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alspac_00_foa9yo
FATHER OF A 9 YEAR OLD
All answers are confidential
This questionnaire is for the study child's father or person who takes the role of father. This could be the mother's husband or partner. The answers will help us to identify those problems that may be helped by changes in the health care system.
To answer simply tick the box which is most accurate in your opinion.
Some questions are the same as those you have answered before. This is so that we can tell what changes have happened to you.
Please answer all questions if you can, even if they are similar. If you do not want to answer a question or if it does notapply to you, put a line through it. There are no good or bad answers. Just tell us what is true for you.
All answers are confidential
THANK YOU FOR YOUR HELP
SECTION A: YOUR HEALTH

Which of the following would you say describes your health now?

1
fit and well
2
mostly well and healthy
3
often feel unwell
4
hardly ever feel well
Have you had any of the following in the last 3 years (since your study child's 6th birthday)?
-

1 - Yes and consulted doctor

2 - Yes but did not consult doctor

3 - No

anxiety or 'nerves'
depression
headache or migraine
epilepsy
back pain, sciatica, slipped disc
indigestion
high blood pressure
cough or cold
diabetes
haemorrhoids/piles
wheezing or asthma
schizophrenia
influenza
alcohol problem
bronchitis
stomach ulcer
eczema
psoriasis
arthritis
rheumatism
urinary infection
syphilis
gonorrhoea

Have you had any of the following in the last 3 years (since your study child's 6th birthday)? In last 3 years: cancer (please state type)

1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Generic text

Have you had any of the following in the last 3 years (since your study child's 6th birthday)? In last 3 years: other problems (please describe)

1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Other
In the last 2 years how often have you taken the following?
-

1 - Every day

2 - Often

3 - Sometimes

4 - Not at all

sleeping pills
vitamins
cannabis/marihuana
tranquillisers
pills for depression
antibiotics
aspirin
paracetamol
other painkillers
amphetamines or other stimulants
iron
heroin, methadone, crack, cocaine
anticonvulsants
steroids
In the last 2 years how often have you taken the following? In last 2 years: other pill, medicine, drug or treatment (please describe each and state how frequently taken)
-

1 - Every day

2 - Often

3 - Sometimes

In the past year have you taken or used any homeopathic medicine(s) or remedies?

1
yes, often
2
yes, sometimes
3
no
If no, go to A5 below
If yes,
qc_A4_a == 1 || qc_A4_a == 2
please describe the name(s) of the homeopathic medicine(s) and the reason for taking/using them:
Name: Reason:
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
1
2
3
4
5
Please list all the other drugs, medicines and ointments that you have taken or used in the past month:
What did you take: About how many days did you take or use it? How often per day?
Generic textHow manyGeneric textGeneric textHow manyGeneric textHow manyGeneric textGeneric text Generic textHow manyGeneric textGeneric textHow manyGeneric textHow manyGeneric textGeneric text Generic textHow manyGeneric textGeneric textHow manyGeneric textHow manyGeneric textGeneric text
1
2
3
4
5
6
7
8
9
10

Since your study child's 6th birthday have you been admitted to hospital?

1
Yes
2
No
If no, go to A7 below
If yes,
qc_A6_a == 1

how many times?

How many

for how many different reasons?

How many
(_hospitalstay <= qc_A6_b) && (_hospitalstay < 6)

Reason for each hospital stay:

Generic text

How long did you stay? ... nights

How many
In the past month, how often have you had any of the following:
-

1 - Almost all the time

2 - Sometimes

3 - Not at all

backache
headache or migraine
urinary infection
nausea
vomiting
diarrhoea
haemorrhoids or piles
feeling weepy/tearful
feeling irritable
feeling exhausted
varicose veins
passing urine very often
problem holding urine when you jump, sneeze etc.
indigestion
feeling dizzy/fainting
flashing lights/spots before eyes
shoulder ache
tingling in hands/fingers
tingling in feet/toes
neck ache
feeling depressed

In the past month, how often have you had any of the following: In the past month: other problem (please describe)

1
Almost all the time
2
Sometimes
3
Not at all
Other

Have you ever had pain in one or both of your knees lasting for at least a month?

1
Yes, one
2
Yes, both
3
No
If no, go to A9a on page 9
If yes,
qc_A8_a == 1 || qc_A8_a == 2

about how old were you when this first happened?

1
Less than 10
2
10-13
3
14-16
4
17-19
5
20 or more

Have you had pain in your knees in the past month?

1
Yes
2
No

How often are you having sexual intercourse now?

1
not at all
2
less than once a month
3
1-3 times a month
4
about once a week
5
2-4 times a week
6
5 or more times a week

In general, do you enjoy it?

1
yes, very much
2
yes, somewhat
3
no, not a lot
4
no, not at all
5
no sex at the moment

Please give below your present weights and measurements if you know them. weight ... kg or ... stones ... pounds

Kilograms
Stones
Pounds in stone

Please give below your present weights and measurements if you know them. height ... cm or ... ft ... in

Centimetres
Feet
Inches in foot

Please give below your present weights and measurements if you know them. inside leg measurement ... cm or ... ft ... in

Centimetres
Feet
Inches in foot

Please give below your present weights and measurements if you know them. chest ... cm or ... in

Centimetres
Inches

Please give below your present weights and measurements if you know them. hips ... cm or ... in

Centimetres
Inches

Please give below your present weights and measurements if you know them. waist ... cm or ... in

Centimetres
Inches
SECTION B: RECENT EVENTS
Listed below are a number of events which may have brought changes in your life. Have any of these occurred since your study child's 6th birthday?

