Start
nshd_50
SECOND FOLLOW-UP SURVEY
ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS POPULATION INVESTIGATION COMMITTEE
INSTITUTE OF CHILD HEALTH
At the LONDON SCHOOL OF ECONOMICS, HOUGHTON STREET, LONDON, W.C.2

Mother's Name

Generic text

Address

Generic text

If she has moved what is her present address?

Generic text

In what M. & C.W. Authority is it?

Generic text
IF SHE HAS MOVED TO ANOTHER M. & C.W. AUTHORITY RETURN THIS FORM AT ONCE TO WHOEVER HAS BEEN DELEGATED BY YOUR MEDICAL OFFICER OF HEALTH TO RECEIVE IT.
(Ring with a soft pencil the code number opposite the mother's answer)

Christian Names of child BORN IN MARCH 1946

Generic text

National Registation No

Generic text

If mother not interviewed because she was ill, refused, etc., give reasons

Generic text
If this child has died,

please state:- Age at death ... years ... months.

years
months
YY
Question does not apply
XX
No answer

please state: Cause of death (as given on death certificate)

Generic text
I. ACCIDENTS
Has this child ever had an accident in which he was BURNT or SCALDED, BROKE A BONE, or was BADLY CUT or BRUISED?
-
Burns or Scalds
Broken Bones
Bad Cuts or Bruises
(If " Yes,"
qc_4 == 1
please give the following details about each accident in turn, starting with the earliest and ending with the most recent. Any accidents recorded in the 1948 survey are entered in red. Please check this information and fill in any gaps).
Type of injury (enter as BURN, SCALD, BROKEN BONE, CUT, BRUISE, or combination of these) Part or Parts injured Age when injured (in years and months) Treatment: Hosp. I.P., Hosp. O.P., Nursing Home, Doctor, Nurse Name and Address of Hospital, Nursing Home, Doctor or Nurse giving treatment (If in-patient) Length of stay in Hospital or N. Home (in days)
First Accident 1
Subsequent Accidents 2
Subsequent Accidents 3
Subsequent Accidents 4
please give the following details about each accident in turn, starting with the earliest and ending with the most recent. Any accidents recorded in the 1948 survey are entered in red. Please check this information and fill in any gaps).
Details of how each ACCIDENT OCCURRED (if burnt by fire, say whether electric, gas, open fire or stove) Details of remaining Scarring, Disability or Deformity
First Accident 1
Subsequent Accidents 2
Subsequent Accidents 3
Subsequent Accidents 4
II. INFECTIOUS DISEASES

Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Whooping Cough

1
Yes
2
No
X
No Answer

Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Measles

1
Yes
2
No
X
No Answer

Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Mumps

1
Yes
2
No
X
No Answer
(If " Yes,"
qc_5_i == 1 || qc_5_ii == 1 || qc_5_iii == 1
please give the following details)
Age at onset (in years and months) Treatment:- Hospital I.P. Hospital O.P. Nursing Home, Doctor, Other.
WHOOPING COUGH
MEASLES
MUMPS
III. DISCHARGE FROM EARS

Has this child ever had discharge of pus from his ears?

1
Yes
2
No
X
No answer
(If " Yes,"
qc_6 == 1

please give the following details.) Age at first attack (years and months)

years
months

please give the following details.) Age when ear finally ceased discharging

Generic text

please give the following details.) Treatment:- Hospital I.P. Hospital O.P. Nursing Home, Doctor, Other

Generic text
IV. COLDS
(i.e. running or blocked nose even if there is no other complication.)
Please give the following details about COLDS in your family since CHRISTMAS, 1949.
-
This Child
Mother
Father
V. CIRCUMCISION
(Male children only. Code Y or YY for females)

Has this child been circumcised?

1
Yes
2
No
Y
Question does not apply
X
No answer
(If " Yes.")
qc_8 == 1

At what age was he circumcised? ... months

How many
YY
Question does not apply
XX
No answer

Were there any complications?

1
Yes
2
No
Y
Question does not apply
X
No answer
(If " Yes ")
qc_8_b == 1

Please give full details of complications and treatment.

Generic text
VI. HOSPITAL AND NURSING HOME IN-PATIENT TREATMENT
(Include all illnesses, etc., even if recorded earlier in this questionnaire, i.e., accidents, infectious diseases and discharging ears.)

