Caucasus Research Resource Centers

A Program of the Eurasia Partnership Foundation

CAUCASUS BAROMETER 2010

Cover sheet
V1. Country code [TO BE FILLED IN BY CRRC OFFICE] [COUNTRY] |____|
1. Capital
2. North East Urban
3. North East Rural
4. North West Urban
V2. Stratum [TO BE FILLED IN BY SUPERVISOR] [STRATUM] 5. North West Rural
6. South East Urban
7. South East Rural
8. South West Urban
9. South West Rural
Country code / Household Unique ID |____| |____|____|____|____|____|____| |____|____|
V3. [TO BE FILLED IN BY SUPERVISOR] Country code Cluster number HH number
[HHIDNUM] [COUNTRY] [PSIDNUM] [DWLLNUM]

V4. Interviewer code [TO BE FILLED IN BY INTERVIEWER] [INTCODE] |___|___|___|___|

V5a. [TO BE FILLED IN BY SUPERVISOR] Final classification of the interview [INTFNCL]

Full response 1

Partial response – Interview interrupted by the respondent

2
during or after question P1.

Partial response – Interview interrupted by the respondent’s

3
household member during or after question P1.

Partial response – Interview interrupted by the authorities

4
during or after question P1.

Non-response. 5

V5b. [TO BE FILLED IN BY CRRC PROGRAM MANAGER OR CRRC FIELDWORK SUPERVISOR]

Acceptance of the interview [INTACC]

Interview accepted 1

Interview disqualified 2

CB 2010 Cover Sheet 1

 |___|___| |___|___| |___|___| : |___|___|
Date and time of first attempt (24 hour clock)
V6. Day Month Hour Minute
[TO BE FILLED IN BY INTERVIEWER]
[ADATE1] [ATIME1]

[INTERVIEWER! ADDRESS THE HOUSEHOLD MEMBER WHO OPENED THE DOOR WITH THE
INTRODUCTORY TEXT  GO TO B1.]

NR1. What was the outcome of the first visit to this household? [IRESLT1]

Dwelling inaccessible. 1  Second attempt

Dwelling inaccessible and will not
NON-
become accessible during the period of 2  FINISH RESPONSE1
fieldwork
Household closed / No contact made. 3  Second attempt
No adult available. 4  Second attempt
Arranged day and time for interview. 5  Second attempt
The person who opened the door did not
speak any of the languages available in 6  Second attempt
this cluster
Household / The person who opened the
7  GO TO NR4 NON-RESPONSE
door refused to be interviewed.
Respondent not at home and will not
8  FINISH NON-RESPONSE
return during the period of fieldwork.
Respondent refused to be interviewed. 9  GO TO NR4 NON-RESPONSE
Respondent was not capable of being
10  FINISH NON-RESPONSE
interviewed.
Respondent was unable to complete
11  FINISH NON-RESPONSE
interview in applicable language.
Respondent interrupted interview
12 NON-RESPONSE
before question P1.
Interview interrupted by authorities
13 NON-RESPONSE
before question P1.
Interview interrupted by respondent’s
household member(s) before question 14 NON-RESPONSE
P1.
Respondent interrupted interview
after question P1, or while answering 15 Partial response
question P1.
Interview interrupted by authorities
after question P1, or while the 16 Partial response
respondent was answering question P1.
Interview interrupted by respondent’s
household member(s) after question P1,
17 Partial response
or while respondent was answering
question P1.
FULL
Interview completed. 18
RESPONSE

1
This column is for CRRC office and supervisors – will not be present in the field questionnaires.
CB 2010 Cover Sheet 2
 |___|___| |___|___| |___|___| : |___|___|
Date and time of second attempt (24 hour clock)
V7. Day Month Hour Minute
[TO BE FILLED IN BY INTERVIEWER]
[ADATE2] [ATIME2]

[INTERVIEWER! IF THIS IS YOUR FIRST CONTACT WITH THE HOUSEHOLD MEMBER WHO OPENED
THE DOOR, ADDRESS THIS HOUSEHOLD MEMBER WITH THE INTRODUCTORY TEXT  GO TO B1.]

