1. Title of the Study
1. Web page address of the Study
2. Full name of the institution depositing the data
3. Please enter the name of the principal investigator and your contact person for questions about the study
a) Principal Investigator
Principal Investigator's e-mail
b) Contact Person
Contact person's e-mail
4. The purpose of the study
5. Main topics of the study
6. Unit of Analysis (e.g. respondent)
7. What was the type of the sample applied in the study?
8. What was the geographic coverage of your sample?
9. What was the lower age cut-off for your sample? lat i więcej
10. Was there any upper age cut-off for your sample? Yes, people over the age of ... were excluded or more No - there was no upper cut-off
10. What data collection methods were used for the study? "face-to-face" interview CATI Self-completion Postal survey Mixed-mode Other If mixed mode or other, please, describe the method of data collection in more details:
11. What was the total number of starting or issued names/addresses and the total number of successfully completed starting or issued names/addresses sucessfully completed
12. Was substitution or replacement permitted at any stage of your selection process or during fieldwork? Yes No If so, in what way was substitution or replacement permitted?
13. Were the data weighted or post-stratified? Yes No If so, what kind of factors were considered at construction of the post-stratified weighting factor? Please, briefly describe the weighting or post-stratification strategy used
14. All in all, what are the known limitations (biases) of your achieved sample? For example: is there differential coverage of particular groups, either because of sample design or response differences?
Was a complete description of sample design attached to deposited documentation? Yes No
16. Please write in the start and end dates of fieldwork: Start date: Day: Month: Year:
End date: Day: Month: Year:
If other, please, describe in more details
17. While repeating the attempts to contact with a respondent or household/address, were the interviewers required to: make a certain number of calls/visits in different times of the same day make a certain number of calls/visits on different days none of above
Additional information:
18. How many times were interviewers required to make a certain number of calls/visits to a respondent or household/address before they were acknowledged unavailable? Minimum number of contact attempts
19. Were any interviews back-checked (e.g. supervisor checks later whether interview was conducted)? Yes - approximate proportion % No
20. Pattern for data quotation
21. If your study is a part of a larger survey or coming from other sources (like e.g. public statistics) - what is its source?
22. Please, indicate generally accessible publications that refer to the data deposited at the Archive
23. Total number of different files deposited to the ADS files
24. The way data were deposited in the Archive/ what data carrier was used? CD FTP
25. What kind of processing was involved in producing the data sets/ archiving the data set at the Archive? Please check a box if the answer is YES (positive)
26. Were interviewers' errors corrected: (for example, by a 'forced' edit): Automatically Individually Both - automatically and individually
27. Was the documentation diposited as: ASCII PDF Other
If other, please give more detailed information
Enter abbrev. name of our archive:
