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alspac_96_ml
MOTHER'S LIFESTYLE
This questionnaire is for the mother, or person taking the place of the mother.
Some questions are the same as those you have answered before. This is so that we can tell what changes have happened to you. Others are new - we hope you will enjoy them. To answer simply tick the box which is most accurate in your opinion.
Please answer all questions if you can, even if they are similar. If you do not want to answer a question or if it does not apply to you, put a line through it. There are no good or bad answers. Just tell us what you really think.
All answers are confidential.
THANK YOU FOR YOUR HELP
SECTION A: BEING A GAMBLER
A1 a-j
Nowadays, with the lottery being so popular, we would like to ask about your gambling habits throughout your life. Please indicate whether you have ever done any of the following and how often:
-

1 - NOWADAYS Once a week or more

2 - NOWADAYS Less than once a week

3 - IN PAST ONLY

4 - Rarely or not at all
played cards for money
bet on horses, dogs
bet on sports or events
played dice games for money
gone to the casino
bet on the lottery
played bingo for money
played the stock/commodities market (rather than relatively riskless investment)
played slot machines or other gambling machines
played other games for money e.g. pool, golf
A1 k

Nowadays, with the lottery being so popular, we would like to ask about your gambling habits throughout your life. Please indicate whether you have ever done any of the following and how often: other (please tick & describe)

1
NOWADAYS Once a week or more
2
NOWADAYS Less than once a week
3
IN PAST ONLY
4
Rarely or not at all
Other
A2

What is the largest amount of money you have ever gambled with on any one day?

1
£1000 - £10,000
2
£100-£999
3
£25 - £99
4
£10 - £24
5
£1 - £9
6
less than £1
7
never gambled
If never gambled to question A2 go to Section B on page 6
qc_A2 == 7
Else
A3

When you gamble and lose, do you ever try to win back the money you lost?

1
every time
2
most of the time
3
some of the time
4
no, never
7
have never lost
A4

Have you ever said that you have won money, when in fact you lost some?

1
yes, most of the time
2
yes, some of the time
3
never
A5

Do you feel you have ever had a problem with gambling?

1
yes
2
no
3
yes, in the past, but not now
A6

Have you ever gambled more than you intended to?

1
yes
2
no
A7

Has anyone ever criticised your gambling?

1
yes
2
no
A8

Have you ever felt guilty about gambling?

1
yes
2
no
A9

Have you ever felt that you would like to stop gambling but didn't think that you could?

1
yes
2
no
A10

Have you ever disguised the fact that you gamble, e.g. hidden betting slips, lottery tickets or other signs of gambling?

1
yes
2
no
A11 a

Have you ever argued with people that you live with, about how you handle money?

1
yes
2
no
If yes,
qc_A11_a == 1
A11 b

Have money arguments ever centred on your gambling?

1
yes
2
no
A12

Have you ever borrowed from someone and not paid them back as a result of gambling?

1
yes
2
no
A13

Have you ever lost time from work (or school) due to gambling?

1
yes
2
no
SECTION B: YOUR FEELINGS
The questions in this section ask you about your feelings and the way you behave. You have answered these questions in other questionnaires, but you might be feeling differently now.
Please indicate the way you feel.
B1

Do you feel upset for no obvious reason?

1
Very often
2
Often
3
Not very often
4
Never
B2

Have you felt as though you might faint?

1
Very often
2
Often
3
Not very often
4
Never
B3

Do you feel uneasy and restless?

1
Very often
2
Often
3
Not very often
4
Never
B4

Do you sometimes feel panicky?

1
Very often
2
Often
3
Not very often
4
Never
B5

Do you worry a lot?

1
Very often
2
Often
3
Not very often
4
Never
B6

Do you feel strung-up inside?

1
Very often
2
Often
3
Not very often
4
Never
B7

Do you ever have the feeling you are going to pieces?

1
Very often
2
Often
3
Not very often
4
Never
B8

Do you have bad dreams which upset you when you wake up?

1
Very often
2
Often
3
Not very often
4
Never
Your feelings in the past week.
B9

I have been able to laugh and see the funny side of things:

1
As much as I always could
2
Not quite so much now
3
Definitely not so much now
4
Not at all
In the past week:
B10

I have looked forward with enjoyment to things:

1
As much as I ever did
2
Rather less than I used to
3
Definitely less than I used to
4
Hardly at all
B11

I have blamed myself unnecessarily when things went wrong:

1
Yes, most of the time
2
Yes, some of the time
3
Not very often
4
Never
B12

I have been anxious or worried for no good reason:

1
No, not at all
2
Hardly ever
3
Yes, sometimes
4
Yes, often
B13

I have felt scared or panicky for no good reason:

1
Yes, quite a lot
2
Yes, sometimes
3
No, not much
4
No, not at all
In the past week:
B14

Things have been getting on top of me:

1
Yes, most of the time I haven't been able to cope
2
Yes, sometimes I haven't been coping as well as usual
3
No, most of the time I have coped quite well
4
No, I have been coping as well as ever
B15

I have been so unhappy that I have had difficulty sleeping:

1
Yes, most of the time
2
Yes, sometimes
3
Not very often
4
No, not at all
B16

I have felt sad or miserable:

1
Yes, most of the time
2
Yes, sometimes
3
Not very often
4
No, not at all
B17

I have been so unhappy that I have been crying:

1
Yes, most of the time
2
Yes, quite often
3
Only occasionally
4
Never
In the past week:
B18

The thought of harming myself has occurred to me:

1
Yes, quite often
2
Sometimes
3
Hardly ever
4
Never
B19

On the whole are there more good days than bad?

1
Yes, more good days
2
About half and half
3
No, more bad days
SECTION C: YOUR HEALTH
C1

Which of the following would you say describes your health now?

1
fit and well
2
mostly well and healthy
3
often feel unwell
4
hardly ever feel well
C2 a-y
Have you had (or continued to have) any of the following since your study child's 5th birthday:
-

1 - Yes and consulted doctor

2 - Yes but did not consult doctor

3 - No
anxiety or 'nerves'
depression
headache or migraine
epilepsy
back pain, sciatica, slipped disc
indigestion
high blood pressure (hypertension)
cough or cold
diabetes
haemorrhoids/piles
schizophrenia
influenza
alcohol problem
wheezing or asthma
bronchitis
stomach ulcer
eczema
psoriasis
arthritis
rheumatism
urinary infection
problems with your periods
problems with a pregnancy
syphilis
gonorrhoea
C2 z

Have you had (or continued to have) any of the following since your study child's 5th birthday: cancer (please state type)

1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Generic text
C2 za

Have you had (or continued to have) any of the following since your study child's 5th birthday: other problems (please tick & describe )

1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Other
C3 a-p
Since your study child's 5th birthday how often have you taken the following:
-

1 - Every day

2 - Often

3 - Sometimes

4 - Not at all
sleeping pills
vitamins
cannabis/marihuana
tranquillisers
pills for depression
hormone tablets
antibiotics
aspirin
paracetamol
other painkillers
amphetamines or other stimulants
contraceptive pill
iron
heroin, methadone, crack, cocaine
anticonvulsants
steroids
C3 q-s
Since your study child's 5th birthday how often have you taken the following: other pill, medicine, drug or treatment (please describe each and state how frequently taken)
-

1 - Every day

2 - Often

3 - Sometimes
C4
Please list all the drugs, medicines and ointments that you have taken in the past month:

Check Have you included the contraceptive pill, iron tablets, laxatives, vitamins, sleeping tablets, aspirin, cough mixture, pain killers, herbal medicine, slimming pills and homeopathic remedies?

