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nshd_06_pq
STRICTLY CONFIDENTIAL
MRC NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
MRC Unit for Lifelong Health & Ageing
Royal Free & University College Medical School
Department of Epidemiology and Public Health
Postal Questionnaire 2008
This questionnaire is about your health and about your family and work life.
When completing the questionnaire please use a pen to circle the appropriate response to each question and provide further details where requested either in boxes or in the space provided. Some questions don’t apply to everybody. Where you should skip questions that do not apply to you it tells you which question to go to next at the side of the answer you have circled (i.e. go to Q2). Otherwise please continue through each question in turn.
If you wish to provide further information in relation to any of the questions, please use the space provided at the back of the questionnaire booklet. At the end of the questionnaire you will also be asked to fill in a consent form that will allow us to access your hospital and GP records. If you have changed address recently or are about to do so, please provide your new address in the space on the back of the consent form.
All information you give us will be treated in the strictest confidence. If you have any queries do not hesitate to telephone us
When you have finished filling in the questionnaire and the consent form on page 25 please use the prepaid envelope provided to post it back to us. Thank you very much for your time and co-operation.

Please enter the date you completed this questionnaire:

Generic date
Questions 1 to 24 are about your health. Some ask about your current health and some about your health since 1999.

How is your health in general?

1
Excellent
2
Very good
3
Good
4
Fair
5
Poor

Compared to one year ago, how would you rate your health in general now?

1
Much better now than one year ago
2
Somewhat better now than one year ago
3
About the same as one year ago
4
Somewhat worse than one year ago
5
Much worse than one year ago

Do you ever have any pain or discomfort in your chest?

0
No
1
Yes
If No to question 3a go to Q5a
qc_3_a == 0
Else

Do you get this pain or discomfort when you walk uphill or hurry?

0
No
1
Yes
2
Never walk uphill or hurry

Do you get it when you walk at an ordinary pace on the level?

0
No
1
Yes
2
Never walk

What do you do if you get this pain while walking?

1
Stop or slow down
2
Carry on
3
Carry on after using a spray or taking tablet under your tongue (nitroglycerine)
4
Not applicable

Does the pain or discomfort in your chest go away if you stand still?

0
No
1
Yes
If No to question 3e go to Q3g
qc_3_e == 0
Else

How long does it take to go away?

1
10 minutes or less
2
More than 10 minutes

Where do you get this pain or discomfort? Mark the place(s) with an X on the diagram.

Did you see a doctor because of this pain or discomfort?

0
No
1
Yes, hospital specialist
2
Yes, GP and hospital specialist
If yes
qc_3_h == 1 || qc_3_h == 2

what did they say it was?

Generic text

Since 1999 have you had a severe pain across the front of your chest lasting half an hour or more?

0
No
1
Yes
If No to question 4a go to Q5a
qc_4_a == 0
Else

Did you talk to a doctor about it?

0
No
1
Yes
If No to question 4b go to Q4d
qc_4_b == 0
Else

What did he/she say it was?

Generic text

How many of these attacks have you had since 1999? Number of attacks

How many

Do you get pain in either leg on walking?

0
No
1
Yes
2
Confined to chair/bed
If No or Confined to chair/bed to question 5a go to Q6a
qc_5_a == 0 || qc_5_a == 2
Else

Does this pain ever begin when you are standing still or sitting?

0
No
1
Yes
If Yes to question 5b go to Q6a
qc_5_b == 1
Else

In what part of your leg do you feel it?

1
Calves
2
Thighs
3
Buttocks
4
None of these
If None of these to question 5c go to Q6a
qc_5_c == 4
Else

Do you get it if you walk uphill or hurry?

0
No
1
Yes
2
Never walk uphill or hurry
If No to question 5d go to Q6a
qc_5_d == 0
Else

Do you get it when you walk at an ordinary pace on the level?

0
No
1
Yes
2
Never walk
If Never walk to question 5e go to Q6a
qc_5_e == 2
Else

Does the pain ever disappear while you are walking?

0
No
1
Yes
If Yes to question 5f go to Q6a
qc_5_f == 1
Else

What do you do if you get it when you are walking?

1
Stop or slow down
2
Carry on
If Carry on to question 5g go to Q6a
qc_5_g == 2
Else

What happens to it if you stand still?

0
Still not relieved
1
Relieved
If Still not relieved to question 5h go to Q6a
qc_5_h == 0
Else

How soon is the pain relieved?

1
10 minutes or less
2
More than 10 minutes

Since 1999 has a doctor told you that you have had angina?

0
No
1
Yes

Since 1999 has a doctor told you that you have had a heart attack (myocardial infarct/coronary thrombosis)?

0
No
1
Yes

Since 1999 have you had any other heart trouble suspected or confirmed? (e.g. valve disease, congenital heart disease or irregular heart beat)

0
No
1
Yes
If 'Yes',
qc_6_c == 1

please specify:

Generic text

Since 1999 have you had a sudden speech problem which got better after a day?

0
No
1
Yes

Since 1999 have you had sudden sight problems which got better after a day?

0
No
1
Yes

Since 1999 have you had a sudden weakness in an arm or leg which got better after a day?

0
No
1
Yes

Since 1999 have you been told by a doctor that you have blood pressure problems?

0
No
1
Yes

Since 1999 have you been told by a doctor that you have had a stroke?

0
No
1
Yes

Since 1999 have you been told that you have diabetes?

0
No
1
Yes
If No to question 10a go to Q11a
qc_10_a == 0
Else

How old were you when you were first told that you had diabetes? Age ... years

Age

Is your diabetes controlled by

1
Diet alone
2
Tablets
3
Insulin injections

Since 1999 have you been told by a doctor that you have a thyroid disorder?

0
No
1
Yes
If No to question 11a go to Q12a
qc_11_a == 0
Else

What kind of thyroid disorder have you had?

1
Goitre
2
Hyperthyroidism
3
Hypothyroidism
4
Other

Have you had any treatment for your thyroid disorder?

0
No
1
Medication (please specify)
2
Other treatment (please specify)
Generic text
Other

Since 1999 have you been told by a doctor that you have fits or epilepsy?

