Start
sws_1_bio
QUESTIONNAIRE

Name:

Generic text

Address:

Generic text

Postcode:

Generic text

Phone No:

Generic text

Interviewer:

Generic text

Date of interview:

Generic date
If the woman wants to have a cup of tea/coffee with you and has not eaten or drunk anything in the past hour, do the mouthwash sample first but remember to obtain the woman's consent. If not, go to section 1.

Mouthwash sample provided

0
No
1
Yes

Time of mouthwash sample (24 hr clock)

Generic time
1: OCCUPATION
I would like to start by talking about any paid work that you do.

Were you in paid employment or self-employed in the week ending last Sunday?

0
No
1
Yes
If Yes to question 1.1 go to 1.2
qc_s1_1 == 1

Were you working full time or part time?

0
Full time (more than 30 hours)
1
Part time (30 hours or fewer)
If No to question 1.1 or Part time (30 hours or fewer) to question 1.2 go to 1.3
qc_s1_1 == 0 || qc_s1_2 == 1

Are you going to college full time?

0
No
1
Yes
if working part-time go to 1.6a
if not working go to 1.5
If yes,
qc_s1_3 == 1

what are you studying?

Generic text
If working part time go to 1.7
If not working go to section 2
If not working or studying
qc_s1_1 == 0 && qc_s1_3 == 0

were you

1
Unemployed ?
2
Permanently unable to work because of long term sickness or disability ?
3
looking after home or family?
4
other ? (specify)
Other
If not working or working part-time,
(qc_s1_1 == 0 || qc_s1_2 == 1) && qc_s1_3 == 0

what was your last full-time job ? Job position

Generic text

what was your last full-time job ?

1
Self-employed
2
manager
3
foreman
4
employee

what was your last full-time job ? Industry

Generic text
Then if currrently working part time go to 1.7, otherwise go to section 2.
If working full-time,
qc_s1_2 == 0

what is your job ? Job Position

Generic text

what is your job ?

1
Self-employed
2
manager
3
foreman
4
employee

what is your job ? Industry

Generic text
(Then go to section 2)
If working part-time now,
qc_s1_2 == 1

what is your current job? Job Position

Generic text

what is your current job?

1
Self-employed
2
manager
3
foreman
4
employee

what is your current job? Industry

Generic text

If working part time, how many hours per week do you work? ... hrs ... mins

Part-time work hours
mins
2: ACTIVITY AND EXERCISE
Now I'm going to ask you about your activity and exercise patterns over the last three months. We would like you to divide up a "typical" day into three types of activity.
These are: (1) sleeping or lying, (2) sitting, (3) standing or walking.

Over a typical 24 hour day how many hours do you generally spend sleeping or lying with your feet up? ... hrs ... mins

Hours in day
mins
This would indicate xx hours sitting or on your feet.

Of those hours how many on a typical day do you spend sitting down? ... hrs ... mins

Hours in day
mins

This would mean that you spend about xx hours a day on your feet. Does this sound about right? ... hrs ... mins

Hours in day
mins

Out of these xx hours spent on your feet, about how much of the time are you actively on the move (rather than standing fairly still)?

1
Very little 10%
2
Some 30%
3
About half 50%
4
Most 70%
5
Almost all 90%
During the past three months, how often have you done the following kinds of exercise or activities?
FFQ categories 1-7 >x1 and on average about how long does each period of activity last? ... hrs and on average about how long does each period of activity last? ... mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1Hoursmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1Hoursmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1Hoursmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1Hoursmins
strenuous exercise which normally makes your heart beat rapidly AND leaves you breathless e.g. jogging, vigorous swimming or cycling, aerobics.
moderate exercise which normally leaves you exhausted but not breathless, e.g. brisk walking, dancing, easy swimming or cycling, badminton, sailing.
gentle exercise which normally leaves you tired but not exhausted, e.g. walking, heavy housework (including washing windows and polishing), gardening, DIY, golf.

On a typical day, how many hours do you generally spend watching television?

1
More than 5 hours
2
4-5 hours
3
3-4 hours
4
2-3 hours
5
1-2 hours
6
Less than one hour
7
None

Which of the following best describes your walking speed?

1
Very slow
2
Stroll at an easy pace
3
Normal speed
4
Fairly brisk
5
Fast
3: DIETARY QUESTIONS
Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
White bread

When you eat bread/toast/sandwiches, how many slices/rolls do you each at a typical meal?

How many F
Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Brown and wholemeal bread/rolls

How many slices/rolls do you eat at a typical meal?

How many F
Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Crackers and cheese biscuits
Wholemeal and rye crackers
'Bran' breakfast cereals
Other breakfast cereals
Added bran to foods
Cakes and gateaux
Buns
Pastries
Biscuits - chocolate, digestive and ginger
Other biscuits
Fruit puddings
Milk based puddings and sauces
Other puddings
Yogurt and fruit fools
Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Potatoes - boiled and jacket

When you eat these how many potatoes do you eat at a typical meal?

How many F
Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Roast potatoes and chips

When you eat these how many potatoes do you eat at a typical meal?