What did you take: About how many days did you take or use it? How often per day?
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
C5 a

Since your study child was 5 have you been admitted to hospital?

1
Yes
2
No
If no, go to C6 below
If yes,
qc_C5_a == 1
C5 b

how many times?

How many
C5 c

for how many different reasons?

How many
(_hospitalstay <= qc_C5_b) && (_hospitalstay < 6) (_hospitalstay <= qc_C5_b) && (_hospitalstay < 6)
C5 c(i)

Reason for each hospital stay:

Generic text
C5 c(ii)

How long did you stay? ... nights

How many
C5 c(iii)

At what hospital

Generic text
C6 a-u
In the past month, how often have you had the following:
-

1 - Almost all the time

2 - Sometimes

3 - Not at all
backache
headache or migraine
urinary infection
nausea
vomiting
diarrhoea
haemorrhoids or piles
feeling weepy/tearful
feeling irritable
feeling exhausted
varicose veins
passing urine very often
problem holding urine when you jump, sneeze etc.
indigestion
feeling dizzy/fainting
flashing lights/spots before eyes
shoulder ache
tingling in hands/fingers
tingling in feet/toes
neck ache
feeling depressed
C6 v

In the past month, how often have you had the following: other problem (please tick & describe)

1
Almost all the time
2
Sometimes
3
Not at all
Other
C7 a

How often are you having sexual intercourse now?

1
not at all
2
less than once a month
3
1-3 times a month
4
about once a week
5
2-4 times a week
6
5 or more times a week
C7 b

In general, do you enjoy it ?

1
yes, very much
2
yes, somewhat
3
no, not a lot
4
no, not at all
5
it doesn't happen
C8

Have you been pregnant at all since your study child?

1
Yes
2
No
If no, go to C9a on page 17
If yes,
qc_C8 == 1
C8 i

how many times

How many
C8 ii

For the first pregnancy after your study child - how long were you trying before you got pregnant?

1
Less than 6 months
2
6-11 months
3
at least 12 months
4
pregnancy wasn't planned
9
don't remember
C9 a

Are you currently trying to get pregnant?

1
no
2
no, but intend to later
3
yes, we are trying
4
I am already pregnant
If yes,
qc_C9_a == 3
C9 a(i)

for how long have you been trying? ... months

How many
now go to C10 on page 18
If yes,
qc_C9_a == 4
C9 a(ii)

how long were you trying before you became pregnant? ... months

How many
now go to C10 on page 18
If no or no, but intend to later to question C9a
qc_C9_a == 1 || qc_C9_a == 2
C9 b(i-x)
What forms of contraception are you using now? (tick all that you have used in the past 3 months)
-

1 - Yes

2 - No
withdrawal
the pill
IUCD/coil
condom/sheath
calendar/rhythm method
diaphragm/cap
spermicide
I have been sterilised
My partner has been sterilised
none
C9 b(xi)

What forms of contraception are you using now? (tick all that you have used in the past 3 months) other (please describe)

1
Yes
2
No
Other
C10

Before you became pregnant for the first time how many children did you think you would like to have?

1
none
2
one
3
two
4
three
5
4 or more
6
didn't have an opinion
9
don't remember what I wanted
C11 a

After having your study child, what did you decide about having more children?

1
I definitely wanted another child
2
I didn't mind if I had another child
3
I didn't think about it
4
I definitely didn't want another child
If you didn't want another child,
qc_C11_a == 4
C11 b(i-viii)
If you didn't want another child, why was this? (please tick all that apply)
-

1 - Yes
Could not afford another child
I had as many children as I wanted
I was not in good health
I wanted to concentrate on my career
My partner did not want any more children
I didn't have a partner
I could not cope with another child
I had such a bad experience of pregnancy with the study child I did not want to go through it again
C11 b(ix)

If you didn't want another child, why was this? (please tick all that apply) Other reason (Please tick & describe)

1
Yes
Other
C12

How would you describe your most recent periods:

7
No periods
If No periods to question C12 go to D1 on page 21
qc_C12 == 7
Else
C12 a

How would you describe your most recent periods: how heavy are your periods?

1
Very
2
Moderately
3
Mildly
4
Not at all
C12 b

How would you describe your most recent periods: how painful are your periods?

1
Very
2
Moderately
3
Mildly
4
Not at all
C12 c

How would you describe your most recent periods: irregular

1
Very
2
Moderately
3
Mildly
4
Not at all
C12 d

how many days does bleeding usually last? ... days

How many
C13
Do you generally find that in the days before or during your periods you have particular problems (please tick all that apply)?
Yes before Yes during

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes
Very fatigued
Irritable
Depressed
Anxious
Other (please tick & describe)
C13 i

Do you generally find that in the days before or during your periods you have particular problems (please tick all that apply)? Other (please tick & describe)

Other
SECTION D: RECENT EVENTS
D1-D44
Listed below are a number of events which may have brought changes in your life. Have any of the these occurred since your study child's 5th birthday?
-

1 - Yes & affected me a lot

2 - Yes, moderately affected

3 - Yes, mildly affected

4 - Yes, but did not affect me at all

5 - No, did not happen
Your partner died
One of your children died
A friend or relative died
One of your children was ill
Your partner was ill
A friend or relative was ill
You were admitted to hospital
You were in trouble with the law
You were divorced
You found that your partner didn't want your child
You were very ill
Your partner lost his job
Your partner had problems at work
You had problems at work
You lost your job
Your partner went away
Your partner was in trouble with the law
You and your partner separated
Your income was reduced
You argued with your partner
You argued with your family and friends
You moved house
Your partner was physically cruel to you
You became homeless
You had a major financial problem
You got married
Your partner was physically cruel to your children
You were physically cruel to your children
You attempted suicide
You were convicted of an offence
You became pregnant
You started a new job
You returned to work
You had a miscarriage
You had an abortion
You took an examination
Your partner was emotionally cruel to you
Your partner was emotionally cruel to your children
You were emotionally cruel to your children
Your house or car was burgled
You found a new partner
One of your children started school
Your partner started a new job
A pet died
D45

Listed below are a number of events which may have brought changes in your life. Have any of the these occurred since your study child's 5th birthday? You had an accident (please tick and describe)

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No, did not happen
Generic text
D46 a

Is there anything else which is not on the list which has concerned you or required additional effort from you to cope in the last year?

