Start
nshd_65_hvi
NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
1965 INTERVIEW
STRICTLY CONFIDENTIAL
H1

Ref. No.

Generic text

Name and Address

Generic text

New name: (if married)

Generic text

New address: (temporary address in pencil)

Generic text
INSTRUCTIONS
The young man or woman named above is one of this national sample of 5,000 people who have been followed up since they were born in March 1946. This is the continuation of the survey with which school nurses and health visitors helped between 1946 and 1961. We have been in regular contact with the young people since 1961 and we have very full information about employment for those who started work before their eighteenth birthday, in 1964. This short interview is designed to help us to keep track of the survey sample, to provide us with the latest information about health and accidents, and to record details of changes of employment before the dates are forgotten.
Interviewers are asked to see the actual survey member named. If he / she is out, please try to make an appointment for a time when he / she will be at home. If he / she is away from home, in lodgings or at another temporary address at which he/she might be contacted by another interviewer, please pencil in the temporary address at the top of the form and return the form immediately to your Medical Officer of Health. If he / she has moved permanently, please insert the new address in ink and return the form immediately to your M.O.H. for reallocation. If the survey member is in hospital or some other institution, in the Armed Forces or abroad, so he / she is not available for interview by anyone, then any information which can be supplied by parents or relatives will be appreciated. In this case please ensure that the identity of your informant is recorded in question 15.
Please read this form through so that you are familiar with it, before setting out. In conducting the interview please ask the questions printed in bold type. Where two or more possible answers are provided please ring the code number opposite the correct one.
When you have completed the interview please return it to your Medical Officer of Health, to be forwarded to the National Survey of Health and Development, M.R.C. Unit, London School of Economics, by the end of May 1965.
INTRODUCTION
Please incorporate the following in your introductory remarks:
"All the people in the National Survey of Health and Development are now nineteen years old. A lot of information has been collected over the years about your health and about what you've been doing at school and at work. Out of all this some very important studies are being done about the way that young people grow up.
"I have been asked to see you just to keep in touch and to ask how you're getting on. This is meant to be the first of a series of very short visits which we hope to make each year at about this time. I have only a very few questions to ask you and they're quite straightforward.
"Of course, everything you say is kept strictly confidential. The staff of the Survey maintain a complete secrecy and no names are ever mentioned in reports."
PERSONAL INFORMATION

Is this your correct name and permanent address? (If not, insert correct details in space at top right. Include a DEFINITE move in near future. If in Armed Services please ask Service Number.)

Generic text

Are you

1
Married?
2
Engaged?
0
Neither
If Married? to question 2
qc_2 == 1

(date of marriage )

Generic date
If Engaged? to question 2
qc_2 == 2

date of marriage, if fixed

Generic date

future married name, and address if known:

Generic text
(If married)
qc_2 == 1

Have you any children?

1
Yes
0
No
(if "yes")
qc_3 == 1
_children < 3 &&

NAME

Generic text

SEX

Generic text

DATE OF BIRTH

Date of birth
GENERAL HEALTH

The last accident we have recorded for you was

Generic text

We have no accidents recorded for you for a long time. Have you had any accident since then in recent years in which you were burnt or scalded, you broke a bone, you were badly cut or bruised, or injured by a chemical?

1
Yes
0
No
(if "yes" please ask for the following details about each accident, starting with the earliest)
qc_4_a_i == 1
_accident < 3 &&

Type of injury, (e.g. burn, scald, broken bone, cut etc.)

Generic text

Part or parts injured

Generic text

Date of injury

Generic date

Treatment (Hosp. I.P., Hosp. O.P., Nursing home, Own home)

Generic text

If in own home, who gave treatment? (Dr. Nurse, other)

Generic text

Details of remaining scarring, disability of deformity

Generic text

How accident occurred (if burnt by fire, say if electric, gas, open fire or oilstove)

Generic text

Where it occurred (own home, school, street etc.)

Generic text

The last hospital admission we have recorded for you was ...

Generic text

We have no hospital admissions recorded for you for a long time. Have you been in hospital as an inpatient since then?/ in recent years?

1
Yes
0
No
(if "yes")
qc_5_a_i == 1

What hospital was it?