How many F
Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Yorkshire puddings and savoury pancakes
Brown and white rice
Pasta and dumplings
Tinned vegetables
Peas and green beans
Carrots
Parsnips, swede and turnip
Sweetcorn and mixed veg
Beans and pulses
Tomatoes
Spinach
Broccoli, Brussels sprouts and spring greens
Cabbage and cauliflower
Peppers and watercress
Onion
Green salad
Side salads in dressing
Courgettes, marrow and leeks
Mushrooms
Vegetable dishes
Vegetarian foods
Tinned fruit not including grapefruit, prunes, figs or blackcurrants
Cooked fruit not including blackcurrants
Dried fruit
Fresh apples and pears
Fresh oranges and orange juice
Grapefruit and grapefruit juice
Blackcurrants, ribena and hi-juice blackcurrant drinks
Other fruit juices (not squashes)
Diet Coke and Pepsi not including caffeine free
Coke and Pepsi
Soft drinks not including diet drinks (low calorie or low sugar)
Bananas
Fresh peaches, plums, cherries and grapes
Strawberries and raspberries
Fresh pineapple, melon, kiwi fruit and other tropical fruits
Nuts
Bacon and gammon
Pork
Chicken and turkey
Lamb
Beef
Minced meat dishes
Meat pies
Liver and kidney
Paté and liver sausage
Faggots and black pudding
Sausages
Ham and luncheon meat
White fish
Fish fingers and fish dishes
Oily fish
Shellfish
Boiled and poached eggs
Omelette and fried eggs
Cottage Cheese
Cheese
Pizza, quiches and cheese flans
Soup
Mayonnaise and salad cream
Pickles, chutney, tomato ketchup and brown sauce
Chocolate
Other sweets
Ice cream and chocolate desserts
Cream
Crisps and savoury snacks
Sweet spreads
Gravy granules and powders
Stock cubes and Marmite
Drinking chocolate and milk shakes not including McDonald style milkshakes
Decaffeinated coffee and tea
Tea
Coffee
Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

Are there food or drinks which you have eaten or drunk once a week or more which are not on the list? (Include breakfast bars such as Nutrigrain and Kellogs).

0
No
1
Yes
If Yes
qc_s3_2 == 1
Are there food or drinks which you have eaten or drunk once a week or more which are not on the list? (Include breakfast bars such as Nutrigrain and Kellogs).
Name of food/drink - More than once a day
Generic text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many I
Generic text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many I
Generic text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many I
1
2
3
4
5
Now I would like to ask in more detail about some specific foods
Which types of milk have you used regularly in drinks and added to breakfast cereals over the last 3 months?
- Other (specify)

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other
Milk 1
Milk 2
Milk 3
On average over the last 3 months how much of each milk have you consumed per day?
pints
How many F
Milk 1
Milk 2
Milk 3

Do you add sugar to breakfast cereals, tea & coffee, puddings etc.?

0
No
1
Yes
If No to Question 3.5 go to 3.7
qc_s3_5 == 0

When you eat meat, how much of the fat do you usually cut off (including chicken skin)?

1
all 100%
2
most 60%
3
some 30%
4
none 0%
9
not applicable
4: FOOD SUPPLEMENTS

During the past three months have you taken any pills, tonics or tablets to supplement your diet? (e.g. vitamins, minerals, iron tablets, folic acid, fish oils etc.)

0
No
1
Yes
If yes,
qc_s4_1 == 1
please state which:
Supplement Number per day How many days in the last 90?
Generic textHow many IDays up to 90 Generic textHow many IDays up to 90 Generic textHow many IDays up to 90
1
2
3
4
5
5: GENERAL DIET QUESTIONS

Are the past three months typical of the way you generally eat?

0
No
1
Yes
2
Reasonably
Still thinking about your normal pattern of eating - in a typical week how often do you:
-

1 - Never

2 - < once/week

3 - 1-2 times

4 - 3-6 times

5 - everyday

eat breakfast
eat lunch
eat an evening meal
go out in the evening not necessarily to eat but also to socialise

Just thinking about the past week how many servings did you eat of: vegetables and vegetable-containing dishes (excluding potatoes)?

How many I

Just thinking about the past week how many servings did you eat of: fruit and pure fruit juices?

How many I

Just thinking about the past week how many servings did you eat of: meat and fish and their dishes?

How many I
6: DIETING

Which of the following describes you best?

1
I have NEVER been on a diet to lose weight
2
I have ONLY ONCE been on a diet to lose weight
3
I USED TO diet REGULARLY to lose weight but DON'T ANYMORE
4
I go on a diet to lose weight EVERY NOW AND AGAIN
5
I am USUALLY on a diet to lose weight
If 2, 4 or 5 ask 6.2 otherwise go to section 7
qc_s6_1 == 2 || qc_s6_1 == 4 || qc_s6_1 == 5

Are you currently trying to lose weight by dieting?

0
No
1
Yes
7: ALCOHOL CONSUMPTION
I'd like to ask you a few questions about your drinking and smoking habits.

Do you ever drink alcohol?

0
No
1
Yes
If No to question 7.1 go to section 8
qc_s7_1 == 0
8: SMOKING

Have you ever smoked regularly (at least once a day for a year or more) ?

0
No
1
Yes
If No to question 8.1 go to section 9
qc_s8_1 == 0
9: FAMILY BACKGROUND
Now I'd like to ask some questions about your family.
Tell the woman that she may find some of these questions difficult or impossible to answer. Explain that you would like to leave a form for her to complete where possible by asking her parents for the details. Answers that she can give us now (even approximately) are useful but if she can supplement them later that would be extremely helpful.
Starting with your FATHER:

Is your father still alive?

0
No
1
Yes
7
Adopted
8
Don't talk about him
9
Don't know

What was his full-time job when you were born? Job Position

Generic text

What was his full-time job when you were born?

1
Self-employed
2
manager
3
foreman
4
employee

What was his full-time job when you were born? Industry

Generic text
or if unemployed or part time, last full time job before that time.
Probe industry & self-employed/manager/foreman/employee.
If full time student give subject.

Approximately what is/was his height? In feet and inches? ... ft ... ins Or In centimetres ... cms

ft
ins in ft
cms

Approximately what is/was his current/latest weight? In stones and pounds? ... st .. lbs OR In kilograms? ... kg

st
lbs in st
kg

What was his birth weight? In pounds and ounces? ... lbs ... oz OR In grams? ... grams

lbs
oz
grams
Now your MOTHER:

Is your mother still alive?

0
No
1
Yes
7
Adopted
8
Don't talk about her
9
Don't know

and what was her full name when you were born?

Generic text

What is/was her date of birth?