0
No
1
Yes
If No to question 12a go to Q13
qc_12_a == 0
Else

Have you been prescribed:

1
Medication
2
Other treatment (please specify)
Other

Since 1999 have you been told by a doctor that you have cancer?

0
No
1
Yes
If 'Yes',
qc_13 == 1

please specify site:

Generic text

Since 1999 have you suffered from any other troublesome health problem(s) which has been diagnosed by a medical doctor?

0
No
1
Yes
If 'Yes',
qc_14 == 1

please list below:

Other
Other 2
Other 3

Since 1999 have you been knocked unconscious?

0
No
1
Yes

Do you usually cough first thing in the morning in the winter?

0
No
1
Yes

Do you usually cough during the day or night in winter?

0
No
1
Yes
If you answered ‘No’ to both 16a and 16b go to Q17a
If you answered ‘Yes’ to either 16a or 16b answer 16c
qc_16_a == 1 || qc_16_b == 1

Do you cough like this on most days for as much as 3 months each year?

0
No
1
Yes

Do you usually bring up any phlegm (spit from the chest) first thing in the morning in winter?

0
No
1
Yes

Do you usually bring up any phlegm during the day or at night in winter?

0
No
1
Yes
If you answered ‘No’ to both 17a and 17b go to Q18
If you answered ‘Yes’ to either 17a or 17b answer 17c
qc_17_a == 1 || qc_17_b == 1

Do you bring up phlegm on most days for as much as 3 months each year?

0
No
1
Yes

In the past 3 years, have you had a period of cough and phlegm lasting for 3 weeks or more?

0
No
1
Yes

Does your chest ever sound wheezy or whistling?

0
No
1
Yes
If No to question 19a go to Q20a
qc_19_a == 0
Else

Do you get this most days or nights?

0
No
1
Yes

During the past 3 years have you had any chest illness, for example, bronchitis or pneumonia, which has kept you off work or indoors for a week or more?

0
No
1
Yes
If No to question 20a go to Q21a
qc_20_a == 0
Else

How many illnesses like this have you had in the last 3 years?

1
One
2
More than one

Did you consult a doctor about this during the last 3 years?

0
No
1
Yes
These questions concern any test(s) or treatment(s) you may have had in hospital for chest pain or heart disease.
If you answer ‘Yes’ to a question please fill in the requested details.

Have you ever had an exercise/stress ECG heart tracing whilst walking or running on a treadmill?

0
No
1
Yes
If No to question 21a go to Q21b
qc_21_a == 0
Else

Hospital name/ town:

Generic text

Name of consultant:

Generic text

Were you an NHS or private patient?

1
NHS
2
Private

Date of test:

Generic date

Have you ever had an angiogram or X-ray of your coronary arteries (a dye test of the arteries)?

0
No
1
Yes
If No to question 21b go to Q21c
qc_21_b == 0
Else

Hospital name/ town:

Generic text

Name of consultant:

Generic text

Were you an NHS or private patient?

1
NHS
2
Private

Date of test:

Generic date

Have you ever had angioplasty of coronary arteries (balloon treatment for angina) or insertion of a stent?

0
No
1
Yes
If No to question 21c go to Q21d
qc_21_c == 0
Else

Hospital name/ town:

Generic text

Name of consultant:

Generic text

Name of ward:

Generic text

Were you an NHS or private patient?

1
NHS
2
Private

Date of admission to hospital:

Generic date

Length of stay in hospital: Number of days

How many

Have you ever had a coronary artery bypass graft (CABG) operation?

0
No
1
Yes
If No to question 21d go to Q21e
qc_21_d == 0
Else

Hospital name/ town:

Generic text

Name of consultant:

Generic text

Name of ward:

Generic text

Were you an NHS or private patient?

1
NHS
2
Private

Date of admission to hospital:

Generic date

Length of stay in hospital: Number of days

How many

Have you ever had an admission to hospital with chest pain, angina or heart attack?

0
No
1
Yes
If No to question 21e go to Q21f
qc_21_e == 0
Else

Hospital name/ town:

Generic text

Name of consultant:

Generic text

Name of ward:

Generic text

Were you NHS or private patient?

1
NHS
2
Private

Date of admission to hospital:

Generic date

Length of stay in hospital: Number of days

How many

Have you ever had other heart tests or operations or admissions to hospital for other heart trouble?

0
No
1
Yes
If No to question 21f go to Q22a
qc_21_f == 0
Else

Please specify test, operation or reason for hospital admission (e.g. 24 hour ECG, pacemaker, thallium scan, echocardiogram, or resting ECG)

Generic text

Hospital name/ town:

Generic text

Name of consultant:

Generic text

Name of ward:

Generic text

Were you an NHS or private patient?

1
NHS
2
Private

Date of admission to hospital or date of test/procedure:

Generic date

Length of stay in hospital: Number of days

How many
IN-PATIENT HOSPITAL ADMISSIONS

Since 1999 have you been admitted to hospital as an in-patient (that is you spent at least one night in hospital) for any other reason not already mentioned in question 21?

0
No
1
Yes
If ‘Yes’,
qc_22_a == 1
please fill in details of each hospital admission in the table below, starting from the earliest admission. Please use one column for each hospital admission and fill in the details requested in the boxes provided. REMEMBER YOU DO NOT NEED TO REPEAT INFORMATION ALREADY PROVIDED IN QUESTION 21.
_admission < 7

Hospital Name/Town:

Generic text

Name of Consultant:

Generic text

Name of Ward:

Generic text

Were you an NHS or private patient?

1
NHS
2
Private
3
Overseas

Date of admission.

Generic date

How many days did you stay in hospital? Number of days

How many

Why were you admitted to hospital?

Generic text

Was this problem the result of an injury?

1
Yes
0
No
If yes,
qc_22_viii == 1

please specify cause of injury

Generic text

What treatment(s) did you have?

Generic text

Have you had any other hospital admissions since 1999?

0
No
1
Yes
HOSPITAL DAY SURGERY AND OUTPATIENT TREATMENTS

Since 1999, have you been to hospital for treatment or surgery and then come home again on the same day (that is you did not spend a night in hospital)?