Has this child ever been an IN-PATIENT in Hospital or in a Nursing Home?

1
Yes
2
No
X
No answer
(If " Yes,"
qc_9 == 1
pleae give the following details about each ADMISSION.
Nature of illness Nature of Operation performed (if any) Age on admission (in years and months) Name and Address of Hospital or Nursing Home Length of stay in Hosp. or N. Home Details of any remaining disability from this illness (Put NONE if child completely recovered) Length of stay in Convalescent Home (if any)
First Admission 1
Subsequent Admissions 2
Subsequent Admissions 3
Subsequent Admissions 4
Subsequent Admissions 5
Subsequent Admissions 6
(For all children going to hospital.)

Have you noticed any differences in the behaviour of your child since he came back home? If so, please give details Yes, namely

Long text
2
No
Y
Question does not apply
X
No answer

Remarks on any illnesses or disabilities not recorded above.

Long text
VII. SLEEPING ARRANGEMENTS

Does this child sleep in a room by himself or in a room with others?

1
By himself
2
With others
X
No answer
(If " with others ")
qc_11 == 2
Who sleeps in his room?
No.
Parents
Children under 10
Males 10 or over
Females 10 or over

Who sleeps in his room?

Y
Question does not apply
X
No answer

Does he sleep in his own bed or with others?

1
Own bed
2
With children under 10
3
With parents
4
With others over 10
Y
Question does not apply
X
No answer

Do you take him up and 'pot' him at night before you yourself go to bed?

1
Yes always
2
Yes sometimes
3
Never
X
No answer

Is he dry by night?

1
Not wet during last 4 weeks
2
Wet occasionally
3
Wet several nights a week
4
Wet every night
X
No answer
VIII. THIS CHILD'S HABITS

Do you find any difficulty in getting him to eat?

1
Yes
2
No
X
No answer

What did this child have for each meal yesterday? Breakfast

Generic text

What did this child have for each meal yesterday? Dinner

Generic text

What did this child have for each meal yesterday? Tea or high tea

Generic text

What did this child have for each meal yesterday? Last thing at night

Generic text

Do you give him food between meals?

1
Yes
2
No
X
No answer

Where does this child usually play?

1
In the house
2
In the yard or garden
3
In the street
4
In park or open space
5
Elsewhere, namely
X
No answer
Other

With whom does he usually play?

1
By himself
2
With brothers and sisters
3
With other children
4
Other, namely
X
No answer
Other

What is the longest time you have been separated from this child? ... days when he was ... months old

How many
How many
Y
Never separated
X
No answer
IX. WELFARE CENTRES
(These questions refer only to child born in March 1946)

When did you last take this child to a Welfare Centre?

Generic date
(Ask all mothers even if they have not taken this child to a centre.)

How long does it (or would it) take you to get to the Welfare Centre? ... minutes

How many
XX
No answer

How do you (or would you) get there?

1
Walk
2
Special bus or car provided by local authority
3
'Bus or Tram
4
Other, namely
X
No answer
Other
X. NURSERIES, ETC.

Has this child ever been to a

1
Day Nursery L.A.
2
Day Nursery Factory
3
Day Nursery Private
4
Nursery School L.A.
5
Nursery School Private
6
Nursery Class
7
Residential Nursery
8
Daily Minder (Registered with L.A.)
9
Other, namely
0
None of these
X
No answer
Other
(Please give the following details about all children taken to any of these)
qc_17 >= 1 && qc_17 <= 9
_child < 4
XI. THE MOTHER

Who helps you with the care of this child and with the housework? Child (regular help)

1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom&#39;tic
6
Trained Nannie
0
Not helped at all
X
No Answer

Who helps you with the care of this child and with the housework? Child (occasional help)

1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom&#39;tic
6
Trained Nannie
0
Not helped at all
X
No Answer

Who helps you with the care of this child and with the housework? Housework (regular help)

1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom&#39;tic
6
Trained Nannie
0
Not helped at all
X
No Answer

Who helps you with the care of this child and with the housework? Housework (occasional help)

1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom&#39;tic
6
Trained Nannie
0
Not helped at all
X
No Answer

Have you been in paid work (either inside or outside the home) since the birth of this child in 1946?