Since the child's 6th birthday: Your wife/partner died

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: One of your children died

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: A friend or relative died

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: One of your children was ill

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife or partner was ill

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: A friend or relative was ill

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You were admitted to hospital

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You were in trouble with the law

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You were divorced

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You found that your wife/partner didn't want your child

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You were very ill

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner lost her job

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner had problems at work

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You had problems at work

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You lost your job

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner went away

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner was in trouble with the law

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You and your wife/partner separated

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your income was reduced

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You argued with your wife/partner

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You argued with your family and friends

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You moved house

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner was physically cruel to you

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You became homeless

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You had a major financial problem

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You got married

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner was physically cruel to your children

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You were physically cruel to your children

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You attempted suicide

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You were convicted of an offence

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner became pregnant

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You started a new job

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You returned to work

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner had a miscarriage

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner had an abortion

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You took an examination

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner was emotionally cruel to you

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner was emotionally cruel to your children

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You were emotionally cruel to your children

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your house or car was burgled

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You found a new partner

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: One of your children started school

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: Your wife/partner started a new job

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: A pet died

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years

Since the child's 6th birthday: You had an accident (please tick and describe)

1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Generic text

Is there anything else which is not on the list which has concerned you or required additional effort from you to cope in the last 3 years?

1
Yes
2
No
If yes,
qc_B46_a == 1
please describe for each event:
what happened: When the study child was 6 or 7 Since the child's 8th birthday

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1
2
3

Has anything else occurred which made you especially happy?

1
Yes
2
No
If yes,
qc_B47_a == 1
please describe for each event:
what happened: When the study child was 6 or 7 Since the child's 8th birthday

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1
2
3
SECTION C: YOUR WIFE/PARTNER

Do you currently have a wife or partner?

1
yes, a wife
2
yes, a female partner
3
yes, a male partner
4
no partner
If no partner, go to Section D on page 28
If yes,
qc_C1_a == 1 || qc_C1_a == 2 || qc_C1_a == 3

does your partner or wife live with you?

1
Yes
2
No
If no, go to C2 below
If yes,
qc_C1_b == 1

how long have you lived together?

Years Months

is this the same partner or wife as the one you had when the study child had his/her 6th birthday?

1
Yes the same
2
No, a new partner
3
I don't remember
The section below is concerned with your relationship with your partner. (The partner will be referred to as 'she', although the questions refer to all partners.)

How would you assess your wife/partner's physical health?

1
always fit and well
2
mostly well and healthy
3
often feels unwell
4
hardly ever feels well
Below are listed a number of conditions which your wife/partner might have had. Please indicate whether she has had any of these since your study child was 7 years old.
-

1 - Yes, and saw a doctor

2 - Yes, but did not see a doctor

3 - No, not at all

9 - Do not know

headaches or migraine
indigestion
epilepsy
depression
anxiety or nerves
haemorrhoids/piles
cough or cold
influenza
bronchitis
high blood pressure (hypertension)
diabetes
schizophrenia
drink (alcohol) problem
stomach ulcer
asthma or wheezing
eczema
psoriasis
arthritis
urinary infection
rheumatism
back pain, sciatica or slipped disc
syphilis
gonorrhoea

Below are listed a number of conditions which your wife/partner might have had. Please indicate whether she has had any of these since your study child was 7 years old. In the last 2 years wife/partner had: other condition(s) (please tick and describe)

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No, not at all
9
Do not know
Other
Below are some statements about mothers' and partners' relationships with young children. Please indicate how you feel in your particular situation.
-

1 - This is always how I feel

2 - This is sometimes how I feel

3 - I never feel this way

She really loves this child
She is glad that we had this child when we did
I like to watch her play with the child
I am afraid to leave the child alone with her because I think she might be violent
She seems to feel very close to the child
This child gets on her nerves
She really cannot bear it when this child cries
I think she is interested as she watches the child develop
She feels anxious when someone other than us looks after the child
She doesn't mind the mess that surrounds children
This child makes her very happy

How many cigarettes per day does your wife or partner currently smoke? weekdays

How many

How many cigarettes per day does your wife or partner currently smoke? weekend days

How many

Does she smoke: pipe

1
Yes every day
2
Yes sometimes
3
No never

Does she smoke: cigar/cigarillo

1
Yes every day
2
Yes sometimes
3
No never

Is your wife/partner currently employed?

1
Yes
2
No
If no, go to C7 on page 21
If yes,
qc_C6_a == 1

What is her occupation?

Generic text

Please give industry or trade

Generic text

Has she had the same job since the study child was 7 years old?

1
Yes
2
No

Does she work nights?

1
yes, always
2
yes, sometimes
3
no, never

Does she leave home for several days as part of her work?

1
yes, often
2
yes, occasionally
3
no, never

Does she work shifts?

1
yes, often
2
yes, occasionally
3
no, never

How many hours a week does she normally work? If her hours are regular, please state how many

How many

How many hours a week does she normally work? If her hours vary, please put the minimum ... and the maximum

Hours (minimum)
Hours (maximum)

Does she usually work:

1
the basic no. of hours per week
2
basic hours plus paid overtime
3
longer than basic hours (but not paid extra)
4
self-employed - as long as necessary

Does she get home after work before the study child is in bed?

