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alspac_96_msbg
MY SCHOOL GIRL
This questionnaire asks about your study child.
It is like the other questionnaires you have received. To answer simply tick the box which best describes your child or your child's situation. Please answer all questions that you can. If you cannot answer certain questions or if they do not apply to you please put a line through them. There are no right or wrong answers. Please just describe what happens in your situation. You may make additional comments at the end. All answers are confidential.
THANK YOU FOR YOUR HELP
SECTION A: YOUR CHILD'S HEALTH

How would you assess the health of your child nowadays? in the past month

1
very healthy, no problems
2
healthy, but a few minor problems
3
sometimes quite ill
4
almost always unwell

How would you assess the health of your child nowadays? in the past year

1
very healthy, no problems
2
healthy, but a few minor problems
3
sometimes quite ill
4
almost always unwell

In the past 15 months has the doctor been called to your home because she was unwell?

1
Yes
2
No
If no, go to A3 below
If yes,
qc_A2_a == 1

how many times?

1
once
2
2 times
3
3-4 times
4
5 or more times
Has she had any of the following in the past 15 months?
-
diarrhoea
blood in the stools
vomiting
cough
high temperature
snuffles/cold
ear ache
ear discharge (pus not wax)
convulsions/fits
stomach ache(s)
rash
wheezing
breathlessness
episodes of stopping breathing
an accident
urinary infection
headache(s )
constipation
worm infections
lice or scabies

Has she had any of the following in the past 15 months? In the past 15 months: other (please tick

and describe)

1
Yes and saw a doctor
2
Yes but did not see doctor
3
No did not have
Other

Has your child been admitted to hospital in the past 15 months?

1
Yes
2
No
If no, go to A5 on page 5
If yes,
qc_A4_a == 1

how many times?

How many
please describe for each admission:
Age of child (years) Reason for admission No. of nights child stayed in hospital
Age in yearsGeneric textHow many Age in yearsGeneric textHow many Age in yearsGeneric textHow many
1.
2.
3.

How often did you see her while she was in hospital? 1st admission

1
Not at all
2
Quite often
3
Every day
4
Stayed in the hospital with her

How often did you see her while she was in hospital? 2nd admission

1
Not at all
2
Quite often
3
Every day
4
Stayed in the hospital with her

How often did you see her while she was in hospital? 3rd admission

1
Not at all
2
Quite often
3
Every day
4
Stayed in the hospital with her

Has she ever had any of the following operations? hernia repair

1
Yes
2
No

Has she ever had any of the following operations? tonsils out

1
Yes
2
No

Has she ever had any of the following operations? adenoids out

1
Yes
2
No

Has she ever had any of the following operations? appendicectomy (appendix out)

1
Yes
2
No

Has she ever had any of the following operations? tubes (grommets) put in her ears

1
Yes
2
No

Has she ever had any of the following operations? squint repair (to put eyes straight)

1
Yes
2
No

Has she ever had any of the following operations? teeth pulled out

1
Yes
2
No

Has she ever had any of the following operations? other operations (please describe )

1
Yes
2
No
Other

In the past 15 months has she had any periods when there was wheezing with whistling on her chest when she breathed?

1
Yes
2
No
If no, go to A6f below
If yes,
qc_A6_a == 1

How many separate times has she wheezed in the past 15 months?

1
once
2
twice
3
3-4 times
4
5 or more times
9
don't know

How many days altogether would you say she had wheezed in the past 15 months?

1
1 day
2
2-3 days
3
4-9 days
4
10-19 days
5
20 or more days
9
don't know

Was she breathless during any of these times?

1
Yes for all
2
Yes for some
3
No not at all

Did she have a fever during any of these times?

1
Yes for all
2
Yes for some
3
No not at all

Have any of your other children had spells of wheezing with whistling on the chest?

1
Yes
2
No
7
have no other children

Has your child had any itchy, dry skin rash in the joints and creases of her body (e.g. behind the knees, elbows, under the arms) in the past 15 months?

1
Yes
2
No
If no, go to A8a on page 7
If yes,
qc_A7_a == 1

how bad was this?

1
very bad
2
quite bad
3
mild
4
no problem

does she have this sort of rash now?

1
Yes
2
No

did the rash ever become sore and oozy?

1
Yes
2
No

was it made worse by irritants such as bubble bath, soap, wool or nylon clothing?

1
Yes
2
No

Has she had an itchy, dry, rash on her hands in the past 15 months?

1
Yes
2
No

Has she had an itchy, dry rash on her feet in the past 15 months?

1
Yes
2
No
If no, go to A8c below
If yes,
qc_A8_b == 1

please describe which parts of her feet

Generic text

does her skin get itchy when she gets sweaty? (e.g. in a hot room or when she has been playing?)

1
Yes
2
No

Has she ever had a skin reaction (e.g. redness or itching) which you thought was due to some food that she had eaten?

1
Yes
2
No
If no, go to A10a on page 8
If yes,
qc_A9 == 1

please describe the food(s)

Generic text

how long after the food was eaten did the reaction appear?

Generic text

where was the reaction?

1
mouth
2
other part (please describe)
Other

Has she had vomiting spells in the past 15 months?

1
Yes
2
No
If no, go to A11a below
If yes,
qc_A10_a == 1

How many times?

1
once
2
twice
3
3-9 times
4
10 or more times

Have these been associated with: diarrhoea

1
Always
2
Frequently
3
Sometimes
4
Rarely
5
Never

Have these been associated with: chestiness(wheezing or coughing or grunting)

1
Always
2
Frequently
3
Sometimes
4
Rarely
5
Never

In the past 15 months has she had diarrhoea or gastro-enteritis?

1
Yes
2
No
If no go to A12a on page 9
If yes,
qc_A11_a == 1

how many times?

How many

how many days did the worst attack last?

How many

Did you: call the doctor to come to your home?

1
Yes
2
No

Did you: go to your doctor?

1
Yes
2
No

Did you: treat it yourself?

1
Yes
2
No

Did you: do something else? (please describe)

1
Yes
2
No
Other

Did she continue to eat as usual?

1
Yes
2
No
If yes, go to A11f below
If no,
qc_A11_e == 2

how long was normal feeding disturbed?

