Father’s education Higher Lower NA UA DK
3 3 1 2 3 4 5 6 7 8
C. 1 1 Mother’s education Higher Lower NA UA DK
3 3 1 2 3 4 5 6 7 8
PK20abx. PK20cdx.
CIRCLE “1” IF EITHER MOTHER CIRCLE “1” IF EITHER MOTHER-IN-
OR FATHER WAS ALIVE LAW OR FATHER-IN-LAW WAS ALIVE
D. 1 1 Position in community Higher Lower NA UA DK
3 3 1 2 3 4 5 6 7 8
E. 1 1 Quality of house/neighborhood Higher Lower NA UA DK
3 3 1 2 3 4 5 6 7 8
F. 1 1 Earnings Higher Lower NA UA DK
3 3 1 2 3 4 5 6 7 8
G. 1 1 Land Higher Lower NA UA DK
3 3 1 2 3 4 5 6 7 8
H. 1 1 Other assets Higher Lower NA UA DK
3 3 1 2 3 4 5 6 7 8
Code PK21 :
1. Much higher 5. Much lower
2. Somewhat higher 6. PARENT(S) NOT ALIVE AT TIME OF MARRIAGE (NA)
3. About the same 7. UNWILLING TO ANSWER (UA)
4. Somewhat lower 8. DON’T KNOW (DK)
B3A_PK1, B3A_PK3 BOOK IIIA - 31 IFLS5

SECTION BR (PREGNANCY SUMMARY)
Now, I would like to ask about your pregnancy history.
BR00xa. CAPI CHECK : MALE (COV5) .................................. 1SECTION MG BR09. How many sons were born alive but
BOOK COVER passed away later? └─┴─┘
PANEL RESPONDENT BOOK IV .... 2SECTION MG
Males
LESS THAN 50 YEARS (C0V3) , FEMALE (COV5) AND HAS BR10. How many daughters were born alive
EVER MARRIED .............................. 3SECTION MG but passed away later? └─┴─┘
OVER 49 (COV3) AND Females
NOT RESPONDENT BOOK IV ........ 4 BR11. Have you ever had a pregnancy that No ............................................. 3  BR13
LESS THAN 50 YEARS (C0V3) ,FEMALE (COV5), ANDHAS resulted in a stillbirth?
Yes ............................................ 1
NEVER MARRIED............................ 5 BR12. How many stillbirths have you had? └─┴─┘
BR01. Now I would like to ask you about
all children that you have so far. No .................................................... 3  BR08 BR13. (Besides that) have you had any No ............................................. 3  BR15
Have you ever given birth? Yes .................................................. 1 miscarriages?
Yes ............................................ 1
BR02. Do you have biological sons or BR14.

No .................................................... 3  BR05 How many miscarriages have you └─┴─┘
daughters who are now living with had?
you? Yes .................................................. 1
BR15. INTERVIEWER GUIDELINE:
ADD THE NUMBERS (BR03, BR04, └─┴─┘
BR03. How many biological sons are now
BR06, BR07, BR09, AND BR10) AND
living with you? └─┴─┘ ENTER AMOUNT HERE: No ............................................. 3  REVISE
Males BR01-BR10
To confirm your answers, you have
BR04. How many biological daughters are had └─┴─┘ livebirths, is it correct ? Yes ............................................ 1
now living with you? └─┴─┘
Females
BR16. INTERVIEWER GUIDELINE:
USE LIST OF HOUSEHOLDERS TO VERIFY NUMBER OF RESPONDENT’S BIOLOGICAL CHILDREN WHO LIVE IN
THIS HOUSEHOLD. IF THE TOTAL OF BR03 + BR04 AND THE NUMBER OF RESPONDENT’S BIOLOGICAL ADD THE NUMBERS (BR12 AND BR14) └─┴─┘
CHILDREN IN LIST OF HOUSEHOLDERS DO NOT MATCH, DO SOME PROBING TO CONFIRM THE NUMBER. AND ENTER AMOUNT HERE:
REPEAT THE QUESTION BY MENTIONING EACH BIOLOGICAL CHILD’S NAME FROM LIST OF HOUSEHOLDERS Again, to confirm your answers, you No ............................................. 3  REVISE
(AR01). BR12-BR14
have had └─┴─┘ stillbirths and Yes ............................................ 1
BR05. Do you have biological sons or
No ............................................. 3  BR08 miscarriages, is it correct ?
daughters, who are still alive, but
do not live with you? Yes ........................................... 1
BR06. How many biological sons are still

alive, but do not live with you? └─┴─┘
Males
BR07. How many biological daughters are
still alive, but do not live with you? └─┴─┘
Females
BR08. Have you ever given live birth to a
son or daughter, who later passed No ............................................. 3  BR11
away though only lived for a while? Yes ........................................... 1
B3A_BR1 BOOK IIIA - 32 IFLS5

SECTION MG (MIGRATION)
MG04. Was the place when you were Village ...............................................1
Now I would like to ask you about your birthplace and your moves from one place to another. born a: Small town ........................................3
Big city ..............................................5
MG00x. CAPI CHECK COV2: Yes .......................................................... [1] MG18a DON’T KNOW ..................................8
PANEL RESPONDENT No ............................................................ [3] MG04a. When you were 12 years old did Yes .................................................... 1 MG18a
BOOK III (ar01g=1)? you live in the same place as the No ..................................................... 3
MG01. What is the […] name of A. Vill 1. ____________________ place where you were born?
your birthplace when you 3. Same as current residence 8. DK MG05. What was the [...] name of the A. Vill 1. ___________________
were born? B. Kec 1. _____________________ place where you lived when you 3. Same as name at birth (MG01) 8. DK
3. Same as current residence 8. DK were 12 years old (the name B. Kec 1. ___________________
C. Kab 1. ____________________ when you were age 12)? 3. Same as name at birth (MG01) 8. DK
3. Same as current residence 8. DK C. Kab 1. ___________________
D. Prov 1. ____________________ 3. Same as name at birth (MG01) 8. DK
3. Same as current residence 8. DK D. Prov 1. ___________________
E. Country 1. _____________________ 3.Same as name at birth (MG01) 8. DK
3. Same as current residence 8. DK E. Country 1. ___________________
MG02. To your best knowledge, DON’T KNOW ................................. 8 MG04 3.Same as name at birth (MG01) 8. DK
have any of the above No ................................................... 3 MG04 MG06.
To your best knowledge, have DON’T KNOW ................................ 8MG08
mentioned places changed Yes ................................................. 1 any of the above mentioned No ................................................... 3MG08
their names? places changed their names Yes .................................................. 1
MG02a. Is […] the current name? 3. No MG03b (since you were 12)?
1.Yes MG07. Is the name of [...] still the same A. Vill 1. _____________________________
MG03a. or has it been changed? 3. Same name as when I was 12 (MG05) 8. DK
What was the name when A. Vill 1. ________________________
you were born? 3. Same as current name (MG01) 8. DK B. Kec 1. _____________________________
3. Same name as when I was 12 (MG05) 8. DK
B. Kec 1. ________________________
3. Same as current name (MG01) 8. DK C. Kab 1. _____________________________
C. Kab 1. ________________________
3. Same as current name (MG01) 8. DK D. Prov 1. _____________________________
D. Prov 1. ________________________
3. Same as current name (MG01) 8. DK E. Country 1. _____________________________
E. Country 1. ________________________
3. Same as current name (MG01) 8. DK MG08. When you were 12, was the Village .............................................. 1
MG04 place a: Small town ....................................... 3
MG03b. What is the name now? A. Vill 1. ______________________________ Big city ............................................. 5
3. Same as name at birth (MG01) 8. DK DON’T KNOW ................................. 8
MG08a. When you were 12 ,were your NA ................................................... 6
B. Kec 1. ______________________________ No ................................................... 3
3. Same as name at birth (MG01) 8. DK biologal parents still married?
Yes .................................................. 1
C. Kab 1. ______________________________ MG08b. When you were 12, did you live NA ................................................... 6
3. Same as name at birth (MG01) 8. DK with your mother? No ................................................... 3
D. Prov 1. ______________________________ Yes ................................................... 1
3. Same as name at birth (MG01) 8. DK MG08c. When you were 12, did you live NA ................................................... 6
E. Country 1. ______________________________ with father? No ................................................... 3
3. Same as name at birth (MG01) 8. DK Yes ................................................... 1
B3A_MG1 BOOK IIIA - 33 IFLS5

HHID└─┴─┴─┘└─┴─┘└─┴─┘└─┴─┘ HHM └─┴─┘ PID└─┴─┴─┘└─┴─┘└─┴─┘└─┴─┘ NAME______________________________________
MG18a. CAPI CHECK : No .................................................... 3MG19b

Respondent is panel for Yes with preprinted .......................... 1 MG18c. To your best knowledge, have DON’T KNOW ................................. 8MG18e
Book IIIA ? any of the above mentioned No.................................................... 3MG18e
places changed their names? Yes .................................................. 1
MG18b. In 2007 when we A. Village: 1. ________________________________
interviewed you, you were MG18d. Is the name […] same or A. Vill: 1. _________________________
living in: changed? 3. Same as MG18b 8. DK
B. Kecamatan: 1. _______________________________
INTERVIEWER WRITE B. Kec: 1. _________________________
INFORMATION FROM 3. Same as MG18b 8. DK
PREPRINTED MIGRATION C. Kabupaten: 1. _______________________________
C. Kab: 1. _________________________
FORM. 3. Same as MG18b 8. DK
D. Province: 1. _______________________________ D. Prov: 1. _________________________
3. Same as MG18b 8. DK
E. Country: 1. _______________________________ E. Country: 1. _________________________
MG18e. Since 2007 when we No ......................................................3
MG18b1. CAPI CHECK : IF THE
YES ................................................. 1 MG18c interviewed you, have you Yes ....................................................1
RESPONDENT DOESN’T
AGREE ON MG18b, NO ........................................................ 3 ever moved across village to MG20b1
live at the new location more
MG18b2. A. Village: 1. ________________________________ than 6 months?
In 2007 when we
interviewed you, you were 3. Same as MG08b 8. DK MG19b. Have you ever moved since No ......................................................3MG20b1
living in: the age of 12? Yes ....................................................1
B. Kecamatan: 1. _______________________________
3. Same as MG08b 8. DK MG20b. Have you ever moved across No ......................................................3
C. Kabupaten: 1. _______________________________ village to live at the new Yes ....................................................1
3. Same as MG08b 8. DK location more than 6 months?
MG20b1. CAPI CHECK MG18a: Yes ....................................................1MG20c left column
D. Province: 1. _______________________________
PANEL RESPONDENT WITH No ......................................................3MG20c right column
MG PREPRINTED?
E. Country: 1. _______________________________

