Now I would like to get some general information about your household. Does your household own or rent this accommodation? Please give an answer from this card.
(Show card A)
I would like some information about your in-patient admissions. ^ Thinking of the [LFF time e.g. first/last] time you were in hospital as an in-patient since we last saw you in [FF]. Which hospital did you go into? ...
Collect full name of hospital and name of town/city in which located. Enter verbatim.
Before the Medical Research Council can look at your records, they need to have your written consent to confirm that you have no objection to them collecting fuller information about your in-patient stay(s) in hospital. Please read and sign Consent form 3.
Nurse: Please make sure the form has been signed and dated by the cohort member (and carer if applicable).
Have you been in hospital as a day patient for just one illness or condition or have you been in for more than one type of problem? Number
Count each type of problem/illness/condition as one course of treatment. Enter number of courses of treatment. Enter a numeric value between 1 and 25.
I would like some information about the problems that caused you to go into hospital as a day patient for treatment or surgery. What was the illness or condition that was being treated on the first occasion since [FF year]
Collect information about each course of treatment. Starting with first one since last interview. #^ Record all problems treated.
In which year or what age did you go into hospital as a day patient for this first problem? Year
Nurse: Enter year - this should not be before year of last interview. Nurse: If respondent gives you an age rather than a year you can enter the age here instead. Enter a numeric value between 0 and 2000.
Will you show me where you get this pressure or heaviness in the chest?
Show card B Nurse: Use show card B to help code the position. Code all that apply. Probe: Anywhere else? Enter at most 6 values.
Now I would like to ask you about some more specific health problems or illnesses. #^ Looking at this card, please tell me which of these kinds of heart trouble you have had, if any, in the last ten years that is since you were 43 years old?
Nurse code all that apply. Show card C. Enter at most 8 values.
Looking at this card [please tell me what type of cancer you have had in the last ten years?
Show card D. Nurse: Code all that apply and give any further details by opening a notepad by using Ctrl+M. Enter at most 11 values.
How frequently at home or at work do you use your hands in strong movements, such as squeezing water out of a towel, playing racket sports, digging the garden, or carrying heavy items such as a suitcase, briefcase, bucket or shopping bag. Please choose an answer from this card.
Show card F
How frequently at home or at work do you use your arms to reach up above head, such as dusting high pictures, replacing light bulbs, reaching objects on high shelves, or gardening activities like pruning or trimming high hedges. Please choose an answer from this card.
Show card F
I would now like to assess your balance and co-ordination. First, I will ask you to fold your arms and, after I count up to three, stand on your preferred leg, and raise your other foot off the floor like this (nurse demonstrate). I will ask you to hold this position for as long as you can or until I tell you to stop. Then I want you to repeat the test with your eyes closed. Would you be willing to have a go?
Nurse code one only.
I would now like you to do some chair stands. First I will ask you to fold your arms and, after I count up to three, I will ask you to stand up from your chair and sit down again ten times like this (nurse demonstrate). Would you be willing to have a go?
Nurse code one only.
In the last 4 weeks, that is since [LFF day and date], have you taken part in any sports or vigorous leisure activities or done any exercises in your spare time, not including getting to and from work?
If asked: Include things like badminton, swimming, yoga, press-ups, dancing, mountain climbing or jogging and brisk walks for 30 minutes or more.
Please use this card to tell me your total net household income. Include your own and your partner’s earned income (after deduction for income tax and national insurance), any state benefits and any other sources of income such as pensions and interest. You should also include contributions from other members of your household (such as children). Tell me which of the letters on this card represents your total net household income?
Show card H.
I would now like to ask you some questions about your present job. What is the full title of your present job?
Use precise terms, for example primary school teacher not teacher, production engineer not engineer, chartered accountant not accountant, government: record grade, army: record rank.
Now for something different. I want to see how well you remember a list of fifteen words. I will show you one word at a time and when I reach the end of the list you have one minute to write down as many words as you can. Please write the words in any order you like. It is best not to talk to anyone while you are doing this.
Nurse: Hand over the paper test booklet at page 3 and make sure the cohort member has a pencil. Code one only.
Nurse: Show the words at two second intervals using Word List [FF A/B]. Make sure the last word is shown for two seconds. Tell respondent to start. Start the stopwatch and time for one minute then tell the respondent to finish. #^ Turn booklet to page 5. Show the words again. Tell respondent to start. Start the stopwatch and time for one minute then tell the respondent to finish. #^ Turn booklet to page 7. Show the words again. Tell respondent to start. Start the stopwatch and time for one minute then tell the respondent to finish. #^
Nurse: record whether the word list trials were completed. Code one only.
I would now like to see how quickly you can work through this list, crossing out the P's and W's. Start at the top left where the arrow is and work along the row from left to right, then go to the beginning of the next row and work from left to right again, like reading a page. Carry on this way crossing out any P's and W's with one mark of the pencil like this. (Demonstrate). Carry on until I tell you to stop. Work as quickly and as accurately as you can.
Nurse: Turn to letter search (page 4 of paper test booklet). Nurse: Set your stop watch for one minute. Tell the respondent to start and stop at the correct moment. Record whether the letter search was attempted. Code one only
Do you remember that list of 15 words I showed you earlier. I would like you to write down as many of those words as you can remember. I would like you to write down as many of those words as you can remember.
Nurse: Turn to page 8 of the paper test booklet. Record whether the fourth word list trial was attempted. Code one only.
Later on I am going to give you a name and address to write on this envelope. When you have finished doing that I would like you to do the following: Turn it over, seal it, and write your initials on the back. Could you remember to do that then, without me reminding you?
Nurse: Hold up blank envelope. Nurse: Now put the envelope out of sight.
Now I would like you to tell me the names of as many different animals as you can in one minute? Animals are everything that is not vegetable or mineral.
If asks for clarification: animals include birds, insects, humans, etc. Set the stop watch for one minute and write down the animals on page 8 of the paper test booklet.
Please write the following name and address on this envelope: John Brown, 42 West Street, Bedford. Please go on remembering this name and address and I will ask you about it later.
Nurse: Hand over the envelope. Nurse record if envelope is sealed and initials written on back
I would now like you to read slowly down this list of words, starting here (nurse point to chord). Continue down this column and onto the next. I must warn you that there are many words that you won’t recognise. In fact most people don’t know them, so just guess at these. Please begin when you are ready.
Nurse: Hand over NART reading test to respondent. Turn to page 6 of paper test booklet. Place mark next to each word to indicate correct, incorrect or not sure. Nurse code:
I would now like you to fill in this questionnaire while I am getting the equipment out for the medical exam. Please ask me if any of the questions are not clear.
Nurse enter details on front cover of yellow self-completion booklet. Serial: [FF] Date: [LFF] Nurse cross out page(s) [LFF] before handing booklet to respondent.
(As I mentioned earlier) I would like to measure your blood pressure. If asked The analysis of blood pressure readings will tell us a lot about the health of the population. Are you willing to have your Blood Pressure measured?
A few interviews on any survey are checked by a supervisor to make sure people are happy with the way the interview was carried out. In case my supervisor needs to contact you ...
Nurse check front of ARF: If telephone number recorded: may I check your telephone number is ... (read out and amend ARF if different)? If telephone number not recorded: it would be helpful if you could let me have your telephone number? (nurse record on front of ARF.