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How long have you known the study pupil? ... terms

Please write in your date of birth.

Please write in your date of birth.

Is this your correct name and permanent address?

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

MRC Number

How often do you listen to or play music, not at school?

How old do you expect to be when you leave college?

Triceps skinfold (cm) 1

Able to walk without another persons help

what is one more than three ?

Name of person completing this form

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