CAPI CHECK : PANEL RESPONDENT WITH PREPRINTED MG………………………..[1] CAPI CHECK : NEW RESPONDENT............................................................................................. [3]
 
ASK MG21-MG40 FOR EACH MIGRATION SINCE 2007 TO PANEL RESPONDENT ASK MG21-MG40 FOR EACH MIGRATION SINCE THE RESPONDENT WAS 12 YEARS OLD
MG20c. Now we would like to ask you how many times you moved since interview in 2007across village and stayed MG20c. Now we would like to ask you how many times you moved across village since 12 years old and stayed for six months or
for six months or more? more?
MG20c. NUMBER OF MIGRATION └─┴─┘

MGG20d. CAPI CHECK : IF MG20c = 00 ....................... 3 SECTION TK
IF MG20c> 00 ........................ 1 SECTION MG21
CAPI CHECK : IF MIGRATIONS ARE MORE THAN 4 TIMES, CONTINUE AT A SUPPLEMENTAL PAGE FOR THE FIFTH MIGRATION SUPPLEMENT MG21

ND TH
MOVENUM: NUMBER IF MIGRATION 1ST 2 3RD 4
MG21. What is the [...] name of the [...] destination? A. Vill: 1. __________________ A. Vill: 1. __________________ A. Vill: 1. __________________ A. Vill: 1. __________________
3. Same as current residence 3. Same as current residence 3. Same as current residence 3. Same as current residence
B. Kec: 1. __________________ B. Kec: 1. __________________ B. Kec: 1. __________________ B. Kec: 1. __________________
C. Kab: 1. __________________ C. Kab: 1. __________________ C. Kab: 1. __________________ C. Kab: 1. __________________
D. Prov: 1. __________________ D. Prov: 1. __________________ D. Prov: 1. __________________ D. Prov: 1. __________________
3. Same as current residence8. 3. Same as current residence8. 3. Same as current residence8. 3. Same as current residence8.
DON’T KNOW DON’T KNOW DON’T KNOW DON’T KNOW
E. Country: 1. __________________ E. Country: 1. __________________ E. Country: 1. __________________ E. Country: 1. __________________
MG22. To your best knowledge, have any of the DON’T KNOW ................ 8 MG24 DON’T KNOW ................ 8 MG24 DON’T KNOW ................ 8 MG24 DON’T KNOW ................ 8 MG24
above mentioned places changed their No ................................... 3 MG24 No ................................... 3 MG24 No ................................... 3 MG24 No ................................... 3 MG24
names? Yes ................................ 1 Yes ................................ 1 Yes ................................ 1 Yes ................................. 1
MG23. Is the [...] name still the same (as MG21) or A. Vill: 1. _____________________ A. Vill: 1. _____________________ A. Vill: 1. _____________________ A. Vill: 1. _____________________
has it been changed? 3. Same as above MG21 3. Same as above MG21 3. Same as above MG21 3. Same as above MG21
B. Kec: 1. _____________________ B. Kec: 1. _____________________ B. Kec: 1. _____________________ B. Kec: 1. _____________________
3. Same as above MG21 3. Same as above MG21 3. Same as above MG21 3. Same as above MG21
C. Kab: 1. _____________________ C. Kab: 1. _____________________ C. Kab: 1. _____________________ C. Kab: 1. _____________________
D. Prov: 1. _____________________ D. Prov: 1. _____________________ D. Prov: 1. _____________________ D. Prov: 1. _____________________
E. Country: 1. _____________________ E. Country: 1. _____________________ E. Country: 1. _____________________ E. Country: 1. _____________________
MG24. When did you move to (DESTINATION)? 1. └─┴─┘ / └─┴─┴─┴─┘MG26 1. └─┴─┘ / └─┴─┴─┴─┘MG26 1. └─┴─┘ / └─┴─┴─┴─┘MG26 1. └─┴─┘ / └─┴─┴─┴─┘MG26
Month Year Month Year Month Year Month Year
MG25. How old were you when you moved?
└─┴─┘Year └─┴─┘Year └─┴─┘Year └─┴─┘Year

ND TH
MOVENUM: NUMBER IF MIGRATION 1ST 2 3RD 4
MG26. Was the place a: Village ...................................... 1 Village ...................................... 1 Village ...................................... 1 Village ...................................... 1
(BASED ON MG21 & MG23) Small town ............................... 3 Small town ............................... 3 Small town ............................... 3 Small town ............................... 3
Big city ..................................... 5 Big city ..................................... 5 Big city ..................................... 5 Big city ..................................... 5
DON’T KNOW ......................... 8 DON’T KNOW ......................... 8 DON’T KNOW ......................... 8 DON’T KNOW ......................... 8
MG27. How many kilometers is the distance from
(PREVIOUS PLACE) to (DESTINATION) └─┘,└─┴─┴─┘Km ..................... 1 └─┘,└─┴─┴─┘Km ..................... 1 └─┘,└─┴─┴─┘Km ..................... 1 └─┘,└─┴─┴─┘Km ..................... 1
DON’T KNOW .......................... 8 DON’T KNOW .......................... 8 DON’T KNOW .......................... 8 DON’T KNOW .......................... 8
MG28. What was the main purpose for your move to
(DESTINATION)?
02. Education/training-related 02MG31 01 MG29 01 MG29 01 MG29
03. Military career-related 03 MG31
Family related: 02MG31 02MG31 02MG31
04. Marriage 04 MG34 03 MG31 03 MG31 03 MG31
05. Pregnancy 05  MG34
06. Death of spouse 06 MG34 04 MG34 04 MG34 04 MG34
07. Sickness of self/spouse 07 MG34 05  MG34 05  MG34 05  MG34
08. Migration with family 08 MG34 06 MG34 06 MG34 06 MG34
09. To be closer to family 09 MG34 07 MG34 07 MG34 07 MG34
10. Death of other 10 MG34 08 MG34 08 MG34 08 MG34
11. Sickness of other 11 MG34 09 MG34 09 MG34 09 MG34
12. Live w/family member 12 MG34 10 MG34 10 MG34 10 MG34
13. To be independent, separate from 11 MG34 11 MG34 11 MG34
parents 13 MG34 12 MG34 12 MG34 12 MG34
14. Political disturbance 14 MG34
15. Eviction 15 MG34 13 MG34 13 MG34 13 MG34
16. Like the destination 16 MG34 14 MG34 14 MG34 14 MG34
17. Transmigration 17 MG34 15 MG34 15 MG34 15 MG34
19. Dry season/drought 19 MG34 16 MG34 16 MG34 16 MG34
22. Family problem 22 MG34 17 MG34 17 MG34 17 MG34
23. New housing opportunity 23  MG34 19 MG34 19 MG34 19 MG34
24. Divorce 24 MG34 22 MG34 22 MG34 22 MG34
25 Natural and other disasters 25  MG34a 23  MG34 23  MG34 23  MG34
95. Other ............................................... 95 ..........................................  MG34 24 MG34 24 MG34 24 MG34
01. Work-related (fired, retired, end-of- 25  MG34a 25  MG34a 25  MG34a
contract) (non-military) 01 95 ..........................................  MG34 95 ..........................................  MG34 95 ..........................................  MG34
MG29. Whose work?
02. Husband/wife 02 MG34 02 MG34 02 MG34 02 MG34
03. Birth parents 03 MG34 03 MG34 03 MG34 03 MG34
04. Siblings 04 MG34 04 MG34 04 MG34 04 MG34
05. Biological child 05 MG34 05 MG34 05 MG34 05 MG34
06. Other family member 06 MG34 06 MG34 06 MG34 06 MG34
07. Not a family member 07 MG34 07 MG34 07 MG34 07 MG34
01. Self 01 01 01 01

ST ND TH
MOVENUM: NUMBER OF MIGRATION 1 2 3RD 4
MG30. In what connection was your move made? 1 1 1 1
1. To get work at the destination 2 2 2 2
2. To search for new job opportunities due to
job market limitation at previousplace
3 3 3 3
3. Company transfer/relocation 4 4 4 4
4. Retirement 6 6 6 6
6. Job problem 7 7 7 7
7. Be closer to job 5 ........................................................... 5 ........................................................... 5 ........................................................... 5............................................................
5. Other ................................................  MG34  MG34  MG34  MG34
MG31. Whose education/training/military career? Self ................................................... 1 Self ................................................... 1 Self ................................................... 1 Self ................................................... 1
Husband/wife .................................... 2 Husband/wife .................................... 2 Husband/wife .................................... 2 Husband/wife .................................... 2
Other family member ........................ 3 Other family member ........................ 3 Other family member ........................ 3 Other family member ........................ 3
Not a family member ........................ 4 Not a family member......................... 4 Not a family member......................... 4 Not a family member......................... 4
 MG34  MG34  MG34  MG34
MG34a. What kind of natural disaster? Flood ................................................ 01 Flood................................................. 01 Flood................................................. 01 Flood................................................. 01
Landslide/mudslide ........................... 02 Landslide/mudslide ........................... 02 Landslide/mudslide ........................... 02 Landslide/mudslide ........................... 02
Mudflow ............................................ 03 Mudflow ............................................ 03 Mudflow ............................................ 03 Mudflow ............................................ 03
Volcanic eruption .............................. 04 Volcanic eruption .............................. 04 Volcanic eruption .............................. 04 Volcanic eruption .............................. 04
Earthquake ....................................... 05 Earthquake ....................................... 05 Earthquake ....................................... 05 Earthquake ....................................... 05
Tsunami ............................................ 06 Tsunami ............................................ 06 Tsunami ............................................ 06 Tsunami ............................................ 06
Windstorm ........................................ 07 Windstorm ........................................ 07 Windstorm ........................................ 07 Windstorm ........................................ 07
Forest fire ......................................... 08 Forest fire ......................................... 08 Forest fire ......................................... 08 Forest fire ......................................... 08
Fire ................................................... 09 Fire ................................................... 09 Fire ................................................... 09 Fire ................................................... 09
Social Conflic .................................... 10 Social Conflic .................................... 10 Social Conflic .................................... 10 Social Conflic .................................... 10
MG34. Did you move together with other No ............ 3MG39 No ............ 3 MG39 No ............ 3 MG39 No ............ 3 MG39
householders? Yes .......... 1 Yes .......... 1 Yes .......... 1 Yes .......... 1
MG35. How many householders moved with you?
└─┴─┘ Persons └─┴─┘ Persons └─┴─┘ Persons └─┴─┘ Persons
MG36. Who moved together with you at the time of
the move?(CIRCLE ALL THAT APPLY)
A. Husband/wife .................................... A A A A
B. Father ............................................... B B B B
C. Mother .............................................. C C C C
D. Brother.............................................. D D D D
E. Sister ................................................ E E E E
F. Parents/sister/brother-in-laws ........... F F F F
G. Children ............................................ G G G G
I. Not a family member ........................ I I I I
H. Other family member ........................ V ........................................................... V ........................................................... V ........................................................... V ...........................................................
MG39. After this move was there any other move which
crossed the village (Desa) border line for 6 or
more months? (Including the move to this Yes ....... 1  MG21 NEXT COLUMN Yes ....... 1  MG21 NEXT COLUMN Yes .......1  MG21 NEXT COLUMN Yes ....... 1  MG21 SUPPLEMENT
residence, even if it has lasted for less than six No……..3 SECTION TK No……..3 SECTION TK No……..3 SECTION TK No……..3 SECTION TK
months.)