1
Yes
2
No
X
No answer
(If " Yes,"
qc_19 == 1
please give the following details of each period of employment.)
Exact nature of work Approx. hrs. per week Date of taking job Date of leaving job
1
2
3
4

Have you been pregnant since 1946? (i.e. AFTER the birth of this child).

1
Yes
2
No
X
No answer
(If " Yes,"
qc_20 == 1
please give the following details of each pregnancy.)
Date of delivery (month and year) Sex of child Birth weight (to nearest 1/4 lb) Result of delivery (live birth, still birth or miscarriage)
1
2
3
4
(If now pregnant.)

Expected date of delivery

Generic date
XII. OCCUPATION OF PRESENT HUSBAND
(i.e. not necesarily the father of this child)
(If Unemployed, ill, dead, etc., this information should relate to the last job.)

What is your husband's occupation.

Generic text

In what industry does he work?

Generic text

Does he:-

p
Earn a weekly wage?
q
Earn a monthly salary?
r
Work for himself or employ less than 10 people?
s
Employ 10 or more people?

If your husband's work regularly keeps him away from home for 24 hours or more at a time, please give details

Generic text
XIII. THE HOUSEHOLD
Constitution of the household (i.e., all those whom the mother looks after).
This Mother&#39;s own children, self and husband Others (including step and adopted children other relations, lodgers, domestics) TOTAL
Less than 5 years
5 years to 14 years 11 months
15 years and over
TOTAL IN HOUSEHOLD

Which grandparents, if any, live in this household?

1
Wife&#39;s mother
2
Wife&#39;s father
3
Husband&#39;s mother
4
Husband&#39;s father
5
No grandparent
X
No Answer

Rooms occupied by this household. Bedrooms

How many

Rooms occupied by this household. Living Rooms (include Kitchen only if used as a Living Room, exclude Scullery) Own Living Rooms

How many

Rooms occupied by this household. Living Rooms (include Kitchen only if used as a Living Room, exclude Scullery) Shared Living Rooms

How many

Rooms occupied by this household. Total

How many
XIV. MEASUREMENTS

Birth weight of this child. ... lbs. ... ozs.

lbs.
ozs.
PLEASE MAKE ARRANGEMENTS FOR THE MOTHER TO BRING THIS CHILD TO BE WEIGHED EITHER AT THE INFANT WELFARE CENTRE OR WHEREVER ELSE SCALES MAY BE AVAILABLE.

Present weight (WITHOUT CLOTHES). ... lbs.

Weight

Clothes worn, if any

Generic text

Present standing height (WITHOUT SHOES) ... feet ... inches

feet
inches
XV. HEALTH VISITOR'S COMMENTS
WILL HEALTH VISITORS PLEASE FILL IN THIS SECTION FROM THEIR OWN KNOWLEDGE OF THE FAMILY. WE HOPE THAT THE ANSWERS TO THESE QUESTIONS WILL ENABLE US TO SEPARATE THE VERY GOOD AND THE INEFFICIENT MOTHERS FROM THE LARGE GROUP OF "AVERAGE" MOTHERS. SO, IN QUESTIONS 26 (c) (f) & (g) WHICH ASK FOR ASSESSMENTS, THIS MOTHER SHOULD BE COMPARED WITH ALL THE OTHERS IN YOUR CARE AND PUT AS "AVERAGE" (IN RESPECT OF 'CARE,' 'CLEANLINESS' ETC.) UNLESS SHE IS AMONG THE BEST OR AMONG THE WORST MOTHERS YOU HAVE TO DEAL WITH.
CARE OF CHILD AND HOME

Do you know this family as well as or less well than the majority of other families in your care?

1
As well as the others
2
Less well than the others
X
No answer

Have you found this Mother willing or unwilling to accept your advice and help?

1
Average
2
Very willing
3
Unwilling
X
No answer

How does the Mother's management and understanding of this child compare with the standard among other mothers in your care?

1
Average
2
Among the best
3
Among the worst
X
No answer

Is this child's clothing in a satisfactory or unsatisfactory state of repair?

1
Satisfactory
2
Unsatisfactory
X
No answer

Are this child's shoes of satisfactory or unsatisfactory size and type.