1
yes, usually
2
yes, sometimes
3
no, never

How would you rate her on these characteristics? helpful, co-operative

1
Almost always
2
Sometimes
3
Hardly ever

How would you rate her on these characteristics? quiet, reserved

1
Almost always
2
Sometimes
3
Hardly ever

How would you rate her on these characteristics? unreliable

1
Almost always
2
Sometimes
3
Hardly ever

How would you rate her on these characteristics? sociable, outgoing

1
Almost always
2
Sometimes
3
Hardly ever

How would you rate her on these characteristics? dominating

1
Almost always
2
Sometimes
3
Hardly ever

How would you rate her on these characteristics? understanding

1
Almost always
2
Sometimes
3
Hardly ever

How would you rate her on these characteristics? quick-tempered, easily upset

1
Almost always
2
Sometimes
3
Hardly ever

How would you rate her on these characteristics? cheerful, easygoing

1
Almost always
2
Sometimes
3
Hardly ever

Who does these various household tasks? shopping for groceries

1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else

Who does these various household tasks? cooking

1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else

Who does these various household tasks? cleaning

1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else

Who does these various household tasks? repairs in home

1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else

Who does these various household tasks? looking after children

1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else

Who does these various household tasks? washing clothes

1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else

Who does these various household tasks? ironing

1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else

Who decides: how to spend free time

1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always

Who decides: how much to see family or friends

1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always

Who decides: when to do repairs or redecorate

1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always

Who decides: how we should spend our money

1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
People vary greatly in the amount they are satisfied or dissatisfied with their relationship. How do you feel about the following aspects of your life together?
-

1 - Very satisfied

2 - Moderately satisfied

3 - Somewhat dissatisfied

4 - Very dissatisfied

handling family finances
demonstrations of affection
sex
amount of time spent together
making major decisions
household tasks
leisure time interests & activities

How often recently have you been irritable with your wife or partner?

1
not at all
2
less than once a week
3
1-2 times a week
4
3-6 times a week
5
every day

How often has she been irritable with you?

1
not at all
2
less than once a week
3
1-2 times a week
4
3-6 times a week
5
every day

How many arguments or disagreements have you had with one another in the past three months?

1
None
2
1-3
3
4-7
4
8-13
5
14 or more
In the past 3 months, have any of these happened?
-

1 - Yes, I did this

2 - Yes, she did this

3 - Yes, we both did this

4 - No, not at all

not speaking for more than half an hour
one of you walking out of the house
shouting or calling one another names
hitting or slapping
throwing or breaking things
In the past three months how often have you done these things with your wife/partner?
-

1 - Never

2 - Less than once a month

3 - Less than once a week

4 - At least once a week

gone out for a meal
gone out for a drink
visited friends
visited family
gone to the cinema or theatre

In the past three months how often have you done these things with your wife/partner? other (please tick and describe)

2
Less than once a month
3
Less than once a week
4
At least once a week
Other

How many evenings a month do you go out and do things on your own or with your own friends?

1
none
2
once
3
2-3 times
4
4-7 times
5
8 or more times

How many times a month does your wife/partner go out and do things on her own or with friends?

1
none
2
once
3
2-3 times
4
4-7 times
5
8 or more times
How often in a week, on average, would you and your wife/partner:
-

1 - Never

2 - Less than once a week

3 - 1-3 times a week

4 - Most days

discuss work or how the day has gone
laugh together
calmly talk over something (e.g. the news, a hobby or interest)
kiss or hug
make plans
talk over feelings or worries

Which of the following statements about alcohol best applies to your wife/partner:

1
Never drinks alcohol
2
Very occasionally (less than once a week)
3
Occasionally (at least once a week)
4
Drinks 1-2 glasses* nearly every day
5
Drinks 3-9 glasses* every day
6
Drinks at least 10 glasses a day
9
Don't know
[*by glass we mean pub measures (1oz) of spirits, 1 glass of wine or 1/2 pint (1/4 litre) of beer or cider]

How many days in the past month do you think she had the equivalent of at least 2 pints of beer, 4 glasses of wine or 4 pub measures of spirit?

1
every day
2
more than 10 days
3
5-10 days
4
3-4 days
5
1-2 days
6
none
Below are attitudes and behaviours which people reveal in their close relationships. Please rate your wife/partner's attitudes and behaviour towards you in recent times and tick the most appropriate box for each item.
-

1 - Very true

2 - Moderately true

3 - Somewhat true

4 - Not at all true

Is very considerate of me
Wants me to take her side in an argument
Wants to know exactly what I'm doing and where I am
Is a good companion
Is affectionate to me
Is clearly hurt if I don't accept her views
Tends to try to change me
Confides closely in me
Tends to criticise me over small issues
Understands my problems and worries
Tends to order me about
Insists I do exactly as I'm told
Is physically gentle and considerate
Makes me feel needed
Wants me to change in small ways
Is very loving to me
Seeks to dominate me
Is fun to be with
Wants to change me in big ways
Tends to control everything I do
Shows her appreciation of me
Is critical of me in private
Is gentle and kind to me
Speaks to me in a warm and friendly voice
SECTION D: YOUR FAMILY AND FRIENDS

How many of your relatives and your wife/partner's relatives do you see at least twice a year?

1
None
2
1
3
2-4
4
more than 4

About how many friends do you have?

1
None
2
1
3
2-4
4
more than 4

Overall, would you say you belong to a close circle of friends?

1
Yes
2
No

How many people are there that you can talk to about personal problems?

1
None
2
1
3
2-4
4
more than 4

How many people talk to you about their personal problems or their private feelings?

1
None
2
1
3
2-4
4
more than 4

If you have to make an important decision, how many people are there with whom you can discuss it?

1
None
2
1
3
2-4
4
more than 4

How many people are there among your family and friends from whom you could borrow £200 if you needed to?

1
None
2
1
3
2-4
4
more than 4

How many of your family and friends would help you in times of trouble?

1
None
2
1
3
2-4
4
more than 4

During the last month, how many times did you get together with one or more friends?

1
None
2
1
3
2-4
4
more than 4

During the last month, how many times did you get together with one or more of your relatives or your wife/partner's relatives?