1
Yes
2
No
If yes,
qc_D46_a == 1
D46 b

please describe for each event: what happened:

Generic text
Generic text 2
Generic text 3
SECTION E: YOUR ENVIRONMENT
E1 a-t
In the last few months, how often have you used the following whether at home or at work:
-

1 - Every day

2 - Most days

3 - About once a week

4 - Less than once a week

5 - Not at all
disinfectant
bleach
window cleaner
chemical carpet cleaner
oven/drain cleaner
dry cleaning fluid
turpentine/white spirit
paint stripper
household paint or varnish
weed killers
pesticides/insect killers
air fresheners (spray, stick or aerosol)
other aerosols or sprays including hair spray
vacuum cleaner
broom/carpet sweeper
glue
nail varnish/acetone
metal cleaners/degreasers, polishers
petrol
moth repellent (moth balls)
E1 u

In the last few months, how often have you used the following whether at home or at work: other chemical (please tick and describe)

1
Every day
2
Most days
3
About once a week
4
Less than once a week
5
Not at all
Other
E2

Do you tend to collect static electricity and have shocks when you touch metal?

1
Yes a lot
2
Yes occasionally
3
No, not at all
E3 i

How often during the day are you in a room or enclosed place where people are smoking? weekdays

1
all the time
2
more than 5 hours
3
3-5 hours
4
1-2 hours
5
less than 1 hour
6
not at all
E3 ii

How often during the day are you in a room or enclosed place where people are smoking? weekends

1
all the time
2
more than 5 hours
3
3-5 hours
4
1-2 hours
5
less than 1 hour
6
not at all
E4 a

How many cigarettes do you smoke nowadays per day? weekday

How many
E4 b

How many cigarettes do you smoke nowadays per day? weekend day

How many
SECTION F: YOUR PARTNER
F1 a

Do you currently have a partner?

1
yes, a male partner
2
yes, a female partner
3
no partner
If no partner, go to Section G on page 40
If yes,
qc_F1_a == 1 || qc_F1_a == 2
F1 b

does your partner live with you?

1
Yes
2
No
If no, go to F2 below
If yes,
qc_F1_b == 1
F1 c

how long have you lived together?

Years Months
The section below is concerned with your relationship with your partner. (The partner will be referred to as 'he', although the questions refer to all partners.)
F2

How would you assess your partner's physical health?

1
always fit and well
2
mostly well and healthy
3
often feels unwell
4
hardly ever feels well
F3 a-w
Below are listed a number of conditions which your partner might have had. Please indicate whether he has had any of these since your study child was 5 years old.
-

1 - Yes, and saw a doctor

2 - Yes, but did not see a doctor

3 - No, not at all

9 - Do not know
headaches or migraine
indigestion
epilepsy
depression
anxiety or nerves
haemorrhoids/piles
cough or cold
influenza
bronchitis
high blood pressure (hypertension)
diabetes
schizophrenia
drink (alcohol) problem
stomach ulcers
asthma or wheezing
eczema
psoriasis
arthritis
urinary infection
rheumatism
back pain, sciatica or slipped disc
syphilis
gonorrhoea
F3 x

Below are listed a number of conditions which your partner might have had. Please indicate whether he has had any of these since your study child was 5 years old. other condition(s) (please tick and describe)

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No, not at all
9
Do not know
Other
F4 a-k
Below are some statements about parents relationships with young children. Please indicate how you feel about your partner in regard to the study child.
-

1 - This is always how how I feel

2 - This is sometimes how I feel

3 - I never feel this this way
My partner really loves this child
My partner is glad that I had this child when I did
I like to watch him play with the child
I am afraid to leave the child alone with him because I think he might be violent
My partner seems to feel very close to the child
This child gets on his nerves
He really cannot bear it when this child cries
I think my partner is interested as he watches the child gradually develop
My partner feels anxious when someone other than us looks after the child
He doesn't mind the mess that surrounds a young child
This child makes my partner very happy
F5 a(i)

How many cigarettes per day does your partner currently smoke? weekdays

(If none, put 00)

How many
F5 a(ii)

How many cigarettes per day does your partner currently smoke? weekend days

(If none, put 00)

How many
F5 b(i)

Does he smoke: pipe

1
Yes every day
2
Yes sometimes
3
No never
F5 b(ii)

Does he smoke: cigar/cigarillo

1
Yes every day
2
Yes sometimes
3
No never
F6 a

Is your partner currently employed or self-employed?

1
Yes
2
No
If no, go to F7 on page 33
If yes,
qc_F6_a == 1
F6 b(i)

What is his occupation?

Generic text
F6 b(ii)

Please give the industry or trade

Generic text
F6 c

Has he had the same job since the study child was 5 years old?

1
Yes
2
No
F6 d

Does he work nights?

1
yes, always
2
yes, sometimes
3
no, never
F6 e

Does he leave home for several days as part of his work?

1
yes, often
2
yes, occasionally
3
no, never
F6 f

Does he work shifts ?

1
yes, often
2
yes, occasionally
3
no, never
F6 g(i)

How many hours a week does he normally work? If his hours are regular, please state how many

(put 99 if don't know)

Hours per week
F6 g(ii)

If his hours vary, please put the minimum and the maximum

Minimum hours per week
Hours per week
F6 h

Does he usually work:

1
the basic no. of hours per week
2
basic hours plus paid overtime
3
longer than basic hours (but not paid extra)
4
self-employed - as long as necessary
F6 j

Does he get home after work before the study child is in bed?

1
yes, usually
2
yes, sometimes
3
no, never
F7 a

How would you rate your partner on these characteristics? helpful, co-operative

1
Almost always
2
Sometimes
3
Hardly ever
F7 b

How would you rate your partner on these characteristics? quiet, reserved

1
Almost always
2
Sometimes
3
Hardly ever
F7 c

How would you rate your partner on these characteristics? unreliable

1
Almost always
2
Sometimes
3
Hardly ever
F7 d

How would you rate your partner on these characteristics? sociable, outgoing

1
Almost always
2
Sometimes
3
Hardly ever
F7 e

How would you rate your partner on these characteristics? dominating

1
Almost always
2
Sometimes
3
Hardly ever
F7 f

How would you rate your partner on these characteristics? understanding

1
Almost always
2
Sometimes
3
Hardly ever
F7 g

How would you rate your partner on these characteristics? quick-tempered, easily upset

1
Almost always
2
Sometimes
3
Hardly ever
F7 h

How would you rate your partner on these characteristics? cheerful, easygoing

1
Almost always
2
Sometimes
3
Hardly ever
F8 a

Who does these various household tasks? shopping for groceries

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
F8 b

Who does these various household tasks? cooking

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
F8 c

Who does these various household tasks? cleaning house

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
F8 d

Who does these various household tasks? repairs in home

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
F8 e

Who does these various household tasks? looking after children

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
F8 f

Who does these various household tasks? washing clothes

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
F8 g

Who does these various household tasks? ironing

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
F9 a

Who decides: how to spend free time

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
F9 b

Who decides: how much to see family or friends

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
F9 c

Who decides: when to do repairs or redecorate

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
F9 d

Who decides: how we should spend our money

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
F10 a-g
People vary greatly in the amount they are satisfied or dissatisfied with their relationship. How do you feel about the following aspects of your life together?
-

1 - Very satisfied

2 - Moderately satisfied

3 - Somewhat dissatisfied

4 - Very dissatisfied
handling family finances
demonstrations of affection
sex
amount of time spent together
making major decisions
household tasks
leisure time interests & activities
F11 a

How often recently have you been irritable with your partner?