SECTION TK (EMPLOYMENT)
Now we would like to ask about your work experience.
TK01a. During the past week, did you Yes No
do any of these activities? a. Work for pay 1 3
b. Attend school 1 3
c. Housekeeping 1 3
d. Job searching 1 3
TK01. What was your primary activity Working/trying to work/helping
during the past week? to earn income ........................................ 01TK16c1
Job searching .......................................... 02
Attending school...................................... 03
Housekeeping ......................................... 04
Retired .................................................... 05
Sick/disable ............................................. 07
Other ....................................................... 95
TK02. Did you work/try to work/help to Yes .......................................................... 1TK16c1
earn income for pay for at least No ........................................................... 3
1 hour during the past week?
TK03. Do you have a job/business, but Yes .......................................................... 1TK16c1
were temporarily not working No ........................................................... 3
during the past week?
TK04. Did you work at a family-owned Yes .......................................................... 1TK16c1
(farm or non-farm) business No ........................................................... 3
during the past week?
TK05. Have you ever worked before? No ........................................................... 3TK16d
Yes .......................................................... 1
TK06a. Did you last work in 2006 or Yes .......................................................... 1TK16d
later? No ........................................................... 3
TK07. When did you work for the last
time? Year └─┴─┴─┴─┘
TK08. Why haven’t you worked again Retirement .............................................. A
since that year? Prolonged sickness .................................. B
Handicap .................................................. C
(CIRCLE ALL THAT APPLY) Marriage ................................................... D
Too old ..................................................... E
Have a child ............................................. F
Family responsibilities .............................. N
Forbidden ................................................. O
Other family reason .................................. P
Fired ......................................................... Q
Cannot find work ...................................... R
Do not want to work ................................. S
Company closed/moved/bankrupt ............ T
Other ........................................................ V
B3A_TK1 BOOK IIIA - 39 IFLS5

TK15. Which category best describes Unpaid family worker................................ 06TK16c TK16h. What is the main reason not Feel impossible to find a job ............................01
the work you did in your last Self employed .......................................... 01 looking for a job? Already has a job, but has not started yet .......02
job? Self-employed with unpaid family Attending school ..............................................03
worker/temporary worker ......................... 02 Housekeeping .................................................04
Self-employed with permanent worker ..... 03 Already has a business ...................................05
Government worker.................................. 04 Do not need to .................................................06
Private worker .......................................... 05 Do not able to do work ....................................07
Casual worker in agriculture ..................... 07 Too old ............................................................08
Casual worker not in agriculture ............... 08 Other ...............................................................95
TK16a. What was your monthly income TK16i. In the past 12 months, have you No................................................................... 3TK16k
when you were working at that └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. ..... 1TK16b been preparing to set up a Yes ................................................................. 1
job? DON’T KNOW .......................................... 8 business?
TK16a1. Is it below Rp […], about Rp […], Breakpoints: Rp 2 millions, Rp 8 millions, Rp 10 millions TK16j. What activities have you done in Yes No
or above Rp […] ? CAPI randomizes entry points: preparing to set up a business a. Looked for capital 1 3
(UNFOLDING BRACKETS) in the last 12 months? b. Looked for place of business 1 3
c. Arranged for business license 1 3
d. Done nothing 1 3
TK16b. Was that a […? Wage........................................................................ 1
Net profits (after taking out costs) ............................ 3
TK16k. CAPI CHECK : IF TK05=1 AND TK06a =1 ......................................... 2 TK28
TK16d
IF TK05=1 AND TK06a=3 ......................................... 3 TK47x
TK16c. What is the name of your Name _______________________ AR00└─┴─┘
employer? IF TK05=3 .................................................................. 4SECTION SI
TK16d IF TK01=1 OR TK02=1 OR TK03=1 OR TK04=1 ..... 1
TK16c1. How satisfied are you with your Very satisfied............................. 1
current job? Satisfied .................................... 2
Unsatisfied ................................ 3 A. PRIMARY JOB
Very unsatisfied......................... 4 THE JOB WHICH CONSUMES THE MOST TIME
TK16d. In the past one month, have you No ............................................................ 3TK16h TK18A. Where do you work on your [...] __________________________________________
been looking for a job? Yes ........................................................... 1 job? (ENTER NAME OF __________________________________________
TK16e. How long have you been 1 └─┴─┘ weeks COMPANY/EMPLOYER)
__________________________________________
looking for a job in the past one 2. └─┴─┘ days
month? TK18Aa. What is the address of the __________________________________________
Yes No company? __________________________________________
TK16f. What activities have you done
for your job search? a. Registered with government job fairs 1 3 TK18Ab. What is telephone number of the A.Phone └─┴─┴─┴─┘└─┴─┴─┴─┴─┴─┴─┴─┘
b.Registered with private job fairs 1 3 company?
c. Registered with school/university job fairs 1 3 B. Cellphone └─┴─┴─┴─┴─┴─┴─┴─┴─┴─┴─┴─┴─┘
d. Contacted company 1 3 Belonging to_________________
e. Responded to job ads 1 3 W.NA
f. Contacted friends/relatives 1 3
g. Done nothing 1 3 Y.DK
TK19A. What does your company __________________________________________
TK16g. Do you have a valid “Yellow Yes ............................................ 1
produce? __________________________________________
Card”? No ............................................. 3
TK16i TK19Ab. CODE FOR SECTORS └─┴─┘
TK20A. What are your primary duties at __________________________________________
your workplace?
TK20aA. How many people work at your └─┴─┘,└─┴─┴─┘ Persons ..................... 1TK21A
firm? DON’T KNOW .................................................... 8
B3A_TK1, B3A_TK2 BOOK IIIA - 40 IFLS5

TK24A2. By what system were you paid By piece ................................................... 01
TK20aB. Is it[…]? 1. 1- 4 people during the last month? Per day or hour ........................................ 02
2. 5-19 people Per week or month ................................... 03
3. 20-99 people Exchange labor ........................................ 04
4.  100 people Share of harvest/output ............................ 05
TK21A. What was the total number of By the job ................................................. 06
hours you worked during the past └─┴─┴─┘Hours/Week In kind....................................................... 07
week (on your job)? Other ........................................................ 95
TK22A. Normally, what is the approximate TK24A5. Do you work with a contract? No, work without contract ........................ 03 TK25A1
total number of hours you work per └─┴─┴─┘ Hours/Week Yes, with contract but not fixed time ....... 01 TK25A1
week? Yes, with fixed time contract .................... 02
TK23A. Approximately what is the total TK24A6. What is the term of your contract? 1. └─┴─┘ months
number of weeks you work per └─┴─┘Weeks/Year 2. └─┴─┘.└─┘year
year?
TK24A7. When did the current contract
TK23A2. How long have you worked on this └─┴─┘/└─┴─┴─┴─┘
└─┴─┘Years └─┴─┘ Months start?
job? Month / Year
TK23A4. Are you a member of a labor union Yes .............................................................1 TK25A1. Approximately what was your └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ....... 1TK25A2
or a business association? No ..............................................................3 salary/wage during the last month
(including the value of all DON’T KNOW .......................................... 8
TK24A. Which category best describes the Self employed ............................................01 TK25A4
work that you do? Self-employed with unpaid family benefits)?
worker/temporary worker ...........................02TK25A4 TK25A1a. Is it below Rp […], about Rp […], or Breakpoints: Rp 2 millions, Rp 8 millions, Rp 10 millions
Self-employed with permanent worker .......03TK25A4 above Rp […] ? CAPI randomizes entry points:
Government worker....................................04 TK24A2a (UNFOLDING BRACKETS) Rp 2 millions (2UP),
Private worker ............................................05 TK24A2a Rp 8 millions (1UP 1DOWN)
Casual worker in agriculture .......................07 TK24A2a
Casual worker not in agriculture .................08 TK24A2a TK25A2. Approximately what was your └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ....... 1 TK25A2b
Unpaid family worker..................................06 salary/wage during the last year
(including the value of all DON’T KNOW .......................................... 8
CODE TK19Ab benefits)?
Agriculture, forestry, fishing and hunting.......... 01 Wholesale, retail, restaurants and hotels ......................... 06 TK25A2a. Is it below Rp […], about Rp […], or Breakpoints: Rp 12 millions, Rp 40 millions, Rp 100 millions
Mining and quarrying....................................... 02 Transportation, storage and communications .................. 07 above Rp […] ? CAPI randomizes entry points:
Manufacturing ................................................. 03 Finance, insurance, real estate and business services .... 08
(UNFOLDING BRACKETS) Rp 12 millions (2UP),
Electricity, gas, water ...................................... 04 Social services ................................................................ 09
Construction.................................................... 05 Activities that cannot be classified ................................... 10 Rp 40 millions (1UP 1DOWN)
TK25A2b. What is the amount of year-end- └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ....... 1 TK25A3
TK24A1. What is the name of your _______________________________AR00└─┴─┘ bonus or other bonuses you
received during the last year? NOT APPLICABLE ................................... 6TK25A3
employer?
TK26A5 DON’T KNOW .......................................... 8
TK24A2a. How did you get this job? Through government job fairs .................. 01 TK25A2c. Is it below Rp […], about Rp […], or Breakpoints: Rp 2 millions, Rp 8 millions, Rp 10 millions
Through private job fairs ........................... 02 above Rp […] ? CAPI randomizes entry points:
School/university job fairs .......................... 03 (UNFOLDING BRACKETS) Rp 2 millions (2UP),
Responded to job ads ................................ 04
Contacted company ................................... 05
Through friends/relatives ............................ 06
Contacted by company .............................. 07
Outsourcing/recruitment agencies.............. 08
Employment bureau ................................... 09