Generic text

When did you go in?

Generic text

What were you in hospital for?

Generic text

How long were you in hospital?

Generic text

What was the doctor's name who looked after you?

Generic text

Since January 1963, have you attended a hospital out-patient department or clinic?

1
Yes
0
No
(if "yes")
qc_6 == 1

What hospital / clinic was it?

Generic text

When did you go first?

Generic text

Why did you go?

Generic text

Are you registered with a Doctor?

1
Yes, in this district
2
Yes, in home district (if living away from home)
3
Yes, in old district (if recently moved)
0
No
(Please ask the name of the doctor and his address. If the survey member does not know the address, or is unwilling to give it, please don't press the point. You may be able to supply the address from your own knowledge. We only wish to have this information as an extra means of tracing people who move.)

Dr ... address confirmed (tick)

Generic text
1
Tick

Have you seen a family Doctor in the National Health Service since this time last year? (on own account)

1
Yes
0
No
(if "yes")
qc_8_a == 1

About how many times did you attend the Doctor's surgery? At surgery

0
never
1
once or twice
2
3 - 5 times
3
6 - 10 times
4
More than 10 times

About how many times did the Doctor visit you at home? At home

0
never
1
once or twice
2
3 - 5 times
3
6 - 10 times
4
More than 10 times
(if total more than 2)

Were these visits all about the same time, or were they spread out at intervals? REASON FOR VISITS

1
All grouped within a few weeks during a period of acute illness or disability
2
Spread over a period of 1 - 3 months
3
Spread throughout the year
Generic text
Generic text 2
Generic text 3

Were these visits all about the same time, or were they spread out at intervals? Further comment if necessary:

Generic text

Have you seen any other Doctor since this time last year? For example a Doctor at work or a private Doctor?

1
Yes
0
No
(if "yes")
qc_9 == 1
_doctor < 2 &&

COMPLAINT

Generic text

NUMBER OF VISITS

How many

TYPE OF DOCTOR

Generic text

Have you been off work through accident or illness since you started work? since January 1963? (long enough to need a Doctor's cerficate)

1
Yes
0
No
If yes
qc_10 == 1
_accidentillness < 3

APPROXIMATE DATE

Generic date

NATURE OF ACCIDENT, ILLNESS

Generic text

TIME OFF WORK

Generic text
EMPLOYMENT
(Our last information was that this survey member was in the occupation entered in red below. Ask "are you still ... ?" and if he / she is still in the same job at the same firm, write "still there". If he / she has been promoted,or has a different job within the same firm, write the new job on the next line, and write "same firm" in column 3, with the date of the change in column 4. If he / she has left that job, ask the date of leaving, and fill in the details of any other jobs which he / she has had up to the present. If he / she is now unemployed, or not working from choice, write "unemployed" or "not working" as the last entry. If he / she is now a full time student, ask the name of the college and the nature of the course and supply these details. If he / she is in hospital, borstal, prison or any other institution, please record this fact.)
Serial no. of job Type of job (i.e. what do YOU do?) Type of firm (i.e. what do THEY do?) Date started e.g.1.7.63 Date left e.g.15.8.63 Reason for leaving
Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text
1
2
3
4
5

Have you been out of work at all since this time last year?

1
Yes
0
No
If Yes to question 12
qc_12 == 1
_outofwork < 2

APPROXIMATE DATE

Generic date

LENGTH OF SPELL

Generic text

CIRCUMSTANCES

Generic text

Have you been taking any part-time day or evening classes, a correspondence course, or studying at home since last September?

0
No
1
Yes, college
2
Yes, correspondence
3
Yes, at home
If Yes, college or Yes, correspondence or Yes, at home
qc_13 == 1 || qc_13 == 2 || qc_13 == 3
_course < 2

Name of COLLEGE or of CORRESPONDENCE COURSE

Generic text

Name of COURSE or SUBJECTS STUDIED

Generic text

DAY or EVENING, or "HOME"

Generic text

Queries arising from earlier surveys

Long text
END OF INTERVIEW
Please thank the survey member for his/her help over the years

Have you interviewed:

1
The survey member named?
2
Parent?
3
Other, namely
Other

Is the Doctor's address in Question 7 correct? Please confirm or correct.