Generic date
Where was she born? If in UK:

Town/Village

Generic text

County

Generic text
Where was she born? If abroad:

Country

Generic text

What is/was her height? In feet and inches ... ft ... ins OR In centimetres? ... cm

ft
ins in ft
cms

What did she weigh before you were conceived? In stones and pounds? ... st ... lbs OR In kilograms? ... kg

st
lbs in st
kg

What was her birth weight? In pounds and ounces? ... lbs ... oz OR In grams? ... grams

lbs
oz
grams
Returning to YOURSELF:

What is your date of birth?

Date of birth

What was your birth weight? In pounds and ounces? ... lbs ... oz Or In grams? ... grams

lbs
oz
grams
Where were you born? If in UK:

Town/Village

Generic text

County

Generic text
Where were you born? If abroad:

Country

Generic text

Were you born at home or in hospital ?

1
Home
2
Hospital - specify
Generic text

Were you part of a multiple birth (twin, triplet etc.)?

0
No
1
Yes

Were you born early, late or when you were expected?

1
Early
2
When expected
3
Late
9
Don't know
If When expected to question 9.18 go to 9.20
qc_s9_18 == 2

How many children did your mother have before you were born (including stillbirths)?

How many I

Do you have any sisters aged 20 or over?

0
No
1
Yes
10: EDUCATION
I would like to ask you briefly about your education.

How old were you when you left full-time education ? ... yrs

Age I

Have you passed any exams or do you have any formal qualifications ?

1
None
2
CSE/ School cert/ GCSE grade D or lower/ NVQ1/ Foundation GNVQ
3
O levels/ Matric/ GCSE grade A,B,C/ RSA secretarial/ NVQ2/ Intermediate GNVQ
4
A levels/ City & Guilds/ EN(G)/ ONC/ NNEB/ BTech (day release)/ NVQ3/ Advanced GNVQ/ OND / HNC
5
HND/ RGN/ Teaching Cert/ NVQ4
6
Degree/ NVQ5
7
Other (specify)
11: ETHNIC GROUP

To which of the ethnic groups listed on this card do you consider you belong?

1
White
2
Black Caribbean
3
Black African
4
Black Other
5
Indian
6
Pakistani
7
Bangladeshi
8
Chinese
9
Other Asian group
10
Other (specify)
Other
12: MARITAL STATUS

What is your marital status?

1
Single (never married)
2
Married (living with husband)
3
Separated
4
Divorced
5
Widowed
13: HOUSING

What type of accommodation do you live in?

1
Detached house/bungalow
2
Semi-detached house/bungalow
3
End terraced house
4
Terraced house
5
Purpose built flat/maisonette
6
Converted flat/maisonette
7
Dwelling with business premises
8
Bedsitter in multiple occupation
9
Bedsitter other
10
Hostel
11
Hall of residence
12
Other student accommodation
13
Other (specify)
Other

On what floor is the main part of living accommodation?

1
Basement
2
Ground floor/street level
3
1st floor
4
2nd floor
5
3rd floor
6
4th to 9th floor
7
10th to 19th floor
8
20th floor or higher

Do you own your own home, or are you buying it on a mortgage, or do you rent it in some way?

1
Owns outright or buying with mortgage
2
Rent from private landlord
3
Rent from council or housing association
4
Other rented accommodation (hostel, hall of residence, B& B)
5
Lives with parents
6
Other (specify)
Other
Here is a list of some problems that people often have with their homes. Please tell me if you think that each one is a big problem, a small problem or not a problem for you and your family?
-

1 - Big problem

2 - Small problem

3 - Not a problem

Condensation
Rising or penetrating damp
Difficulty in keeping home warm
Leaking roof
Rot in window frames, timbers or floorboards
Not enough space
14: HOUSEHOLD COMPOSITION AND CHILDREN

Does anyone else live in the house with you?

0
No
1
Yes
If No to question 14.1 go to 14.2
qc_s14_1 == 0

How many children have you had, including any stillbirths?

How many I
If the woman has a child under the age of two years:
qc_s14_1_i$4;* < '2'

Are you breastfeeding your (youngest) child?

0
No
1
Yes
15: PARTNER'S OCCUPATION
If there is a husband or partner living in the house (if not go to 16):
qc_s14_1_i$1;* == C

Was your husband/partner in paid employment or self-employed in the week ending last Sunday?

0
No
1
Yes
If Yes to Question 15.1 go to to 15.2
qc_s15_1 == 1

Was he working full time or part time?

0
Full time (more than 30 hours)
1
Part time (30 hours or fewer)
If No to question 15.1 or Part time (30 hours or fewer) to question 15.2 go to 15.3
qc_s15_1 == 0 || qc_s15_2 == 1

Was he going to college full time?

0
No
1
Yes
if working part-time go to 15.6a
if not working go to 15.5
If yes,
qc_s15_3 == 1

what is he studying?

Generic text
If working part time go to 15.7
If not working go to section 16.
If not working or studying,
qc_s15_1 == 0 && qc_s15_3 == 0

was he

1
Unemployed ?
2
Permanently unable to work because of long term sickness or disability ?
3
looking after home or family?
4
other ? (specify)
Other
If not working or working part-time,
(qc_s15_1 == 0 || qc_s15_2 == 1) && qc_s15_3 == 0

what was his last full-time job? Job Position

Generic text

what was his last full-time job?

1
Self-employed
2
manager
3
foreman
4
employee

what was his last full-time job? Industry

Generic text
Then if currently working part time go to 15.7, otherwise go to section 16
If working full-time,
qc_s15_2 == 0

what is his job ? Job Position

Generic text

what is his job ?

1
Self-employed
2
manager
3
foreman
4
employee

what is his job ? Industry

Generic text
(Then go to section 16)
If working part-time now,
qc_s15_2 == 1

what is his current job? Job Position

Generic text

what is his current job?

