Interviewers' weekly report forms on response or nonresponse during four weeks of securing an interview

Please write the number of the last row of the diary, i.e. number of efforts to get an interview: ___
Is a completed interview (questionnaire) with this respondent enclosed?
Yes
No

If no: Which is the reason for non-completion?
Deceased
Moved abroad
Living abroad
Living at institution or in prison
Mentally ill, in hospital
Mentally ill, cared for otherwise
Deaf, mute
Does not speak Swedish
High age, senility, long-term illness
Absolute refusal (see the diary)
Moved outside my interview region
Moved, new address unknown
(If any of above: return the whole cover to Sifo immediately)

In military service or on secret mission
Ill, in hospital
Ill, at home, should or could not be interviewed at present
No contact with respondent
Respondent has no time, away etc. this week
Hesitant refusal
Respondent broke interview appointment
Time for interview agreed for next omnibus
Other reason, please write in_________________________________________________________________________________________