0
No
1
Yes
If ‘Yes’,
qc_23 == 1
please fill in details of each illness or condition in the table below. Please use one column for each illness or condition (even if you visited the hospital more than once for treatment for the same problem).
_illness < 7

Why did you go to hospital?

Generic text

Was this problem the result of an injury?

1
Yes
0
No
If yes,
qc_23_ii == 1

please specify cause of injury

Generic text

Were you an NHS or private patient?

1
NHS
2
Private
3
Overseas

Date of beginning of treatment:

Generic date

How many times did you visit the hospital for treatment for this illness/condition? Number of visits

How many

What treatment did you have at the hospital?

Generic text

Do you regularly take any medicines, tablets, tonics or pills prescribed by a doctor?

0
No
1
Yes
If 'Yes'
qc_24 == 1
please give details in the table below. Use one row for each prescribed medication.
Name of prescribed medicine What is it for?
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
1
2
3
4
5
6
7
8
9
10
The following questions are about your family.

Does your household own or rent your accommodation?

1
Own it outright
2
Being bought with a mortgage or loan
3
Rent it from the Council
4
Rent it from a relative
5
Rent it from a private landlord
6
Rent it from a housing association
7
Other (please specify)
Other

How many people in total live in your household, including yourself? Include those who live in the household but are away e.g. working away or a student. Number

How many
If only yourself, go to Q28a
qc_26 == '1'
Else

Do you have a husband/wife or partner living in this household?

1
Husband/wife
2
Partner
3
Neither
If Neither to question 27a go to Q28a
qc_27_a == 3
Else

What is your husband/wife or partner’s highest level of qualification?

1
CSE
2
GCSE
3
GCSE O Level
4
A/S Level
5
GCE A Level (or S Level)
6
Scottish School Certificate, Higher School Certificate or Scottish School Qualification
7
Diploma of Higher Education
8
First degree (e.g. BA, BSc)
9
Other degree level qualification such as graduate membership of professional institute
10
Higher degree (e.g. PhD, MSc)
11
Nursing or other para-medical qualification
12
PGCE – Post-graduate Certificate of Education
13
Other teaching qualification
14
None of these

Since 1999 have you been married, remarried, separated, divorced or widowed?

0
No
1
Married or remarried
2
Separated
3
Divorced
4
Widowed
If Married or remarried to question 28a go to Q28b
qc_28_a == 1

In what year were you married/ remarried? Year

Generic date
If Separated or Divorced to question 28a go to Q28c
qc_28_a == 2 || qc_28_a == 3

When did you stop living together? Year

Generic date
If Widowed to question 28a go to Q28d
qc_28_a == 4

When did your husband/wife or partner die? Year

Generic date

So, are you currently

1
Single, that is never married
2
Married & living with husband/wife
3
Married & separated from husband/wife
4
Divorced
5
Widowed
If Single, that is never married to question 29a go to Q29b
qc_29_a == 1

Since 1999, have you lived with a partner for more than a year?

0
No
1
Yes

Since 1999, have you had any children?

0
No
1
Yes
If No to question 30a go to Q31
qc_30_a == 0
Else

How many children have you had since 1999? Number of children

How many
Please fill in details of each child below.
_child < && (_child <= qc_30_b) && _child <= 3

Male / Female

1
Male
2
Female

Year of birth

Date of birth

Do you have any grandchildren?

0
No
1
Yes
2
Yes, step grandchildren
If No to question 31a go to Q32
qc_31_a == 0
Else

How many grandchildren do you have? Number of grandchildren

How many

In what year was your first grandchild born? Year

Date of birth
The following questions are about work and retirement.

Have you retired from your main occupation, even if you are now doing other paid work?

0
No
1
Yes
If Yes to question 32 go to Q34
qc_32 == 1
Else

At what age do you plan to retire from your main occupation? Age ... years

Age
If Yes to question 32 go to Q34
qc_32 == 1

How old were you when you retired from your main occupation? Age ... years

Age

What was the reason you retired from your main occupation?

1
Usual retirement age for your job
2
Retired with husband/wife/partner
3
Left early with good bonus
4
Made redundant
5
Unhappy with job
6
Health reasons
7
Other reason, (please specify)
Other

Are you currently in paid work, including part-time work and self-employment?

0
No
1
Yes
If No to question 36 go to Q41
qc_36 == 0
Else

What is the full title of your current main job?

Generic text

What are the main things you do in the job.

Generic text

What does the firm/organisation you work for mainly make or do (at the place where you work)?

Generic text

Are you working as an employee or self-employed?

1
Employee
2
Self employed
If Self employed to question 37d go to Q38a
qc_37_d == 2
Else

Do you have any managerial duties, or are you supervising any other employees?

1
Manager
2
Foreman, supervisor or charge hand
3
Not supervising others

How many employees are there at the place where you work?

1
1-9
2
10 to 24
3
25 to 499
4
500 or more
If Self-employed to question 37d go to Q38a
qc_37_d == 2

Are you working on your own or do you have employees?

1
On own/with partner(s) but no employees
2
With employees
If On own/with partner(s) but no employees to question 38a go to Q39
qc_38_a == 1
Else

How many people do you employ at the place where you work?

1
1-9
2
10 to 24
3
25 to 499
4
500 or more

Do you work full time or part-time?

1
Full time i.e. 30 hours or more per week
2
Part-time

How many hours a week do you usually work in this job, including regular overtime? Hours

Hours in week

Does your employer contribute towards your pension?

0
No
1
Yes

In what year did you start this job? Year

Generic date

As well as this job, do you have a second job?

0
No
1
Yes
Now go to question 44
If No to question 36 go to Q41
qc_36 == 0

Are you seriously looking for any kind of paid work?

0
No
1
Yes
If Yes to question 41 go to Q43
qc_41 == 1
Else

What is the main reason you are not looking for paid work?

1
Retired
2
Looking after home, family (including grandchildren), or friend
3
Laid off for a short time
4
Temporarily sick or injured
5
Other reason (please specify)
Other

Since 1999 have you had any paid work?