1
None
2
1
3
2-4
4
more than 4
The following statements are about the help and support you have.

I have no one to share my feelings with

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

My wife/partner provides the emotional support I need

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no wife/partner

There are other fathers with whom I can share my experiences

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

I believe in moments of difficulty my neighbours would help me

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

I'm worried that my wife/partner might leave me

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no wife/partner

There is always someone with whom I can share my happiness and excitement about my child

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

If I feel tired I can rely on my wife/partner to take over

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no wife/partner

If I was in financial difficulty I know my family would help if they could

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

If I was in financial difficulty I know my friends would help if they could

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

If all else fails I know the state will support and assist me

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

Do you believe in God or in some divine power?

1
yes
2
am not sure
3
no, not at all

Do you feel that God (or some divine power) has helped you at any time?

1
Yes
2
Not sure
3
No

Would you appeal to God for help if you were in trouble?

1
Yes
2
Not sure
3
No

Do you 'pray' even if not in trouble?

1
Yes
2
No

What sort of religious faith would you say you had? (tick one only)

1
Church of England
2
Roman Catholic
3
Jehovah's Witness
4
Christian Science
5
Mormon
6
Methodist, Baptist or other Christian (please describe)
7
Jewish
8
Buddhist
9
Sikh
10
Hindu
11
Muslim
12
Rastafarian
0
None
13
Other (please describe)
Other

How long have you had this particular faith?

1
all my life
2
more than 5 years
3
3-5 years
4
1-2 years
5
less than a year

Are you bringing your child up in this faith?

1
Yes
2
No

Do you go to a place of worship?

1
yes, at least once a week
2
yes, at least once a month
3
yes, at least once a year
4
no, not at all

Do you obtain help and support from leaders or others members of religious groups? Help from: Leaders of your religious group (e.g. priests, rabbis, imams)

1
Yes
2
No

Do you obtain help and support from leaders or others members of religious groups? Help from: Other members of your religious group

1
Yes
2
No

Do you obtain help and support from leaders or others members of religious groups? Help from: Members of other religious group (please describe)

1
Yes
2
No
Other
SECTION E: MY THOUGHTS AND FEELINGS
Below are a number of statements which you may use to describe yourself. Although you might think some of the wording is a bit unusual, please bear with us and indicate how well these statements apply to you.

I often feel uncomfortable and ill at ease for no real reason

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I'm always keen on trying out things that are all new

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

Sometimes people bother me just by being around

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I often have aches in my shoulders and in the back of my neck

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I have had more than my share of things to worry about

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

No matter whom I'm talking to I'm always polite and courteous

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I find it hard to object if I'm neglected at, for example, a restaurant

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I have a tendency to act on the spur of the moment without really thinking ahead

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

Even though I know I'm right I often have great difficulty getting my point across

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

Sometimes I used to feel that I would like to leave home

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I seldom do things that make me feel remorseful afterwards

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

It is easy for me to get close to people

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I get tired and hurried too easily

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I often find myself gnashing my teeth together, for no real cause

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

Even when my anger is aroused I don't use "strong language"

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I have never deliberately said something that has hurt someone's feelings

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I don't have much self-confidence

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

My parents have often disapproved of my friends

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When someone is pushing themselves forward in a queue, I usually tell them off

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When I have to make a decision I "sleep on it" before I decide

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I often feel restless, as if I wanted something without knowing what

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I like leading a quiet and organised life

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When I am mad, I sometimes slam doors

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

Life usually hands me a pretty raw deal

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I want to confide in someone, when I'm worried and unhappy

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I don't mind being interrupted when I'm working on something

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I find it difficult going back to a shop to ask if I can exchange an item I have bought

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I prefer people who come up with exciting and unexpected activities

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

No matter whom I'm talking to, I'm always a good listener

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I usually get so excited over new ideas and suggestions that I forget to check if there are any disadvantages

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I can get mad enough to throw things

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

My home life was always happy

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

My body often feels stiff and tense

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

My heart sometimes beats hard or irregularly for no real reason

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I think that an argument can clear the air sometimes

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I'm the kind of person who is excessively sensitive and easily hurt

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I have often gone against my parents' wishes

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I avoid people who are interested in my personal life

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I'm irritated a great deal more than people are aware of

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I think I must economise my energy

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I never hesitate to go out of my way to help someone in trouble

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When trying to fall asleep I often notice that my muscles are really tense

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

Since the age of ten, I have never had a temper tantrum

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I have an unusually great need for change

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

People often talk about me behind my back

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I'm quite self-conscious in most social situations

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

People who shirk on the job must feel very guilty

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I often throw myself too hastily into things

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I have great difficulty pulling my thoughts together whilst talking to someone

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

My home life was always very pleasant

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I feel embarrassed having to complain when I get too little change back in a shop

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I feel uncomfortable when people take me into their confidence

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

In order to get something done I have to spend more energy than most others

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I try to get to places where things happen

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I sometimes have a feeling that others are laughing at me

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

Sometimes I suddenly start sweating without any particular reason

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

An unexpected noise makes me jump

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

The members of my family were always very close to each other

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When someone is teasing me I never find a good answer until later

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I have never been bothered when someone has asked me for a favour, not even at times when it has been inconvenient

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I seldom dare to express myself in a discussion because I have the feeling that people think my views are not worth anything

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I'm very particular

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I sometimes have bad thoughts which make me feel ashamed of myself

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

My home as a child was less peaceful and quiet than those of most other people

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I'm deeply moved by other people's misfortunes

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

It is easy for me to regain lost sleep

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I have difficulty turning someone down when asked for a favour, even though I don't feel like doing it

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I am a person who takes things as they come

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I'm always willing to admit it when I make a mistake

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

Often I find myself holding the newspaper tightly when I'm reading it

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I commonly wonder what hidden reason another person may have for doing something nice for me

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

In school I was often sent to the Head for my behaviour

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I almost always have a desire for more action

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

It takes me an unusually long time to get over unpleasant events

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

It depresses me that I did not do more for my parents

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I sometimes feel panicky

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I sometimes wanted to run away from home