1
Self-employed
2
manager
3
foreman
4
employee

what is his current job? Industry

Generic text

If working part time, how many hours per week does he work? ... hrs ... mins

Part-time work hours
mins
16: CHILDCARE ARRANGEMENTS
If the woman works (part-time or full-time) and has children at home under the age of twelve years: (if not go to section 17)
qc_s1_q1 == 1 && qc_s14_1_i$4;* < '12'
Which of the following best describes the way you arrange for your children aged 12 or under to be looked after while you are at work?
- Other (specify)

1 - I work only while they are at school

2 - They look after themselves until I get home

3 - I work from home

4 - My husband/partner looks after them

5 - A nanny or mother's help looks after them at home

6 - They go to a work-place nursery

7 - They go to a day nursery

8 - They go to a child minder

9 - A relative looks after them

10 - A friend or neighbour looks after them

11 - Other (specify)

Other

1 - I work only while they are at school

2 - They look after themselves until I get home

3 - I work from home

4 - My husband/partner looks after them

5 - A nanny or mother's help looks after them at home

6 - They go to a work-place nursery

7 - They go to a day nursery

8 - They go to a child minder

9 - A relative looks after them

10 - A friend or neighbour looks after them

11 - Other (specify)

Other
1st mention
2nd mention
3rd mention
17: BENEFITS

Are you (or your husband/partner) receiving any of the following benefits? (Income support/job seekers allowance/family credit/housing benefit)

0
No
1
Yes
If No to Question 17.1 go to section 18
qc_s17_1 == 0
If not done before, get consent here
18: BODY MEASUREMENTS

Pulse (30sec)

How many I

Which hand do you write with ?

1
Right
2
Left
3
Completely ambidextrous

Weight ... kg

kg

Height ... cm

cms
Mark and measure up the non-dominant arm and side of the body (measure the left if completely ambidextrous)

Leg length ... cm

cms

Waist circumference ... cm

cms

Hip circumference ... cm

cms

Mid-thigh circumference ... cm

cms

Calf circumference ... cm

cms

Mid-upper arm circumference (non-dominant side) ... cm

cms
Triceps skinfold (non-dominant side)
mm
mm
1
2
3
4
5
Biceps skinfold (non-dominant side)
mm
mm
1
2
3
4
5
Subscapular skinfold (non-dominant side)
mm
How many F
1
2
3
4
5
Upper suprailiac skinfold (non-dominant side)
mm
mm
1
2
3
4
5

Skinfold calipers used

Generic text

Time (24 hr clock)

Generic time
19: MOUTHWASH SAMPLE
If the mouthwash sample was obtained at the beginning, go to section 20

Mouthwash sample provided

0
No
1
Yes

Time of mouthwash sample (24 hr clock)

Generic time
20: GENERAL HEALTH

How is your health in general? Would you say it was:

1
Very good
2
Good
3
Fair
4
Bad
5
Very bad

Do you have any long-standing illness, disability or infirmity? By long standing, I mean anything that has troubled you over a period of time or that is likely to affect you over a period of time.

0
No
1
Yes
If No to Question 20.2 go to 20.4
qc_s20_4 == 0

To what extent do you feel that the stress or pressure you have experienced in your life has affected your health?

1
None
2
Slightly
3
Moderately
4
Quite a lot
5
Extremely

In general, how much stress or pressure have you experienced in your daily living in the last 4 weeks?

1
None
2
Just a little
3
A good bit
4
Quite a lot
5
A great deal
21: MENSTRUAL CYCLE AND PREGNANCIES

What was the date of the first day of your last menstrual period?

Generic date

How long is your usual cycle between the start of one period and the start of the next period? ... days

How many I

Is your usual cycle regular, or has it varied by more than 5 days between periods in the last 6 months?

1
Regular
2
Varied by more than 5 days

How old were you when you had your first period ? ... yrs

Age F

Within the last 3 months have you taken the oral contraceptive pill or had the Depot injection or other hormonal treatment?

0
No
1
Yes
If No to question 21.5 go to 21.8
qc_s21_5 == 0

Do you anticipate trying for a baby within the next 12 months?

0
No
1
Yes
That is the end of the questionnaire but we would be grateful for your help with some extra items.
Use the explanations in fieldworker notes for the following items but please mark the results below:

Have you left a birth details form?

0
No
1
Yes

Have you left a food diary?

0
No
1
Yes

Is there agreement to a blood sample?

0
No
1
Yes

Has consent been obtained for the GP to notify us if the woman becomes pregnant?

0
No
1
Yes

Is the woman willing to be approached for other studies related to the SWS?

0
No
1
Yes
Don't forget to leave a fridge magnet, pregnancy reply card, two prepaid envelopes (one large and one small), and, if the woman is interested, an information leaflet.
THANK YOU VERY MUCH FOR ALL YOUR HELP. THE INFORMATION YOU HAVE GIVEN US IS VERY IMPORTANT FOR IMPROVING THE HEALTH OF WOMEN. THE MORE WOMEN WHO TAKE PART, THE MORE VALUABLE ALL THE DATA BECOME SO WE WOULD BE VERY GRATEFUL IF YOU WOULD ENCOURAGE YOUR FRIENDS TO TAKE PART.
MANY THANKS AGAIN
End

sws_1_bio

QUESTIONNAIRE
Name:
Generic text
Address:
Generic text
Postcode:
Generic text
Phone No:
Generic text
Interviewer:
Generic text
Date of interview:
Generic date
If the woman wants to have a cup of tea/coffee with you and has not eaten or drunk anything in the past hour, do the mouthwash sample first but remember to obtain the woman's consent. If not, go to section 1.
Mouthwash sample provided
0
No
1
Yes
Time of mouthwash sample (24 hr clock)
Generic time