0
No
1
Yes
If No to question 43 go to Q46
qc_43 == 0
Else

Since 1999, how many jobs have you had altogether, including any job held in 1999 and any current job? Number of jobs

How many

Since 1999, have you had any spells of a month or more when you were not in any kind of paid work? (please include spells out of work in 1999)

0
No
1
Yes
If No to question 45a go to Q46
qc_45_a === 0
Else

Since 1999, how much of the time have you not been in any paid work?

1
Less than 6 months
2
6 - 11 months
3
1-4 years
4
5 years
5
Since 1999

How much of that time were you unemployed, that is, seriously looking for work?

1
None of the time
2
Less than 6 months
3
6 - 11 months
4
1 - 4 years
5
5 years
6
Since 1999

Has your husband/wife or partner retired from their main occupation, even if they are now doing other paid work?

0
No
1
Yes
2
Husband/wife or partner never worked
3
No husband/wife or partner
If Yes to question 46 go to Q48
qc_46 == 1
Else

At what age does your husband/ wife or partner plan to retire from their main occupation? Age ... years

Age
If Yes to question 46 go to Q48
qc_46 == 1

How old was your husband/ wife or partner when they retired from their main occupation? Age ... years

Age

What was the reason they retired from their main occupation?

1
Usual retirement age for their job
2
Retired with husband/wife/partner
3
Left early with good bonus
4
Made redundant
5
Unhappy with job
6
Health reasons
7
Other reason, (please specify)
Other
If No or Yes to question 46 go to Q50
qc_46 == 0 || qc_46 == 1

Is your husband/wife or partner currently in paid work, including part-time work and self-employment?

0
No
1
Yes
If No to question 50 go to Q53
qc_50 == 0
Else

What is the full title of your husband/wife or partner's current main job?

Generic text

What are the main things they do in the job?

Generic text

What does the firm/organisation they work for mainly make or do (at the place where they work)?

Generic text

Are they working as an employee or are they self-employed?

1
Employee
2
Self-employed
If Self-employed to question 51d go to Q52a
qc_51_d == 2
Else

Do they have any managerial duties, or are they supervising any other employees?

1
Manager
2
Foreman, supervisor or charge hand
3
Not supervising others

How many employees are there at the place where they work?

1
1-9
2
10 to 24
3
25 to 499
4
500 or more
If Self-employed to question 51d go to Q52a
qc_51_d == 2

Do they work on their own or do they have any employees?

1
On own/with partner(s) but no employees
2
With employees
If On own/with partner(s) but no employees to question 52a go to Q54a
qc_52_a == 1
Else

How many people do they employ at the place where they work?

1
1-9
2
10 to 24
3
25 to 499
4
500 or more
If No to question 50 go to Q53
qc_50 == 0

Since 1999 has your husband/wife or partner had any paid work?

0
No
1
Yes
These questions are about your smoking habits.

Do you smoke cigarettes at all nowadays?

0
No
1
Yes
If No to question 54a go to Q55a
qc_54_a == 0
Else

How many cigarettes a day do you usually smoke? If you smoke roll-ups, please give the equivalent number of cigarettes. Number of cigarettes

How many

What is the main brand of cigarettes you smoke? Please specify brand:

Generic text

At what age did you start smoking? ... Years

Age
Now go to question 56a
If No to question 54a go to Q55a
qc_54_a == 0

Have you ever smoked cigarettes regularly, by which we mean at least one cigarette a day for 12 months or more?

0
No
1
Yes
If No to question 55a go to Q56a
qc_55_a == 0
Else

How long ago did you give up smoking? ... Weeks ago OR ... Months ago OR ... Years ago

How many
How many 2
How many 3

At what age did you start smoking? ... Years

Age

Do you smoke a pipe?

0
No
1
Yes
If No to question 56a go to Q57a
qc_56_a == 0
Else

How much pipe tobacco do you usually smoke per week? Amount

How many

Is that grams or ounces?

1
Grams
2
Ounces

What brand of tobacco do you smoke? Please specify brand:

Generic text

Do you smoke cigars?

0
No
1
Yes
If No to question 57a go to Q58
qc_57_a == 0
Else

How many cigars do you smoke per week? Number of cigars

How many

What brand of cigars do you smoke? Please specify brand:

Generic text

In your spare time are you involved in any of the following activities?

0
No
1
Yes
If yes,
qc_58 == 1
please indicate how often you have taken part in these activities in the last 12 months.
-

3 - Weekly

2 - Monthly

1 - Less often

0 - Never

Church-related group or religious activities, e.g. board/standing committee, men’s/ women’s group
Job-related association, e.g. trade union or business/professional organisation
Recreational groups, e.g. bowling league, golf club or other sports club; chess, bridge or other game-based group; book reading or creative-writing group; art, music or craft based group
Civic-political group, e.g. political party club, Chamber of Commerce, local government, parent-teacher association or other school-based work
Other voluntary work
Other groups or clubs, including Lions or Rotary
Other social activities, e.g. going to pubs, cinema, theatre or concerts with others
The final questions are about how you have been feeling recently and your quality of life.
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much?
-

1 - Yes, limited a lot

2 - Yes, limited a little

3 - No, not limited at all

Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling or playing golf
Lifting or carrying groceries
Climbing several flights of stairs
Climbing one flight of stairs
Bending, kneeling or stooping
Walking more than one mile
Walking half a mile
Walking one hundred yards
Bathing and dressing yourself
During the past four weeks have you had any of the following problems with your work or other regular daily activities as a result of your physical health?
-

1 - Yes

0 - No

Cut down the amount of time you spent on work or other activities
Accomplished less than you would like
Were limited in the kind of work or other activities you could do
Had difficulty performing the work or other activities (for example, it took extra effort)
During the past four weeks have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?
-

1 - Yes

0 - No

Cut down the amount of time you spent on work or other activities
Accomplished less than you would like
Didn’t do work or other activities as carefully as usual

During the past four weeks to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbours or groups?

0
Not at all
1
Slightly
2
Moderately
3
Quite a bit
4
Extremely

How much bodily pain have you had during the past four weeks?

0
None
1
Very mild
2
Mild
3
Moderate
4
Severe
5
Very severe

During the past four weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?