1
Satisfactory
2
Unsatisfactory
X
No answer

Please compare (f) the cleanliness of this child and (g) the cleanliness of this home with the standard of others in your care. Cleanliness of child

1
Average
2
Among the most clean
3
Among the least clean
X
No Answer

Please compare (f) the cleanliness of this child and (g) the cleanliness of this home with the standard of others in your care. Cleanliness of home

1
Average
2
Among the most clean
3
Among the least clean
X
No Answer

Please give details of any special lack of facilities in this dwelling which makes it difficult for this Mother to bring up her child or manage her home.

Generic text

Please state from your own knowledge whether the parents of this child are

1
Living together
2
Legally separated
3
Otherwise separated
4
Divorced
5
Widowed
6
Other, namely
X
No answer
Other
INFANT WELFARE SERVICES

Does this Local Authority have a Toddlers' clinic to which this child could be taken?

1
Yes
2
No
X
No answer

How many times has this child been to a Toddlers' clinic or welfare centre in 1948 and 1949? 1948 ... times

How many

How many times has this child been to a Toddlers' clinic or welfare centre in 1948 and 1949? 1949 ... times

How many
Please give number of visits paid by Health Visitors to this child in 1946, 1947, 1948 and 1949.
Number of Visits 1946 Number of Visits 1947 Number of Visits 1948 Number of Visits 1949
By Health Visitor making this interview
By other Health Visitors
THE DWELLING

Type of dwelling?

1
Whole house
2
Self-contained flat
3
Part of house (all amenities but no front door)
4
Unfurnished rooms
5
Furnished rooms
6
Other, namely
X
No answer
Other
(If flat or part of house)
qc_30_a == 2 || qc_30_a == 3

On which floor is this dwelling? ... floor

Generic text
Y
Question does not apply
X
No answer

Ownership of dwelling

1
Owner occupier
2
Private landlord
3
Council
4
Other, namely
X
No answer
Other

Approximate age of dwelling

1
Built before 1919
2
Built 1919-1939
3
Built since 1939
X
No Answer

Please give your assessment of the state of repair of the dwelling

1
Average
2
Very good
3
Bad
X
No Answer

Is there a yard or garden attached to this dwelling where this child can play?

1
Yes
2
No
X
No answer

PLEASE COMMENT FREELY ON THE STATE OF REPAIR OF THE DWELLING:-

Long text

Date of interview

Generic date

Time taken

Generic text
End

nshd_50

SECOND FOLLOW-UP SURVEY
ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS POPULATION INVESTIGATION COMMITTEE
INSTITUTE OF CHILD HEALTH
At the LONDON SCHOOL OF ECONOMICS, HOUGHTON STREET, LONDON, W.C.2
Mother's Name
Generic text
Address
Generic text
If she has moved what is her present address?
Generic text
In what M. & C.W. Authority is it?
Generic text
IF SHE HAS MOVED TO ANOTHER M. & C.W. AUTHORITY RETURN THIS FORM AT ONCE TO WHOEVER HAS BEEN DELEGATED BY YOUR MEDICAL OFFICER OF HEALTH TO RECEIVE IT.
(Ring with a soft pencil the code number opposite the mother's answer)
Christian Names of child BORN IN MARCH 1946
Generic text
National Registation No
Generic text
If mother not interviewed because she was ill, refused, etc., give reasons
Generic text
please state:- Age at death ... years ... months.
years
months
YY
Question does not apply
XX
No answer
please state: Cause of death (as given on death certificate)
Generic text

I. ACCIDENTS

Has this child ever had an accident in which he was BURNT or SCALDED, BROKE A BONE, or was BADLY CUT or BRUISED?

-
Burns or Scalds
Broken Bones
Bad Cuts or Bruises

please give the following details about each accident in turn, starting with the earliest and ending with the most recent. Any accidents recorded in the 1948 survey are entered in red. Please check this information and fill in any gaps).

