Number
1. Are there any leisure, sports or entertainment facilities in your area?
2. Do you currently use any leisure, sports or entertainment facilities in your area?
3. How do you feel about the opportunities that you have to participate in leisure activities?
4. In what ways (if any) would you like to change your leisure opportunities?
5. What do you think about the general availability of community groups, clubs and organisations in your area?
6. In the last 12 months, have you given UNPAID help to someone who is NOT a relative?
7. Did you vote in the September 2012 legislative council election?
8. How do you feel about the range of opportunities to be involved with community groups, clubs or organizations that are available in your area?
9. What type of accommodation does your household occupy?
10. Is this accommodation owned or rented by your household?
11. What do you think about your opportunities to access suitable accommodation?
12. How do you feel about the range of opportunities for suitable accommodation that are available?
13. Do you own a private car?
14. Roughly how many years have you lived in your area?
15. What do you think about the opportunity to acquire suitable work in this local area?
16. Which of these is currently most applicable to you?
employed vs unemployed
17. How do you feel about your opportunities to find suitable work?
18. Thinking about the seven days ending on Sunday how many hours did you actually work in your main job/business?
19. How do you feel about your opportunities to find suitable work?
SatOpps to work
20. Can you tell me what your main source of income is?
21. What is your total personal monthly income (before tax if applicable)?
22. What do you think about your opportunities to increase your personal income?
23. If you needed someone to lend you a small amount of money (e.g. for a local taxi fare), do you know anybody who would be able to do so within one week?
24. If yes, who is this person most likely to be…
25. Overall, how do you feel about the range of opportunities to secure additional income that are available?
26. Generally, how safe or unsafe do you feel living in your area?
27. During the past year have you been a victim of a crime or assault?
28. How do you feel about your opportunities to live safely in your area?
29. What is the highest qualification you have obtained?
30. In the past 12 months were or are you enrolled on any full-time or part time education course studying for any qualification (including vocational training?) even if you did not obtain them?
31. What do you think about the general availability of the educational opportunities in your area?
32. How do you feel about the range of educational opportunities that are available to you?
33. In the last 12 months, how many times have you talked to, or visited a GP or family doctor about your own physical health?
34. In the last 12 months, how many times have you talked to, or visited a GP or family doctor about your own mental health?
35. In the last 12 months, how many times have you attended a hospital or clinic (as a day patient or an in-patient) for a physical health problem?
36. In the last 12 months, how many times have you attended a hospital or clinic (as a day patient or an in-patient) for a mental health problem?
37. How do you feel about your opportunities to access health care when you need it for a physical health problem?
38. How do you feel about your opportunities to access health care when you need it for a mental health problem?
39. Are either of your parents alive?
40. How often are you in face-to-face and other means of contacts with your parents?
41. How do you feel about opportunities for contact with your family?
42. How many people would you call a friend?
43. How often do YOU have friends or neighbours round to your house?
44. How do you feel about your opportunities for contact with your friends and neighbours?
45. Overall, how do you feel about the extent to which you are included in society?
You are treated with less courtesy than other people are.
You are treated with less respect than other people are.
You receive poorer service than other people at restaurants or stores.
People act as if they think you are not smart.
People act as if they are afraid of you.
People act as if they think you are dishonest.
People act as if they’re better than you are.
You are called names or insulted.
You are threatened or harassed.
Your Ancestry or National Origins
Your Gender
Your language/dialect
Your Age
Your Religion
Your Height
Your Weight
Some other Aspect of Your Physical Appearance
Your Sexual Orientation
Your Education or Income Level
Your Physical Disability
Your Mental Disability
In general, would you say your health is
Long-term illness last year
Limit you because of the long-term illness
Does your health now limit you in moderate activities
Does your health now limit you in climbing several flights of stairs
Accomplished less than you would like as a result of your physical health during the past 4 weeks
Were limited in the kind of work or other activities as a result of your physical health during the past 4 weeks
Accomplished less than you would like as a result of any emotional problems during the past 4 weeks
Were limited in the kind of work or other activities as a result of any emotional problems during the past 4 weeks
During the past 4 weeks, how much did pain interfere with your normal work?
During the past 4 weeks, have you felt calm and peaceful?
During the past 4 weeks, did you have a lot of energy?
During the past 4 weeks, have you felt downhearted and blue?
your physical health or emotional problems interfered with your social activities during the past 4 weeks
PF_1
RP_1
BP_1
GH_1
VT_1
SF_1
RE_1
MH_1
Gender
What age were you on your last birthday?
Where were you born?
local or non-local
For how many years have you been living in Hong Kong?
Which ethnic group(s) do you belong to?
What language/dialect do you usually speak at home?
Cantonese: able to understand
Cantonese: able to speak
Putonghua: able to understand
Putonghua: able to speak
Hakka: able to understand
Hakka: able to speak
Chiu Chau: able to understand
Chiu Chau: able to speak
Fukien: able to understand
Fukien: able to speak
Sze Yap: able to understand
Sze Yap: able to speak
Shanghainese: able to understand
Shanghainese: able to speak
Other Chinese dialects: please specify: able to understand
Other Chinese dialects: please specify: able to speak
English: able to understand
English: able to speak
Japanese: able to understand
Japanese: able to speak
Others: please specify: able to understand
Others: please specify: able to speak
PF_2
RP_2
BP_2
GH_2
VT_2
SF_2
RE_2
MH_2
Your Language/dialect