1
not at all
2
less than once a week
3
1-2 times a week
4
3-6 times a week
5
every day
F11 b

How often has he been irritable with you?

1
not at all
2
less than once a week
3
1-2 times a week
4
3-6 times a week
5
every day
F12 a

How many arguments or disagreements have you had in the past three months?

1
None
2
1-3
3
4-7
4
8-13
5
14 or more
F12 b
In the past 3 months, have any of these happened?
-

1 - Yes, I did this

2 - Yes, he did this

3 - Yes, we both did this

4 - No, not at all
not speaking to partner for more than half an hour
one of you walking out of the house
shouting or calling partner names
hitting or slapping partner
throwing or breaking things
F13 a-e
In the past three months how often have you done these things with your partner?
-

1 - Never

2 - Less than once a month

3 - Less than once a week

4 - At least once a week
gone out for a meal
gone out for a drink
visited friends
visited family
gone to the cinema or theatre
F13 f

In the past three months how often have you done these things with your partner? other (please tick and describe)

2
Less than once a month
3
Less than once a week
4
At least once a week
Other
F14 a

How many evenings a month do you go out and do things on your own or with your own friends?

1
none
2
once
3
2-3 times
4
4-7 times
5
8 or more times
F14 b

How many times a month does your partner go out and do things on his own or with friends?

1
none
2
once
3
2-3 times
4
4-7 times
5
8 or more times
F15 a-f
How often in a week, on average, would you and your partner:
-

1 - Never

2 - Less than once a week

3 - 1-3 times a week

4 - Most days
discuss work or how the day has gone
laugh together
calmly talk over something (e.g. the news, a hobby or interest)
kiss or hug
make plans
talk over feelings or worries
F16 a

Which of the following statements about alcohol best applies to your partner:

1
Never drinks alcohol
2
Very occasionally (less than once a week)
3
Occasionally (at least once a week )
4
Drinks 1-2 glasses* nearly every day
5
Drinks 3-9 glasses* every day
6
Drinks at least 10 glasses a day
9
Don't know
[*by glass we mean pub measures (1oz) of spirits or 1/2 pints (1/4 litre) of beer or cider, or 1 glass of wine]
F16 b

How many days in the past month do you think he had the equivalent of at least 2 pints of beer, 4 glasses of wine or 4 pub measures of spirit?

1
every day
2
more than 10 days
3
5-10 days
4
3-4 days
5
1-2 days
6
none
F17 a-x
Below are attitudes and behaviours which people reveal in their close relationships. Please rate your partner's attitudes and behaviour towards you in recent times and tick the most appropriate box for each item.
-

1 - Very true

2 - Moderately true

3 - Somewhat true

4 - Not at all true
Is very considerate of me
Wants me to take his side in an argument
Wants to know exactly what I'm doing and where I am
Is a good companion
Is affectionate to me
Is clearly hurt if I don't accept his views
Tends to try to change me
Confides closely in me
Tends to criticise me over small issues
Understands my problems and worries
Tends to order me about
Insists I do exactly as I'm told
Is physically gentle and considerate
Makes me feel needed
Wants me to change in small ways
Is very loving to me
Seeks to dominate me
Is fun to be with
Wants to change me in big ways
Tends to control everything I do
Shows his appreciation of me
Is critical of me in private
Is gentle and kind to me
Speaks to me in a warm and friendly voice
SECTION G:YOUR FAMILY AND FRIENDS
G1

How many of your relatives and your partner's relatives do you see at least twice a year?

1
None
2
1
3
2-4
4
more than 4
G2

About how many friends do you have?

1
None
2
1
3
2-4
4
more than 4
G3

Overall, would you say you belong to a close circle of friends?

1
Yes
2
No
G4

How many people are there that you can talk to about personal problems?

1
None
2
1
3
2-4
4
more than 4
G5

How many people talk to you about their personal problems or their private feelings?

1
None
2
1
3
2-4
4
more than 4
G6

If you have to make an important decision, how many people are there with whom you can discuss it?

1
None
2
1
3
2-4
4
more than 4
G7

How many people are there among your family and friends from whom you could borrow £100 if you needed to?

1
None
2
1
3
2-4
4
more than 4
G8

How many of your family and friends would help you in times of trouble?

1
None
2
1
3
2-4
4
more than 4
G9

During the last month, how many times did you get together with one or more friends?

1
None
2
1
3
2-4
4
more than 4
G10

During the last month, how many times did you get together with one or more of your relatives or your partner's relatives?

1
None
2
1
3
2-4
4
more than 4
The following statements are about the help and support you have.
G11

I have no one to share my feelings with

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G12

My partner provides the emotional support I need

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no partner
G13

There are other mothers with whom I can share my experiences

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G14

I believe in moments of difficulty my neighbours would help me

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G15

I'm worried that my partner might leave me

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no partner
G16

There is always someone with whom I can share my happiness and excitement about my child

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G17

If I feel tired I can rely on my partner to take over

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no partner
G18

If I was in financial difficulty I know my family would help if they could

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G19

If I was in financial difficulty I know my friends would help if they could

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G20

If all else fails I know the state will support and assist me

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G21 a

Do you believe in God or in some divine power?

1
yes
2
am not sure
3
no, not at all
G21 b

Do you feel that God (or some divine power) has helped you at any time?

1
Yes
2
Not sure
3
No
G21 c

Would you appeal to God for help if you were in trouble?

1
Yes
2
Not sure
3
No
G21 d

Do you 'pray' even if not in trouble?

1
Yes
2
No
G21 e

What sort of religious faith would you say you had? (tick one only)

1
Church of England
2
Roman Catholic
3
Methodist, Baptist or other Protestant Christian (please tick & describe)
4
Christian Science
5
Mormon
6
Jehovah's Witness
7
Jewish
8
Buddhist
9
Sikh
10
Hindu
11
Muslim
12
Rastafarian
0
None
13
Other (please tick & describe)
Other
G21 f

How long have you had this particular faith?