1
less than 1 day
2
1 day
3
2 days
4
3-4 days
5
5 or more days

What treatment was given?

Generic text

In the past 15 months has your child ever had a time when she has coughed off and on for at least 2 days?

1
Yes
2
No
If no, go to A13a on page 10
If yes,
qc_A12_a == 1

how many times has this happened in the past 15 months?

1
once
2
twice
3
3-9 times
4
10 or more times

did she have a fever at any of these times?

1
Yes for all
2
Yes for some
3
No, not at all

did she have a runny nose during any of these spells?

1
Yes for all
2
Yes for some
3
No, not at all
The following questions are about your child's ears or hearing.

Nowadays, does your child listen to people or to things that happen nearby:

1
Yes always
2
Yes often
3
Sometimes
4
Usually not
5
Never
7
Child unable to hear at all

Does she turn her head towards sounds?

1
yes usually
2
yes sometimes
3
only to very loud sounds
4
never turns towards sounds
9
don't know

During or after a cold, is her hearing worse than usual?

1
yes much worse
2
yes a little worse
3
no, about the same
9
don't know
7
has never had a cold

During recent colds, is the dripping (discharge) from her nose:

7
Hasn't had a cold
If Hasn't had a cold to question A13d Go to A13e below
qc_A13_d == 7

Has pus or sticky mucus (not ear wax) leaked out of her ear in the past 2 years?

1
never
2
once
3
more than once
9
don't know

Does she breathe through her mouth rather than through her nose? when asleep

1
all the time
2
much of the time
3
sometimes
4
rarely
5
never
9
don't know
SECTION B: SLEEPING

Does your child have a regular sleeping routine?

1
Yes
2
No

How many hours sleep does she usually have during the day time?

1
none
2
less than 1 hour
3
1-2 hours
4
more than 2 hours
9
don't know

On normal school days what time in the evening does your child go to sleep ... hours ... minutes p.m.

Time

What time does she normally wake up in the morning? ... hours ... minutes p.m.

Time

How often during the night does she usually wake? ... times

How many

Where does the child usually sleep? When she goes to bed at night

1
in her own room on her own
2
in a room with other children
3
in your bedroom
4
in a room with other adults
5
other place (please tick & describe)
Other

Where does the child usually sleep? When she wakes in the morning

1
in her own room on her own
2
in a room with other children
3
in your bedroom
4
in a room with other adults
5
other place (please tick & describe)
Other

Does she sleep on her own most nights or does she share a bed or cot? When she goes to bed at night

1
in her own bed
2
in a bed with other children
3
in your bed with you
4
in a bed with other adult
5
other place (please tick & describe)
Other

Does she sleep on her own most nights or does she share a bed or cot? When she wakes in the morning

1
in her own bed
2
in a bed with other children
3
in your bed with you
4
in a bed with other adult
5
other place (please tick & describe)
Other

How often does she sleep? on her back

1
Always
2
Usually
3
Sometimes
4
Hardly ever

How often does she sleep? on her side

1
Always
2
Usually
3
Sometimes
4
Hardly ever

How often does she sleep? on her front

1
Always
2
Usually
3
Sometimes
4
Hardly ever

Does your child seem to grind her teeth : when she's asleep?

1
Yes, often
2
Yes, sometimes
3
No

Does your child seem to grind her teeth : at other times?

1
Yes, often
2
Yes, sometimes
3
No

Space for comments:

Generic text
In the room where the child sleeps most of the night:
In Winter In Summer

1 - Yes always

2 - Yes sometimes

3 - No not at all

1 - Yes always

2 - Yes sometimes

3 - No not at all

1 - Yes always

2 - Yes sometimes

3 - No not at all

1 - Yes always

2 - Yes sometimes

3 - No not at all

is the heating on all night?
is the heating on part of the night?
is there a window open at night?
does she sleep with a duvet?
does she have an electric blanket?
does she sleep with a pillow?
In the past year has your child regularly:
-
refused to go to bed
woken very early
had difficulty going to sleep
had nightmares
continued to get up after being put to bed
refused to go to bed
got up after only a few hours sleep
SECTION C: HER ACTIVITIES AND BEHAVIOUR

Does she listen to the radio at all?

1
Yes
2
No
If no, go to C3 below
qc_C1 == 2

Is she in a household where there is a television?

1
Yes
2
No
If no, go to C7 on page 22
qc_C3 == 2

How often does she have temper tantrums?

1
More than once a day
2
Most days
3
At least once a week
4
Less than once a week
5
never

How often does she do the following: repeatedly rocks her head or body for no reason

1
Often
2
Sometimes
3
Never

How often does she do the following: has a tic or twitch

1
Often
2
Sometimes
3
Never

How often does she do the following: has other unusual behaviour (please tick and describe)

1
Often
2
Sometimes
3
Never
Other

About how often does she go to: local shops

1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never

About how often does she go to: department store

1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never

About how often does she go to: supermarket

1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never

About how often does she go to: park or playground

1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never

About how often does she go to: visits to friends

1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never

About how often does she go to: visits to relatives

1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never

About how often does she go to: library

1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never

About how often does she go to: places of interest(e.g. Zoo, museum)

1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never

About how often does she go to: places of entertainment (e.g. funfair)

1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never

About how often does she go to: swimming pool or other sporting area

1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never

How much choice do you allow her in deciding what foods she eats at meals? Main meal

1
she can choose from any food available
2
she is given a choice from a few alternatives that an adult chooses
3
an adult decides what she will eat

How much choice do you allow her in deciding what foods she eats at meals? Snacks

1
she can choose from any food available
2
she is given a choice from a few alternatives that an adult chooses
3
an adult decides what she will eat

How often does she play with other children (other than brothers or sisters)?

1
every day
2
2 - 6 times a week
3
once a week
4
less than once a week
5
never

When you and your child meet again after being apart for an hour or more, does she tell you what she's been doing?