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I feel best when I keep people at a distance

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I sometimes wish that I could speak up when I dislike something

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I can usually concentrate on what I'm doing even if the environment is distracting

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I usually "talk before I think"

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I usually don't feel at ease when I meet people I don't know too well

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I feel very ill at ease when witnessing a fight in the street

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies
7
Never seen a fight

In a way I like to do routine jobs

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I have often got into trouble even when it was not my fault

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

Sometimes when upset, I suddenly feel as if my legs were too weak to carry me

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I sometimes spread gossip about people I don't like

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I have difficulty sitting in a relaxed position even in a comfortable chair

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I'm always courteous, even to people who are disagreeable

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

With things going as they are, it's pretty hard to keep up hope of getting anywhere

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

The few times I've cheated I have suffered unbearable feelings of remorse

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies
7
Have never cheated

I prefer to avoid involving myself in other people's personal problems

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I easily feel pressure when I'm urged to speed up

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

Rather often, especially when I'm tired, I get a feeling of unreality - that either I or the world around me is changing

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I can't help getting into arguments when people disagree with me

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When I don't know something I don't at all mind admitting it

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I often worry about things that other people look upon as trifles

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

As a youngster in school I used to give the teacher lots of trouble

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I can't help being a little rude to people I don't like

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

My hands usually tremble

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When I am about to make a decision I usually make it quickly

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I like doing things just for the thrill of it

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

There are a number of people who seem to be jealous of me

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

My parents never really understood me

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

People generally think that I hide my feelings so that they have difficulties in understanding me

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I like to have plenty of time available when I'm doing something

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I seldom feel that people are trying to anger or insult me

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

My muscles are so tense that I get tired

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

To be on the move, travelling, change and excitement - that's the kind of life I like

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I worry far in advance of when I'm going to get started on something

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I'm always patient with others

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I seem to do things that I regret more often than other people do

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I take life easy

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

There have been times when I was quite jealous of the good fortune of others

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I don't let a lot of unimportant things irritate me

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

Sometimes my cheeks burn even if it isn't particularly hot

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When I was going to school I skived off (truanted) quite often

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I consider myself reserved and a little cold rather than kind and warm

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I tend to be on my guard with people who are somewhat more friendly than I expected

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I feel calm and secure even when I'm facing new tasks

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

After buying something I often worry about having made the wrong choice

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I have lied sometimes to get out of something

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

If somebody annoys me, I'm apt to tell them what I think of them

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I sometimes have a feeling that I don't get enough air to breathe

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

My parents generally allowed me to make my own decisions

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When I get mad I say nasty things

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I consider myself an impulsive person

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

In the late afternoon I often get a headache which feels as if there was an iron-band across my forehead

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When people yell at me I yell back

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When listening to music on the radio I want it really loud so that I can feel "turned on"

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I often feel as though I have done something wrong or wicked

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

When I'm angry, I sometimes sulk

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

People often come to me with their troubles

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

I think I get tired more easily than most people I know

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies

If someone is scolding me, I become sad rather than angry

1
Doesn't Apply
2
Applies a bit
3
Moderately applies
4
Certainly applies
SECTION F: CHEMICALS IN YOUR ENVIRONMENT
In the last few months, how often have you used the following whether at home or at work:
-

1 - Every day

2 - Most days

3 - About once a week

4 - Less than once a week

5 - Not at all

disinfectant
bleach
window cleaner
chemical carpet cleaner
oven/drain cleaner
dry cleaning fluid
turpentine/white spirit
paint stripper
household paint or varnish
weed killers
pesticides/insect killers
air freshners (spray, stick or aerosol)
other aerosols or sprays including hair spray
deodorant or antiperspirant
make up
glue
nail varnish/acetone
metal cleaners/degreasers, polishers
petrol
moth repellent (moth balls)

In the last few months, how often have you used the following whether at home or at work: In the last few months other chemical (please tick and describe)

1
Every day
2
Most days
3
About once a week
4
Less than once a week
5
Not at all
Other

Do you have a mobile phone (i.e. one that can be used away from home)?

1
Yes
2
No
If yes,
qc_F2_a == 1

how often do you use it to make calls?

1
at least once a day
2
4-6 times a week
3
1-3 times a week
4
less than once a week

how often do people ring you on it?

1
at least once a day
2
4-6 times a week
3
1-3 times a week
4
less than once a week

How often during the day are you in a room or enclosed place where people are smoking? weekdays

1
all the time
2
more than 5 hours
3
3-5 hours
4
1-2 hours
5
less than 1 hour
6
not at all

How often during the day are you in a room or enclosed place where people are smoking? weekends

1
all the time
2
more than 5 hours
3
3-5 hours
4
1-2 hours
5
less than 1 hour
6
not at all

Do you tend to collect static electricity and have shocks when you touch metal?

1
Yes a lot
2
Yes occasionally
3
No, not at all
SECTION G:

This questionnaire was completed by: child's biological father

1
Yes

This questionnaire was completed by: child's father figure

1
Yes

This questionnaire was completed by: someone else (please describe)

1
Yes
Other

Please give the date on which you completed this questionnaire:

Generic date

Please give your date of birth:

Date of birth

Please give your study child's date of birth:

Date of birth
THANK YOU VERY MUCH FOR YOUR HELP

Space for any additional comments you would like to make

Long text
NB Please remember we cannot reply to any comment unless you sign it.
When completed, please return the questionnaire to:
Professor Jean Golding
Children of the Nineties - ALSPAC
Institute of Child Health
End

alspac_00_foa9yo

FATHER OF A 9 YEAR OLD
All answers are confidential
This questionnaire is for the study child's father or person who takes the role of father. This could be the mother's husband or partner. The answers will help us to identify those problems that may be helped by changes in the health care system.
To answer simply tick the box which is most accurate in your opinion.
Some questions are the same as those you have answered before. This is so that we can tell what changes have happened to you.
Please answer all questions if you can, even if they are similar. If you do not want to answer a question or if it does notapply to you, put a line through it. There are no good or bad answers. Just tell us what is true for you.
All answers are confidential
THANK YOU FOR YOUR HELP

SECTION A: YOUR HEALTH

Which of the following would you say describes your health now?
1
fit and well
2
mostly well and healthy
3
often feel unwell
4
hardly ever feel well

Have you had any of the following in the last 3 years (since your study child's 6th birthday)?