Type of injury (enter as BURN, SCALD, BROKEN BONE, CUT, BRUISE, or combination of these) Part or Parts injured Age when injured (in years and months) Treatment: Hosp. I.P., Hosp. O.P., Nursing Home, Doctor, Nurse Name and Address of Hospital, Nursing Home, Doctor or Nurse giving treatment (If in-patient) Length of stay in Hospital or N. Home (in days)
First Accident 1
Subsequent Accidents 2
Subsequent Accidents 3
Subsequent Accidents 4

please give the following details about each accident in turn, starting with the earliest and ending with the most recent. Any accidents recorded in the 1948 survey are entered in red. Please check this information and fill in any gaps).

Details of how each ACCIDENT OCCURRED (if burnt by fire, say whether electric, gas, open fire or stove) Details of remaining Scarring, Disability or Deformity
First Accident 1
Subsequent Accidents 2
Subsequent Accidents 3
Subsequent Accidents 4

II. INFECTIOUS DISEASES

Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Whooping Cough
1
Yes
2
No
X
No Answer
Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Measles
1
Yes
2
No
X
No Answer
Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Mumps
1
Yes
2
No
X
No Answer

please give the following details)

Age at onset (in years and months) Treatment:- Hospital I.P. Hospital O.P. Nursing Home, Doctor, Other.
WHOOPING COUGH
MEASLES
MUMPS

III. DISCHARGE FROM EARS

Has this child ever had discharge of pus from his ears?
1
Yes
2
No
X
No answer
please give the following details.) Age at first attack (years and months)
years
months
please give the following details.) Age when ear finally ceased discharging
Generic text
please give the following details.) Treatment:- Hospital I.P. Hospital O.P. Nursing Home, Doctor, Other
Generic text

IV. COLDS

(i.e. running or blocked nose even if there is no other complication.)

Please give the following details about COLDS in your family since CHRISTMAS, 1949.

-
This Child
Mother
Father

V. CIRCUMCISION

(Male children only. Code Y or YY for females)
Has this child been circumcised?
1
Yes
2
No
Y
Question does not apply
X
No answer
At what age was he circumcised? ... months
How many
YY
Question does not apply
XX
No answer
Were there any complications?
1
Yes
2
No
Y
Question does not apply
X
No answer
Please give full details of complications and treatment.
Generic text

VI. HOSPITAL AND NURSING HOME IN-PATIENT TREATMENT

(Include all illnesses, etc., even if recorded earlier in this questionnaire, i.e., accidents, infectious diseases and discharging ears.)
Has this child ever been an IN-PATIENT in Hospital or in a Nursing Home?
1
Yes
2
No
X
No answer

pleae give the following details about each ADMISSION.

Nature of illness Nature of Operation performed (if any) Age on admission (in years and months) Name and Address of Hospital or Nursing Home Length of stay in Hosp. or N. Home Details of any remaining disability from this illness (Put NONE if child completely recovered) Length of stay in Convalescent Home (if any)
First Admission 1
Subsequent Admissions 2
Subsequent Admissions 3
Subsequent Admissions 4
Subsequent Admissions 5
Subsequent Admissions 6
(For all children going to hospital.)
Have you noticed any differences in the behaviour of your child since he came back home? If so, please give details Yes, namely
Long text
2
No
Y
Question does not apply
X
No answer
Remarks on any illnesses or disabilities not recorded above.
Long text

VII. SLEEPING ARRANGEMENTS

Does this child sleep in a room by himself or in a room with others?
1
By himself
2
With others
X
No answer

Who sleeps in his room?

No.
Parents
Children under 10
Males 10 or over
Females 10 or over
Who sleeps in his room?
Y
Question does not apply
X
No answer
Does he sleep in his own bed or with others?
1
Own bed
2
With children under 10
3
With parents
4
With others over 10
Y
Question does not apply
X
No answer
Do you take him up and 'pot' him at night before you yourself go to bed?
1
Yes always
2
Yes sometimes
3
Never
X
No answer
Is he dry by night?
1
Not wet during last 4 weeks
2
Wet occasionally
3
Wet several nights a week
4
Wet every night
X
No answer