1
yes, always
2
yes, sometimes
3
hardly ever
4
never
SECTION D: UPSETTING EVENTS
** We realise how sensitive and personal some of the following questions are but it is important to find out how frequently these events happen to children and what, if any, effect they have on them. As you know, answers you put in questionnaires are never linked back to your name and address.
Below are listed some events that might upset some children. Please state whether any of these has happened in the last 15 months.
-
She was taken into care*
A pet died
She moved home
She had a shock or fright*
She was physically hurt by someone*
She was sexually abused*
She was separated from her mother
She was separated from her father
She acquired a new mother or father
She had a new brother or sister
She was admitted to hospital
She changed care taker (i.e. the person mostly looking after her)
She was separated from someone else
She started a new nursery or kindergarten
She started school
Something else*
* If yes, to any items with a *,
qc_fe_D1-D16$*;1,4:6,16 >= 1 && qc_fe_D1-D16$*;1,4:6,16 <=4

please write a description if you feel able to

Generic text

Space for comments:

Long text
SECTION E: ABILITIES AND DISABILITIES
Children in this study have a range of skills and abilities and some have a number of disabilities. These questions will enable us to get a picture of your child. Please answer each question. If you don't know the answer ask your child to try the task.

Is she is able to walk?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Is she able to stoop down and pick up something from the floor?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Is she able to run?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she jump forward with both feet together?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she walk on tiptoe?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she run on tiptoe?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she hop on one foot for 3 steps?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she walk backwards for 4 steps?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she stand on 1 foot for at least 8 seconds?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she walk upstairs, putting both feet on each step?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she walk upstairs, putting one foot on each step?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she walk downstairs, putting both feet on each step?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she walk downstairs, putting one foot on each step?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she run upstairs?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she ride a tricycle?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she ride a bicycle?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she swim with waterwings?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she swim without waterwings?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she do a handstand against the wall?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she skip with a skipping rope?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she stand on her head?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she hold a pencil and scribble?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she copy a vertical line with a pencil?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she wiggle her thumb?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she draw a circle (more or less)?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she bang together two objects that she is holding?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she draw (or copy) a cross?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she draw (or copy) a square?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she write her name?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she write any numbers?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

If you ask her to draw a man, what is the result likely to be?

1
just a scribble
2
a head and not much else
3
a head and body
4
a head, body and legs
5
head, body, arms, legs
6
other (please describe)
Other

Can she pick up a small object using finger and thumb only?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she turn the pages of a book?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she build a tower putting one object on top of another?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she build a tower of 4 bricks?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she build a tower of 6 bricks?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she build a tower of 8 bricks?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she put bricks together to make a bridge?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Does she show interest in pictures in books?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Does she notice details in pictures and photographs?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she recognise the colours red, yellow and blue?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she recognise orange, brown and purple?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she recognise her name when written?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Does she know at least 3 letters of the alphabet?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Does she know at least 10 letters of the alphabet?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she read simple words ?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she read a story with less than 10 words a page?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Can she read a story with more than 10 words a page?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this

Does she understand numbers 1 and 2?

1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
SECTION F: TEMPERAMENT AND BEHAVIOUR
How often is your child's behaviour like that given below:
-
She tends to be shy
She cries easily
She likes to be with people
She is always on the go
She prefers playing with others rather than alone
She is somewhat emotional
When she moves about she moves slowly
She makes friends easily
She is off and running as soon as she wakes up in the morning
She finds people more stimulating than anything else
She fusses and cries
She is very sociable
She is very energetic
She takes a long time to warm to strangers
She gets upset easily
She is something of a loner
She prefers quiet inactive games to more active ones
When alone she feels isolated
She reacts intensely when upset
She is very friendly with strangers
She bullies other children
She is very restless Hardly ever still.
She is squirmy or fidgety
She destroys her own things or those belonging to others
She fights with other children
She is not much liked by other children
She worries about many things
She does things on her own. She is rather solitary
She is irritable. Is quick to fly off the handle
She appears miserable, unhappy, tearful or distressed
She takes things belonging to others
She bites her nails or fingers
She is disobedient
She cannot settle to do anything for more than a few moments
She is afraid of new things or new situations
She is fussy or over- particular
She tells lies
She likes to sit and watch TV rather than play active games
She laughs a lot
She smiles when she sees her parent(s)
She likes a cuddle
She really enjoys life
SECTION G: ODDS AND ENDS

We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her height ... feet ... ins or ... cm

feet
ins
cm

We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her weight ... stones ... lb or ... kg

stones
lbs
kg

We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her inside leg measurement ... ins or ... cm

ins
cm

We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her waist measurement ... ins or ... cm

ins
cm

We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her chest ... ins or ... cm

ins
cm

We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her hips ... ins or ... cm

ins
cm

Does she tend to collect static electricity and have shocks when she touches metal?

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

Did your study child ever get sunburnt so badly that there were blisters or pain that lasted at least 2 days?

1
Yes
2
No
If no, go to G4 on page 44
If yes,
qc_G3 == 1

please state what age she was at each time this happened. 1st 12 months

1
yes, got badly sunburnt

please state what age she was at each time this happened. 1 year old

1
yes, got badly sunburnt

please state what age she was at each time this happened. 2 years old

1
yes, got badly sunburnt

please state what age she was at each time this happened. 3 years old

1
yes, got badly sunburnt

please state what age she was at each time this happened. 4 years old

1
yes, got badly sunburnt

please state what age she was at each time this happened. 5 years old

1
yes, got badly sunburnt

If your child is in and out of the sun for a few days, how would you say the colour of the skin changes?

1
always burns, never tans,
2
burns easily, rarely tans
3
doesn&#39;t change
4
tans easily, rarely burns
5
always tans, never burns
6
can&#39;t say. Her skin is always protected
Please think through the child's life - and try to remember how many days each year, the child would have been in the sun for at least 4 hours each day. We realise how difficult this is, but please make your best guess.
NUMBER OF DAYS IN THE SUN
1st 12 months
1 year old
2 years old
3 years old
4 years old
5 years old
Were any of these days when the child was in the sun for at least 4 hours spent beside the sea (or a lake or river)?
- If yes, about how many days

1 - No

2 - Yes

How many

1 - No

2 - Yes

How many
1st 12 months
1 year old
2 years old
3 years old
4 years old
5 years old
Were any of the days the child was in the sun for at least 4 hours spent abroad?
- If yes, please say where How many days

1 - No

2 - Yes

Generic textHow many

1 - No

2 - Yes

Generic textHow many

1 - No

2 - Yes

Generic textHow many
1st 12 months
1 year old
2 years old
3 years old
4 years old
5 years old
When in the sun in the summer, does your child usually:
-
wear a hat
wear something to keep her skin covered
have sun block, sun screen, lotion or cream
avoid midday sun

If your child has sun block, sun lotion or cream put on her skin, please say what factor is usually used:

1
1-3
2
4-7
3
8-14
4
15-20
5
21-25
6
25+
9
can&#39;t say

Some sun creams also have a star system. If you can, please say how many stars are usually used.

