Initial Variant of the Question	Suggestions after Focus Group in Russia	Changes
Q6	Core questions	The response depends on what exactly the respondent has problems with while reading a leaflet: the size of letters or the content (readability)/instructions (content)? Suggestion: make instructions for interviewers	…to understand the instruction leaflets that come with your medicine? (Instruction: information or instructions given in the leaflets)
Q23	…understand why you need health screenings? (Instructions: breast exam, blood sugar test, blood pressure)	It was unclear for male respondents why should they have a breast exam. Suggestion: to add a type of screening suitable for both sexes.	…understand why you need health screenings? (Instructions: e.g., colorectal cancer screening, blood sugar test, blood pressure)
Q40	…understand information on how to keep your mind healthy?	It was unclear for respondents: what sources of information are meant: media/friends/family? Suggestion: to add the instruction: from any source of information.	…understand information on how to keep your mind healthy? (Instruction: specifically on mental health and well-being from any source)
CORRELATES
C-DET3	What citizenship do you hold?	The purpose of the question is unclear whether it is about the name of the country of citizenship or the status (like resident, non-resident, etc). Suggestion: in case of the second variant to give options	The question was changed to optional
C-DET7	Was the first language (mother tongue) you learnt and spoke in your family another one than the common language(s) spoken in the country you live in now?	Russia is a multi-national country and within one country there is a number of nations who speak their own language as national being Russian citizens at the same time. Suggestion: to limit all migration questions to one—the status of citizenship.	The question was moved to optional
C-DET11	Are you able to pay for prescribed medication if needed?	The question caused confusion: it depends on the medication (there is a huge difference between medication for cancer and for flu). Suggestion: to use the word usually	How easy or difficult is it usually for you to afford medication if needed [Interviewer instruction: e.g., co-payment for prescribed medication or paying for over the counter medication]
C-DET12	How easy or difficult is it for you to afford medical examinations and treatments, if needed?	Same as previous and covers the difference in healthcare systems: some basic medical examinations and treatments are offered by the government for free.	How easy or difficult is it usually for you to afford medical examinations and treatments if needed?
C-SSUP2:	Do you have a family member or a friend to take with you to a doctor’s appointment?	The question caused confusion what is the purpose of taking a family member or a friend to a doctor. All respondents understood it as a question of trust and suggested to change to: do you have a family member or a friend to share information regarding personal health? No one understood it as accompanying to a doctor, which is more relevant to older people.	Moved to optional
C-SSUP3:	Are you actively involved in your community, for example, do you volunteer or take part in activities?	The question caused confusion: which activities are meant. Health-related or any? Suggestion: to add the instruction for an interviewer.	Moved to optional