Generic text

Please use this space to comment on any unusual aspect of this young person's health, career, or personal circumstances not clearly brought out in the interview, but which you feel ought to be mentioned.

Long text

Date of interview

Generic date

Local Health Authority

Generic text
THANK YOU VERY MUCH FOR YOUR HELP
End

nshd_65_hvi

NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
1965 INTERVIEW
STRICTLY CONFIDENTIAL
Ref. No.
Generic text
Name and Address
Generic text
New name: (if married)
Generic text
New address: (temporary address in pencil)
Generic text
INSTRUCTIONS
The young man or woman named above is one of this national sample of 5,000 people who have been followed up since they were born in March 1946. This is the continuation of the survey with which school nurses and health visitors helped between 1946 and 1961. We have been in regular contact with the young people since 1961 and we have very full information about employment for those who started work before their eighteenth birthday, in 1964. This short interview is designed to help us to keep track of the survey sample, to provide us with the latest information about health and accidents, and to record details of changes of employment before the dates are forgotten.
Interviewers are asked to see the actual survey member named. If he / she is out, please try to make an appointment for a time when he / she will be at home. If he / she is away from home, in lodgings or at another temporary address at which he/she might be contacted by another interviewer, please pencil in the temporary address at the top of the form and return the form immediately to your Medical Officer of Health. If he / she has moved permanently, please insert the new address in ink and return the form immediately to your M.O.H. for reallocation. If the survey member is in hospital or some other institution, in the Armed Forces or abroad, so he / she is not available for interview by anyone, then any information which can be supplied by parents or relatives will be appreciated. In this case please ensure that the identity of your informant is recorded in question 15.
Please read this form through so that you are familiar with it, before setting out. In conducting the interview please ask the questions printed in bold type. Where two or more possible answers are provided please ring the code number opposite the correct one.
When you have completed the interview please return it to your Medical Officer of Health, to be forwarded to the National Survey of Health and Development, M.R.C. Unit, London School of Economics, by the end of May 1965.
INTRODUCTION
Please incorporate the following in your introductory remarks:
"All the people in the National Survey of Health and Development are now nineteen years old. A lot of information has been collected over the years about your health and about what you've been doing at school and at work. Out of all this some very important studies are being done about the way that young people grow up.
"I have been asked to see you just to keep in touch and to ask how you're getting on. This is meant to be the first of a series of very short visits which we hope to make each year at about this time. I have only a very few questions to ask you and they're quite straightforward.
"Of course, everything you say is kept strictly confidential. The staff of the Survey maintain a complete secrecy and no names are ever mentioned in reports."

PERSONAL INFORMATION

Is this your correct name and permanent address? (If not, insert correct details in space at top right. Include a DEFINITE move in near future. If in Armed Services please ask Service Number.)
Generic text
Are you
1
Married?
2
Engaged?
0
Neither
(date of marriage )
Generic date
date of marriage, if fixed
Generic date
future married name, and address if known:
Generic text
Have you any children?
1
Yes
0
No

_children < 3 &&

NAME
Generic text
SEX
Generic text
DATE OF BIRTH
Date of birth

GENERAL HEALTH

The last accident we have recorded for you was
Generic text
We have no accidents recorded for you for a long time. Have you had any accident since then in recent years in which you were burnt or scalded, you broke a bone, you were badly cut or bruised, or injured by a chemical?
1
Yes
0
No