1: OCCUPATION

I would like to start by talking about any paid work that you do.
Were you in paid employment or self-employed in the week ending last Sunday?
0
No
1
Yes
qc_s1_1 == 1
Were you working full time or part time?
0
Full time (more than 30 hours)
1
Part time (30 hours or fewer)
qc_s1_1 == 0 || qc_s1_2 == 1
Are you going to college full time?
0
No
1
Yes
qc_s1_1 == 0 || qc_s1_2 == 1
if working part-time go to 1.6a
qc_s1_1 == 0 || qc_s1_2 == 1
if not working go to 1.5
qc_s1_1 == 0 || qc_s1_2 == 1
qc_s1_3 == 1
what are you studying?
Generic text
qc_s1_1 == 0 || qc_s1_2 == 1
qc_s1_3 == 1
If working part time go to 1.7
qc_s1_1 == 0 || qc_s1_2 == 1
qc_s1_3 == 1
If not working go to section 2
qc_s1_1 == 0 && qc_s1_3 == 0
were you
1
Unemployed ?
2
Permanently unable to work because of long term sickness or disability ?
3
looking after home or family?
4
other ? (specify)
Other
(qc_s1_1 == 0 || qc_s1_2 == 1) && qc_s1_3 == 0
what was your last full-time job ? Job position
Generic text
(qc_s1_1 == 0 || qc_s1_2 == 1) && qc_s1_3 == 0
what was your last full-time job ?
1
Self-employed
2
manager
3
foreman
4
employee
(qc_s1_1 == 0 || qc_s1_2 == 1) && qc_s1_3 == 0
what was your last full-time job ? Industry
Generic text
(qc_s1_1 == 0 || qc_s1_2 == 1) && qc_s1_3 == 0
Then if currrently working part time go to 1.7, otherwise go to section 2.
qc_s1_2 == 0
what is your job ? Job Position
Generic text
qc_s1_2 == 0
what is your job ?
1
Self-employed
2
manager
3
foreman
4
employee
qc_s1_2 == 0
what is your job ? Industry
Generic text
qc_s1_2 == 0
(Then go to section 2)
qc_s1_2 == 1
what is your current job? Job Position
Generic text
qc_s1_2 == 1
what is your current job?
1
Self-employed
2
manager
3
foreman
4
employee
qc_s1_2 == 1
what is your current job? Industry
Generic text
qc_s1_2 == 1
If working part time, how many hours per week do you work? ... hrs ... mins
Part-time work hours
mins

2: ACTIVITY AND EXERCISE

Now I'm going to ask you about your activity and exercise patterns over the last three months. We would like you to divide up a "typical" day into three types of activity.
These are: (1) sleeping or lying, (2) sitting, (3) standing or walking.
Over a typical 24 hour day how many hours do you generally spend sleeping or lying with your feet up? ... hrs ... mins
Hours in day
mins
This would indicate xx hours sitting or on your feet.
Of those hours how many on a typical day do you spend sitting down? ... hrs ... mins
Hours in day
mins
This would mean that you spend about xx hours a day on your feet. Does this sound about right? ... hrs ... mins
Hours in day
mins
Out of these xx hours spent on your feet, about how much of the time are you actively on the move (rather than standing fairly still)?
1
Very little 10%
2
Some 30%
3
About half 50%
4
Most 70%
5
Almost all 90%

During the past three months, how often have you done the following kinds of exercise or activities?

FFQ categories 1-7 >x1 and on average about how long does each period of activity last? ... hrs and on average about how long does each period of activity last? ... mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1Hoursmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1Hoursmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1Hoursmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1Hoursmins
strenuous exercise which normally makes your heart beat rapidly AND leaves you breathless e.g. jogging, vigorous swimming or cycling, aerobics.
moderate exercise which normally leaves you exhausted but not breathless, e.g. brisk walking, dancing, easy swimming or cycling, badminton, sailing.
gentle exercise which normally leaves you tired but not exhausted, e.g. walking, heavy housework (including washing windows and polishing), gardening, DIY, golf.
On a typical day, how many hours do you generally spend watching television?
1
More than 5 hours
2
4-5 hours
3
3-4 hours
4
2-3 hours
5
1-2 hours
6
Less than one hour
7
None
Which of the following best describes your walking speed?
1
Very slow
2
Stroll at an easy pace
3
Normal speed
4
Fairly brisk
5
Fast

3: DIETARY QUESTIONS

Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
White bread
When you eat bread/toast/sandwiches, how many slices/rolls do you each at a typical meal?
How many F

Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Brown and wholemeal bread/rolls
How many slices/rolls do you eat at a typical meal?
How many F

Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Crackers and cheese biscuits
Wholemeal and rye crackers
'Bran' breakfast cereals
Other breakfast cereals
Added bran to foods
Cakes and gateaux
Buns
Pastries
Biscuits - chocolate, digestive and ginger
Other biscuits
Fruit puddings
Milk based puddings and sauces
Other puddings
Yogurt and fruit fools

Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Potatoes - boiled and jacket
When you eat these how many potatoes do you eat at a typical meal?
How many F

Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Roast potatoes and chips
When you eat these how many potatoes do you eat at a typical meal?
How many F

Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Yorkshire puddings and savoury pancakes
Brown and white rice
Pasta and dumplings
Tinned vegetables
Peas and green beans
Carrots
Parsnips, swede and turnip
Sweetcorn and mixed veg
Beans and pulses
Tomatoes
Spinach
Broccoli, Brussels sprouts and spring greens
Cabbage and cauliflower
Peppers and watercress
Onion
Green salad
Side salads in dressing
Courgettes, marrow and leeks
Mushrooms
Vegetable dishes
Vegetarian foods
Tinned fruit not including grapefruit, prunes, figs or blackcurrants
Cooked fruit not including blackcurrants
Dried fruit
Fresh apples and pears
Fresh oranges and orange juice
Grapefruit and grapefruit juice
Blackcurrants, ribena and hi-juice blackcurrant drinks
Other fruit juices (not squashes)
Diet Coke and Pepsi not including caffeine free
Coke and Pepsi
Soft drinks not including diet drinks (low calorie or low sugar)
Bananas
Fresh peaches, plums, cherries and grapes
Strawberries and raspberries
Fresh pineapple, melon, kiwi fruit and other tropical fruits
Nuts
Bacon and gammon
Pork
Chicken and turkey
Lamb
Beef
Minced meat dishes
Meat pies
Liver and kidney
Paté and liver sausage
Faggots and black pudding
Sausages
Ham and luncheon meat
White fish
Fish fingers and fish dishes
Oily fish
Shellfish
Boiled and poached eggs
Omelette and fried eggs
Cottage Cheese
Cheese
Pizza, quiches and cheese flans
Soup
Mayonnaise and salad cream
Pickles, chutney, tomato ketchup and brown sauce
Chocolate
Other sweets
Ice cream and chocolate desserts
Cream
Crisps and savoury snacks
Sweet spreads
Gravy granules and powders
Stock cubes and Marmite
Drinking chocolate and milk shakes not including McDonald style milkshakes
Decaffeinated coffee and tea
Tea
Coffee

Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

Now I am going to ask you about the foods you eat. To do this I have a list of foods and I would like you to tell me how often you have eaten each food during the past 3 months. The list may include foods you never eat or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Are there food or drinks which you have eaten or drunk once a week or more which are not on the list? (Include breakfast bars such as Nutrigrain and Kellogs).
0
No
1
Yes
qc_s3_2 == 1

Are there food or drinks which you have eaten or drunk once a week or more which are not on the list? (Include breakfast bars such as Nutrigrain and Kellogs).

Name of food/drink - More than once a day
Generic text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many I
Generic text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many I
Generic text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many I
1
2
3
4
5
Now I would like to ask in more detail about some specific foods

Which types of milk have you used regularly in drinks and added to breakfast cereals over the last 3 months?

- Other (specify)

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other
Milk 1
Milk 2
Milk 3

On average over the last 3 months how much of each milk have you consumed per day?

pints
How many F
Milk 1
Milk 2
Milk 3
Do you add sugar to breakfast cereals, tea & coffee, puddings etc.?
0
No
1
Yes
When you eat meat, how much of the fat do you usually cut off (including chicken skin)?
1
all 100%
2
most 60%
3
some 30%
4
none 0%
9
not applicable

4: FOOD SUPPLEMENTS

During the past three months have you taken any pills, tonics or tablets to supplement your diet? (e.g. vitamins, minerals, iron tablets, folic acid, fish oils etc.)
0
No
1
Yes
qc_s4_1 == 1

please state which:

Supplement Number per day How many days in the last 90?
Generic textHow many IDays up to 90 Generic textHow many IDays up to 90 Generic textHow many IDays up to 90
1
2
3
4
5

5: GENERAL DIET QUESTIONS

Are the past three months typical of the way you generally eat?
0
No
1
Yes
2
Reasonably

Still thinking about your normal pattern of eating - in a typical week how often do you:

-

1 - Never

2 - < once/week

3 - 1-2 times

4 - 3-6 times

5 - everyday

eat breakfast
eat lunch
eat an evening meal
go out in the evening not necessarily to eat but also to socialise
Just thinking about the past week how many servings did you eat of: vegetables and vegetable-containing dishes (excluding potatoes)?
How many I
Just thinking about the past week how many servings did you eat of: fruit and pure fruit juices?
How many I
Just thinking about the past week how many servings did you eat of: meat and fish and their dishes?
How many I

6: DIETING

Which of the following describes you best?
1
I have NEVER been on a diet to lose weight
2
I have ONLY ONCE been on a diet to lose weight
3
I USED TO diet REGULARLY to lose weight but DON'T ANYMORE
4
I go on a diet to lose weight EVERY NOW AND AGAIN
5
I am USUALLY on a diet to lose weight
qc_s6_1 == 2 || qc_s6_1 == 4 || qc_s6_1 == 5
Are you currently trying to lose weight by dieting?
0
No
1
Yes

7: ALCOHOL CONSUMPTION

I'd like to ask you a few questions about your drinking and smoking habits.
Do you ever drink alcohol?
0
No
1
Yes

8: SMOKING

Have you ever smoked regularly (at least once a day for a year or more) ?
0
No
1
Yes

9: FAMILY BACKGROUND

Now I'd like to ask some questions about your family.
Tell the woman that she may find some of these questions difficult or impossible to answer. Explain that you would like to leave a form for her to complete where possible by asking her parents for the details. Answers that she can give us now (even approximately) are useful but if she can supplement them later that would be extremely helpful.
Starting with your FATHER:
Is your father still alive?
0
No
1
Yes
7
Adopted
8
Don't talk about him
9
Don't know
What was his full-time job when you were born? Job Position
Generic text
What was his full-time job when you were born?
1
Self-employed
2
manager
3
foreman
4
employee
What was his full-time job when you were born? Industry
Generic text
or if unemployed or part time, last full time job before that time.
Probe industry & self-employed/manager/foreman/employee.
If full time student give subject.
Approximately what is/was his height? In feet and inches? ... ft ... ins Or In centimetres ... cms
ft
ins in ft
cms
Approximately what is/was his current/latest weight? In stones and pounds? ... st .. lbs OR In kilograms? ... kg
st
lbs in st
kg
What was his birth weight? In pounds and ounces? ... lbs ... oz OR In grams? ... grams
lbs
oz
grams
Now your MOTHER:
Is your mother still alive?
0
No
1
Yes
7
Adopted
8
Don't talk about her
9
Don't know
and what was her full name when you were born?
Generic text
What is/was her date of birth?
Generic date
Town/Village
Generic text
County
Generic text
Country
Generic text
What is/was her height? In feet and inches ... ft ... ins OR In centimetres? ... cm
ft
ins in ft
cms
What did she weigh before you were conceived? In stones and pounds? ... st ... lbs OR In kilograms? ... kg
st
lbs in st
kg
What was her birth weight? In pounds and ounces? ... lbs ... oz OR In grams? ... grams
lbs
oz
grams
Returning to YOURSELF:
What is your date of birth?
Date of birth
What was your birth weight? In pounds and ounces? ... lbs ... oz Or In grams? ... grams
lbs
oz
grams
Town/Village
Generic text
County
Generic text
Country
Generic text
Were you born at home or in hospital ?
1
Home
2
Hospital - specify
Generic text
Were you part of a multiple birth (twin, triplet etc.)?
0
No
1
Yes
Were you born early, late or when you were expected?
1
Early
2
When expected
3
Late
9
Don't know
How many children did your mother have before you were born (including stillbirths)?
How many I
Do you have any sisters aged 20 or over?
0
No
1
Yes