-

1 - Yes and consulted doctor

2 - Yes but did not consult doctor

3 - No

anxiety or 'nerves'
depression
headache or migraine
epilepsy
back pain, sciatica, slipped disc
indigestion
high blood pressure
cough or cold
diabetes
haemorrhoids/piles
wheezing or asthma
schizophrenia
influenza
alcohol problem
bronchitis
stomach ulcer
eczema
psoriasis
arthritis
rheumatism
urinary infection
syphilis
gonorrhoea
Have you had any of the following in the last 3 years (since your study child's 6th birthday)? In last 3 years: cancer (please state type)
1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Generic text
Have you had any of the following in the last 3 years (since your study child's 6th birthday)? In last 3 years: other problems (please describe)
1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Other

In the last 2 years how often have you taken the following?

-

1 - Every day

2 - Often

3 - Sometimes

4 - Not at all

sleeping pills
vitamins
cannabis/marihuana
tranquillisers
pills for depression
antibiotics
aspirin
paracetamol
other painkillers
amphetamines or other stimulants
iron
heroin, methadone, crack, cocaine
anticonvulsants
steroids

In the last 2 years how often have you taken the following? In last 2 years: other pill, medicine, drug or treatment (please describe each and state how frequently taken)

-

1 - Every day

2 - Often

3 - Sometimes

In the past year have you taken or used any homeopathic medicine(s) or remedies?
1
yes, often
2
yes, sometimes
3
no
If no, go to A5 below

please describe the name(s) of the homeopathic medicine(s) and the reason for taking/using them:

Name: Reason:
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
1
2
3
4
5

Please list all the other drugs, medicines and ointments that you have taken or used in the past month:

What did you take: About how many days did you take or use it? How often per day?
Generic textHow manyGeneric textGeneric textHow manyGeneric textHow manyGeneric textGeneric text Generic textHow manyGeneric textGeneric textHow manyGeneric textHow manyGeneric textGeneric text Generic textHow manyGeneric textGeneric textHow manyGeneric textHow manyGeneric textGeneric text
1
2
3
4
5
6
7
8
9
10
Since your study child's 6th birthday have you been admitted to hospital?
1
Yes
2
No
If no, go to A7 below
how many times?
How many
for how many different reasons?
How many

(_hospitalstay <= qc_A6_b) && (_hospitalstay < 6)

Reason for each hospital stay:
Generic text
How long did you stay? ... nights
How many

In the past month, how often have you had any of the following:

-

1 - Almost all the time

2 - Sometimes

3 - Not at all

backache
headache or migraine
urinary infection
nausea
vomiting
diarrhoea
haemorrhoids or piles
feeling weepy/tearful
feeling irritable
feeling exhausted
varicose veins
passing urine very often
problem holding urine when you jump, sneeze etc.
indigestion
feeling dizzy/fainting
flashing lights/spots before eyes
shoulder ache
tingling in hands/fingers
tingling in feet/toes
neck ache
feeling depressed
In the past month, how often have you had any of the following: In the past month: other problem (please describe)
1
Almost all the time
2
Sometimes
3
Not at all
Other
Have you ever had pain in one or both of your knees lasting for at least a month?
1
Yes, one
2
Yes, both
3
No
If no, go to A9a on page 9
about how old were you when this first happened?
1
Less than 10
2
10-13
3
14-16
4
17-19
5
20 or more
Have you had pain in your knees in the past month?
1
Yes
2
No
How often are you having sexual intercourse now?
1
not at all
2
less than once a month
3
1-3 times a month
4
about once a week
5
2-4 times a week
6
5 or more times a week
In general, do you enjoy it?
1
yes, very much
2
yes, somewhat
3
no, not a lot
4
no, not at all
5
no sex at the moment
Please give below your present weights and measurements if you know them. weight ... kg or ... stones ... pounds
Kilograms
Stones
Pounds in stone
Please give below your present weights and measurements if you know them. height ... cm or ... ft ... in
Centimetres
Feet
Inches in foot
Please give below your present weights and measurements if you know them. inside leg measurement ... cm or ... ft ... in
Centimetres
Feet
Inches in foot
Please give below your present weights and measurements if you know them. chest ... cm or ... in
Centimetres
Inches
Please give below your present weights and measurements if you know them. hips ... cm or ... in
Centimetres
Inches
Please give below your present weights and measurements if you know them. waist ... cm or ... in
Centimetres
Inches