1
all my life
2
more than 5 years
3
3-5 years
4
1-2 years
5
less than a year
G21 g

Are you bringing your child up in this faith?

1
Yes
2
No
G21 h

Do you go to a place of worship?

1
yes, at least once a week
2
yes, at least once a month
3
yes, at least once a year
4
only for special occasions
5
no, not at all
G21 j(i)

Do you obtain help and support from leaders or others members of religious groups? Help from: Leaders of your religious group (e.g. priests, rabbis, imams)

1
Yes
2
No
G21 j(ii)

Do you obtain help and support from leaders or others members of religious groups? Help from: Other members of your religious group

1
Yes
2
No
G21 j(iii)

Do you obtain help and support from leaders or others members of religious groups? Help from: Members of other religious group (please tick and describe)

1
Yes
2
No
Other
SECTION H: HEALTH SERVICES
H1 a-g
In the past year have you had contact with any of the following, for whatever reason:
-

1 - Yes

2 - No, but would have liked to

3 - No, didn't need contact
G.P./family doctor
Health visitor
Midwife
Social services benefit worker
Social worker
Physiotherapist
Psychologist/psychiatrist
H1 h

In the past year have you had contact with any of the following, for whatever reason: Other support service (please tick & describe)

1
Yes
2
No, but would have liked to
3
No, didn't need contact
Other
H2 a-c
The statements below describe the ways some mothers feel about the health services. We would be grateful if you could indicate what your own feelings are.
-

1 - This is exactly how I feel

2 - This is often how I feel

3 - This is how I sometimes feel

4 - I never feel this way
I don't have any confidence in the national health service
I know that if my child was very ill my doctor would come quickly
The doctor in the clinic is always helpful
Your outlook on life:
H3

Did getting good marks at school mean a great deal to you?

1
Yes
2
No
H4

Are you often blamed for things that just are not your fault?

1
Yes
2
No
H5

Do you feel that most of the time it does not pay to try hard because things never turn out right anyway?

1
Yes
2
No
H6

Do you feel that if things start out well in the morning then it's going to be a good day no matter what you do?

1
Yes
2
No
H7

Do you believe that whether or not people like you depends on how you act?

1
Yes
2
No
H8

Do you believe that when bad things are going to happen they are just going to happen no matter what you try to do to stop them?

1
Yes
2
No
H9

Do you feel that when good things happen they happen because of hard work?

1
Yes
2
No
H10

Do you feel that when someone does not like you there is little you can do about it?

1
Yes
2
No
H11

Did you usually feel that it was almost useless to try in school because most other children were cleverer than you?

1
Yes
2
No
H12

Are you the kind of person who believes that planning ahead makes things turn out better?

1
Yes
2
No
H13

Most of the time, do you feel that you have little to say about what your family decides to do?

1
Yes
2
No
H14

Do you think it's better to be clever than to be lucky?

1
Yes
2
No
H15 a-f
Do you think you have been treated unfairly/unjustly in the last 12 months because of:
-

1 - Yes

2 - No
your sex
your skin colour
the way you dress
your family background
the way you speak
your religion
H15 g

Do you think you have been treated unfairly/unjustly in the last 12 months because of: other (please tick & describe)

1
Yes
2
No
Other
J1 a

This questionnaire was completed by: mother

1
Yes
J1 b

This questionnaire was completed by: father

1
Yes
J1 c

This questionnaire was completed by: other (please tick & describe)

1
Yes
Other
J2

Please give the date on which you completed this questionnaire:

Generic date
J3

Please give your date of birth:

Date of birth
THANK YOU VERY MUCH FOR YOUR HELP
Space for any additional comments you would like to make.
Please remember we cannot reply to any comment unless you sign it.
When completed, please return the questionnaire to:
Professor Jean Golding Children of the Nineties - ALSPAC Institute of Child Health
End

alspac_96_ml

s_intro_i
MOTHER'S LIFESTYLE
s_intro_ii
This questionnaire is for the mother, or person taking the place of the mother.
s_intro_iii
Some questions are the same as those you have answered before. This is so that we can tell what changes have happened to you. Others are new - we hope you will enjoy them. To answer simply tick the box which is most accurate in your opinion.
s_intro_iv
Please answer all questions if you can, even if they are similar. If you do not want to answer a question or if it does not apply to you, put a line through it. There are no good or bad answers. Just tell us what you really think.
s_intro_v
All answers are confidential.
s_intro_vi
THANK YOU FOR YOUR HELP

SECTION A: BEING A GAMBLER

A1 a-j

Nowadays, with the lottery being so popular, we would like to ask about your gambling habits throughout your life. Please indicate whether you have ever done any of the following and how often:

-

1 - NOWADAYS Once a week or more

2 - NOWADAYS Less than once a week

3 - IN PAST ONLY

4 - Rarely or not at all
played cards for money
bet on horses, dogs
bet on sports or events
played dice games for money
gone to the casino
bet on the lottery
played bingo for money
played the stock/commodities market (rather than relatively riskless investment)
played slot machines or other gambling machines
played other games for money e.g. pool, golf
A1 k
Nowadays, with the lottery being so popular, we would like to ask about your gambling habits throughout your life. Please indicate whether you have ever done any of the following and how often: other (please tick & describe)
1
NOWADAYS Once a week or more
2
NOWADAYS Less than once a week
3
IN PAST ONLY
4
Rarely or not at all
Other
A2
What is the largest amount of money you have ever gambled with on any one day?
1
£1000 - £10,000
2
£100-£999
3
£25 - £99
4
£10 - £24
5
£1 - £9
6
less than £1
7
never gambled
A3
When you gamble and lose, do you ever try to win back the money you lost?
1
every time
2
most of the time
3
some of the time
4
no, never
7
have never lost
A4
Have you ever said that you have won money, when in fact you lost some?
1
yes, most of the time
2
yes, some of the time
3
never
A5
Do you feel you have ever had a problem with gambling?
1
yes
2
no
3
yes, in the past, but not now
A6
Have you ever gambled more than you intended to?
1
yes
2
no
A7
Has anyone ever criticised your gambling?
1
yes
2
no
A8
Have you ever felt guilty about gambling?
1
yes
2
no
A9
Have you ever felt that you would like to stop gambling but didn't think that you could?
1
yes
2
no
A10
Have you ever disguised the fact that you gamble, e.g. hidden betting slips, lottery tickets or other signs of gambling?
1
yes
2
no
A11 a
Have you ever argued with people that you live with, about how you handle money?
1
yes
2
no
A11 b
Have money arguments ever centred on your gambling?
1
yes
2
no
If yes,
A12
Have you ever borrowed from someone and not paid them back as a result of gambling?
1
yes
2
no
A13
Have you ever lost time from work (or school) due to gambling?
1
yes
2
no

SECTION B: YOUR FEELINGS

s_sectionb_i
The questions in this section ask you about your feelings and the way you behave. You have answered these questions in other questionnaires, but you might be feeling differently now.
s_sectionb_ii
Please indicate the way you feel.
B1
Do you feel upset for no obvious reason?
1
Very often
2
Often
3
Not very often
4
Never
B2
Have you felt as though you might faint?
1
Very often
2
Often
3
Not very often
4
Never
B3
Do you feel uneasy and restless?
1
Very often
2
Often
3
Not very often
4
Never
B4
Do you sometimes feel panicky?
1
Very often
2
Often
3
Not very often
4
Never
B5
Do you worry a lot?
1
Very often
2
Often
3
Not very often
4
Never
B6
Do you feel strung-up inside?
1
Very often
2
Often
3
Not very often
4
Never
B7
Do you ever have the feeling you are going to pieces?
1
Very often
2
Often
3
Not very often
4
Never
B8
Do you have bad dreams which upset you when you wake up?
1
Very often
2
Often
3
Not very often
4
Never

Your feelings in the past week.