1
1
2
2
3
3
4
4
9
can&#39;t say

If possible give the name of the sun block, sun lotion or creams used on your child

Generic text

When you are out in the sun with your child, about how often do you put sun lotion or cream on her?

1
Once only
2
Every 3-4 hours
3
Every 2 hours
4
Every hour
5
Every 1/2 hour

On the first day of strong sun in the summer, if you haven't put sun cream on your child, how would you say she would have reacted after 1 hour?

1
no burn
2
mild burn
3
painful burn
4
can&#39;t say

Has your study child ever used a sunbed or sun lamp?

1
yes, sunbed
2
yes, sun lamp
4
no
If no, go to H1 on page 48
If yes,
qc_G8 == 1 || qc_G8 == 2

how often

1
once only
2
2-4 times
3
5 or more times

This questionnaire was completed by: (tick all that apply) mother

1
Yes

This questionnaire was completed by: (tick all that apply) father

1
Yes

This questionnaire was completed by: (tick all that apply) other (please describe)

1
Yes
Other

Please give the date on which you completed this questionnaire:

Date

Please give the date of birth of your child:

Date of birth
THANK YOU VERY MUCH FOR YOUR HELP

Space for any additional comments you would like to make

Long text
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_96_msbg

MY SCHOOL GIRL
This questionnaire asks about your study child.
It is like the other questionnaires you have received. To answer simply tick the box which best describes your child or your child's situation. Please answer all questions that you can. If you cannot answer certain questions or if they do not apply to you please put a line through them. There are no right or wrong answers. Please just describe what happens in your situation. You may make additional comments at the end. All answers are confidential.
THANK YOU FOR YOUR HELP

SECTION A: YOUR CHILD'S HEALTH

How would you assess the health of your child nowadays? in the past month
1
very healthy, no problems
2
healthy, but a few minor problems
3
sometimes quite ill
4
almost always unwell
How would you assess the health of your child nowadays? in the past year
1
very healthy, no problems
2
healthy, but a few minor problems
3
sometimes quite ill
4
almost always unwell
In the past 15 months has the doctor been called to your home because she was unwell?
1
Yes
2
No
If no, go to A3 below
qc_A2_a == 1
how many times?
1
once
2
2 times
3
3-4 times
4
5 or more times

Has she had any of the following in the past 15 months?

-
diarrhoea
blood in the stools
vomiting
cough
high temperature
snuffles/cold
ear ache
ear discharge (pus not wax)
convulsions/fits
stomach ache(s)
rash
wheezing
breathlessness
episodes of stopping breathing
an accident
urinary infection
headache(s )
constipation
worm infections
lice or scabies
Has she had any of the following in the past 15 months? In the past 15 months: other (please tick and describe)
1
Yes and saw a doctor
2
Yes but did not see doctor
3
No did not have
Other
Has your child been admitted to hospital in the past 15 months?
1
Yes
2
No
If no, go to A5 on page 5
qc_A4_a == 1
how many times?
How many
qc_A4_a == 1

please describe for each admission:

Age of child (years) Reason for admission No. of nights child stayed in hospital
Age in yearsGeneric textHow many Age in yearsGeneric textHow many Age in yearsGeneric textHow many
1.
2.
3.
qc_A4_a == 1
How often did you see her while she was in hospital? 1st admission
1
Not at all
2
Quite often
3
Every day
4
Stayed in the hospital with her
qc_A4_a == 1
How often did you see her while she was in hospital? 2nd admission
1
Not at all
2
Quite often
3
Every day
4
Stayed in the hospital with her
qc_A4_a == 1
How often did you see her while she was in hospital? 3rd admission
1
Not at all
2
Quite often
3
Every day
4
Stayed in the hospital with her
Has she ever had any of the following operations? hernia repair
1
Yes
2
No
Has she ever had any of the following operations? tonsils out
1
Yes
2
No
Has she ever had any of the following operations? adenoids out
1
Yes
2
No
Has she ever had any of the following operations? appendicectomy (appendix out)
1
Yes
2
No
Has she ever had any of the following operations? tubes (grommets) put in her ears
1
Yes
2
No
Has she ever had any of the following operations? squint repair (to put eyes straight)
1
Yes
2
No
Has she ever had any of the following operations? teeth pulled out
1
Yes
2
No
Has she ever had any of the following operations? other operations (please describe )
1
Yes
2
No
Other
In the past 15 months has she had any periods when there was wheezing with whistling on her chest when she breathed?
1
Yes
2
No
If no, go to A6f below
qc_A6_a == 1
How many separate times has she wheezed in the past 15 months?
1
once
2
twice
3
3-4 times
4
5 or more times
9
don&#39;t know
qc_A6_a == 1
How many days altogether would you say she had wheezed in the past 15 months?
1
1 day
2
2-3 days
3
4-9 days
4
10-19 days
5
20 or more days
9
don&#39;t know
qc_A6_a == 1
Was she breathless during any of these times?
1
Yes for all
2
Yes for some
3
No not at all
qc_A6_a == 1
Did she have a fever during any of these times?
1
Yes for all
2
Yes for some
3
No not at all
Have any of your other children had spells of wheezing with whistling on the chest?
1
Yes
2
No
7
have no other children
Has your child had any itchy, dry skin rash in the joints and creases of her body (e.g. behind the knees, elbows, under the arms) in the past 15 months?
1
Yes
2
No
If no, go to A8a on page 7
qc_A7_a == 1
how bad was this?
1
very bad
2
quite bad
3
mild
4
no problem
qc_A7_a == 1
does she have this sort of rash now?
1
Yes
2
No
qc_A7_a == 1
did the rash ever become sore and oozy?
1
Yes
2
No
qc_A7_a == 1
was it made worse by irritants such as bubble bath, soap, wool or nylon clothing?
1
Yes
2
No
Has she had an itchy, dry, rash on her hands in the past 15 months?
1
Yes
2
No
Has she had an itchy, dry rash on her feet in the past 15 months?
1
Yes
2
No
If no, go to A8c below
qc_A8_b == 1
please describe which parts of her feet
Generic text
does her skin get itchy when she gets sweaty? (e.g. in a hot room or when she has been playing?)
1
Yes
2
No
Has she ever had a skin reaction (e.g. redness or itching) which you thought was due to some food that she had eaten?
1
Yes
2
No
If no, go to A10a on page 8
qc_A9 == 1
please describe the food(s)
Generic text
qc_A9 == 1
how long after the food was eaten did the reaction appear?
Generic text
qc_A9 == 1
where was the reaction?
1
mouth
2
other part (please describe)
Other
Has she had vomiting spells in the past 15 months?
1
Yes
2
No
If no, go to A11a below
qc_A10_a == 1
How many times?
1
once
2
twice
3
3-9 times
4
10 or more times
qc_A10_a == 1
Have these been associated with: diarrhoea
1
Always
2
Frequently
3
Sometimes
4
Rarely
5
Never
qc_A10_a == 1
Have these been associated with: chestiness(wheezing or coughing or grunting)
1
Always
2
Frequently
3
Sometimes
4
Rarely
5
Never
In the past 15 months has she had diarrhoea or gastro-enteritis?
1
Yes
2
No
If no go to A12a on page 9
qc_A11_a == 1
how many times?
How many
qc_A11_a == 1
how many days did the worst attack last?
How many
qc_A11_a == 1
Did you: call the doctor to come to your home?
1
Yes
2
No
qc_A11_a == 1
Did you: go to your doctor?
1
Yes
2
No
qc_A11_a == 1
Did you: treat it yourself?
1
Yes
2
No
qc_A11_a == 1
Did you: do something else? (please describe)
1
Yes
2
No
Other
qc_A11_a == 1
Did she continue to eat as usual?
1
Yes
2
No
qc_A11_a == 1
If yes, go to A11f below
qc_A11_a == 1
qc_A11_e == 2
how long was normal feeding disturbed?
1
less than 1 day
2
1 day
3
2 days
4
3-4 days
5
5 or more days
qc_A11_a == 1
What treatment was given?
Generic text
In the past 15 months has your child ever had a time when she has coughed off and on for at least 2 days?
1
Yes
2
No
If no, go to A13a on page 10
qc_A12_a == 1
how many times has this happened in the past 15 months?
1
once
2
twice
3
3-9 times
4
10 or more times
qc_A12_a == 1
did she have a fever at any of these times?
1
Yes for all
2
Yes for some
3
No, not at all
qc_A12_a == 1
did she have a runny nose during any of these spells?
1
Yes for all
2
Yes for some
3
No, not at all
The following questions are about your child's ears or hearing.
Nowadays, does your child listen to people or to things that happen nearby:
1
Yes always
2
Yes often
3
Sometimes
4
Usually not
5
Never
7
Child unable to hear at all
Does she turn her head towards sounds?
1
yes usually
2
yes sometimes
3
only to very loud sounds
4
never turns towards sounds
9
don&#39;t know
During or after a cold, is her hearing worse than usual?
1
yes much worse
2
yes a little worse
3
no, about the same
9
don&#39;t know
7
has never had a cold
During recent colds, is the dripping (discharge) from her nose:
7
Hasn&#39;t had a cold
Has pus or sticky mucus (not ear wax) leaked out of her ear in the past 2 years?
1
never
2
once
3
more than once
9
don&#39;t know
Does she breathe through her mouth rather than through her nose? when asleep
1
all the time
2
much of the time
3
sometimes
4
rarely
5
never
9
don&#39;t know
Does she breathe through her mouth rather than through her nose? when awake
1
all the time
2
much of the time
3
sometimes
4
rarely
5
never
9
don&#39;t know
Does she snore for more than a few minutes at a time?
1
most nights
2
quite often
3
sometimes
4
only rarely
5
never
9
don&#39;t know
When she is asleep, does she seem to stop breathing or hold her breath for several seconds at a time?
1
yes, often
2
yes, sometimes
3
no
4
don&#39;t know
Have there been times in the past 15 months when she has had a pain in her stomach?
1
Yes
2
No
If no, go to A15a on page 13
qc_A14_a == 1
How many separate times has this happened in the past 2 years?
1
once
2
twice
3
3-4 times
4
5 or more times
9
don&#39;t know
qc_A14_a == 1
Did she have vomiting or diarrhoea at the same time as the pain?
1
yes every time
2
yes, for some of the times
3
no, not at all
qc_A14_a == 1

What do you think were the causes of her stomach pains (tick all that apply)?

-
something she ate
an infection
constipation
don&#39;t know
qc_A14_a == 1
What do you think were the causes of her stomach pains (tick all that apply)? other(please describe)
1
Yes
Other
Does she often have aches and pains in her arms or legs?
1
yes arm(s)
2
yes leg(s)
3
yes both
4
no, not often
If no, go to A16a below
qc_A15_a == 1 || qc_A15_a == 2 || qc_A15_a == 3
does this happen especially when she is tired?
1
Yes
2
No
qc_A15_a == 1 || qc_A15_a == 2 || qc_A15_a == 3
what do you think is the cause ?
Generic text
qc_A15_a == 1 || qc_A15_a == 2 || qc_A15_a == 3
do you find any particular treatment helps ?
1
Yes
2
No
qc_A15_a == 1 || qc_A15_a == 2 || qc_A15_a == 3
qc_A15_b_iii == 1
please describe
Generic text
In the past 15 months has she had any form of convulsion, fit, seizure or other turn in which consciousness was lost or any part of the body made an abnormal movement?
1
Yes
2
No
9
Not known
If no, or not known, go to A17 on page 15
qc_A16_a == 1
Please describe the first attack since her 4th birthday:
Generic text
qc_A16_a == 1
Did the child have a high temperature at the time?
1
Yes
2
No
9
Not known
qc_A16_a == 1
How old was she at the time?
1
4 years
2
5 years
3
6 years old
qc_A16_a == 1
How many attacks has she had since her 4th birthday?
1
one
2
two
3
3-4
4
5 or more
qc_A16_a == 1

By whom was she seen for these attack(s)? (tick all that apply)

-
general practitioner at home
general practitioner at surgery
hospital outpatients
admitted to hospital
qc_A16_a == 1
What investigations, if any, have been carried out?
Generic text
qc_A16_a == 1
Did later attacks differ from the first one?
1
Yes
2
No
qc_A16_a == 1
If no go to A16(j) on page 15
qc_A16_a == 1
qc_A16_h == 1
please describe
Generic text
qc_A16_a == 1

What were the attacks thought to be due to? (Tick all that apply)

-
febrile convulsions
fainting and blackouts
epilepsy
breath holding
reaction to immunisation
don&#39;t know
qc_A16_a == 1
What were the attacks thought to be due to? (Tick all that apply) other (please specify)
1
Yes
Other

In the past 15 months, has she had the following infections?