TK25A3. Did you receive the following Yes No TK25A9. How many weeks of training did 3. Not receive any training in the last 12
benefits from your employer for a. Employer provided meals? 1 3 you receive r in the last 12 months TK26A5
this job? If yes, how many per day? months? 1. └─┴─┘Weeks
1. └─┘ times per day
2. Less than a week
2. Not every day
b. Raw food, not in form of meals? 1 3 What kind of training did you A. Computer
TK25A10.
c. Housing benefits? 1 3 receive in the last 12 months? B. Language
d. Transportation benefits? C. Technical training
1. Car? 1 3 D. Teamwork
2. Transportation allowance? 1 3 E. Leadership
e. Medical benefits? V. Other .........................................................
1. Employer paid some health expenses? 1 3 TK26A5
2. Employer provided health
insurance policy? 1 3 TK26A1. Approximately how much net profit Profit (+)
3. Employer provided health clinic 1 3 did you gain last month, after └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. .. 1
f. Credit 1 3 taking out all your business
g. Employer-provided pension 1 3 Loss ()
expenses?
h. Severance eligibility 1 3 └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. .. 2
TK26A3
TK25A3x. INTERVIEWEAR CHECK: YES ............................................................ 1 TK26A5
DON’T KNOW ................................................ 8
TK24A= 7 OR 8? NO ............................................................. 3
No pension plan ............................................ 6TK25A7 TK26A1a. Is it below Rp […], about Rp […], or Breakpoints: Rp 2 millions, Rp 8 millions, Rp 10 millions
TK25A4. What type of pension plan are you above Rp […] ? CAPI randomizes entry points:
enrolled in? TASPEN........................................................ 1 (UNFOLDING BRACKETS) Rp 2 millions (2UP),
ASABRI ......................................................... 2 Rp 8 millions (1UP 1DOWN)
JAMSOSTEK ................................................ 3
Other private pension .................................... 4 TK26A3. Approximately how much net profit Profit (+)
did you gain last year, after taking └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. .. 1
out all your business expenses? Loss ()
TK25A5. What is your out of pocket └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ................ 1
contribution to the pension fund DON”T KNOW .............................................. 8 └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. .. 2
each month? TK26A5
Annuity benefit per month/year ..................... 1 DON’T KNOW ................................................. 8
TK25A6. How will the pension benefit be
paid out? Lump sum payment at retirement ................. 2 TK26A3a. Is it below Rp […], about Rp […], or Breakpoints: Rp 12 millions, Rp 40 millions, Rp 100 millions
Combination of lump sum and annuity .......... 3 above Rp […] ? CAPI randomizes entry points:
TK25A7. What is your out of pocket └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ................ 1 Rp 40 millions (1UP 1DOWN)
contribution to the health DON”T KNOW .............................................. 8
insurance each month?
No health insurance ...................................... 6
Now we would like to ask you about the characteristics of your primary job.
TK25A7X. INTERVIEWEAR CHECK: TK24A=1, TK26A5. My job requires lots of physical 1. All/Almost all the time
2 OR 3 ? YES ............................................................... 1TK26A1 effort. 2. Most of the time
NO ................................................................ 3 3. Some of the time
4. None/Almost none of the time
TK25A8. Have you ever received any No ................................................................ 3TK26A5 TK26A6. My job requires lifting heavy loads. 1. All/Almost all the time
training from your employer? Yes ............................................................... 1 2. Most of the time
3. Some of the time
TK26A7. My job requires stooping, kneeling, 1. All/Almost all the time TK21B. What was the total number of hours
crouching. 2. Most of the time you worked during the past week └─┴─┴─┘Hours/Week
3. Some of the time (on your job)?
TK22B. Normally, what is the approximate
TK26A8. My job requires good eyesight. 1. All/Almost all the time └─┴─┴─┘ Hours/Week
total number of hours you work per
2. Most of the time
week?
3. Some of the time
4. None/Almost none of the time TK23B. Approximately what is the total
1. All/Almost all the time
number of weeks you work per └─┴─┘Weeks/Year
TK26A9. My job requires intense year?
concentration/attention. 2. Most of the time
3. Some of the time TK23B2. How long have you worked on this
4. None/Almost none of the time job? └─┴─┘Years └─┴─┘ Months
TK26A10. My job requires skill in dealing with 1. All/Almost all the time TK23B4. Are you a member of a labor union Yes ............................................ 1
people. 2. Most of the time or a business association? No .............................................. 3
3. Some of the time
CODE TK19Ab
TK26A11. My job requires me to work with 1. All/Almost all the time Agriculture, forestry, fishing and hunting ......... 01 Wholesale, retail, restaurants and hotels ......................... 06
computers. 2. Most of the time Mining and quarrying ...................................... 02 Transportation, storage and communications .................. 07
3. Some of the time Manufacturing ................................................. 03 Finance, insurance, real estate and business services .... 08
4. None/Almost none of the time Electricity, gas, water ...................................... 04 Social services ................................................................ 09
TK26A12. My job involves a lot of stress. 1. All/Almost all the time Construction.................................................... 05 Activities that cannot be classified ................................... 10
2. Most of the time
3. Some of the time
TK24B. Which category best describes the Self employed .......................................... 01 TK26B1
work that you do? Self-employed with unpaid family
TK27. Do you have any additional job? worker/temporary worker ......................... 02 TK26B1
No ......................................................... 3TK28 Self-employed with permanent worker .... 03 TK26B1
Yes ....................................................... 1 Government worker ................................. 04 TK24B1a
Private worker ......................................... 05 TK24B1a
B. ADDITIONAL JOB Casual worker in agriculture .................... 07 TK24B1a
ASK ABOUT THE ONE THAT CONSUMES MOST TIME Casual worker not in agriculture .............. 08 TK24B1a
Unpaid family worker ............................... 06
TK18B. Where do you work on your [...] job? TK24B1. What is the name of your employer? _______________________________ AR00 └─┴─┘
(ENTER NAME OF ________________________________________
COMPANY/EMPLOYER)  TK28
________________________________________
TK24B1a. How did you get this job? Through government job fairs .............................01
TK19B. What does you company produce? ________________________________________ Through private job fairs ......................................02
School/university job fairs .....................................03
________________________________________
Responded to job ads...........................................04
TK19Ba. CODE FOR SECTORS └─┴─┘ Contacted company..............................................05
Through friends/relatives ......................................06
TK20B. What are your primary duties at your Contacted by company .........................................07
workplace? ________________________________________
________________________________________
TK20Ba. How many people work at your firm? └─┴─┘,└─┴─┴─┘ Persons ..................... 1
DON’T KNOW .................................................... 8

TK24B2. By what system were you paid By piece .............................................................. 01 TK25B3. Did you receive the following Yes No
during the last month? Per day or hour.................................................... 02 benefits from your employer for this a. Employer provided meals? 1 3
Per week or month .............................................. 03 job? If yes, how many per day?
Exchange labor ................................................... 04 1. └─┘ times per day
Share of harvest/output ....................................... 05 2. Not every day
By the job ............................................................ 06 b. Raw food, not in form of meals? 1 3
In kind.................................................................. 07 c. Housing benefits? 1 3
Other ................................................................... 95 d. Transportation benefits?
TK24B5. Do you work with a contract? No, work without contract ....................... 03TK25B1 1. Car? 1 3
Yes, with contract but not fixed time ...... 01TK25B1 2. Transportation allowance? 1 3
Yes, with fixed time contract ................... 02 e. Medical benefits?
TK24B6. What is the term of your contract? 1 └─┴─┘ months 1. Employer paid some health expenses? 1 3
2. Employer provided health
2. └─┴─┘.└─┘ year
insurance policy? 1 3
TK24B7. When did the current contract start? 3. Employer provided health clinic 1 3
└─┴─┘/└─┴─┴─┴─┘ f. Credit 1 3
Month / Year g. Employer provided pension 1 3
TK25B1. Approximately what was your h. Severance eligibility 1 3
└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ....... 1TK25B2
salary/wage during the last month TK28 COLUMN 1
(including the value of all benefits)? DON’T KNOW .......................................... 8 Profit (+)
TK26B1. Approximately how much net profit
TK25B1a. Is it […]? Breakpoints: Rp 2 millions, Rp 8 millions, Rp 10 millions did you gain last month, after taking └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ...1
CAPI randomizes entry points: out all your business expenses? Loss ()
Rp 2 millions (2UP), └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ...2
Rp 8 millions (1UP 1DOWN) TK26B3
TK25B2. Approximately what was your └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ....... 1TK25B2b DON’T KNOW .................................................8
salary/wage during the last year TK26B1a. Is it below Rp […], about Rp […], or Breakpoints: Rp 2 millions, Rp 8 millions, Rp 10 millions
(including the value of all benefits)? DON’T KNOW .......................................... 8
above Rp […] ? CAPI randomizes entry points:
TK25B2a. Is it below Rp […], about Rp […], or Breakpoints: Rp 12 millions, Rp 40 millions, Rp 100 millions (UNFOLDING BRACKETS) Rp 2 millions (2UP),
TK26B3. Approximately how much net profit Profit (+)
Rp 40 millions (1UP 1DOWN) did you gain last year, after taking └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ...1
TK25B2b. What is the amount of year-end- └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ....... 1TK25B3 out all your business expenses? Loss ()
bonus or other bonuses you
received during the last year? NOT APPLICABLE ................................... 6TK25B3 └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. ...2
DON’T KNOW .......................................... 8 TK28 COLUMN 1
TK25B2c. Is it […]? Breakpoints: Rp 2 millions, Rp 8 millions, Rp 10 millions DON’T KNOW .................................................8
CAPI randomizes entry points: TK26B3a. Is it below Rp […], about Rp […], or Breakpoints: Rp 12 millions, Rp 40 millions, Rp 100 millions