SECTION B: RECENT EVENTS

Listed below are a number of events which may have brought changes in your life. Have any of these occurred since your study child's 6th birthday?
Since the child's 6th birthday: Your wife/partner died
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: One of your children died
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: A friend or relative died
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: One of your children was ill
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife or partner was ill
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: A friend or relative was ill
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You were admitted to hospital
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You were in trouble with the law
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You were divorced
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You found that your wife/partner didn't want your child
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You were very ill
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner lost her job
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner had problems at work
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You had problems at work
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You lost your job
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner went away
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner was in trouble with the law
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You and your wife/partner separated
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your income was reduced
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You argued with your wife/partner
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You argued with your family and friends
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You moved house
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner was physically cruel to you
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You became homeless
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You had a major financial problem
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You got married
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner was physically cruel to your children
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You were physically cruel to your children
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You attempted suicide
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You were convicted of an offence
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner became pregnant
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You started a new job
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You returned to work
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner had a miscarriage
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner had an abortion
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You took an examination
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner was emotionally cruel to you
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner was emotionally cruel to your children
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You were emotionally cruel to your children
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your house or car was burgled
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You found a new partner
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: One of your children started school
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: Your wife/partner started a new job
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: A pet died
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Since the child's 6th birthday: You had an accident (please tick and describe)
1
Yes, when the study child was 6 or 7
2
Yes, since the child's 8th birthday
4
No, did not happen in past 3 years
Generic text
Is there anything else which is not on the list which has concerned you or required additional effort from you to cope in the last 3 years?
1
Yes
2
No

please describe for each event:

what happened: When the study child was 6 or 7 Since the child's 8th birthday

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1
2
3
Has anything else occurred which made you especially happy?
1
Yes
2
No

please describe for each event:

what happened: When the study child was 6 or 7 Since the child's 8th birthday

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1 - Yes

1 - Yes

Generic text

1 - Yes

1 - Yes

Generic text

1 - Yes

Generic text

1 - Yes

1
2
3

SECTION C: YOUR WIFE/PARTNER

Do you currently have a wife or partner?
1
yes, a wife
2
yes, a female partner
3
yes, a male partner
4
no partner
If no partner, go to Section D on page 28
does your partner or wife live with you?
1
Yes
2
No
If no, go to C2 below
how long have you lived together?
Years Months
is this the same partner or wife as the one you had when the study child had his/her 6th birthday?
1
Yes the same
2
No, a new partner
3
I don't remember
The section below is concerned with your relationship with your partner. (The partner will be referred to as 'she', although the questions refer to all partners.)
How would you assess your wife/partner's physical health?
1
always fit and well
2
mostly well and healthy
3
often feels unwell
4
hardly ever feels well

Below are listed a number of conditions which your wife/partner might have had. Please indicate whether she has had any of these since your study child was 7 years old.

-

1 - Yes, and saw a doctor

2 - Yes, but did not see a doctor

3 - No, not at all

9 - Do not know

headaches or migraine
indigestion
epilepsy
depression
anxiety or nerves
haemorrhoids/piles
cough or cold
influenza
bronchitis
high blood pressure (hypertension)
diabetes
schizophrenia
drink (alcohol) problem
stomach ulcer
asthma or wheezing
eczema
psoriasis
arthritis
urinary infection
rheumatism
back pain, sciatica or slipped disc
syphilis
gonorrhoea
Below are listed a number of conditions which your wife/partner might have had. Please indicate whether she has had any of these since your study child was 7 years old. In the last 2 years wife/partner had: other condition(s) (please tick and describe)
1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No, not at all
9
Do not know
Other

Below are some statements about mothers' and partners' relationships with young children. Please indicate how you feel in your particular situation.

-

1 - This is always how I feel

2 - This is sometimes how I feel

3 - I never feel this way

She really loves this child
She is glad that we had this child when we did
I like to watch her play with the child
I am afraid to leave the child alone with her because I think she might be violent
She seems to feel very close to the child
This child gets on her nerves
She really cannot bear it when this child cries
I think she is interested as she watches the child develop
She feels anxious when someone other than us looks after the child
She doesn't mind the mess that surrounds children
This child makes her very happy
How many cigarettes per day does your wife or partner currently smoke? weekdays
How many
How many cigarettes per day does your wife or partner currently smoke? weekend days
How many
Does she smoke: pipe
1
Yes every day
2
Yes sometimes
3
No never
Does she smoke: cigar/cigarillo
1
Yes every day
2
Yes sometimes
3
No never
Is your wife/partner currently employed?
1
Yes
2
No
If no, go to C7 on page 21
What is her occupation?
Generic text
Please give industry or trade
Generic text
Has she had the same job since the study child was 7 years old?
1
Yes
2
No
Does she work nights?
1
yes, always
2
yes, sometimes
3
no, never
Does she leave home for several days as part of her work?
1
yes, often
2
yes, occasionally
3
no, never
Does she work shifts?
1
yes, often
2
yes, occasionally
3
no, never
How many hours a week does she normally work? If her hours are regular, please state how many
How many
How many hours a week does she normally work? If her hours vary, please put the minimum ... and the maximum
Hours (minimum)
Hours (maximum)
Does she usually work:
1
the basic no. of hours per week
2
basic hours plus paid overtime
3
longer than basic hours (but not paid extra)
4
self-employed - as long as necessary
Does she get home after work before the study child is in bed?
1
yes, usually
2
yes, sometimes
3
no, never
How would you rate her on these characteristics? helpful, co-operative
1
Almost always
2
Sometimes
3
Hardly ever
How would you rate her on these characteristics? quiet, reserved
1
Almost always
2
Sometimes
3
Hardly ever
How would you rate her on these characteristics? unreliable
1
Almost always
2
Sometimes
3
Hardly ever
How would you rate her on these characteristics? sociable, outgoing
1
Almost always
2
Sometimes
3
Hardly ever
How would you rate her on these characteristics? dominating
1
Almost always
2
Sometimes
3
Hardly ever
How would you rate her on these characteristics? understanding
1
Almost always
2
Sometimes
3
Hardly ever
How would you rate her on these characteristics? quick-tempered, easily upset
1
Almost always
2
Sometimes
3
Hardly ever
How would you rate her on these characteristics? cheerful, easygoing
1
Almost always
2
Sometimes
3
Hardly ever
Who does these various household tasks? shopping for groceries
1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else
Who does these various household tasks? cooking
1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else
Who does these various household tasks? cleaning
1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else
Who does these various household tasks? repairs in home
1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else
Who does these various household tasks? looking after children
1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else
Who does these various household tasks? washing clothes
1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else
Who does these various household tasks? ironing
1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
6
Someone else
Who decides: how to spend free time
1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
Who decides: how much to see family or friends
1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
Who decides: when to do repairs or redecorate
1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always
Who decides: how we should spend our money
1
Me always
2
Me mostly
3
Sometimes me, sometimes she does
4
She does mostly
5
She does always

People vary greatly in the amount they are satisfied or dissatisfied with their relationship. How do you feel about the following aspects of your life together?