VIII. THIS CHILD'S HABITS

Do you find any difficulty in getting him to eat?
1
Yes
2
No
X
No answer
What did this child have for each meal yesterday? Breakfast
Generic text
What did this child have for each meal yesterday? Dinner
Generic text
What did this child have for each meal yesterday? Tea or high tea
Generic text
What did this child have for each meal yesterday? Last thing at night
Generic text
Do you give him food between meals?
1
Yes
2
No
X
No answer
Where does this child usually play?
1
In the house
2
In the yard or garden
3
In the street
4
In park or open space
5
Elsewhere, namely
X
No answer
Other
With whom does he usually play?
1
By himself
2
With brothers and sisters
3
With other children
4
Other, namely
X
No answer
Other
What is the longest time you have been separated from this child? ... days when he was ... months old
How many
How many
Y
Never separated
X
No answer

IX. WELFARE CENTRES

(These questions refer only to child born in March 1946)
When did you last take this child to a Welfare Centre?
Generic date
(Ask all mothers even if they have not taken this child to a centre.)
How long does it (or would it) take you to get to the Welfare Centre? ... minutes
How many
XX
No answer
How do you (or would you) get there?
1
Walk
2
Special bus or car provided by local authority
3
&#39;Bus or Tram
4
Other, namely
X
No answer
Other

X. NURSERIES, ETC.

Has this child ever been to a
1
Day Nursery L.A.
2
Day Nursery Factory
3
Day Nursery Private
4
Nursery School L.A.
5
Nursery School Private
6
Nursery Class
7
Residential Nursery
8
Daily Minder (Registered with L.A.)
9
Other, namely
0
None of these
X
No answer
Other

XI. THE MOTHER

Who helps you with the care of this child and with the housework? Child (regular help)
1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom&#39;tic
6
Trained Nannie
0
Not helped at all
X
No Answer
Who helps you with the care of this child and with the housework? Child (occasional help)
1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom&#39;tic
6
Trained Nannie
0
Not helped at all
X
No Answer
Who helps you with the care of this child and with the housework? Housework (regular help)
1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom&#39;tic
6
Trained Nannie
0
Not helped at all
X
No Answer
Who helps you with the care of this child and with the housework? Housework (occasional help)
1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom&#39;tic
6
Trained Nannie
0
Not helped at all
X
No Answer
Have you been in paid work (either inside or outside the home) since the birth of this child in 1946?
1
Yes
2
No
X
No answer

please give the following details of each period of employment.)

Exact nature of work Approx. hrs. per week Date of taking job Date of leaving job
1
2
3
4
Have you been pregnant since 1946? (i.e. AFTER the birth of this child).
1
Yes
2
No
X
No answer

please give the following details of each pregnancy.)

Date of delivery (month and year) Sex of child Birth weight (to nearest 1/4 lb) Result of delivery (live birth, still birth or miscarriage)
1
2
3
4
Expected date of delivery
Generic date

XII. OCCUPATION OF PRESENT HUSBAND

(i.e. not necesarily the father of this child)
(If Unemployed, ill, dead, etc., this information should relate to the last job.)
What is your husband's occupation.
Generic text
In what industry does he work?
Generic text
Does he:-
p
Earn a weekly wage?
q
Earn a monthly salary?
r
Work for himself or employ less than 10 people?
s
Employ 10 or more people?
If your husband's work regularly keeps him away from home for 24 hours or more at a time, please give details
Generic text

XIII. THE HOUSEHOLD

Constitution of the household (i.e., all those whom the mother looks after).

This Mother&#39;s own children, self and husband Others (including step and adopted children other relations, lodgers, domestics) TOTAL
Less than 5 years
5 years to 14 years 11 months
15 years and over
TOTAL IN HOUSEHOLD
Which grandparents, if any, live in this household?
1
Wife&#39;s mother
2
Wife&#39;s father
3
Husband&#39;s mother
4
Husband&#39;s father
5
No grandparent
X
No Answer
Rooms occupied by this household. Bedrooms
How many
Rooms occupied by this household. Living Rooms (include Kitchen only if used as a Living Room, exclude Scullery) Own Living Rooms
How many
Rooms occupied by this household. Living Rooms (include Kitchen only if used as a Living Room, exclude Scullery) Shared Living Rooms
How many
Rooms occupied by this household. Total
How many

XIV. MEASUREMENTS

Birth weight of this child. ... lbs. ... ozs.
lbs.
ozs.
PLEASE MAKE ARRANGEMENTS FOR THE MOTHER TO BRING THIS CHILD TO BE WEIGHED EITHER AT THE INFANT WELFARE CENTRE OR WHEREVER ELSE SCALES MAY BE AVAILABLE.
Present weight (WITHOUT CLOTHES). ... lbs.
Weight
Clothes worn, if any
Generic text
Present standing height (WITHOUT SHOES) ... feet ... inches
feet
inches