B9
I have been able to laugh and see the funny side of things:
1
As much as I always could
2
Not quite so much now
3
Definitely not so much now
4
Not at all
s_qB10
In the past week:
B10
I have looked forward with enjoyment to things:
1
As much as I ever did
2
Rather less than I used to
3
Definitely less than I used to
4
Hardly at all
B11
I have blamed myself unnecessarily when things went wrong:
1
Yes, most of the time
2
Yes, some of the time
3
Not very often
4
Never
B12
I have been anxious or worried for no good reason:
1
No, not at all
2
Hardly ever
3
Yes, sometimes
4
Yes, often
B13
I have felt scared or panicky for no good reason:
1
Yes, quite a lot
2
Yes, sometimes
3
No, not much
4
No, not at all
s_qB14
In the past week:
B14
Things have been getting on top of me:
1
Yes, most of the time I haven't been able to cope
2
Yes, sometimes I haven't been coping as well as usual
3
No, most of the time I have coped quite well
4
No, I have been coping as well as ever
B15
I have been so unhappy that I have had difficulty sleeping:
1
Yes, most of the time
2
Yes, sometimes
3
Not very often
4
No, not at all
B16
I have felt sad or miserable:
1
Yes, most of the time
2
Yes, sometimes
3
Not very often
4
No, not at all
B17
I have been so unhappy that I have been crying:
1
Yes, most of the time
2
Yes, quite often
3
Only occasionally
4
Never
s_qB18
In the past week:
B18
The thought of harming myself has occurred to me:
1
Yes, quite often
2
Sometimes
3
Hardly ever
4
Never
B19
On the whole are there more good days than bad?
1
Yes, more good days
2
About half and half
3
No, more bad days

SECTION C: YOUR HEALTH

C1
Which of the following would you say describes your health now?
1
fit and well
2
mostly well and healthy
3
often feel unwell
4
hardly ever feel well
C2 a-y

Have you had (or continued to have) any of the following since your study child's 5th birthday:

-

1 - Yes and consulted doctor

2 - Yes but did not consult doctor

3 - No
anxiety or 'nerves'
depression
headache or migraine
epilepsy
back pain, sciatica, slipped disc
indigestion
high blood pressure (hypertension)
cough or cold
diabetes
haemorrhoids/piles
schizophrenia
influenza
alcohol problem
wheezing or asthma
bronchitis
stomach ulcer
eczema
psoriasis
arthritis
rheumatism
urinary infection
problems with your periods
problems with a pregnancy
syphilis
gonorrhoea
C2 z
Have you had (or continued to have) any of the following since your study child's 5th birthday: cancer (please state type)
1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Generic text
C2 za
Have you had (or continued to have) any of the following since your study child's 5th birthday: other problems (please tick & describe )
1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Other
C3 a-p

Since your study child's 5th birthday how often have you taken the following:

-

1 - Every day

2 - Often

3 - Sometimes

4 - Not at all
sleeping pills
vitamins
cannabis/marihuana
tranquillisers
pills for depression
hormone tablets
antibiotics
aspirin
paracetamol
other painkillers
amphetamines or other stimulants
contraceptive pill
iron
heroin, methadone, crack, cocaine
anticonvulsants
steroids
C3 q-s

Since your study child's 5th birthday how often have you taken the following: other pill, medicine, drug or treatment (please describe each and state how frequently taken)

-

1 - Every day

2 - Often

3 - Sometimes
C4

Please list all the drugs, medicines and ointments that you have taken in the past month:

What did you take: About how many days did you take or use it? How often per day?
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
C5 a
Since your study child was 5 have you been admitted to hospital?
1
Yes
2
No
s_qC5a
If no, go to C6 below
C5 b
how many times?
How many
If yes,
C5 c
for how many different reasons?
How many
If yes,

(_hospitalstay <= qc_C5_b) && (_hospitalstay < 6)

C5 c(i)
Reason for each hospital stay:
Generic text
If yes,
C5 c(ii)
How long did you stay? ... nights
How many
If yes,
C5 c(iii)
At what hospital
Generic text
If yes,
C6 a-u

In the past month, how often have you had the following:

-

1 - Almost all the time

2 - Sometimes

3 - Not at all
backache
headache or migraine
urinary infection
nausea
vomiting
diarrhoea
haemorrhoids or piles
feeling weepy/tearful
feeling irritable
feeling exhausted
varicose veins
passing urine very often
problem holding urine when you jump, sneeze etc.
indigestion
feeling dizzy/fainting
flashing lights/spots before eyes
shoulder ache
tingling in hands/fingers
tingling in feet/toes
neck ache
feeling depressed
C6 v
In the past month, how often have you had the following: other problem (please tick & describe)
1
Almost all the time
2
Sometimes
3
Not at all
Other
C7 a
How often are you having sexual intercourse now?
1
not at all
2
less than once a month
3
1-3 times a month
4
about once a week
5
2-4 times a week
6
5 or more times a week
C7 b
In general, do you enjoy it ?
1
yes, very much
2
yes, somewhat
3
no, not a lot
4
no, not at all
5
it doesn't happen
C8
Have you been pregnant at all since your study child?
1
Yes
2
No
s_qC8
If no, go to C9a on page 17
C8 i
how many times
How many
If yes,
C8 ii
For the first pregnancy after your study child - how long were you trying before you got pregnant?
1
Less than 6 months
2
6-11 months
3
at least 12 months
4
pregnancy wasn't planned
9
don't remember
If yes,
C9 a
Are you currently trying to get pregnant?
1
no
2
no, but intend to later
3
yes, we are trying
4
I am already pregnant
C9 a(i)
for how long have you been trying? ... months
How many
If yes,
s_qC9a_i
now go to C10 on page 18
If yes,
C9 a(ii)
how long were you trying before you became pregnant? ... months
How many
If yes,
s_qC9a_ii
now go to C10 on page 18
If yes,
C9 b(i-x)