Now we would like to ask about your employment in the past 9 years.
MAIN JOB IN THE PAST 8 YEARS 2014 2013 2012 2011 2010
TK28. Did you work in this year […] Yes .............................. 1 Yes .................................. 1 Yes .................................. 1 Yes .................................. 1 Yes .................................. 1
No ................................ 3 No ................................... 3 No .................................... 3 No ................................... 3 No .................................... 3
Interview is in 2007 ...... 6 NEXT COLUMN NEXT COLUMN NEXT COLUMN NEXT COLUMN
NEXT COLUMN
TK28x. INTERVIEWER NOTE: CIRCLE “1” IN THE COLUMN OF THE YEAR WHEN RESPONDENT WORKED (TK28=1). ASK TK30-TK34a ONLY FOR COLUMNS WHERE “1” IS CIRCLED
1. 2014 2. 2013 3. 2012 4. 2011 5. 2010 6. 2009 7. 2008 8. 2007
2014 2013 2012 2011 2010

1 1 1 1
TK30. Where did you work on your [...] job? ________________________ 3. Same with last column 3. Same with last column 3. Same with last column 3. Same with last column
(ENTER NAME OF ________________________
________________________ 1. ______________________ 1. ______________________ 1. ______________________ 1. ______________________
COMPANY/EMPLOYER)
TK31. What does you company produce? ________________________ 3. Same with last column 3. Same with last column 3. Same with last column 3. Same with last column
________________________
1. ______________________ 1. ______________________ 1. ______________________ 1. ______________________
TK31a. EDITOR: CODE FOR SECTOR

└─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘ └─┴─┘
TK32. What were your primary duties at ________________________ 3. Same with last column 3. Same with last column 3. Same with last column 3. Same with last column
your workplace? ________________________
1. ______________________ 1. ______________________ 1. ______________________ 1. ______________________
TK33. Which category best describes the work 06 └─┴─┘ AR00 of employer 06 └─┴─┘ AR00 of employer 06 └─┴─┘ AR00 of employer 06 └─┴─┘ AR00 of employer 06 └─┴─┘ AR00 of employer
you did?
01 04 01 04 01 04 01 04 01 04
02 05 02 05 02 05 02 05 02 05
03 07 03 07 03 07 03 07 03 07
08 08 08 08 08
TK33a. Did you have an additional job? Yes..................................... 1 Yes .....................................1 Yes .................................... 1 Yes ..................................... 1 Yes .................................... 1
No ...................................... 3 No.......................................3 No ...................................... 3 No ...................................... 3 No ...................................... 3
TK30 TK30 NEXT COLUMN TK30 NEXT COLUMN TK30 NEXT COLUMN TK30 NEXT COLUMN
CODE TK31a Code TK33

Agriculture, forestry, fishing and hunting ..... 01 Wholesale, retail, restaurants and hotels .......................... 06 Self employed .......................................................................... 01 Private worker/employee .................. 05
Mining and quarrying ................................... 02 Transportation, storage and communications ................... 07 Self employed with unpaid family woker/temporary worker ..... 02 Unpaid family worker ........................ 06
Manufacturing ............................................. 03 Finance, insurance, real estate and business services .... 08 Self employed with permanent worker ..................................... 03 Casual worker in non-agriculture ...... 07
Electricity, gas, water .................................. 04 Social services.................................................................. 09 Government worker/employee ................................................. 04 Casual worker in agriculture ............. 08
Construction ................................................ 05 Activities that cannot be classified .................................... 10

PEKERJAAN UTAMA SELAMA

2009 2008 2007
8 TAHUN TERAKHIR
TK28. Did you work in this year […] Yes...................................1 Yes .................................. 1 Yes .................................. 1
No ...................................3 No ................................... 3 No .................................. 3
NEXT COLUMN NEXT COLUMN NEXT COLUMN
2009 2008 2007

1 1
TK30. Where did you work on your [...] job? (ENTER 3. Same with last column 3. Same with last column 3. Same with last column
NAME OF COMPANY/EMPLOYER) 1. ______________________ 1. ______________________ 1. ______________________
TK31. What does you company produce? 3. Same with last column 3. Same with last column 3. Same with last column
1. ______________________ 1. ______________________ 1. ______________________
TK31a. EDITOR: CODE FOR SECTOR

└─┴─┘ └─┴─┘ └─┴─┘
TK32. What were your primary duties at your 3. Same with last column 3. Same with last column 3. Same with last column
workplace? 1. ______________________ 1. ______________________ 1. ______________________
TK33. Which category best describes the work you did? 06 └─┴─┘ AR00 of employer 06 └─┴─┘ AR00 of employer 06 └─┴─┘ AR00 of employer
01 04 01 04 01 04
02 05 02 05 02 05
03 07 03 07 03 07
08 08 08
TK33a. Did you have an additional job? Yes ..................................... 1 Yes ..................................... 1 Yes .................................... 1
No ...................................... 3 No ...................................... 3 No ...................................... 3
TK30 TK30 TK46a
CODE TK31a Code TK33

Agriculture, forestry, fishing and hunting ..... 01 Wholesale, retail, restaurants and hotels .......................... 06 Self employed .......................................................................... 01 Private worker/employee .................. 05
Mining and quarrying ................................... 02 Transportation, storage and communications ................... 07 Self employed with unpaid family woker/temporary worker ..... 02 Unpaid family worker ........................ 06
Manufacturing ............................................. 03 Finance, insurance, real estate and business services .... 08 Self employed with permanent worker ..................................... 03 Casual worker in non-agriculture ...... 07
Electricity, gas, water .................................. 04 Social services.................................................................. 09 Government worker/employee ................................................. 04 Casual worker in agriculture ............. 08
Construction ................................................ 05 Activities that cannot be classified .................................... 10

Now we want to ask about job quitting or job termination that you may have experienced in the last 5
years.
TK46a. In the last five years, have you been No..................... 3 TK47x TK46i. What type of company do you work 01. Government agencies
workingfor salary as private or Yes ................... 1 for? 02. State-owned company
government employee? 03. Domestic private company
04. Foreign/multinational company
05. Domestic worker (servants, driver, gardener, etc.)
TK46b. When you were working for salary in No..................... 3 TK47x TK46j. How long have you been working └─┴─┘years and└─┴─┘months
the last five years, have you Yes ................... 1 there before you stop working?
experienced job termination or quitted
your job? (NOT INCLUDING TK46k. When was the last time you received └─┴─┘ /└─┴─┴─┴─┘
MANDATORY RETIREMENT OR your wage/salary from that job?
Month Year
END OF CONTRACT)
TK46l. How much was your monthly
TK46c. How many times in the last five years └─┴─┘ times wage/salary for the last month you
did you quit your job or experienced └─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp.
were on the job?
job termination?
TK46m. What was the main reason your job 01. Fired by the company because business was closed
(NOT INCLUDING MANDATORY was terminated or you quitted your down/relocated/restructured
RETIREMENT OR END OF job?
CONTRACT) 02. Firedfor other reason
TK46d. When was the last time in the last 5 03. Wage/salary was too low
└─┴─┘ /└─┴─┴─┴─┘
years you quit your job or 04. Not conducive working environment
Month Year
experienced job termination? 05. Refused being relocated
(NOT INCLUDING MANDATORY 06. Prolonged sickness
RETIREMENT OR END OF
07. Marriage
CONTRACT)
08. Childbirth
Now we want to ask about the last job termination or job quitting as private or government employee. 09. Other family reason
95. Other , mention .....................................................
TK46e. Where did you work on your last job? _______________________________________
(ENTER NAME OF TK46n. Did you receive severance payment No ..................... 3 TK46r
_______________________________________
COMPANY/EMPLOYER) when you quit the job or when your Yes ................... 1
job was terminated?
TK46f. What did the company produce? _______________________________________ TK46o. How much severance payment were 1. └─┘times monthly wage/salary
you supposed to receive? 2. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp.
TK46g. EDITOR: CODE FOR SECTORS └─┴─┘ 8. DON”T KNOW
TK46h. How many employee did your 1. 1- 4 people TK46p. How much severance payment have
employer have? 2. 5-19 people you received so far? └─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp.
3. 20-99 people
TK46q. When did you first receive the 1. └─┴─┘ /└─┴─┴─┴─┘
4  100 people
severance payment? Month Year
8. DON’T KNOW
6. HAVE NOT RECEIVED ANY
CODE TK46g TK46r. Did you receive pension benefit from No ..................... 3 TK46x
Agriculture, forestry, fishing and hunting.......... 01 Wholesale, retail, restaurants and hotels ......................... 06 this job? Yes ................... 1
Mining and quarrying....................................... 02 Transportation, storage and communications .................. 07 TASPEN ....................................................... 1
TK46s. What type of pension?
Manufacturing ................................................. 03 Finance, insurance, real estate and business services .... 08 ASABRI......................................................... 2
Construction.................................................... 05 Activities that cannot be classified ................................... 10 JAMSOSTEK ................................................ 3
Other private pension .................................... 4