-

1 - Very satisfied

2 - Moderately satisfied

3 - Somewhat dissatisfied

4 - Very dissatisfied

handling family finances
demonstrations of affection
sex
amount of time spent together
making major decisions
household tasks
leisure time interests & activities
How often recently have you been irritable with your wife or partner?
1
not at all
2
less than once a week
3
1-2 times a week
4
3-6 times a week
5
every day
How often has she been irritable with you?
1
not at all
2
less than once a week
3
1-2 times a week
4
3-6 times a week
5
every day
How many arguments or disagreements have you had with one another in the past three months?
1
None
2
1-3
3
4-7
4
8-13
5
14 or more

In the past 3 months, have any of these happened?

-

1 - Yes, I did this

2 - Yes, she did this

3 - Yes, we both did this

4 - No, not at all

not speaking for more than half an hour
one of you walking out of the house
shouting or calling one another names
hitting or slapping
throwing or breaking things

In the past three months how often have you done these things with your wife/partner?

-

1 - Never

2 - Less than once a month

3 - Less than once a week

4 - At least once a week

gone out for a meal
gone out for a drink
visited friends
visited family
gone to the cinema or theatre
In the past three months how often have you done these things with your wife/partner? other (please tick and describe)
2
Less than once a month
3
Less than once a week
4
At least once a week
Other
How many evenings a month do you go out and do things on your own or with your own friends?
1
none
2
once
3
2-3 times
4
4-7 times
5
8 or more times
How many times a month does your wife/partner go out and do things on her own or with friends?
1
none
2
once
3
2-3 times
4
4-7 times
5
8 or more times

How often in a week, on average, would you and your wife/partner:

-

1 - Never

2 - Less than once a week

3 - 1-3 times a week

4 - Most days

discuss work or how the day has gone
laugh together
calmly talk over something (e.g. the news, a hobby or interest)
kiss or hug
make plans
talk over feelings or worries
Which of the following statements about alcohol best applies to your wife/partner:
1
Never drinks alcohol
2
Very occasionally (less than once a week)
3
Occasionally (at least once a week)
4
Drinks 1-2 glasses* nearly every day
5
Drinks 3-9 glasses* every day
6
Drinks at least 10 glasses a day
9
Don't know
[*by glass we mean pub measures (1oz) of spirits, 1 glass of wine or 1/2 pint (1/4 litre) of beer or cider]
How many days in the past month do you think she had the equivalent of at least 2 pints of beer, 4 glasses of wine or 4 pub measures of spirit?
1
every day
2
more than 10 days
3
5-10 days
4
3-4 days
5
1-2 days
6
none

Below are attitudes and behaviours which people reveal in their close relationships. Please rate your wife/partner's attitudes and behaviour towards you in recent times and tick the most appropriate box for each item.

-

1 - Very true

2 - Moderately true

3 - Somewhat true

4 - Not at all true

Is very considerate of me
Wants me to take her side in an argument
Wants to know exactly what I'm doing and where I am
Is a good companion
Is affectionate to me
Is clearly hurt if I don't accept her views
Tends to try to change me
Confides closely in me
Tends to criticise me over small issues
Understands my problems and worries
Tends to order me about
Insists I do exactly as I'm told
Is physically gentle and considerate
Makes me feel needed
Wants me to change in small ways
Is very loving to me
Seeks to dominate me
Is fun to be with
Wants to change me in big ways
Tends to control everything I do
Shows her appreciation of me
Is critical of me in private
Is gentle and kind to me
Speaks to me in a warm and friendly voice

SECTION D: YOUR FAMILY AND FRIENDS

How many of your relatives and your wife/partner's relatives do you see at least twice a year?
1
None
2
1
3
2-4
4
more than 4
About how many friends do you have?
1
None
2
1
3
2-4
4
more than 4
Overall, would you say you belong to a close circle of friends?
1
Yes
2
No
How many people are there that you can talk to about personal problems?
1
None
2
1
3
2-4
4
more than 4
How many people talk to you about their personal problems or their private feelings?
1
None
2
1
3
2-4
4
more than 4
If you have to make an important decision, how many people are there with whom you can discuss it?
1
None
2
1
3
2-4
4
more than 4
How many people are there among your family and friends from whom you could borrow £200 if you needed to?
1
None
2
1
3
2-4
4
more than 4
How many of your family and friends would help you in times of trouble?
1
None
2
1
3
2-4
4
more than 4
During the last month, how many times did you get together with one or more friends?
1
None
2
1
3
2-4
4
more than 4
During the last month, how many times did you get together with one or more of your relatives or your wife/partner's relatives?
1
None
2
1
3
2-4
4
more than 4
The following statements are about the help and support you have.
I have no one to share my feelings with
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
My wife/partner provides the emotional support I need
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no wife/partner
There are other fathers with whom I can share my experiences
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
I believe in moments of difficulty my neighbours would help me
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
I'm worried that my wife/partner might leave me
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no wife/partner
There is always someone with whom I can share my happiness and excitement about my child
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
If I feel tired I can rely on my wife/partner to take over
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no wife/partner
If I was in financial difficulty I know my family would help if they could
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
If I was in financial difficulty I know my friends would help if they could
1
This is exactly how I feel