What forms of contraception are you using now? (tick all that you have used in the past 3 months)

-

1 - Yes

2 - No
withdrawal
the pill
IUCD/coil
condom/sheath
calendar/rhythm method
diaphragm/cap
spermicide
I have been sterilised
My partner has been sterilised
none
If no or no, but intend to later to question C9a
C9 b(xi)
What forms of contraception are you using now? (tick all that you have used in the past 3 months) other (please describe)
1
Yes
2
No
Other
If no or no, but intend to later to question C9a
C10
Before you became pregnant for the first time how many children did you think you would like to have?
1
none
2
one
3
two
4
three
5
4 or more
6
didn't have an opinion
9
don't remember what I wanted
C11 a
After having your study child, what did you decide about having more children?
1
I definitely wanted another child
2
I didn't mind if I had another child
3
I didn't think about it
4
I definitely didn't want another child
C11 b(i-viii)

If you didn't want another child, why was this? (please tick all that apply)

-

1 - Yes
Could not afford another child
I had as many children as I wanted
I was not in good health
I wanted to concentrate on my career
My partner did not want any more children
I didn't have a partner
I could not cope with another child
I had such a bad experience of pregnancy with the study child I did not want to go through it again
If you didn't want another child,
C11 b(ix)
If you didn't want another child, why was this? (please tick all that apply) Other reason (Please tick & describe)
1
Yes
Other
If you didn't want another child,
C12
How would you describe your most recent periods:
7
No periods
C12 a
How would you describe your most recent periods: how heavy are your periods?
1
Very
2
Moderately
3
Mildly
4
Not at all
C12 b
How would you describe your most recent periods: how painful are your periods?
1
Very
2
Moderately
3
Mildly
4
Not at all
C12 c
How would you describe your most recent periods: irregular
1
Very
2
Moderately
3
Mildly
4
Not at all
C12 d
how many days does bleeding usually last? ... days
How many
C13

Do you generally find that in the days before or during your periods you have particular problems (please tick all that apply)?

Yes before Yes during

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes
Very fatigued
Irritable
Depressed
Anxious
Other (please tick & describe)
C13 i
Do you generally find that in the days before or during your periods you have particular problems (please tick all that apply)? Other (please tick & describe)
Other

SECTION D: RECENT EVENTS

D1-D44

Listed below are a number of events which may have brought changes in your life. Have any of the these occurred since your study child's 5th birthday?

-

1 - Yes & affected me a lot

2 - Yes, moderately affected

3 - Yes, mildly affected

4 - Yes, but did not affect me at all

5 - No, did not happen
Your partner died
One of your children died
A friend or relative died
One of your children was ill
Your partner was ill
A friend or relative was ill
You were admitted to hospital
You were in trouble with the law
You were divorced
You found that your partner didn't want your child
You were very ill
Your partner lost his job
Your partner had problems at work
You had problems at work
You lost your job
Your partner went away
Your partner was in trouble with the law
You and your partner separated
Your income was reduced
You argued with your partner
You argued with your family and friends
You moved house
Your partner was physically cruel to you
You became homeless
You had a major financial problem
You got married
Your partner was physically cruel to your children
You were physically cruel to your children
You attempted suicide
You were convicted of an offence
You became pregnant
You started a new job
You returned to work
You had a miscarriage
You had an abortion
You took an examination
Your partner was emotionally cruel to you
Your partner was emotionally cruel to your children
You were emotionally cruel to your children
Your house or car was burgled
You found a new partner
One of your children started school
Your partner started a new job
A pet died
D45
Listed below are a number of events which may have brought changes in your life. Have any of the these occurred since your study child's 5th birthday? You had an accident (please tick and describe)
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No, did not happen
Generic text
D46 a
Is there anything else which is not on the list which has concerned you or required additional effort from you to cope in the last year?
1
Yes
2
No
D46 b
please describe for each event: what happened:
Generic text
Generic text 2
Generic text 3
If yes,

SECTION E: YOUR ENVIRONMENT

E1 a-t

In the last few months, how often have you used the following whether at home or at work:

-

1 - Every day

2 - Most days

3 - About once a week

4 - Less than once a week

5 - Not at all
disinfectant
bleach
window cleaner
chemical carpet cleaner
oven/drain cleaner
dry cleaning fluid
turpentine/white spirit
paint stripper
household paint or varnish
weed killers
pesticides/insect killers
air fresheners (spray, stick or aerosol)
other aerosols or sprays including hair spray
vacuum cleaner
broom/carpet sweeper
glue
nail varnish/acetone
metal cleaners/degreasers, polishers
petrol
moth repellent (moth balls)
E1 u
In the last few months, how often have you used the following whether at home or at work: other chemical (please tick and describe)
1
Every day
2
Most days
3
About once a week
4
Less than once a week
5
Not at all
Other
E2
Do you tend to collect static electricity and have shocks when you touch metal?
1
Yes a lot
2
Yes occasionally
3
No, not at all
E3 i
How often during the day are you in a room or enclosed place where people are smoking? weekdays
1
all the time
2
more than 5 hours
3
3-5 hours
4
1-2 hours
5
less than 1 hour
6
not at all
E3 ii
How often during the day are you in a room or enclosed place where people are smoking? weekends
1
all the time
2
more than 5 hours
3
3-5 hours
4
1-2 hours
5
less than 1 hour
6
not at all
E4 a
How many cigarettes do you smoke nowadays per day? weekday
How many
E4 b
How many cigarettes do you smoke nowadays per day? weekend day
How many

SECTION F: YOUR PARTNER

F1 a
Do you currently have a partner?
1
yes, a male partner
2
yes, a female partner
3
no partner
s_qF1a
If no partner, go to Section G on page 40
F1 b
does your partner live with you?
1
Yes
2
No
If yes,
s_qF1b
If no, go to F2 below
If yes,
F1 c
how long have you lived together?
Years Months
If yes,
If yes,
s_qF2
The section below is concerned with your relationship with your partner. (The partner will be referred to as 'he', although the questions refer to all partners.)
If yes,
F2
How would you assess your partner's physical health?
1
always fit and well
2
mostly well and healthy
3
often feels unwell
4
hardly ever feels well
If yes,
F3 a-w

Below are listed a number of conditions which your partner might have had. Please indicate whether he has had any of these since your study child was 5 years old.

-

1 - Yes, and saw a doctor

2 - Yes, but did not see a doctor

3 - No, not at all

9 - Do not know
headaches or migraine
indigestion
epilepsy
depression
anxiety or nerves
haemorrhoids/piles
cough or cold
influenza
bronchitis
high blood pressure (hypertension)
diabetes
schizophrenia
drink (alcohol) problem
stomach ulcers
asthma or wheezing
eczema
psoriasis
arthritis
urinary infection
rheumatism
back pain, sciatica or slipped disc
syphilis
gonorrhoea
If yes,
F3 x
Below are listed a number of conditions which your partner might have had. Please indicate whether he has had any of these since your study child was 5 years old. other condition(s) (please tick and describe)
1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No, not at all
9
Do not know
Other
If yes,
F4 a-k

Below are some statements about parents relationships with young children. Please indicate how you feel about your partner in regard to the study child.