TK46t. What was the amount of the pension └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp............ 1 TK52. What were your daily primary duties ____________________________________
benefits you were supposed to DON”T KNOW ............................................... 8 at [...] ? ________________________________________
receive?
TK46u. What is the amount of the pension └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp............ 1 TK53. Normally, what was the approximate └─┴─┴─┘Hours/Week
benefits you have received? DON”T KNOW ............................................... 8 total number of hours you worked per
week on your primary job in [...] ?
TK46v. When did you start to receive the 1.└─┴─┘/└─┴─┴─┴─┘ 8. DON”T KNOW TK54. Approximately what was total number └─┴─┘Weeks/Year
pension benefit? Month / Year of weeks you worked per year on
TK46w. What was the out-of-pocket money your primary job in [...] ?
└─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. .......... 1
you need to pay per month for the TK55. Which category best describes the Self employed ....................................... 01SECTION RE
DON’T KNOW ......................................... 8
pension? work you did in your last job? Self-employed with unpaid family
worker/temporary worker ...................... 02SECTION RE
TK46x. CAPI CHECK TK46n=1 OR TK46r NO ............................................................. 3TK47x
=1 YES ........................................................... 1 Self-employed with permanent worker . 03SECTION RE
Unpaid family worker ............................ 06SECTION RE
TK46y. Were you satisfied with the terms of Very satisfied ........................................... 1
Government worker .............................. 04
the severance and pension payment? Satisfied................................................... 2
Private worker ...................................... 05
Unsatisfied ............................................... 3
Casual worker in agriculture ................. 07
Very unsatisfied ....................................... 4
Casual worker in non-agriculture .......... 08
Now we would like to ask about your first job. TK55a. How did you get this job? Through government job fairs ................ 01
Through private job fairs ......................... 02
TK47x. CAPI CHECK COV2: PANEL YES .................................................... 1 SECTION RE School/university job fairs ........................ 03
RESPONDENT? NO ...................................................... 3 Responded to job ads.............................. 04
Contacted company................................. 05
Through friends/relatives ......................... 06
TK47. When did you start working full-time Work never primary activity ........... 6SECTION RE Contacted by company ............................ 07
for the first time? Year└─┴─┴─┴─┘ ........................... 1TK50 TK56. Approximately what was your monthly └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp. ......................... 1
THE MEANING OF WORKING DON’T KNOW ............................... 8 wage/salary/income in the year of [...] DON’T KNOW .................................................. 8
FULL-TIME IS THAT WORKING IS (including the value of all benefits)? SECTION RE
THE PRIMARY ACTIVITY.
TK48. What was your age when starting to └─┴─┘ Years
work full-time for the first time?
TK50. Where did you work [...] ? ____________________________________
(ENTER NAME OF
COMPANY/EMPLOYER)
TK50a. What did the company produce? _____________________________________
TK50b. CODE FOR SECTORS └─┴─┘
CODE TK50b
Agriculture, forestry, fishing and hunting.......... 01 Wholesale, retail, restaurants and hotels ......................... 06
Mining and quarrying....................................... 02 Transportation, storage and communications .................. 07
Manufacturing ................................................. 03 Finance, insurance, real estate and business services .... 08
Construction.................................................... 05 Activities that cannot be classified ................................... 10

SECTION RE (RETIREMENT)
RE11. The following are the reasons why some people retire. Please tell me whether, for you, these
RESPONDENT AGE<50 ........... 3SECTION SI were important reasons for retirement?
RE01. CAPI CHECK COV3: IS RESPONDENT 50
OR ABOVE? RESPONDENT AGE 50 .......... 1 A. Poor health 1. Very important
2. Moderately important
3. Somewhat important
RE02. Are you currently working? 3. Not working RE08 4. Not important at all
1. Working
B. Wanted to do other things 1. Very important
RE03. If you lose this job one year from now, how 1. Very easy
2. Moderately important
easy do you expect you would get a similar 2. Easy
job within a couple of months? 3. Difficult
1. Not important at all
4. Very difficult
RE04. Do you have any plan to stop working? 2. Change kind of work RE06 C. Didn’t like the work 1. Very important
3. Work for selfRE07 2. Moderately important
4. Will not stop workingRE08
4. Not important at all
5. Work until health failsRE08
6. Haven’t given much thought/no plan yetRE08 D. Want to spend more time with 1. Very important
1. Stop working family. 2. Moderately important
RE05. At what age do you plan to stop working? 1. Age: └─┴─┘years 4. Not important at all
2. Year └─┴─┴─┴─┘
8. DON’T KNOW
RE12a. Apakah I/B/S berhenti bekerja Yes ......................................................... 1
RE05a. Are you planning to change the work you No ........................................................ 3RE06a
(pensiun) karena melewati umur No ........................................................... 3
do? Yes ...................................................... 1
masa pensiun?
RE06. At what age do you plan to change the work 1. Age: └─┴─┘years
you do? 2. Year └─┴─┴─┴─┘ Did you receive any pension? No ........................................................... 3RE22
RE12.
6. No plan to change work Yes ......................................................... 1
RE06a. Are you planning to start worki for yourself? 3. NoRE08
1. Yes RE13. What type of pension TASPEN ................................................. 1
RE07. At what age do you plan to start work for 1. Age: └─┴─┘years ASABRI .................................................. 2
yourself? JAMSOSTEK .......................................... 3
2. Year └─┴─┴─┴─┘
Other private pension ............................. 4
RE08. Do you consider yourself […]? 1. RetiredRE09 RE14. How is/was the pension benefits Lump sum payment ................................ 2RE18
2. Partly retiredRE09 paid out? Lump sum payment in installments ........ 3RE18
3. Not retired Annuity benefit per month....................... 1
Combination of lump sum and annuity ... 4
RE08a. Did you ever quit from your main job and No .......................................................... 3RE24
continue to work? Yes ......................................................... 1 RE15. What is the amount of the pension └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. .......... 1
benefits you were supposed to DON”T KNOW ........................................ 8
receive per month?
RE09. When did you retire? 1. └─┴─┘/└─┴─┴─┴─┘
Month / Year
2. Age: └─┴─┴─┘ years RE16. What is the amount of the pension └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. .......... 1
benefits you received last month? DON”T KNOW ........................................ 8
RE10. What was your monthly salary the last └─┴─┴─┘, └─┴─┴─┘, └─┴─┴─┘ Rp. ........... 1
month before you retired? NA ................................................................... 6 RE17. When did you start receiving the 1. └─┴─┘/└─┴─┴─┴─┘
DON”T KNOW ................................................. 8 pension benefit? Month / Year
8. DON’T KNOW
B3A_RE1 BOOK IIIA - 49 IFLS5

SECTION RE (RETIREMENT)
RE18. What was the amount of the lump No lump sum payment ........................... 6RE21
sum pension payment you are └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. .......... 1
supposed to received? DON”T KNOW ........................................ 8
RE19. What was the amount of the lump └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. .......... 1
sum pension payment you have DON”T KNOW ........................................ 8
received?
RE20. When did you start to receive the 1. └─┴─┘/└─┴─┴─┴─┘

lump sum pension benefit? Month / Year
2. At retirement
RE21. What was the out-of-pocket monthly └─┴─┴─┘,└─┴─┴─┘,└─┴─┴─┘ Rp. .......... 1

contribution to your pension fund? DON”T KNOW ........................................ 8
RE22. All in all, would you say your 1. Satisfying

retirement has turned out to be 2. Moderately satisfying
satisfying, moderately satisfying, or 3. Not satisfying at alll
not at all satisfying?
RE23. Thinking about your retirement years 1. Better
compared to the years before you 2. About the same
retired, would you say your 3. Not as good
retirement years have been better, 6. RETIRED LESS THAN 1 YEAR AGO
about the same, or not as good?
RE24. Do you currently live with your NO CHILDREN....................... 6 SECTION SI

children? No ........................................... 3
Yes ......................................... 1
RE25.
In the next 5 years, do you expect to Yes ..................................1└─┴─┘└─┴─┘└─┴─┘
live with your children? (CAPI No ........................................... 3
PRELOAD ROSTERS
RE26. Do you expect you will need financial
help from your children in the next 5 Yes ..................................1└─┴─┘└─┴─┘└─┴─┘
years? (CAPI PRELOAD ROSTERS No ........................................... 3
RE27. In the past 12 months, did you receive
financial assistance from your Yes ..................................1└─┴─┘└─┴─┘└─┴─┘
children? (regardless of whether you No ........................................... 3
need it or not) (CAPI PRELOAD
ROSTERS
RE28. Do you expect to receive financial
assistance from your children in the Yes ..................................1└─┴─┘└─┴─┘└─┴─┘
next five years? (CAPI PRELOAD No ........................................... 3
ROSTERS
RE29. Do you expect to leave a
bequest/inheritance to one of your Yes ..................................1└─┴─┘└─┴─┘└─┴─┘
children? (CAPI PRELOAD No ........................................... 3
ROSTERS
B3A_RE1, B3A_RE2 BOOK IIIA - 50 IFLS5

SECTION SI:RISK AND TIME PREFERENCES
RANDOM_SI : A
SI01. Suppose you are offered two ways to 1. Rp 800 thousand per month
earn some money. SI11. Suppose you are offered two ways to 1. Rp 4 millionSI13
2. Rp 1.6 million or Rp 800 thousand per
earn income. 2. Rp 4 million or Rp 2 million
With option 1, you are guaranteed monthSI03
Rp 800 thousand per month. 8. DON’T KNOW With option 1, you are guaranteed an 8. DON’T KNOW
income of Rp 4 million per month.
With option 2, you have an equal
chance of ither the same income, Rp With option 2, you have an equal
800 thousand per month, or, if you are chance of earning either the same
lucky, Rp 1.6 million. per month, which income, Rp 4 million per month, or, if
is more. you are unlucky, Rp 2 million per
month, which is less.
Which option will you choose?
SI02. Are you sure? In option 2 you will get at 1. Still picks option 1 SI11 Which option will you choose?
least Rp 800 thousand per month and SI12. Are you sure? In option 1you will 1. Still picks option 1 SI21
you may get Rp 1.6 million per month. 2. Switches to option 2 always get Rp 4 million per month but
In option 1 you will always get Rp 800 8. DON’T KNOW in option 2 you may get Rp 4 million per 2. Switches to option 2
thousand per month. month but you may get only Rp 2 8. DON’T KNOW
SI03. Now, in option 2 you have an equal 1. Rp 800 thousand million per month..
chance of receiving either Rp. 1.6 SI13. Now, in option 2 you have an equal 1. Rp 4 million
million per month or Rp. 400 thousand 2. Rp 1.6 million or Rp 400 thousandSI05 chance of receiving either Rp 12 million
per month, depending on how lucky you 8. DON’T KNOW per month or nothing, depending on 2. Rp 12 million or Rp 0 SI15
are. how lucky you are. 8. DON’T KNOW
Option 1 guarantees you an income of Option 1 guarantees you an income of
Rp 800 thousand per month. Rp 4 million per month.
Which option will you choose? Which option will you choose?
SI04. Now, in option 2 you have an equal 1. Rp 800 thousand SI14. Now, in option 2 you have an equal 1. Rp 4 million
chance of receiving either Rp 1.6 chance of receiving either Rp 8 million
million per month or Rp 600 thousand 2. Rp 1.6 million or Rp 600 thousand per month or Rp 2 million per month, 2. Rp 8 million or Rp 2 million
per month, depending on how lucky you 8. DON’T KNOW depending on how lucky you are. 8. DON’T KNOW
are.
SI11 SI21
Option 1 guarantees you an income of
Option 1 guarantees you an income of Rp 4 million per month.
Rp 800 thousand per month.
SI15. Now, in option 2 you have an equal 1. Rp 4 million
SI05. Now, in option 2 you have an equal 1. Rp 800 thousand chance of receiving either Rp 16 million
chance of receiving either Rp 1.6 million per month or having to pay out Rp 2 2. Rp 16 million or -Rp 2 million
per month or Rp 200 thousand per 2. Rp 1.6 million or Rp 200 thousand million per month depending on how 8. DON’T KNOW
month, depending on how lucky you 8. DON’T KNOW lucky you are.
are. SI21
SI11
Option 1 guarantees you an income of Rp 4 million per month.
B3A_SI BOOK IIIA - 51 IFLS5