10: EDUCATION

I would like to ask you briefly about your education.
How old were you when you left full-time education ? ... yrs
Age I
Have you passed any exams or do you have any formal qualifications ?
1
None
2
CSE/ School cert/ GCSE grade D or lower/ NVQ1/ Foundation GNVQ
3
O levels/ Matric/ GCSE grade A,B,C/ RSA secretarial/ NVQ2/ Intermediate GNVQ
4
A levels/ City & Guilds/ EN(G)/ ONC/ NNEB/ BTech (day release)/ NVQ3/ Advanced GNVQ/ OND / HNC
5
HND/ RGN/ Teaching Cert/ NVQ4
6
Degree/ NVQ5
7
Other (specify)

11: ETHNIC GROUP

To which of the ethnic groups listed on this card do you consider you belong?
1
White
2
Black Caribbean
3
Black African
4
Black Other
5
Indian
6
Pakistani
7
Bangladeshi
8
Chinese
9
Other Asian group
10
Other (specify)
Other

12: MARITAL STATUS

What is your marital status?
1
Single (never married)
2
Married (living with husband)
3
Separated
4
Divorced
5
Widowed

13: HOUSING

What type of accommodation do you live in?
1
Detached house/bungalow
2
Semi-detached house/bungalow
3
End terraced house
4
Terraced house
5
Purpose built flat/maisonette
6
Converted flat/maisonette
7
Dwelling with business premises
8
Bedsitter in multiple occupation
9
Bedsitter other
10
Hostel
11
Hall of residence
12
Other student accommodation
13
Other (specify)
Other
On what floor is the main part of living accommodation?
1
Basement
2
Ground floor/street level
3
1st floor
4
2nd floor
5
3rd floor
6
4th to 9th floor
7
10th to 19th floor
8
20th floor or higher
Do you own your own home, or are you buying it on a mortgage, or do you rent it in some way?
1
Owns outright or buying with mortgage
2
Rent from private landlord
3
Rent from council or housing association
4
Other rented accommodation (hostel, hall of residence, B& B)
5
Lives with parents
6
Other (specify)
Other

Here is a list of some problems that people often have with their homes. Please tell me if you think that each one is a big problem, a small problem or not a problem for you and your family?

-

1 - Big problem

2 - Small problem

3 - Not a problem

Condensation
Rising or penetrating damp
Difficulty in keeping home warm
Leaking roof
Rot in window frames, timbers or floorboards
Not enough space

14: HOUSEHOLD COMPOSITION AND CHILDREN

Does anyone else live in the house with you?
0
No
1
Yes
How many children have you had, including any stillbirths?
How many I
qc_s14_1_i$4;* < '2'
Are you breastfeeding your (youngest) child?
0
No
1
Yes

15: PARTNER'S OCCUPATION

qc_s14_1_i$1;* == C
Was your husband/partner in paid employment or self-employed in the week ending last Sunday?
0
No
1
Yes
qc_s14_1_i$1;* == C
qc_s15_1 == 1
Was he working full time or part time?
0
Full time (more than 30 hours)
1
Part time (30 hours or fewer)
qc_s14_1_i$1;* == C
qc_s15_1 == 0 || qc_s15_2 == 1
Was he going to college full time?
0
No
1
Yes
qc_s14_1_i$1;* == C
qc_s15_1 == 0 || qc_s15_2 == 1
if working part-time go to 15.6a
qc_s14_1_i$1;* == C
qc_s15_1 == 0 || qc_s15_2 == 1
if not working go to 15.5
qc_s14_1_i$1;* == C
qc_s15_1 == 0 || qc_s15_2 == 1
qc_s15_3 == 1
what is he studying?
Generic text
qc_s14_1_i$1;* == C
qc_s15_1 == 0 || qc_s15_2 == 1
qc_s15_3 == 1
If working part time go to 15.7
qc_s14_1_i$1;* == C
qc_s15_1 == 0 || qc_s15_2 == 1
qc_s15_3 == 1
If not working go to section 16.
qc_s14_1_i$1;* == C
qc_s15_1 == 0 && qc_s15_3 == 0
was he
1
Unemployed ?
2
Permanently unable to work because of long term sickness or disability ?
3
looking after home or family?
4
other ? (specify)
Other
qc_s14_1_i$1;* == C
(qc_s15_1 == 0 || qc_s15_2 == 1) && qc_s15_3 == 0
what was his last full-time job? Job Position
Generic text
qc_s14_1_i$1;* == C
(qc_s15_1 == 0 || qc_s15_2 == 1) && qc_s15_3 == 0
what was his last full-time job?
1
Self-employed
2
manager
3
foreman
4
employee
qc_s14_1_i$1;* == C
(qc_s15_1 == 0 || qc_s15_2 == 1) && qc_s15_3 == 0
what was his last full-time job? Industry
Generic text
qc_s14_1_i$1;* == C
(qc_s15_1 == 0 || qc_s15_2 == 1) && qc_s15_3 == 0
Then if currently working part time go to 15.7, otherwise go to section 16
qc_s14_1_i$1;* == C
qc_s15_2 == 0
what is his job ? Job Position
Generic text
qc_s14_1_i$1;* == C
qc_s15_2 == 0
what is his job ?
1
Self-employed
2
manager
3
foreman
4
employee
qc_s14_1_i$1;* == C
qc_s15_2 == 0
what is his job ? Industry
Generic text
qc_s14_1_i$1;* == C
qc_s15_2 == 0
(Then go to section 16)
qc_s14_1_i$1;* == C
qc_s15_2 == 1
what is his current job? Job Position
Generic text
qc_s14_1_i$1;* == C
qc_s15_2 == 1
what is his current job?
1
Self-employed
2
manager
3
foreman
4
employee
qc_s14_1_i$1;* == C
qc_s15_2 == 1
what is his current job? Industry
Generic text
qc_s14_1_i$1;* == C
qc_s15_2 == 1
If working part time, how many hours per week does he work? ... hrs ... mins
Part-time work hours
mins