NR2. What was the outcome of the second visit to this household? [IRESLT2]

Dwelling inaccessible. 1  Third attempt

Dwelling inaccessible and will not
NON-
become accessible during the period of 2  FINISH RESPONSE2
fieldwork
Household closed / No contact made. 3  Third attempt
No adult available. 4  Third attempt
Arranged day and time for interview. 5  Third attempt
The person who opened the door did not
speak any of the languages available in 6  Third attempt
this cluster
Household / The person who opened the
7  GO TO NR4 NON-RESPONSE
door refused to be interviewed.
Respondent not at home and will not
8  FINISH NON-RESPONSE
return during the period of fieldwork.
Respondent refused to be interviewed. 9  GO TO NR4 NON-RESPONSE
Respondent was not capable of being
10  FINISH NON-RESPONSE
interviewed.
Respondent was unable to complete
11  FINISH NON-RESPONSE
interview in applicable language.
Respondent interrupted interview
12 NON-RESPONSE
before question P1.
Interview interrupted by authorities
13 NON-RESPONSE
before question P1.
Interview interrupted by respondent’s
household member(s) before question 14 NON-RESPONSE
P1.
Respondent interrupted interview
after question P1, or while answering 15 Partial response
question P1.
Interview interrupted by authorities
after question P1, or while the 16 Partial response
respondent was answering question P1.
Interview interrupted by respondent’s
household member(s) after question P1,
17 Partial response
or while respondent was answering
question P1.
FULL
Interview completed. 18
RESPONSE

2
This column is for CRRC office and supervisors – will not be present in the field questionnaires.
CB 2010 Cover Sheet 3
 |___|___| |___|___| |___|___| : |___|___|
Date and time of third attempt (24 hour clock)
V8. Day Month Hour Minute
[TO BE FILLED IN BY INTERVIEWER]
[ADATE3] [ATIME3]

[INTERVIEWER! IF THIS IS YOUR FIRST CONTACT WITH THE HOUSEHOLD MEMBER WHO OPENED
THE DOOR, ADDRESS THIS HOUSEHOLD MEMBER WITH THE INTRODUCTORY TEXT  GO TO B1.]

NR3. What was the outcome of the third visit to this household? [IRESLT3]
NON-
Dwelling inaccessible. 13
RESPONSE4
Household closed / No contact made. 3 NON-RESPONSE
No adult available. 4 NON-RESPONSE
Arranged day and time for interview. 5 NON-RESPONSE
The person who opened the door did not
speak any of the languages available in 6 NON-RESPONSE
this cluster
Household / The person who opened the
7  GO TO NR4 NON-RESPONSE
door refused to be interviewed.
Respondent not at home and will not
8  FINISH NON-RESPONSE
return during the period of fieldwork.
Respondent refused to be interviewed. 9  GO TO NR4 NON-RESPONSE
Respondent was not capable of being
10  FINISH NON-RESPONSE
interviewed.
Respondent was unable to complete
11  FINISH NON-RESPONSE
interview in applicable language.
Respondent interrupted interview
12 NON-RESPONSE
before question P1.
Interview interrupted by authorities
13 NON-RESPONSE
before question P1.
Interview interrupted by respondent’s
14 NON-RESPONSE
household member(s) before question P1.
Respondent interrupted interview
after question P1, or while answering 15 Partial response
question P1.
Interview interrupted by authorities after
question P1, or while the respondent was 16 Partial response
answering question P1.
Interview interrupted by respondent’s
household member(s) after question P1,
17 Partial response
or while respondent was answering
question P1.
FULL
Interview completed. 18
RESPONSE

3
Please note that code ‘2’ is missing on purpose! Do not change the codes in this column!
4
This column is for CRRC office and supervisors – will not be present in the field questionnaires.
CB 2010 Cover Sheet 4
NR4. Why did the household or selected individual refuse to be interviewed? [INR_WHY]
Bad time for the interview. 1
Not interested. 2
Does not believe interview is confidential. 3
 FINISH
Not physically able. 4
Not allowed by other household member(s) to be interviewed. 5
Refuse to answer. 6

B1. [INTERVIEWER! GREET HOUSEHOLD MEMBER IN THE OFFICIAL TITULAR LANGUAGE

OF /COUNTRY/. IF THE HOUSEHOLD MEMBER DOES NOT REPLY IN THE SAME
LANGUAGE, PROBE OTHER LANGUAGES APPLICABLE IN THIS CLUSTER. IF THE
HOUSEHOLD MEMBER DOES NOT REPLY IN ANY OF THE LANGUAGES, FILL IN NR1,
NR2, OR NR3, DEPEDING ON THE NUMBER OF YOUR VISIT TO THIS HOUSEHOLD.]