RANDOM_SI: B
SI11. Suppose you are offered two ways to 1. Rp 4 millionSI13 SI01. Suppose you are offered two ways to 1. Rp 800 thousand per month
earn income. 2. Rp 4 million or Rp 2 million earn some money. 2. Rp 1.6 million or Rp 800 thousand per
With option 1, you are guaranteed an 8. DON’T KNOW With option 1, you are guaranteed monthSI03
income of Rp 4 million per month. Rp 800 thousand per month. 8. DON’T KNOW
With option 2, you have an equal With option 2, you have an equal
chance of earning either the same chance of ither the same income, Rp
income, Rp 4 million per month, or, if 800 thousand per month, or, if you are
you are unlucky, Rp 2 million per lucky, Rp 1.6 million. per month, which
month, which is less. is more.
Which option will you choose? Which option will you choose?
SI12. Are you sure? In option 1you will 1. Still picks option 1 SI01 SI02. Are you sure? In option 2 you will get at 1. Still picks option 1 SI22
always get Rp 4 million per month but least Rp 800 thousand per month and
in option 2 you may get Rp 4 million per 2. Switches to option 2 you may get Rp 1.6 million per month. 2. Switches to option 2
month but you may get only Rp 2 8. DON’T KNOW In option 1 you will always get Rp 800 8. DON’T KNOW
million per month.. thousand per month.
SI13. Now, in option 2 you have an equal 1. Rp 4 million SI03. Now, in option 2 you have an equal 1. Rp 800 thousand
chance of receiving either Rp 12 million chance of receiving either Rp. 1.6
per month or nothing, depending on 2. Rp 12 million or Rp 0 SI15 million per month or Rp. 400 thousand 2. Rp 1.6 million or Rp 400 thousand SI05
how lucky you are. 8. DON’T KNOW per month, depending on how lucky you 8. DON’T KNOW
are.
Rp 4 million per month. Option 1 guarantees you an income of
SI14. Now, in option 2 you have an equal Which option will you choose?
1. Rp 4 million
chance of receiving either Rp 8 million SI04. Now, in option 2 you have an equal 1. Rp 800 thousand
per month or Rp 2 million per month, 2. Rp 8 million or Rp 2 million chance of receiving either Rp 1.6
depending on how lucky you are. million per month or Rp 600 thousand 2. Rp 1.6 million or Rp 600 thousand
8. DON’T KNOW
per month, depending on how lucky you 8. DON’T KNOW
SI01 are.
Option 1 guarantees you an income of SI22
Rp 4 million per month.
Which option will you choose? Rp 800 thousand per month.
SI15. Now, in option 2 you have an equal 1. Rp 4 million
chance of receiving either Rp 16 million Which option will you choose?
per month or having to pay out Rp 2 2. Rp 16 million or -Rp 2 million SI05. Now, in option 2 you have an equal 1. Rp 800 thousand
million per month depending on how 8. DON’T KNOW chance of receiving either Rp 1.6 million
lucky you are. per month or Rp 200 thousand per 2. Rp 1.6 million or Rp 200 thousand
SI01 month, depending on how lucky you 8. DON’T KNOW
Option 1 guarantees you an income of are.
SI22
Rp 4 million per month.
Which option will you choose? Rp 800 thousand per month.

CAPI : GENERATE FOR GROUP SI21 –SI22 : RANDOM_SI: A
SI21. You have won the lottery. You can choose between being paid
A. 1. Rp 1 million today or 2. Rp 1 million in 1 year A 1. Rp 1 million todayB 2. Rp 1 million in 1 yearE

Which do you choose?
B. 1. Rp 1 million today or 2. Rp 3 million in 1 year B. 1. Rp 1 million todayC 2. Rp 3 million in 1 yearD

C. 1. Rp 1 million today or 2. Rp 6 million in 1 year C. 1. Rp 1 million todayS122 2. Rp 6 million in 1 yearSI22

D. 1. Rp 1 million today or 2. Rp 2 million in 1 year D. 1. Rp 1 million todaySI22 2. Rp 2 million in 1 yearSI22

E. Are you sure you prefer the same amount in the future although you get the same E. 1 . Yes SI22 3. No prefer Rp 1 million todayB
amount if you do not wait?
A. 1. Rp 1 million today or 2. Rp 500,000 in 5 years A 1. Rp 1 million todayB 2. Rp 0.5 million in 5 yearsE

B. 1. Rp 1 million today or 2. Rp4 million in 5 years B. 1. Rp 1 million todayC 2. Rp4 million in 5 yearsD
C. 1. Rp 1 million today or 2. Rp10 million in 5 years C. 1. Rp 1 million todaySECTION TR 2. Rp10 million in 5 yearsSECTION TR
D. 1. Rp 1 million today or 2. Rp2 million in 5 years D. 1. Rp 1 million todaySECTION TR 2. Rp2 million in 5 yearsSECTION TR
E. Are you sure you prefer the smaller amount in the future rather than a larger E. 1 . YesF 3. No prefer Rp 1 million todayB
amount without waiting?

CAPI : GENERATE FOR GROUP SI21 –SI22 : RANDOM_SI: B
A. 1. Rp 1 million today or 2. Rp 500,000 in 5 years A 1. Rp 1 million todayB 2. Rp 0.5 million in 5 yearsE

B. 1. Rp 1 million today or 2. Rp 4 million in 5 years B. 1. Rp 1 million todayC 2. Rp 4 million in 5 yearsD

C. 1. Rp 1 million today or 2. Rp 10 million in 5 years C. 1. Rp 1 million todayS121 A 2. Rp 10 million in 5 yearsS121 A

D. 1. Rp 1 million today or 2. Rp 2 million in 5 years D. 1. Rp 1 million todayS121 A 2. Rp 2 million in 5 yearsS121 A

E. Are you sure you prefer the smaller amount in the future rather than a larger E. 1 . YesS121 A 3. No prefer Rp 1 million todayB
amount without waiting?
A. 1. Rp 1 million today or 2. Rp 1 million in 1 year A 1. Rp 1 million todayB 2. Rp 1 million in 1 yearE

B. 1. Rp 1 million today or 2. Rp 3 million in 1 year B. 1. Rp 1 million todayC 2. Rp 3 million in 1 yearD

C. 1. Rp 1 million today or 2. Rp 6 million in 1 year C. 1. Rp 1 million todaySECTION TR 2. Rp 6 million in 1 yearSECTION TR

D. 1. Rp 1 million today or 2. Rp 2 million in 1 year D. 1. Rp 1 million todaySECTION TR 2. Rp 2 million in 1 yearSECTION TR

E. Are you sure you prefer the same amount in the future although you get the same E. 1 . YesSECTION TR 3. No prefer Rp 1 million todayB
amount if you do not wait?

SECTION TR:TRUST
Say you lost a wallet or a purse that contained Rp. 200.000 and your identity card. I’d like you
Now we want to ask you about trust in this village.
to think about how likely it is that it will be returned with the money if it were found by
TR01. I am willing to help people in this village if Strongly agree ................................. 1 someone else.
they need it. Agree............................................... 2 TR08. CSay it was found by someone A. B.
Disagree .......................................... 3 Ewho lives close by. Is it likely 11. Very likely
1or unlikely that it will be Is it […]? 1. Likely
Strongly disagree ........................... 4 12. Somewhat likely
9returned to you with the Rp.
TR02. In this village I have to be alert or Strongly agree ................................. 1 .200.000? 18. DON’T KNOW
someone is likely to take advantage of Agree............................................... 2 21. Somewhat unlikely
me. 2. Unlikely
Disagree .......................................... 3 22. Very unlikely
Strongly disagree ........................... 4 8. DON’T KNOW 28. DON’T KNOW
TR03. Taking into account the diversity of Strongly agree ................................. 1 TR09. CSay it was found by a police A. B.
ethnicities in the village, I trust people Eofficer. Is it likely or unlikely 11. Very likely
Agree............................................... 2 Is it […]? 1. Likely
withe same ethnicity as mine more. 2that it will be returned to you
Disagree .......................................... 3 12. Somewhat likely
0with the Rp. 200.000?
Strongly disagree ........................... 4 . 18. DON’T KNOW
TR04. I would be willing to leave my children Strongly agree ................................. 1 21. Somewhat unlikely
2. Unlikely
with myr neighbors for a few hours if I Agree............................................... 2 22. Very unlikely
cannot bring my children with along. 8. DON’T KNOW 28. DON’T KNOW
Disagree .......................................... 3
Strongly disagree ........................... 4 TR10. CSay it was found by a A. B.
Ecomplete stranger. Is it likely 11. Very likely
TR05. I would be willing to ask my neighbors to Strongly agree ................................. 1 2or unlikely that it will be Is it […]? 1. Likely
look after their house if I leave for a few 12. Somewhat likely
Agree............................................... 2 1returned to you with the Rp.
days? .200.000? 18. DON’T KNOW
Disagree .......................................... 3
21. Somewhat unlikely
Strongly disagree ........................... 4 2. Unlikely
22. Very unlikely
TR06. How safe do you consider this village? Very safe ......................................... 1
Safe ................................................. 2
Unsafe ............................................. 3
Very unsafe .................................... 4
TR07. In most parts of the village, is it safe for Very safe ......................................... 1
you to walk alone at night? Safe ................................................. 2
Unsafe ............................................. 3
Very unsafe .................................... 4
B3A_TR BUKU IIIA - 55 IFLS5

