1 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. Spouse's 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 2 7. Country of birth (according to current boundaries): 1. Israel [Continue with Q. 8] 2. Other: specify country [Go to Q. 9] 8. For Israeli born, father’s country of birth (according to current borders): 1. Israel 2. Other: specify country 8.1 For Israeli born, mother's country of birth (according to current borders): 1. Israel 2. Other: specify country 9. For foreign born: Year of immigration _______ For persons 15 years or older: 10. Are you: 1. Married [Continue with Q. 11] 2. Separated [Continue with Q. 11] 3. Divorced [Go to Q. 10.1] 4. ...