-
measles
chicken pox
mumps
meningitis
cold sores
whooping cough
urinary infection
eye infection
ear infection
chest infection
In the past 15 months, has she had the following infections? In the past 15 months: other infection (please tick & describe)
1
Yes
2
No
Other

Approximately how many times in the last 12 months has: ... times

-
the family doctor come to your home because your study child was ill
the family doctor seen your study child in his/her surgery because she was unwell?
a doctor seen your study child for a routine check?

SECTION B: SLEEPING

Does your child have a regular sleeping routine?
1
Yes
2
No
How many hours sleep does she usually have during the day time?
1
none
2
less than 1 hour
3
1-2 hours
4
more than 2 hours
9
don&#39;t know
On normal school days what time in the evening does your child go to sleep ... hours ... minutes p.m.
Time
What time does she normally wake up in the morning? ... hours ... minutes p.m.
Time
How often during the night does she usually wake? ... times
How many
Where does the child usually sleep? When she goes to bed at night
1
in her own room on her own
2
in a room with other children
3
in your bedroom
4
in a room with other adults
5
other place (please tick &amp; describe)
Other
Where does the child usually sleep? When she wakes in the morning
1
in her own room on her own
2
in a room with other children
3
in your bedroom
4
in a room with other adults
5
other place (please tick &amp; describe)
Other
Does she sleep on her own most nights or does she share a bed or cot? When she goes to bed at night
1
in her own bed
2
in a bed with other children
3
in your bed with you
4
in a bed with other adult
5
other place (please tick &amp; describe)
Other
Does she sleep on her own most nights or does she share a bed or cot? When she wakes in the morning
1
in her own bed
2
in a bed with other children
3
in your bed with you
4
in a bed with other adult
5
other place (please tick &amp; describe)
Other
How often does she sleep? on her back
1
Always
2
Usually
3
Sometimes
4
Hardly ever
How often does she sleep? on her side
1
Always
2
Usually
3
Sometimes
4
Hardly ever
How often does she sleep? on her front
1
Always
2
Usually
3
Sometimes
4
Hardly ever
Does your child seem to grind her teeth : when she's asleep?
1
Yes, often
2
Yes, sometimes
3
No
Does your child seem to grind her teeth : at other times?
1
Yes, often
2
Yes, sometimes
3
No
Space for comments:
Generic text

In the room where the child sleeps most of the night:

In Winter In Summer

1 - Yes always

2 - Yes sometimes

3 - No not at all

1 - Yes always

2 - Yes sometimes

3 - No not at all

1 - Yes always

2 - Yes sometimes

3 - No not at all

1 - Yes always

2 - Yes sometimes

3 - No not at all

is the heating on all night?
is the heating on part of the night?
is there a window open at night?
does she sleep with a duvet?
does she have an electric blanket?
does she sleep with a pillow?

In the past year has your child regularly:

-
refused to go to bed
woken very early
had difficulty going to sleep
had nightmares
continued to get up after being put to bed
refused to go to bed
got up after only a few hours sleep

SECTION C: HER ACTIVITIES AND BEHAVIOUR

Does she listen to the radio at all?
1
Yes
2
No
Is she in a household where there is a television?
1
Yes
2
No
How often does she have temper tantrums?
1
More than once a day
2
Most days
3
At least once a week
4
Less than once a week
5
never
How often does she do the following: repeatedly rocks her head or body for no reason
1
Often
2
Sometimes
3
Never
How often does she do the following: has a tic or twitch
1
Often
2
Sometimes
3
Never
How often does she do the following: has other unusual behaviour (please tick and describe)
1
Often
2
Sometimes
3
Never
Other
About how often does she go to: local shops
1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never
About how often does she go to: department store
1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never
About how often does she go to: supermarket
1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never
About how often does she go to: park or playground
1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never
About how often does she go to: visits to friends
1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never
About how often does she go to: visits to relatives
1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never
About how often does she go to: library
1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never
About how often does she go to: places of interest(e.g. Zoo, museum)
1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never
About how often does she go to: places of entertainment (e.g. funfair)
1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never
About how often does she go to: swimming pool or other sporting area
1
Nearly every day
2
2-5 times a week
3
Once a week
4
Once a month
5
A few times per year
6
Never
How much choice do you allow her in deciding what foods she eats at meals? Main meal
1
she can choose from any food available
2
she is given a choice from a few alternatives that an adult chooses
3
an adult decides what she will eat
How much choice do you allow her in deciding what foods she eats at meals? Snacks
1
she can choose from any food available
2
she is given a choice from a few alternatives that an adult chooses
3
an adult decides what she will eat
How often does she play with other children (other than brothers or sisters)?
1
every day
2
2 - 6 times a week
3
once a week
4
less than once a week
5
never
When you and your child meet again after being apart for an hour or more, does she tell you what she's been doing?
1
yes, always
2
yes, sometimes
3
hardly ever
4
never

SECTION D: UPSETTING EVENTS

** We realise how sensitive and personal some of the following questions are but it is important to find out how frequently these events happen to children and what, if any, effect they have on them. As you know, answers you put in questionnaires are never linked back to your name and address.

Below are listed some events that might upset some children. Please state whether any of these has happened in the last 15 months.