SECTION TR:TRUST
TR11. How religious are you? 1. Very religious TR18. Do you observe a certain Yes, vegetarian/mutih .........................................1
2. Religious diet for spiritual reason? Yes, don’t eat animals except fish ..........................2
3. Somewhat religious Yes, don’t eat read meat .........................................3
4. Not religious Yes, don’t eat beefi ..................................................4
7. REFUSED Yes, other dietary resriction .....................................5
TR12. What is your religion? 2. Catholic TR15 No dietary restriction................................................6
3. Protestant  TR15 TR23
4. Hindu TR17 TR19. Do you practice puja Every day ........................................................ 1
5. Budha TR19 mantra/meditation/ to Every week/every 1st or 15th of the month
6. KonghucuTR21 Vihara/ or in temple? According to Chinese calendar ........................ 2
96. NOT APPLICABLETR23 Don’t practice .................................................. 3
1. Islam Sometimes ...................................................... 6
TR12a. Which Islamic tradition do 1. Nahdlatul Ulama (NU) REFUSED ....................................................... 7
you feel closest to? 2. Muhammadiyah TR20. Are you a vegetarian? No .................................................................... 3
95. Others, please mention: …................ Yes .................................................................. 1
TR13. How many times do you TR21. Do you pray/perform Every day ........................................................ 1
└─┴─┘ times ................................................... 1
pray each day? rituals? Every week ...................................................... 2
Not every day .................................................. 2
No .................................................................... 3
Do not practice ............................................... 3
Sometimes ...................................................... 6
REFUSED ....................................................... 7
REFUSED ....................................................... 7
TR14a. Did you 1. Yes, more than once a week.
TR23
attend/participate in 2. Yes, at least once a week.
pengajian/ taklim/ TR22. Do you practice individual No .................................................................... 3
3. Yes, at least once a month.
ceramah development according Yes .................................................................. 1
4. Yes, less than once a month. to your faith?
(prayer/religious 5. No
meetings) in the past 12 TR23. Taking into account the Strongly agree ................................................. 1
7. REFUSED diversity of religions in
months? Agree ............................................................... 2
 TR 23 the village, I trust people Disagree .......................................................... 3
TR15. How often do you Before each activities ...................................... 1 withe same religion as
Strongly disagree ............................................ 4
pray/read the bible? mine more.
Morning and evening ....................................... 2
TR24. How do you feel if Strongly objected ............................................ 1
Once a day ...................................................... 3
someone with different Objected .......................................................... 2
Sometimes ...................................................... 4
faith from you live in your No objection .................................................... 3
Do not practice ................................................ 5 village?
REFUSED ....................................................... 7 No objection at all ............................................ 4
TR25. How do you feel if Strongly objected ............................................ 1
TR16a. Do you actively 1. Yes, more than once a week.
participate in religious 2. Yes, at least once a week.
faith from you live in your No objection .................................................... 3
activities such as prayer 3. Yes, at least once a month. neighborhood? No objection at all ............................................ 4
fellowship, etc in the past 4. Yes, less than once a month.
12 months? 5. No TR26. How do you feel if Strongly objected ............................................ 1
7. REFUSED
faith from you rent a No objection .................................................... 3
 TR 23
room from you? No objection at all ............................................ 4
TR17. Do you practice Every day ........................................................ 1
risadya/meditation/ yoga/ During kajeng kliwon/full moon/tilem .............. 2 TR27. How do you feel if Strongly objected ............................................ 1
or pray in pura someone with different Objected .......................................................... 2
On holy days ................................................... 3
/sanggah/merajan/candi? faith from you marry one No objection .................................................... 3
Don’t practice .................................................. 4
of your close relatives or No objection at all ............................................ 4
Sometimes ..................................................... 6 children?
REFUSED ....................................................... 7

SECTION TR:TRUST
TR28. What do you think if Strongly objected ............................................ 1

people who have Objected .......................................................... 2
different faith from you No objection .................................................... 3
build a house of No objection at all ............................................ 4
worship in your
community?
TR29a. In an election, having Very likely ........................................................ 1
a candidate with the
Somewhat likely .............................................. 2
same religion as yours
makes it […] to vote Neither more or less likely .............................. 3
for him/her. Somewhat unlikely .......................................... 4
Very unlikely .................................................... 5
TR30a. In an election, if the Very likely ........................................................ 1
candidates have the
Somewhat likely .............................................. 2
same religion as yours,
how important is the Neither more or less likely .............................. 3
religiosity of a candidate Somewhat unlikely .......................................... 4
in influencing your Very unlikely .................................................... 5
decision to vote for him /
her?
A more religious
candidate makes it […]
to vote for him/her.
TR30b. In an election, if the Very likely ........................................................ 1
candidates have a
Somewhat likely .............................................. 2
different religion than
yours, how important is Neither more or less likely .............................. 3
the religiosity of a Somewhat unlikely .......................................... 4
candidate in influencing Very unlikely .................................................... 5
your decision to vote for
him/her?
A more religious
candidate makes it […]
to vote for him/her.

SECTION CP (INTERVIEW SESSION NOTES)
LANGMAIN. Interview was entirely/mostly conducted in what language?

└─┴─┘Other:
Other language used (if any):
LANGOTHR.
└─┴─┘Other:
CODE FOR LANGUAGE:
00. Indonesian 04. Batak 08. Sasak 12. Makassar 16. Toraja 20. Lampung
01. Javanese 05. Bugis 09. Minang 13. Nias 17. Lahat 96. NONE
02. Sundanese 06. Chinese 10. Banjar 14. Palembang 18. Other South Sumatra 95. Other
03. Balinese 07. Maduranese 11. Bima 15. Sumbawa 19. Betawi
C1.RESULT OF INTERVIEW OF BOOK III C2.REASON CODE FOR ANSWER “3”/”2” ON C1 C4. SUPERVISOR MONITORING
1. CompletedC4 1. Respondent was not at home/not available Yes No

2. Partially completed 2. Respondent was seriously ill a. Observed 1 3
3. Not completed 3. Respondent refused (to be interviewed)
b. Edited 1 3
5. Other: ..........................................................
c. Verified 1 3
B3A_COV BOOK I - 58 IFLS5

SECTION CP (INTERVIEW SESSION NOTES)
EVALUATION FORM FOR BOOK IIIA
CP1. WHO ELSE (OTHER PERSONS) BESIDES RESPONDENT CP2. WHAT IS YOUR EVALUATION OF THE ACCURACY OF CP3. WHAT IS YOUR EVALUATION ON THE SERIOUSNESS AND
WAS PRESENT DURING THE INTERVIEW? RESPONDENT’S ANSWERS? ATTENTIVENESS OF THE RESPONDENT?
ANSWER MAY BE MORE THAN ONE.
1. EXCELLENT 1. EXCELLENT
A. NO ONE 2. GOOD 2. GOOD
B. A CHILD 5 YEARS OLD OR UNDER 3. FAIR 3. FAIR
C. A CHILD OLDER THAN 5 YEARS OLD 4. NOT SO GOOD 4. NOT SO GOOD
D. HUSBAND/WIFE 5. VERY BAD 5. VERY BAD
E. AN ADULT, A HOUSEHOLDER
F. AN ADULT, NOT A HOUSEHOLDER
NOTES:
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Ifls5 Book 3a

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INTERVIEWER: ____________________ └─┴─┴─┘ CONFIDENTIAL HHID : └─┴─┴─┘└─┴─┘└─┴─┘└─┴─┘

INDONESIA FAMILY LIFE SURVEY 2014

B3A_COV BOOK IIIA - 1 IFLS5

COMPLETED FROM ROSTER

RANDOM_PNA. 1. LIST A 2. LIST B 3. LIST C 4. LIST D

NAT_ID. Do you have a national ID (KTP)? 1. Yes, regular ID card

BIRTH_CERT_REASON. Main reason not have a birth certificate : └──┘

1 Expensive 6 Complicated process

B3A_COV BOOK IIIA - 3 IFLS5

CODE DL01f, DL01g, DL01h

B3A_DL1 BOOK IIIA - 4 IFLS5

B3A_DL1 BOOK IIIA - 5 IFLS5

PANEL RESPONDENT BOOK 3 NEW RESPONDENT BOOK 3

B3A_DL1 BOOK IIIA - 6 IFLS5

B3A_DL2 BOOK IIIA - 7 IFLS5

B3A_DL3 BOOK IIIA - 8 IFLS5

DL16e. Total EBTANAS/UAN/UN 1. └─┴─┘.└─┴─┘ 1. └─┴─┘.└─┴─┘ 1. └─┴─┘.└─┴─┘

B3A_DL3, B3A_DL4 BOOK IIIA - 9 IFLS5

C. 3 └─┘ times F. 6 └─┘times C. 3 └─┘ times C. 3 └─┘ times

B. 2 └─┘ times E. 5 └─┘times B. 2 └─┘ times B. 2 └─┘ times B. 2 └─┘ times

C. 3 └─┘ times F. 6 └─┘times C. 3 └─┘ times C. 3 └─┘ times C. 3 └─┘ times

B3A_DL4 BOOK IIIA - 10 IFLS5

B3A_DL5 BOOK IIIA - 11 IFLS5

C2. Bidik Misi .............................................................................................................................................. . C2. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.

C3. Other non-BOS government assistance ................................................................................................ . C3. └─┴─┘,└─┴─┴─┘,└─┴─┴─┘Rp.

B3A_DL5 BOOK IIIA - 12 IFLS5

1 Frustrated 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

2 Sad 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

3 Enthusiastic 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

4 Lonely 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

5 Content 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

6 Worried 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

7 Bored 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

8 Happy 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

9 Angry 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

10 Tired 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

11 Stressed 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

12 Pain 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

B3A_PNA1, B3A_PNA2 BUKU IIIA - 14 IFLS5

1 Frustrated 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

9 Angry 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

7 Bored 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

10 Tired 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

2 Sad 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

8 Happy 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

3 Enthusiastic 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

11 Stressed 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

5 Content 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

6 Worried 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

4 Lonely 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

12 Pain 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

PNA06.. Yesterday, did you feel [….]?

8 Happy 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

4 Lonely 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

5 Content 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

11 Stressed 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

7 Bored 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very

9 Angry 1. Not at all 2. A little 3. Somewhat 4. Quite a bit 5. Very