Demographics
Q1. [RECORD LANGUAGE SURVEY RECORDED IN]
1. English
2. Arabic
3. Chinese
4. Greek
5. Italian
6. Vietnamese
Q2. A letter was sent to your household recently about this study. Do you remember receiving this letter?
1. Yes
2. No
X Don't know
R Refused
Q3. How many people, including yourself, live in your household?
1. ___ number of people
X Don't know
R Refused
Q4. How many of these people are children under 16 years of age?
1. ___ number of people
X Don't know
R Refused
Q5. How many children under 6 years of age live in this household?
1. ___ number of people
X Don't know
R Refused
Q6. How many people aged 65 years old or over live in this household?
1. ___ number of people
X Don't know
R Refused
Q7. Could you please tell me how old you are today?
1. ___ age in years
X Don't know
R Refused
Q8. Are you male or female? [ONLY ASK IF UNSURE]
1. Male
2. Female
Q9. Besides yourself, who else lives in your household? [MULTIPLE RESPONSE]
1. No one else: lives alone
2. Mother
3. Father
4. Respondent's partner
5. Stepmother
6. Stepfather
7. Grandparents
8. Sons or daughters
9. Brothers or sisters
10. Stepbrothers or stepsisters
11. Other relatives
12. Non-family members
13. Other [SPECIFY] ___________
X Don't know
R Refused
Q10. What is your current formal marital status?
1. Married
2. Widowed
3. Separated but not divorced
4. Divorced
5. Never married
X Don't know
R Refused
Q11. In which country were you born?
1. Australia
2. Other country [SPECIFY] _________
X Don't know
R Refused
Q12. Do you usually speak a language other than English at home?
1. Yes → Q13
2. No
X Don't know
R Refused
Q13. What language do you usually speak at home?
1. Language [SPECIFY] _________
X Don't know
R Refused
Q14. What is the highest level of primary or secondary schooling you have completed? [PROMPT IF NECESSARY]
1. Never attended school
2. Currently still at school
3. Year 8 or below
4. Year 9 or equivalent
5. Year 10 or equivalent
6. Year 11 or equivalent
7. Year 12 or equivalent (Matriculation or Leaving)
X Don't know
R Refused
Q15. What is the level of the highest qualification you have completed?
1. Completed School Certificate or Intermediate or Year 10 or 4th Form
2. Completed Higher School Certificate or Leaving or Year 12 or 6th Form
3. TAFE certificate or diploma
4. University, College of Advanced Education, or some other tertiary institute degree or higher
5. Other [SPECIFY]______________________
6. Completed primary school
7. Completed Years 7 to 9
X Don't know
R Refused
Q16. In the last week, which of the following best describes your employment status?[READ OUT]
1. Worked for payment or profit → Q18
2. Worked for payment or profit, but absent on paid leave, holidays, on strike or stood down → Q18
3. Unpaid work in a family business → Q18
4. Other unpaid work
5. Did not have a job
X Don't know → Q21
R Refused → Q21
Q17. Were you actively looking for work in the last week?
1. Yes: looked for full-time work → Q21
2. Yes: looked for part-time work → Q21
3. No: did not look for work → Q21
X Don't know → Q21
R Refused → Q21
Q18. In the main job held in the last week, were you:
1. A wage or salary earner
2. Conducting own business with employees
3. Conducting own business without employees
4. A helper not receiving wages
X Don't know
R Refused
Q19. In the last week, how many hours did you work in all jobs?
1. No. of hours [SPECIFY] _________
X Don't know
R Refused
Q20. Do you currently receive a government pension, allowance or benefit? [ONLY ASKED OF 65 AND OVER]
1. Yes
2. No
X Don't know
R Refused
Q21. Apart from Medicare, are you currently covered by private health insurance?
1. Yes
2. No
X Don't know
R Refused
Q22. I would now like to ask you about your household's income. What is your annual household income before tax? Would it be:
1. Less than $20,000
2. $20,000 to $40,000
3. $40,000 to $60,000
4. $60,000 to $80,000
5. More than $80,000
X Don't know
R Refused
Q23. How long have you lived in your local area?
1. ____ years
X Don't know
R Refused
Q24. What is the name of your local council or shire?
1. _______________
X Don't know
R Refused
Q25. What is the name of the town or suburb where you live?
1. _______________
X Don't know
R Refused
Q26. Could you tell me your postcode?
1. ____
X Don't know
R Refused
Q27. Do you have more than one telephone number in your household?
1. Yes
2. No → END OF MODULE
X Don't know → END OF MODULE
R Refused → END OF MODULE
Q28. How many residential telephone numbers do you have? Do not include mobile phone numbers, dedicated fax numbers or modems.
1. _____ number of phone numbers
X Don't know
R Refused
| Source: | New South Wales Population Health Survey 2006 (HOIST). Centre for Epidemiology and Research, NSW Department of Health. |
| Print version: | Although this page can be printed directly from your web browser, a higher quality version is available as a PDF file that can be printed or viewed on screen. |
| Produced by: | Centre for Epidemiology and Research, Population Health Division, NSW Department of Health. |
| Last updated on: | 1 July 2007 |