-
She was taken into care*
A pet died
She moved home
She had a shock or fright*
She was physically hurt by someone*
She was sexually abused*
She was separated from her mother
She was separated from her father
She acquired a new mother or father
She had a new brother or sister
She was admitted to hospital
She changed care taker (i.e. the person mostly looking after her)
She was separated from someone else
She started a new nursery or kindergarten
She started school
Something else*
qc_fe_D1-D16$*;1,4:6,16 >= 1 && qc_fe_D1-D16$*;1,4:6,16 <=4
please write a description if you feel able to
Generic text
Space for comments:
Long text

SECTION E: ABILITIES AND DISABILITIES

Children in this study have a range of skills and abilities and some have a number of disabilities. These questions will enable us to get a picture of your child. Please answer each question. If you don't know the answer ask your child to try the task.
Is she is able to walk?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Is she able to stoop down and pick up something from the floor?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Is she able to run?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she jump forward with both feet together?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she walk on tiptoe?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she run on tiptoe?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she hop on one foot for 3 steps?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she walk backwards for 4 steps?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she stand on 1 foot for at least 8 seconds?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she walk upstairs, putting both feet on each step?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she walk upstairs, putting one foot on each step?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she walk downstairs, putting both feet on each step?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she walk downstairs, putting one foot on each step?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she run upstairs?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she ride a tricycle?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she ride a bicycle?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she swim with waterwings?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she swim without waterwings?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she do a handstand against the wall?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she skip with a skipping rope?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she stand on her head?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she hold a pencil and scribble?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she copy a vertical line with a pencil?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she wiggle her thumb?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she draw a circle (more or less)?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she bang together two objects that she is holding?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she draw (or copy) a cross?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she draw (or copy) a square?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she write her name?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she write any numbers?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
If you ask her to draw a man, what is the result likely to be?
1
just a scribble
2
a head and not much else
3
a head and body
4
a head, body and legs
5
head, body, arms, legs
6
other (please describe)
Other
Can she pick up a small object using finger and thumb only?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she turn the pages of a book?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she build a tower putting one object on top of another?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she build a tower of 4 bricks?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she build a tower of 6 bricks?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she build a tower of 8 bricks?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she put bricks together to make a bridge?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she show interest in pictures in books?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she notice details in pictures and photographs?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she recognise the colours red, yellow and blue?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she recognise orange, brown and purple?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she recognise her name when written?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she know at least 3 letters of the alphabet?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she know at least 10 letters of the alphabet?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she read simple words ?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she read a story with less than 10 words a page?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she read a story with more than 10 words a page?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she understand numbers 1 and 2?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she understand numbers 3 and 4?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she understand numbers 5 to 10?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she count up to 20?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she count up to 100?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she share her toys with other children?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she share the toys of other children, understanding that they are not hers?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she feel sympathy for someone if they are hurt?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she think of things to do to please you?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she kick a large ball?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she throw a small ball underarm?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she throw a small ball overarm?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she throw a ball against a wall and catch it?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she take turns in a game without fuss?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she play card games (e.g. snap) ?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she play any board games (e.g. monopoly, snakes and ladders)?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she play chess?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she drink from a cup or mug?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she eat skilfully with a spoon?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she eat with fork and spoon in each hand?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she cut her food with a knife?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she sit at table and cope with a whole meal without help?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she wash and dry her hands on her own?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she brush her teeth on her own?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she get dressed without help?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she get undressed without help?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she do up buttons?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she tie a bow?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she brush and comb her hair?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she listen to a short story from start to finish?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she understand instructions such as: 'Find the jumper that Granny gave you'?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she sing songs (even if the words are not clear)?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she talk clearly?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she ask sensible questions?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she carry on a conversation?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she say at least 3 nursery rhymes?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she sing at least 3 songs?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she hum a tune?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Can she beat a rhythm by clapping hands in time to the music?
1
Yes, can do well
2
Yes, does but not very well
3
Has not yet done
7
Is unable to try this
Does she stumble or get stuck on words, or repeat them many times? (e.g. I I I I want a sweet)
1
Never
2
Sometimes
3
Often
7
Always
Is her voice hoarse or husky?
1
Never
2
Sometimes
3
Often
7
Always
Can you understand what she says?
1
Never
2
Sometimes
3
Often
7
Always
Can your family understand what she says?
1
Never
2
Sometimes
3
Often
7
Always
Can visitors to your house understand what she says?
1
Never
2
Sometimes
3
Often
7
Always
Does she prefer to use gestures (pointing or pulling) to get what she wants instead of asking?
1
Yes, still does
2
Yes, did in past, not now
3
No, never did
When she talks nowadays, what is the most words she can put together (e.g. "I want juice" would be 3 words).
1
one word
2
two words
3
3 or 4 words
4
5 -8 words
5
9 or more words
6
does not talk at all

Some children enjoy talking and others do not.

-
talk a lot
stay mainly silent
seem to avoid looking at people&#39;s faces when she talks
echo what has just been said to her (e.g. you say; &#39;we are going out now&#39; she says: &#39;going out now&#39;.)
Does your daughter have difficulty in pronouncing certain sounds (e.g. th, sss, t)?
1
Yes
2
No
qc_E11_a == 1
please describe
Generic text
Are there any other languages apart from English spoken in your household?
1
Yes
2
No
If no, go to E13 on page 37
qc_E12_a == 1
please say which
Generic text
qc_E12_a == 1
Is English the main language spoken? By mother
1
English is the main language
2
both English and other language used equally
3
other is the main language
7
no such person
qc_E12_a == 1
Is English the main language spoken? By study child
1
English is the main language
2
both English and other language used equally
3
other is the main language
qc_E12_a == 1
Is English the main language spoken? By partner
1
English is the main language
2
both English and other language used equally
3
other is the main language
7
no such person
qc_E12_a == 1
Is English the main language spoken? By other children
1
English is the main language
2
both English and other language used equally
3
other is the main language
7
no such person
qc_E12_a == 1
Space for comments.
Long text
Are you worried about any aspects of your child's growth and development? her speech
1
Yes I am worried
2
No not worried
Are you worried about any aspects of your child's growth and development? her weight
1
Yes I am worried
2
No not worried
Are you worried about any aspects of your child's growth and development? her height
1
Yes I am worried
2
No not worried
Are you worried about any aspects of your child's growth and development? her behaviour
1
Yes I am worried
2
No not worried
Are you worried about any aspects of your child's growth and development? her general development
1
Yes I am worried
2
No not worried
Are you worried about any aspects of your child's growth and development? other
1
Yes I am worried
2
No not worried
qc_E13_a == 1 || qc_E13_b == 1 || qc_E13_c == 1 || qc_E13_d == 1 || qc_E13_e == 1 || qc_E13_f == 1
please describe what worries you:
Generic text
This is confidential information, so we cannot make any response to what you put. If you are worried about your child's development we suggest you contact your family doctor or your health visitor.

SECTION F: TEMPERAMENT AND BEHAVIOUR

How often is your child's behaviour like that given below:

-
She tends to be shy
She cries easily
She likes to be with people
She is always on the go
She prefers playing with others rather than alone
She is somewhat emotional
When she moves about she moves slowly
She makes friends easily
She is off and running as soon as she wakes up in the morning
She finds people more stimulating than anything else
She fusses and cries
She is very sociable
She is very energetic
She takes a long time to warm to strangers
She gets upset easily
She is something of a loner
She prefers quiet inactive games to more active ones
When alone she feels isolated
She reacts intensely when upset
She is very friendly with strangers
She bullies other children
She is very restless Hardly ever still.
She is squirmy or fidgety
She destroys her own things or those belonging to others
She fights with other children
She is not much liked by other children
She worries about many things
She does things on her own. She is rather solitary
She is irritable. Is quick to fly off the handle
She appears miserable, unhappy, tearful or distressed
She takes things belonging to others
She bites her nails or fingers
She is disobedient
She cannot settle to do anything for more than a few moments
She is afraid of new things or new situations
She is fussy or over- particular
She tells lies
She likes to sit and watch TV rather than play active games
She laughs a lot
She smiles when she sees her parent(s)
She likes a cuddle
She really enjoys life

SECTION G: ODDS AND ENDS

We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her height ... feet ... ins or ... cm
feet
ins
cm
We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her weight ... stones ... lb or ... kg
stones
lbs
kg
We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her inside leg measurement ... ins or ... cm
ins
cm
We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her waist measurement ... ins or ... cm
ins
cm
We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her chest ... ins or ... cm
ins
cm
We would like to catch up with your child's growth. If you can, please let us know her measurements at the moment. (If you have a tape measure handy perhaps you could measure her). Her hips ... ins or ... cm
ins
cm
Does she tend to collect static electricity and have shocks when she touches metal?
1
Yes, a lot
2
Yes, occasionally
3
No, not at all
Did your study child ever get sunburnt so badly that there were blisters or pain that lasted at least 2 days?
1
Yes
2
No
If no, go to G4 on page 44
qc_G3 == 1
please state what age she was at each time this happened. 1st 12 months
1
yes, got badly sunburnt
qc_G3 == 1
please state what age she was at each time this happened. 1 year old
1
yes, got badly sunburnt
qc_G3 == 1
please state what age she was at each time this happened. 2 years old
1
yes, got badly sunburnt
qc_G3 == 1
please state what age she was at each time this happened. 3 years old
1
yes, got badly sunburnt
qc_G3 == 1
please state what age she was at each time this happened. 4 years old
1
yes, got badly sunburnt
qc_G3 == 1
please state what age she was at each time this happened. 5 years old
1
yes, got badly sunburnt
If your child is in and out of the sun for a few days, how would you say the colour of the skin changes?
1
always burns, never tans,
2
burns easily, rarely tans
3
doesn&#39;t change
4
tans easily, rarely burns
5
always tans, never burns
6
can&#39;t say. Her skin is always protected

Please think through the child's life - and try to remember how many days each year, the child would have been in the sun for at least 4 hours each day. We realise how difficult this is, but please make your best guess.

NUMBER OF DAYS IN THE SUN
1st 12 months
1 year old
2 years old
3 years old
4 years old
5 years old

Were any of these days when the child was in the sun for at least 4 hours spent beside the sea (or a lake or river)?

- If yes, about how many days

1 - No

2 - Yes

How many

1 - No

2 - Yes

How many
1st 12 months
1 year old
2 years old
3 years old
4 years old
5 years old

Were any of the days the child was in the sun for at least 4 hours spent abroad?

- If yes, please say where How many days

1 - No

2 - Yes

Generic textHow many

1 - No

2 - Yes

Generic textHow many

1 - No

2 - Yes

Generic textHow many
1st 12 months
1 year old
2 years old
3 years old
4 years old
5 years old

When in the sun in the summer, does your child usually:

-
wear a hat
wear something to keep her skin covered
have sun block, sun screen, lotion or cream
avoid midday sun
If your child has sun block, sun lotion or cream put on her skin, please say what factor is usually used:
1
1-3
2
4-7
3
8-14
4
15-20
5
21-25
6
25+
9
can&#39;t say
Some sun creams also have a star system. If you can, please say how many stars are usually used.
1
1
2
2
3
3
4
4
9
can&#39;t say
If possible give the name of the sun block, sun lotion or creams used on your child
Generic text
When you are out in the sun with your child, about how often do you put sun lotion or cream on her?
1
Once only
2
Every 3-4 hours
3
Every 2 hours
4
Every hour
5
Every 1/2 hour
On the first day of strong sun in the summer, if you haven't put sun cream on your child, how would you say she would have reacted after 1 hour?
1
no burn
2
mild burn
3
painful burn
4
can&#39;t say
Has your study child ever used a sunbed or sun lamp?
1
yes, sunbed
2
yes, sun lamp
4
no
If no, go to H1 on page 48
qc_G8 == 1 || qc_G8 == 2
how often
1
once only
2
2-4 times
3
5 or more times
This questionnaire was completed by: (tick all that apply) mother
1
Yes
This questionnaire was completed by: (tick all that apply) father
1
Yes
This questionnaire was completed by: (tick all that apply) other (please describe)
1
Yes
Other
Please give the date on which you completed this questionnaire:
Date
Please give the date of birth of your child:
Date of birth
THANK YOU VERY MUCH FOR YOUR HELP
Space for any additional comments you would like to make
Long text
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When completed, please return the questionnaire to:
Professor Jean Golding Children of the Nineties - ALSPAC Institute of Child Health
Name

My School Girl/Boy