16: CHILDCARE ARRANGEMENTS

qc_s1_q1 == 1 && qc_s14_1_i$4;* < '12'

Which of the following best describes the way you arrange for your children aged 12 or under to be looked after while you are at work?

- Other (specify)

1 - I work only while they are at school

2 - They look after themselves until I get home

3 - I work from home

4 - My husband/partner looks after them

5 - A nanny or mother's help looks after them at home

6 - They go to a work-place nursery

7 - They go to a day nursery

8 - They go to a child minder

9 - A relative looks after them

10 - A friend or neighbour looks after them

11 - Other (specify)

Other

1 - I work only while they are at school

2 - They look after themselves until I get home

3 - I work from home

4 - My husband/partner looks after them

5 - A nanny or mother's help looks after them at home

6 - They go to a work-place nursery

7 - They go to a day nursery

8 - They go to a child minder

9 - A relative looks after them

10 - A friend or neighbour looks after them

11 - Other (specify)

Other
1st mention
2nd mention
3rd mention

17: BENEFITS

Are you (or your husband/partner) receiving any of the following benefits? (Income support/job seekers allowance/family credit/housing benefit)
0
No
1
Yes
If not done before, get consent here

18: BODY MEASUREMENTS

Pulse (30sec)
How many I
Which hand do you write with ?
1
Right
2
Left
3
Completely ambidextrous
Weight ... kg
kg
Height ... cm
cms
Mark and measure up the non-dominant arm and side of the body (measure the left if completely ambidextrous)
Leg length ... cm
cms
Waist circumference ... cm
cms
Hip circumference ... cm
cms
Mid-thigh circumference ... cm
cms
Calf circumference ... cm
cms
Mid-upper arm circumference (non-dominant side) ... cm
cms

Triceps skinfold (non-dominant side)

mm
mm
1
2
3
4
5

Biceps skinfold (non-dominant side)

mm
mm
1
2
3
4
5

Subscapular skinfold (non-dominant side)

mm
How many F
1
2
3
4
5

Upper suprailiac skinfold (non-dominant side)

mm
mm
1
2
3
4
5
Skinfold calipers used
Generic text
Time (24 hr clock)
Generic time

19: MOUTHWASH SAMPLE

If the mouthwash sample was obtained at the beginning, go to section 20
Mouthwash sample provided
0
No
1
Yes
Time of mouthwash sample (24 hr clock)
Generic time

20: GENERAL HEALTH

How is your health in general? Would you say it was:
1
Very good
2
Good
3
Fair
4
Bad
5
Very bad
Do you have any long-standing illness, disability or infirmity? By long standing, I mean anything that has troubled you over a period of time or that is likely to affect you over a period of time.
0
No
1
Yes
To what extent do you feel that the stress or pressure you have experienced in your life has affected your health?
1
None
2
Slightly
3
Moderately
4
Quite a lot
5
Extremely
In general, how much stress or pressure have you experienced in your daily living in the last 4 weeks?
1
None
2
Just a little
3
A good bit
4
Quite a lot
5
A great deal

21: MENSTRUAL CYCLE AND PREGNANCIES

What was the date of the first day of your last menstrual period?
Generic date
How long is your usual cycle between the start of one period and the start of the next period? ... days
How many I
Is your usual cycle regular, or has it varied by more than 5 days between periods in the last 6 months?
1
Regular
2
Varied by more than 5 days
How old were you when you had your first period ? ... yrs
Age F
Within the last 3 months have you taken the oral contraceptive pill or had the Depot injection or other hormonal treatment?
0
No
1
Yes
Do you anticipate trying for a baby within the next 12 months?
0
No
1
Yes
That is the end of the questionnaire but we would be grateful for your help with some extra items.
Use the explanations in fieldworker notes for the following items but please mark the results below:
Have you left a birth details form?
0
No
1
Yes
Have you left a food diary?
0
No
1
Yes
Is there agreement to a blood sample?
0
No
1
Yes
Has consent been obtained for the GP to notify us if the woman becomes pregnant?
0
No
1
Yes
Is the woman willing to be approached for other studies related to the SWS?
0
No
1
Yes
Don't forget to leave a fridge magnet, pregnancy reply card, two prepaid envelopes (one large and one small), and, if the woman is interested, an information leaflet.
THANK YOU VERY MUCH FOR ALL YOUR HELP. THE INFORMATION YOU HAVE GIVEN US IS VERY IMPORTANT FOR IMPROVING THE HEALTH OF WOMEN. THE MORE WOMEN WHO TAKE PART, THE MORE VALUABLE ALL THE DATA BECOME SO WE WOULD BE VERY GRATEFUL IF YOU WOULD ENCOURAGE YOUR FRIENDS TO TAKE PART.
MANY THANKS AGAIN
Name

Initial Questionnaire