_accident < 3 &&

Type of injury, (e.g. burn, scald, broken bone, cut etc.)
Generic text
Part or parts injured
Generic text
Date of injury
Generic date
Treatment (Hosp. I.P., Hosp. O.P., Nursing home, Own home)
Generic text
If in own home, who gave treatment? (Dr. Nurse, other)
Generic text
Details of remaining scarring, disability of deformity
Generic text
How accident occurred (if burnt by fire, say if electric, gas, open fire or oilstove)
Generic text
Where it occurred (own home, school, street etc.)
Generic text
The last hospital admission we have recorded for you was ...
Generic text
We have no hospital admissions recorded for you for a long time. Have you been in hospital as an inpatient since then?/ in recent years?
1
Yes
0
No
What hospital was it?
Generic text
When did you go in?
Generic text
What were you in hospital for?
Generic text
How long were you in hospital?
Generic text
What was the doctor's name who looked after you?
Generic text
Since January 1963, have you attended a hospital out-patient department or clinic?
1
Yes
0
No
What hospital / clinic was it?
Generic text
When did you go first?
Generic text
Why did you go?
Generic text
Are you registered with a Doctor?
1
Yes, in this district
2
Yes, in home district (if living away from home)
3
Yes, in old district (if recently moved)
0
No
(Please ask the name of the doctor and his address. If the survey member does not know the address, or is unwilling to give it, please don't press the point. You may be able to supply the address from your own knowledge. We only wish to have this information as an extra means of tracing people who move.)
Dr ... address confirmed (tick)
Generic text
1
Tick
Have you seen a family Doctor in the National Health Service since this time last year? (on own account)
1
Yes
0
No
About how many times did you attend the Doctor's surgery? At surgery
0
never
1
once or twice
2
3 - 5 times
3
6 - 10 times
4
More than 10 times
About how many times did the Doctor visit you at home? At home
0
never
1
once or twice
2
3 - 5 times
3
6 - 10 times
4
More than 10 times
Were these visits all about the same time, or were they spread out at intervals? REASON FOR VISITS
1
All grouped within a few weeks during a period of acute illness or disability
2
Spread over a period of 1 - 3 months
3
Spread throughout the year
Generic text
Generic text 2
Generic text 3
Were these visits all about the same time, or were they spread out at intervals? Further comment if necessary:
Generic text
Have you seen any other Doctor since this time last year? For example a Doctor at work or a private Doctor?
1
Yes
0
No

_doctor < 2 &&

COMPLAINT
Generic text
NUMBER OF VISITS
How many
TYPE OF DOCTOR
Generic text
Have you been off work through accident or illness since you started work? since January 1963? (long enough to need a Doctor's cerficate)
1
Yes
0
No

_accidentillness < 3

APPROXIMATE DATE
Generic date
NATURE OF ACCIDENT, ILLNESS
Generic text
TIME OFF WORK
Generic text

EMPLOYMENT

(Our last information was that this survey member was in the occupation entered in red below. Ask "are you still ... ?" and if he / she is still in the same job at the same firm, write "still there". If he / she has been promoted,or has a different job within the same firm, write the new job on the next line, and write "same firm" in column 3, with the date of the change in column 4. If he / she has left that job, ask the date of leaving, and fill in the details of any other jobs which he / she has had up to the present. If he / she is now unemployed, or not working from choice, write "unemployed" or "not working" as the last entry. If he / she is now a full time student, ask the name of the college and the nature of the course and supply these details. If he / she is in hospital, borstal, prison or any other institution, please record this fact.)

Serial no. of job Type of job (i.e. what do YOU do?) Type of firm (i.e. what do THEY do?) Date started e.g.1.7.63 Date left e.g.15.8.63 Reason for leaving
Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text
1
2
3
4
5
Have you been out of work at all since this time last year?
1
Yes
0
No

_outofwork < 2

APPROXIMATE DATE
Generic date
LENGTH OF SPELL
Generic text
CIRCUMSTANCES
Generic text
Have you been taking any part-time day or evening classes, a correspondence course, or studying at home since last September?
0
No
1
Yes, college
2
Yes, correspondence
3
Yes, at home

_course < 2

Name of COLLEGE or of CORRESPONDENCE COURSE
Generic text
Name of COURSE or SUBJECTS STUDIED
Generic text
DAY or EVENING, or "HOME"
Generic text
Queries arising from earlier surveys
Long text
END OF INTERVIEW
Please thank the survey member for his/her help over the years
Have you interviewed:
1
The survey member named?
2
Parent?
3
Other, namely
Other
Is the Doctor's address in Question 7 correct? Please confirm or correct.
Generic text
Please use this space to comment on any unusual aspect of this young person's health, career, or personal circumstances not clearly brought out in the interview, but which you feel ought to be mentioned.
Long text
Date of interview
Generic date
Local Health Authority
Generic text
THANK YOU VERY MUCH FOR YOUR HELP
Name

1965 Health Visitor Interview with Study Member