XV. HEALTH VISITOR'S COMMENTS

WILL HEALTH VISITORS PLEASE FILL IN THIS SECTION FROM THEIR OWN KNOWLEDGE OF THE FAMILY. WE HOPE THAT THE ANSWERS TO THESE QUESTIONS WILL ENABLE US TO SEPARATE THE VERY GOOD AND THE INEFFICIENT MOTHERS FROM THE LARGE GROUP OF "AVERAGE" MOTHERS. SO, IN QUESTIONS 26 (c) (f) & (g) WHICH ASK FOR ASSESSMENTS, THIS MOTHER SHOULD BE COMPARED WITH ALL THE OTHERS IN YOUR CARE AND PUT AS "AVERAGE" (IN RESPECT OF 'CARE,' 'CLEANLINESS' ETC.) UNLESS SHE IS AMONG THE BEST OR AMONG THE WORST MOTHERS YOU HAVE TO DEAL WITH.

CARE OF CHILD AND HOME

Do you know this family as well as or less well than the majority of other families in your care?
1
As well as the others
2
Less well than the others
X
No answer
Have you found this Mother willing or unwilling to accept your advice and help?
1
Average
2
Very willing
3
Unwilling
X
No answer
How does the Mother's management and understanding of this child compare with the standard among other mothers in your care?
1
Average
2
Among the best
3
Among the worst
X
No answer
Is this child's clothing in a satisfactory or unsatisfactory state of repair?
1
Satisfactory
2
Unsatisfactory
X
No answer
Are this child's shoes of satisfactory or unsatisfactory size and type.
1
Satisfactory
2
Unsatisfactory
X
No answer
Please compare (f) the cleanliness of this child and (g) the cleanliness of this home with the standard of others in your care. Cleanliness of child
1
Average
2
Among the most clean
3
Among the least clean
X
No Answer
Please compare (f) the cleanliness of this child and (g) the cleanliness of this home with the standard of others in your care. Cleanliness of home
1
Average
2
Among the most clean
3
Among the least clean
X
No Answer
Please give details of any special lack of facilities in this dwelling which makes it difficult for this Mother to bring up her child or manage her home.
Generic text
Please state from your own knowledge whether the parents of this child are
1
Living together
2
Legally separated
3
Otherwise separated
4
Divorced
5
Widowed
6
Other, namely
X
No answer
Other

INFANT WELFARE SERVICES

Does this Local Authority have a Toddlers' clinic to which this child could be taken?
1
Yes
2
No
X
No answer
How many times has this child been to a Toddlers' clinic or welfare centre in 1948 and 1949? 1948 ... times
How many
How many times has this child been to a Toddlers' clinic or welfare centre in 1948 and 1949? 1949 ... times
How many

Please give number of visits paid by Health Visitors to this child in 1946, 1947, 1948 and 1949.

Number of Visits 1946 Number of Visits 1947 Number of Visits 1948 Number of Visits 1949
By Health Visitor making this interview
By other Health Visitors

THE DWELLING

Type of dwelling?
1
Whole house
2
Self-contained flat
3
Part of house (all amenities but no front door)
4
Unfurnished rooms
5
Furnished rooms
6
Other, namely
X
No answer
Other
On which floor is this dwelling? ... floor
Generic text
Y
Question does not apply
X
No answer
Ownership of dwelling
1
Owner occupier
2
Private landlord
3
Council
4
Other, namely
X
No answer
Other
Approximate age of dwelling
1
Built before 1919
2
Built 1919-1939
3
Built since 1939
X
No Answer
Please give your assessment of the state of repair of the dwelling
1
Average
2
Very good
3
Bad
X
No Answer
Is there a yard or garden attached to this dwelling where this child can play?
1
Yes
2
No
X
No answer
PLEASE COMMENT FREELY ON THE STATE OF REPAIR OF THE DWELLING:-
Long text
Date of interview
Generic date
Time taken
Generic text
Name

1950 Questionnaire