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Israel Central Bureau of Statistics
Social Survey
Wave 3 – 2004
Core Questionnaire
Table of household members
Is your permanent address _____________ (the address which appears in the
Population Registry)?
1. Yes: Go to Q. 1
2. No: Continue with next question
What is your permanent address? ______________________
I’m going to ask you now about the people who live in this dwelling on a permanent
basis. What is your name?
Table of household members [a list of all household members, and information
collected for each person]
2 – 3. First and last name
Respondent only: Population registry ID number with check digit
4. Sex:
1. Male
2. Female
5. Year of birth: _______ [If 2003 or 2004, continue with Q. 5.1; else Go to Q. 6]
5.1 Month of birth: ________ (1: January….12: December)
6. Relationship to respondent:
1. Respondent
2. Spouse
3. Child
4. Parent
5. Spouses parent
6. Sibling
7. Grandchild
8. Grandparent
9. Brother/sister-in-law
10. Niece/nephew
11. Other - Lookup table opens with the following categories:
Son/daughter-in-law Tenant
Aunt/uncle Other relative
Cousin Other non-relative
Great-grandchild
Foster child
Boyfriend/girlfriend
Roommate
1
7. Country of birth (according to current boundaries):
1. Israel [Con
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