0
Not at all
1
A little bit
2
Moderately
3
Quite a bit
4
Extremely
How much of the time during the past four weeks…
-

1 - All of the time

2 - Most of the time

3 - A good bit of the time

4 - Some of the time

5 - A little bit of the time

6 - None of the time

Did you feel full of life?
Have you been a very nervous person?
Have you felt so down in the dumps that nothing could cheer you up?
Have you felt calm and peaceful?
Did you have a lot of energy?
Have you felt downhearted and low?
Did you feel worn out?
Have you been a happy person?
Did you feel tired?

During the past four weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc)?

1
All of the time
2
Most of the time
3
Some of the time
4
A little bit of the time
5
None of the time
Please choose the answer that best describes how TRUE or FALSE each of the following statements is for you:
-

1 - Definitely true

2 - Mostly true

3 - Don’t know

4 - Mostly false

5 - Definitely false

I seem to get sick a little easier than other people
I'm as healthy as anyone I know
I expect my health to get worse
My health is excellent

If you would like to give further details to any questions or make any comments about the questionnaire, please feel free to do so in the space below:

Long text
Thank you very much for the time you have spent filling in this questionnaire.
Please could you now fill in the consent form on page 25 and, if you have moved house recently, turn to the back page of the questionnaire and provide us with your new address. Please put the questionnaire in the pre-paid envelope and post it back to us.
STRICTLY CONFIDENTIAL
MRC National Survey of Health and Development Royal Free & University College Medical School Department of Epidemiology and Public Health
CONSENT: ACCESS TO HOSPITAL AND GP RECORDS
We may need to obtain additional details about your health from your hospital records and from your general practitioner (GP). In order to do this we need to ask your permission. Please complete the following:
I ... give my consent for the MRC National Survey of Health and Development to access my hospital and GP records. I understand that all information provided will be treated in the strictest confidence and used for medical research purposes only.

Date

Generic date

Please give details of your GP: GP’s name

Generic text

Please give details of your GP: Address

Generic text

Please give details of your GP: Postcode.

Generic text
If you have recently changed your address or are about to do so, please will you provide your new address and telephone number below.

New address:

Generic text

I am now living at this address

1
YES
2
/NO

I will be living at this address from ... (please give date)

Generic date

New telephone number:

Generic text
If you do not wish to complete the questionnaire we would be grateful if you could tell us why and return the uncompleted questionnaire to us in the pre-paid envelope:

Please give your reason for not completing the questionnaire:

Long text
End

nshd_06_pq

STRICTLY CONFIDENTIAL
MRC NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
MRC Unit for Lifelong Health & Ageing
Royal Free & University College Medical School
Department of Epidemiology and Public Health
Postal Questionnaire 2008
This questionnaire is about your health and about your family and work life.
When completing the questionnaire please use a pen to circle the appropriate response to each question and provide further details where requested either in boxes or in the space provided. Some questions don’t apply to everybody. Where you should skip questions that do not apply to you it tells you which question to go to next at the side of the answer you have circled (i.e. go to Q2). Otherwise please continue through each question in turn.
If you wish to provide further information in relation to any of the questions, please use the space provided at the back of the questionnaire booklet. At the end of the questionnaire you will also be asked to fill in a consent form that will allow us to access your hospital and GP records. If you have changed address recently or are about to do so, please provide your new address in the space on the back of the consent form.
All information you give us will be treated in the strictest confidence. If you have any queries do not hesitate to telephone us
When you have finished filling in the questionnaire and the consent form on page 25 please use the prepaid envelope provided to post it back to us. Thank you very much for your time and co-operation.
Please enter the date you completed this questionnaire:
Generic date
Questions 1 to 24 are about your health. Some ask about your current health and some about your health since 1999.
How is your health in general?
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
Compared to one year ago, how would you rate your health in general now?
1
Much better now than one year ago
2
Somewhat better now than one year ago
3
About the same as one year ago
4
Somewhat worse than one year ago
5
Much worse than one year ago
Do you ever have any pain or discomfort in your chest?
0
No
1
Yes
Do you get this pain or discomfort when you walk uphill or hurry?
0
No
1
Yes
2
Never walk uphill or hurry
Do you get it when you walk at an ordinary pace on the level?
0
No
1
Yes
2
Never walk
What do you do if you get this pain while walking?
1
Stop or slow down
2
Carry on
3
Carry on after using a spray or taking tablet under your tongue (nitroglycerine)
4
Not applicable
Does the pain or discomfort in your chest go away if you stand still?
0
No
1
Yes
How long does it take to go away?
1
10 minutes or less
2
More than 10 minutes
Where do you get this pain or discomfort? Mark the place(s) with an X on the diagram.
Did you see a doctor because of this pain or discomfort?
0
No
1
Yes, hospital specialist
2
Yes, GP and hospital specialist
what did they say it was?
Generic text
Since 1999 have you had a severe pain across the front of your chest lasting half an hour or more?
0
No
1
Yes
Did you talk to a doctor about it?
0
No
1
Yes
What did he/she say it was?
Generic text
How many of these attacks have you had since 1999? Number of attacks
How many
Do you get pain in either leg on walking?
0
No
1
Yes
2
Confined to chair/bed
Does this pain ever begin when you are standing still or sitting?
0
No
1
Yes
In what part of your leg do you feel it?
1
Calves
2
Thighs
3
Buttocks
4
None of these
Do you get it if you walk uphill or hurry?
0
No
1
Yes
2
Never walk uphill or hurry
Do you get it when you walk at an ordinary pace on the level?
0
No
1
Yes
2
Never walk
Does the pain ever disappear while you are walking?
0
No
1
Yes
What do you do if you get it when you are walking?
1
Stop or slow down
2
Carry on
What happens to it if you stand still?
0
Still not relieved
1
Relieved
How soon is the pain relieved?
1
10 minutes or less
2
More than 10 minutes
Since 1999 has a doctor told you that you have had angina?
0
No
1
Yes
Since 1999 has a doctor told you that you have had a heart attack (myocardial infarct/coronary thrombosis)?
0
No
1
Yes
Since 1999 have you had any other heart trouble suspected or confirmed? (e.g. valve disease, congenital heart disease or irregular heart beat)
0
No
1
Yes
please specify:
Generic text
Since 1999 have you had a sudden speech problem which got better after a day?
0
No
1
Yes
Since 1999 have you had sudden sight problems which got better after a day?
0
No
1
Yes
Since 1999 have you had a sudden weakness in an arm or leg which got better after a day?
0
No
1
Yes
Since 1999 have you been told by a doctor that you have blood pressure problems?
0
No
1
Yes
Since 1999 have you been told by a doctor that you have had a stroke?
0
No
1
Yes
Since 1999 have you been told that you have diabetes?
0
No
1
Yes
How old were you when you were first told that you had diabetes? Age ... years
Age
Is your diabetes controlled by
1
Diet alone
2
Tablets
3
Insulin injections
Since 1999 have you been told by a doctor that you have a thyroid disorder?
0
No
1
Yes
What kind of thyroid disorder have you had?
1
Goitre
2
Hyperthyroidism
3
Hypothyroidism
4
Other
Have you had any treatment for your thyroid disorder?
0
No
1
Medication (please specify)
2
Other treatment (please specify)
Generic text
Other
Since 1999 have you been told by a doctor that you have fits or epilepsy?
0
No
1
Yes
Have you been prescribed:
1
Medication
2
Other treatment (please specify)
Other
Since 1999 have you been told by a doctor that you have cancer?
0
No
1
Yes
please specify site:
Generic text
Since 1999 have you suffered from any other troublesome health problem(s) which has been diagnosed by a medical doctor?
0
No
1
Yes
please list below:
Other
Other 2
Other 3
Since 1999 have you been knocked unconscious?
0
No
1
Yes
Do you usually cough first thing in the morning in the winter?
0
No
1
Yes
Do you usually cough during the day or night in winter?
0
No
1
Yes
If you answered ‘No’ to both 16a and 16b go to Q17a
Do you cough like this on most days for as much as 3 months each year?
0
No
1
Yes
Do you usually bring up any phlegm (spit from the chest) first thing in the morning in winter?
0
No
1
Yes
Do you usually bring up any phlegm during the day or at night in winter?
0
No
1
Yes
If you answered ‘No’ to both 17a and 17b go to Q18
Do you bring up phlegm on most days for as much as 3 months each year?
0
No
1
Yes
In the past 3 years, have you had a period of cough and phlegm lasting for 3 weeks or more?
0
No
1
Yes
Does your chest ever sound wheezy or whistling?
0
No
1
Yes
Do you get this most days or nights?
0
No
1
Yes
During the past 3 years have you had any chest illness, for example, bronchitis or pneumonia, which has kept you off work or indoors for a week or more?
0
No
1
Yes
How many illnesses like this have you had in the last 3 years?
1
One
2
More than one
Did you consult a doctor about this during the last 3 years?
0
No
1
Yes
These questions concern any test(s) or treatment(s) you may have had in hospital for chest pain or heart disease.
If you answer ‘Yes’ to a question please fill in the requested details.
Have you ever had an exercise/stress ECG heart tracing whilst walking or running on a treadmill?
0
No
1
Yes
Hospital name/ town:
Generic text
Name of consultant:
Generic text
Were you an NHS or private patient?
1
NHS
2
Private
Date of test:
Generic date
Have you ever had an angiogram or X-ray of your coronary arteries (a dye test of the arteries)?
0
No
1
Yes
Hospital name/ town:
Generic text
Name of consultant:
Generic text
Were you an NHS or private patient?
1
NHS
2
Private
Date of test:
Generic date
Have you ever had angioplasty of coronary arteries (balloon treatment for angina) or insertion of a stent?
0
No
1
Yes
Hospital name/ town:
Generic text
Name of consultant:
Generic text
Name of ward:
Generic text
Were you an NHS or private patient?
1
NHS
2
Private
Date of admission to hospital:
Generic date
Length of stay in hospital: Number of days
How many
Have you ever had a coronary artery bypass graft (CABG) operation?
0
No
1
Yes
Hospital name/ town:
Generic text
Name of consultant:
Generic text
Name of ward:
Generic text
Were you an NHS or private patient?
1
NHS
2
Private
Date of admission to hospital:
Generic date
Length of stay in hospital: Number of days
How many
Have you ever had an admission to hospital with chest pain, angina or heart attack?
0
No
1
Yes
Hospital name/ town:
Generic text
Name of consultant:
Generic text
Name of ward:
Generic text
Were you NHS or private patient?
1
NHS
2
Private
Date of admission to hospital:
Generic date
Length of stay in hospital: Number of days
How many
Have you ever had other heart tests or operations or admissions to hospital for other heart trouble?
0
No
1
Yes
Please specify test, operation or reason for hospital admission (e.g. 24 hour ECG, pacemaker, thallium scan, echocardiogram, or resting ECG)
Generic text
Hospital name/ town:
Generic text
Name of consultant:
Generic text
Name of ward:
Generic text
Were you an NHS or private patient?
1
NHS
2
Private
Date of admission to hospital or date of test/procedure:
Generic date
Length of stay in hospital: Number of days
How many
IN-PATIENT HOSPITAL ADMISSIONS
Since 1999 have you been admitted to hospital as an in-patient (that is you spent at least one night in hospital) for any other reason not already mentioned in question 21?
0
No
1
Yes
please fill in details of each hospital admission in the table below, starting from the earliest admission. Please use one column for each hospital admission and fill in the details requested in the boxes provided. REMEMBER YOU DO NOT NEED TO REPEAT INFORMATION ALREADY PROVIDED IN QUESTION 21.

_admission < 7

Hospital Name/Town:
Generic text
Name of Consultant:
Generic text
Name of Ward:
Generic text
Were you an NHS or private patient?
1
NHS
2
Private
3
Overseas
Date of admission.
Generic date
How many days did you stay in hospital? Number of days
How many
Why were you admitted to hospital?
Generic text
Was this problem the result of an injury?
1
Yes
0
No
please specify cause of injury
Generic text
What treatment(s) did you have?
Generic text
Have you had any other hospital admissions since 1999?
0
No
1
Yes
HOSPITAL DAY SURGERY AND OUTPATIENT TREATMENTS
Since 1999, have you been to hospital for treatment or surgery and then come home again on the same day (that is you did not spend a night in hospital)?
0
No
1
Yes
please fill in details of each illness or condition in the table below. Please use one column for each illness or condition (even if you visited the hospital more than once for treatment for the same problem).

_illness < 7

Why did you go to hospital?
Generic text
Was this problem the result of an injury?
1
Yes
0
No
please specify cause of injury
Generic text
Were you an NHS or private patient?
1
NHS
2
Private
3
Overseas
Date of beginning of treatment:
Generic date
How many times did you visit the hospital for treatment for this illness/condition? Number of visits
How many
What treatment did you have at the hospital?
Generic text
Do you regularly take any medicines, tablets, tonics or pills prescribed by a doctor?
0
No
1
Yes

please give details in the table below. Use one row for each prescribed medication.

Name of prescribed medicine What is it for?
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
1
2
3
4
5
6
7
8
9
10
The following questions are about your family.
Does your household own or rent your accommodation?
1
Own it outright
2
Being bought with a mortgage or loan
3
Rent it from the Council
4
Rent it from a relative
5
Rent it from a private landlord
6
Rent it from a housing association
7
Other (please specify)
Other
How many people in total live in your household, including yourself? Include those who live in the household but are away e.g. working away or a student. Number
How many
Do you have a husband/wife or partner living in this household?
1
Husband/wife
2
Partner
3
Neither
What is your husband/wife or partner’s highest level of qualification?
1
CSE
2
GCSE
3
GCSE O Level
4
A/S Level
5
GCE A Level (or S Level)
6
Scottish School Certificate, Higher School Certificate or Scottish School Qualification
7
Diploma of Higher Education
8
First degree (e.g. BA, BSc)
9
Other degree level qualification such as graduate membership of professional institute
10
Higher degree (e.g. PhD, MSc)
11
Nursing or other para-medical qualification
12
PGCE – Post-graduate Certificate of Education
13
Other teaching qualification
14
None of these
Since 1999 have you been married, remarried, separated, divorced or widowed?
0
No
1
Married or remarried
2
Separated
3
Divorced
4
Widowed
In what year were you married/ remarried? Year
Generic date
When did you stop living together? Year
Generic date
When did your husband/wife or partner die? Year
Generic date
So, are you currently
1
Single, that is never married
2
Married & living with husband/wife
3
Married & separated from husband/wife
4
Divorced
5
Widowed
Since 1999, have you lived with a partner for more than a year?
0
No
1
Yes
Since 1999, have you had any children?
0
No
1
Yes
How many children have you had since 1999? Number of children
How many
Please fill in details of each child below.

_child < && (_child <= qc_30_b) && _child <= 3

Male / Female
1
Male
2
Female
Year of birth
Date of birth
Do you have any grandchildren?
0
No
1
Yes
2
Yes, step grandchildren
How many grandchildren do you have? Number of grandchildren
How many
In what year was your first grandchild born? Year
Date of birth
The following questions are about work and retirement.
Have you retired from your main occupation, even if you are now doing other paid work?
0
No
1
Yes
At what age do you plan to retire from your main occupation? Age ... years
Age
How old were you when you retired from your main occupation? Age ... years
Age
What was the reason you retired from your main occupation?
1
Usual retirement age for your job
2
Retired with husband/wife/partner
3
Left early with good bonus
4
Made redundant
5
Unhappy with job
6
Health reasons
7
Other reason, (please specify)
Other
Are you currently in paid work, including part-time work and self-employment?
0
No
1
Yes
What is the full title of your current main job?
Generic text
What are the main things you do in the job.
Generic text
What does the firm/organisation you work for mainly make or do (at the place where you work)?
Generic text
Are you working as an employee or self-employed?
1
Employee
2
Self employed
Do you have any managerial duties, or are you supervising any other employees?
1
Manager
2
Foreman, supervisor or charge hand
3
Not supervising others
How many employees are there at the place where you work?
1
1-9
2
10 to 24
3
25 to 499
4
500 or more
Are you working on your own or do you have employees?
1
On own/with partner(s) but no employees
2
With employees
How many people do you employ at the place where you work?
1
1-9
2
10 to 24
3
25 to 499
4
500 or more
Do you work full time or part-time?
1
Full time i.e. 30 hours or more per week
2
Part-time
How many hours a week do you usually work in this job, including regular overtime? Hours
Hours in week
Does your employer contribute towards your pension?
0
No
1
Yes
In what year did you start this job? Year
Generic date
As well as this job, do you have a second job?
0
No
1
Yes
Now go to question 44
Are you seriously looking for any kind of paid work?
0
No
1
Yes
What is the main reason you are not looking for paid work?
1
Retired
2
Looking after home, family (including grandchildren), or friend
3
Laid off for a short time
4
Temporarily sick or injured
5
Other reason (please specify)
Other
Since 1999 have you had any paid work?
0
No
1
Yes
Since 1999, how many jobs have you had altogether, including any job held in 1999 and any current job? Number of jobs
How many
Since 1999, have you had any spells of a month or more when you were not in any kind of paid work? (please include spells out of work in 1999)
0
No
1
Yes
Since 1999, how much of the time have you not been in any paid work?
1
Less than 6 months
2
6 - 11 months
3
1-4 years
4
5 years
5
Since 1999
How much of that time were you unemployed, that is, seriously looking for work?
1
None of the time
2
Less than 6 months
3
6 - 11 months
4
1 - 4 years
5
5 years
6
Since 1999
Has your husband/wife or partner retired from their main occupation, even if they are now doing other paid work?
0
No
1
Yes
2
Husband/wife or partner never worked
3
No husband/wife or partner
At what age does your husband/ wife or partner plan to retire from their main occupation? Age ... years
Age
How old was your husband/ wife or partner when they retired from their main occupation? Age ... years
Age
What was the reason they retired from their main occupation?
1
Usual retirement age for their job
2
Retired with husband/wife/partner
3
Left early with good bonus
4
Made redundant
5
Unhappy with job
6
Health reasons
7
Other reason, (please specify)
Other
Is your husband/wife or partner currently in paid work, including part-time work and self-employment?
0
No
1
Yes
What is the full title of your husband/wife or partner's current main job?
Generic text
What are the main things they do in the job?
Generic text
What does the firm/organisation they work for mainly make or do (at the place where they work)?
Generic text
Are they working as an employee or are they self-employed?
1
Employee
2
Self-employed
Do they have any managerial duties, or are they supervising any other employees?
1
Manager
2
Foreman, supervisor or charge hand
3
Not supervising others
How many employees are there at the place where they work?
1
1-9
2
10 to 24
3
25 to 499
4
500 or more
Do they work on their own or do they have any employees?
1
On own/with partner(s) but no employees
2
With employees
How many people do they employ at the place where they work?
1
1-9
2
10 to 24
3
25 to 499
4
500 or more
Since 1999 has your husband/wife or partner had any paid work?
0
No
1
Yes
These questions are about your smoking habits.
Do you smoke cigarettes at all nowadays?
0
No
1
Yes
How many cigarettes a day do you usually smoke? If you smoke roll-ups, please give the equivalent number of cigarettes. Number of cigarettes
How many
What is the main brand of cigarettes you smoke? Please specify brand:
Generic text
At what age did you start smoking? ... Years
Age
Now go to question 56a
Have you ever smoked cigarettes regularly, by which we mean at least one cigarette a day for 12 months or more?
0
No
1
Yes
How long ago did you give up smoking? ... Weeks ago OR ... Months ago OR ... Years ago
How many
How many 2
How many 3
At what age did you start smoking? ... Years
Age
Do you smoke a pipe?
0
No
1
Yes
How much pipe tobacco do you usually smoke per week? Amount
How many
Is that grams or ounces?
1
Grams
2
Ounces
What brand of tobacco do you smoke? Please specify brand:
Generic text
Do you smoke cigars?
0
No
1
Yes
How many cigars do you smoke per week? Number of cigars
How many
What brand of cigars do you smoke? Please specify brand:
Generic text
In your spare time are you involved in any of the following activities?
0
No
1
Yes

please indicate how often you have taken part in these activities in the last 12 months.

-

3 - Weekly

2 - Monthly

1 - Less often

0 - Never

Church-related group or religious activities, e.g. board/standing committee, men’s/ women’s group
Job-related association, e.g. trade union or business/professional organisation
Recreational groups, e.g. bowling league, golf club or other sports club; chess, bridge or other game-based group; book reading or creative-writing group; art, music or craft based group
Civic-political group, e.g. political party club, Chamber of Commerce, local government, parent-teacher association or other school-based work
Other voluntary work
Other groups or clubs, including Lions or Rotary
Other social activities, e.g. going to pubs, cinema, theatre or concerts with others
The final questions are about how you have been feeling recently and your quality of life.

The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much?

-

1 - Yes, limited a lot

2 - Yes, limited a little

3 - No, not limited at all

Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling or playing golf
Lifting or carrying groceries
Climbing several flights of stairs
Climbing one flight of stairs
Bending, kneeling or stooping
Walking more than one mile
Walking half a mile
Walking one hundred yards
Bathing and dressing yourself

During the past four weeks have you had any of the following problems with your work or other regular daily activities as a result of your physical health?

-

1 - Yes

0 - No

Cut down the amount of time you spent on work or other activities
Accomplished less than you would like
Were limited in the kind of work or other activities you could do
Had difficulty performing the work or other activities (for example, it took extra effort)

During the past four weeks have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?

-

1 - Yes

0 - No

Cut down the amount of time you spent on work or other activities
Accomplished less than you would like
Didn’t do work or other activities as carefully as usual
During the past four weeks to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbours or groups?
0
Not at all
1
Slightly
2
Moderately
3
Quite a bit
4
Extremely
How much bodily pain have you had during the past four weeks?
0
None
1
Very mild
2
Mild
3
Moderate
4
Severe
5
Very severe
During the past four weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
0
Not at all
1
A little bit
2
Moderately
3
Quite a bit
4
Extremely

How much of the time during the past four weeks…

-

1 - All of the time

2 - Most of the time

3 - A good bit of the time

4 - Some of the time

5 - A little bit of the time

6 - None of the time

Did you feel full of life?
Have you been a very nervous person?
Have you felt so down in the dumps that nothing could cheer you up?
Have you felt calm and peaceful?
Did you have a lot of energy?
Have you felt downhearted and low?
Did you feel worn out?
Have you been a happy person?
Did you feel tired?
During the past four weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc)?
1
All of the time
2
Most of the time
3
Some of the time
4
A little bit of the time
5
None of the time

Please choose the answer that best describes how TRUE or FALSE each of the following statements is for you:

-

1 - Definitely true

2 - Mostly true

3 - Don’t know

4 - Mostly false

5 - Definitely false

I seem to get sick a little easier than other people
I'm as healthy as anyone I know
I expect my health to get worse
My health is excellent
If you would like to give further details to any questions or make any comments about the questionnaire, please feel free to do so in the space below:
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Thank you very much for the time you have spent filling in this questionnaire.
Please could you now fill in the consent form on page 25 and, if you have moved house recently, turn to the back page of the questionnaire and provide us with your new address. Please put the questionnaire in the pre-paid envelope and post it back to us.
STRICTLY CONFIDENTIAL
MRC National Survey of Health and Development Royal Free & University College Medical School Department of Epidemiology and Public Health
CONSENT: ACCESS TO HOSPITAL AND GP RECORDS
We may need to obtain additional details about your health from your hospital records and from your general practitioner (GP). In order to do this we need to ask your permission. Please complete the following:
I ... give my consent for the MRC National Survey of Health and Development to access my hospital and GP records. I understand that all information provided will be treated in the strictest confidence and used for medical research purposes only.
Date
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Please give details of your GP: GP’s name
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Please give details of your GP: Address
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Please give details of your GP: Postcode.
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If you have recently changed your address or are about to do so, please will you provide your new address and telephone number below.
New address:
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I am now living at this address
1
YES
2
/NO
I will be living at this address from ... (please give date)
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New telephone number:
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If you do not wish to complete the questionnaire we would be grateful if you could tell us why and return the uncompleted questionnaire to us in the pre-paid envelope:
Please give your reason for not completing the questionnaire:
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Name

2008-2010 Clinic Study Postal Questionnaire