[INTERVIEWER! MAKE SURE YOU ARE TALKING TO AN ADULT (18 YEARS OLD OR OLDER).
MEMORIZE THE FOLLOWING TEXT AND ADDRESS THE PERSON WHO OPENED THE DOOR IN
THE LANGUAGE THE PERSON ANSWERED YOU IN. IF THE HOUSEHOLD MEMBER REFUSES TO
PARTICIPATE AT ANY POINT DURING THE INTRODUCTION, FILL IN NR1, NR2, OR NR3,
DEPEDING ON THE NUMBER OF YOUR VISIT TO THIS HOUSEHOLD.]

Hello, my name is /last name and first name/ and I represent the Caucasus Research Resource Centers, a
non-profit independent research center which is a program of the Eurasia Partnership Foundation in
/country/. We are conducting our annual household survey and would like to ask your household a
number of questions to help better understand people’s opinions and conditions in the country. Your
household has been selected randomly, along with a couple thousand other households in /country/, and
it is very important for the reliability of the results that you agree to participate in this survey.

Participation in our survey is voluntary and will be confidential and completely anonymous. Your
household member’s name will not be linked to the responses recorded on this survey, nor will
researchers be able to link your identity or address to the responses recorded. On behalf of our
organization, I ask you to help us understand what people think about life in our country.

This interview will take approximately 40 minutes, depending on the size of your household. I will need
your help to identify the adult household member I will be interviewing. This selection should be done
according to a special procedure that ensures random selection of the respondent. It’s very important
that we follow certain steps while identifying this member of the household.

Let’s talk about your household.5 By “household” we mean people currently living with you most of the
time, regardless of their legal place of residence, and who share income and expenses. I would like to
ask you to tell me only about the members who currently live with you.

V9a. Please tell me, according to the definition provided, how many people, including you, live
currently in your household? [HHPSIZE]

[INTERVIEWER! WRITE DOWN THE NUMBER.]

|____|____| PEOPLE
(Don’t know) -1 NON-
(Refuse to answer) -2 RESPONSE

5
While translating “household,” make sure that the word in the local languages is commonly used and familiar to all
respondents.
CB 2010 Cover Sheet 5
V9b. And how many of these people are adults (age 18 and older)? [HHASIZE]

[INTERVIEWER! WRITE DOWN THE NUMBER.]

|____|____| PEOPLE
(Don’t know) -1 NON-
(Refuse to answer) -2 RESPONSE

V10a. Please list the age of all adult male members of your household, starting with the oldest one.
Thank you!
[INTERVIEWER! WRITE THE PROVIDED INFORMATION IN COLUMNS “Sex” AND “Age”
OF TABLE V10 BELOW. DO NOT RECORD HOUSEHOLD MEMBERS’ NAMES.]

V10b. Now, please list the age of all adult female members of your household, starting with the oldest
one. Thank you!
[INTERVIEWER! WRITE THE PROVIDED INFORMATION IN COLUMNS “Sex” AND “Age”
OF TABLE V10 BELOW. DO NOT RECORD HOUSEHOLD MEMBERS’ NAMES.]

[INTERVIEWER! IF THERE ARE MORE THAN 6 HOUSEHOLD MEMBERS, LISTEN TO THE

RESPONDENT, BUT DO NOT RECORD MORE THAN 6 HOUSEHOLD MEMBERS IN TABLE V10.]

TABLE V10
Selected household member
No. Sex Age
[Kish]
1.
2.
3.
4.
5.
6.

HOUSEHOLD NUMBER – COPY FROM V4: |_____|_____| [DWLLNUM]

[INTERVIEWER! CONSULT KISH TABLE BELOW TO IDENTIFY CODE FOR TABLE V11, BASED
ON THE PROVIDED HOUSEHOLD NUMBER.]

CB 2010 Cover Sheet 6

 KISH TABLE
HH NUMBER: CODE: HH NUMBER: CODE:
1 A 25 A
2 A 26 A
3 B1 27 B1
4 B2 28 B2
5 C 29 C
6 C 30 C
7 D 31 D
8 D 32 D
9 E1 33 E1
10 E2 34 E2
11 F 35 F
12 F 36 F
13 A 37 A
14 A 38 A
15 B1 39 B1
16 B2 40 B2
17 C 41 C
18 C 42 C
19 D 43 D
20 D 44 D
21 E1 45 E1
22 E2 46 E2
23 F 47 F
24 F 48 6 F

[INTERVIEWER! USE TABLE V11 TO SAMPLE THE RESPONDENT. FIND THE NUMBER ON THE
INTERSECSION OF RESPECTIVE NUMBER OF ADULT HOUSEHOLD MEMBERS LISTED IN
TABLE 10 AND THE RESPECTIVE CODE FROM THE KISH TABLE.]

TABLE V11
Number of adult household members (recorded in Table V10)
1 2 3 4 5 6 (and more)
Code: Sample the adult household member whose No. (in Table V10) is:
A 1 1 1 1 1 1
B1 1 1 1 1 2 2
B2 1 1 1 2 2 2
C 1 1 2 2 3 3
D 1 2 2 3 4 4
E1 1 2 3 3 3 5
E2 1 2 3 4 5 5
F 1 2 3 4 5 6

[INTERVIEWER! GO BACK TO TABLE V10 AND WRITE CODE ‘1’ IN COLUMN “Selected
household member” IN THE ROW WHERE THE SELECTED HOUSEHOLD MEMBER IS RECORDED.
WRITE CODE ‘0’ IN THE ROWS FOR ALL OTHER HOUSEHOLD MEMBERS.]

6
This number will be adjusted after we have sampling for CB 2010 (i.e., if we have fewer interviews per cluster, the
Kish Table will be shorter.
CB 2010 Cover Sheet 7
[INTERVIEWER! ASK THE FOLLOWING QUESTIONS AFTER SAMPLING THE RESPONDENT.]

I will have to interview [sex and age of selected household

member] ____________________________________
Is this person currently at home? 1 Yes 0 No
IF ‘YES’: Can I interview this household member?
Will this household member be back to the household today, tomorrow, or the day after
IF ‘NO’:
tomorrow?
Thank you very much!  NON-RESPONSE; FILL IN NR1, NR2, OR NR3, DEPEDING
IF ‘NO’:
ON THE NUMBER OF YOUR VISIT TO THIS HOUSEHOLD.
[INTERVIEWER! YOU ARE NOT ALLOWED TO REPLACE THE SAMPLED HOUSEHOLD
MEMBER!]
COORDINATE DATE AND TIME OF YOUR SECOND / THIRD VISIT WITH THE
IF ‘YES’:
HOUSEHOLD MEMBER.

[INTERVIEWER! IF THE SAMPLED HOUSEHOLD MEMBER IS NOT AT HOME AND WILL NOT
BE BACK FOR THE NEXT SEVERAL DAYS (DURING THE PERIOD OF FIELDWORK), THANK THE
HOUSEHOLD MEMBER AND DOCUMENT NON-RESPONSE IN QUESTIONS NR1 THROUGH NR4
(WHICH ARE APPLICABLE).]

[INTERVIEWER! IF THE SAMPLED HOUSEHOLD MEMBER REFUSES TO PARTICIPATE IN THE

SURVEY, THANK THE HOUSEHOLD MEMBER AND DOCUMENT NON-RESPONSE IN
QUESTIONS NR1 THROUGH NR4 (WHICH ARE APPLICABLE).]

[INTERVIEWER! IF MORE THAN ONE LANGUAGE IS OFFERED IN THIS CLUSTER, ASK

QUESTION L1 IN THE LANGUAGE THE SELECTED RESPONDENT ANSWERED YOU. IF ONLY
ONE LANGUAGE IS OFFERED IN THIS CLUSTER, START THE INTERVIEW.]

L1. In which language would you like to conduct this interview? Would you prefer… [READ OUT]
[INTLANG]

[INTERVIEWER! ONLY READ OUT LOUD THE LANGUAGES AVAILABLE IN THIS

CLUSTER.]
Armenian, 1
Azerbaijani, 2
Georgian, 3
(None of these languages)
OTHER LANGUAGE: -7
 NON-
___________________________________ RESPONSE
(Don’t know) -1
(Refuse to answer) -2

[INTERVIEWER! AFTER THE RESPONDENT CHOOSES THE LANGUAGE, START FILLING IN THE
QUESTIONNAIRE IN THE RESPECTIVE LANGUAGE.]

[INTERVIEWER! IF THE RESPONDENT CHOOSES NONE OF THE LANGUAGES OFFERED, THIS

IS MARKED AS A NON-RESPONSE. IF YOU CAN DETERMINE IT, ENTER THE RESPONDENT’S
LANGUAGE OF CHOICE IN THE SPACE PROVIDED (“OTHER LANGUAGE” IN QUESTION L1).
THANK THE RESPONDENT AND DOCUMENT NON-RESPONSE. USE CODE ‘11’ IN THE
QUESTION NR1, NR2, OR NR3 OF THIS SHEET (WHICH IS APPLICABLE) TO INDICATE THAT
THE RESPONDENT WAS UNABLE TO COMPLETE THE SURVEY IN ANY OF THE APPLICABLE
LANGUAGES.]

CB 2010 Cover Sheet 8