-

1 - This is always how how I feel

2 - This is sometimes how I feel

3 - I never feel this this way
My partner really loves this child
My partner is glad that I had this child when I did
I like to watch him play with the child
I am afraid to leave the child alone with him because I think he might be violent
My partner seems to feel very close to the child
This child gets on his nerves
He really cannot bear it when this child cries
I think my partner is interested as he watches the child gradually develop
My partner feels anxious when someone other than us looks after the child
He doesn't mind the mess that surrounds a young child
This child makes my partner very happy
If yes,
F5 a(i)
How many cigarettes per day does your partner currently smoke? weekdays
How many
If yes,
F5 a(ii)
How many cigarettes per day does your partner currently smoke? weekend days
How many
If yes,
F5 b(i)
Does he smoke: pipe
1
Yes every day
2
Yes sometimes
3
No never
If yes,
F5 b(ii)
Does he smoke: cigar/cigarillo
1
Yes every day
2
Yes sometimes
3
No never
If yes,
F6 a
Is your partner currently employed or self-employed?
1
Yes
2
No
If yes,
s_qF6a
If no, go to F7 on page 33
If yes,
F6 b(i)
What is his occupation?
Generic text
If yes,
If yes,
F6 b(ii)
Please give the industry or trade
Generic text
If yes,
If yes,
F6 c
Has he had the same job since the study child was 5 years old?
1
Yes
2
No
If yes,
If yes,
F6 d
Does he work nights?
1
yes, always
2
yes, sometimes
3
no, never
If yes,
If yes,
F6 e
Does he leave home for several days as part of his work?
1
yes, often
2
yes, occasionally
3
no, never
If yes,
If yes,
F6 f
Does he work shifts ?
1
yes, often
2
yes, occasionally
3
no, never
If yes,
If yes,
F6 g(i)
How many hours a week does he normally work? If his hours are regular, please state how many
Hours per week
If yes,
If yes,
F6 g(ii)
If his hours vary, please put the minimum and the maximum
Minimum hours per week
Hours per week
If yes,
If yes,
F6 h
Does he usually work:
1
the basic no. of hours per week
2
basic hours plus paid overtime
3
longer than basic hours (but not paid extra)
4
self-employed - as long as necessary
If yes,
If yes,
F6 j
Does he get home after work before the study child is in bed?
1
yes, usually
2
yes, sometimes
3
no, never
If yes,
If yes,
F7 a
How would you rate your partner on these characteristics? helpful, co-operative
1
Almost always
2
Sometimes
3
Hardly ever
If yes,
F7 b
How would you rate your partner on these characteristics? quiet, reserved
1
Almost always
2
Sometimes
3
Hardly ever
If yes,
F7 c
How would you rate your partner on these characteristics? unreliable
1
Almost always
2
Sometimes
3
Hardly ever
If yes,
F7 d
How would you rate your partner on these characteristics? sociable, outgoing
1
Almost always
2
Sometimes
3
Hardly ever
If yes,
F7 e
How would you rate your partner on these characteristics? dominating
1
Almost always
2
Sometimes
3
Hardly ever
If yes,
F7 f
How would you rate your partner on these characteristics? understanding
1
Almost always
2
Sometimes
3
Hardly ever
If yes,
F7 g
How would you rate your partner on these characteristics? quick-tempered, easily upset
1
Almost always
2
Sometimes
3
Hardly ever
If yes,
F7 h
How would you rate your partner on these characteristics? cheerful, easygoing
1
Almost always
2
Sometimes
3
Hardly ever
If yes,
F8 a
Who does these various household tasks? shopping for groceries
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
If yes,
F8 b
Who does these various household tasks? cooking
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
If yes,
F8 c
Who does these various household tasks? cleaning house
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
If yes,
F8 d
Who does these various household tasks? repairs in home
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
If yes,
F8 e
Who does these various household tasks? looking after children
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
If yes,
F8 f
Who does these various household tasks? washing clothes
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
If yes,
F8 g
Who does these various household tasks? ironing
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Someone else
If yes,
F9 a
Who decides: how to spend free time
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
If yes,
F9 b
Who decides: how much to see family or friends
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
If yes,
F9 c
Who decides: when to do repairs or redecorate
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
If yes,
F9 d
Who decides: how we should spend our money
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
If yes,
F10 a-g

People vary greatly in the amount they are satisfied or dissatisfied with their relationship. How do you feel about the following aspects of your life together?

-

1 - Very satisfied

2 - Moderately satisfied

3 - Somewhat dissatisfied

4 - Very dissatisfied
handling family finances
demonstrations of affection
sex
amount of time spent together
making major decisions
household tasks
leisure time interests & activities
If yes,
F11 a
How often recently have you been irritable with your partner?
1
not at all
2
less than once a week
3
1-2 times a week
4
3-6 times a week
5
every day
If yes,
F11 b
How often has he been irritable with you?
1
not at all
2
less than once a week
3
1-2 times a week
4
3-6 times a week
5
every day
If yes,
F12 a
How many arguments or disagreements have you had in the past three months?
1
None
2
1-3
3
4-7
4
8-13
5
14 or more
If yes,
F12 b

In the past 3 months, have any of these happened?

-

1 - Yes, I did this

2 - Yes, he did this

3 - Yes, we both did this

4 - No, not at all
not speaking to partner for more than half an hour
one of you walking out of the house
shouting or calling partner names
hitting or slapping partner
throwing or breaking things
If yes,
F13 a-e

In the past three months how often have you done these things with your partner?

-

1 - Never

2 - Less than once a month

3 - Less than once a week

4 - At least once a week
gone out for a meal
gone out for a drink
visited friends
visited family
gone to the cinema or theatre
If yes,
F13 f
In the past three months how often have you done these things with your partner? other (please tick and describe)
2
Less than once a month
3
Less than once a week
4
At least once a week
Other
If yes,
F14 a
How many evenings a month do you go out and do things on your own or with your own friends?
1
none
2
once
3
2-3 times
4
4-7 times
5
8 or more times
If yes,
F14 b
How many times a month does your partner go out and do things on his own or with friends?
1
none
2
once
3
2-3 times
4
4-7 times
5
8 or more times
If yes,
F15 a-f

How often in a week, on average, would you and your partner:

-

1 - Never

2 - Less than once a week

3 - 1-3 times a week

4 - Most days
discuss work or how the day has gone
laugh together
calmly talk over something (e.g. the news, a hobby or interest)
kiss or hug
make plans
talk over feelings or worries
If yes,
F16 a
Which of the following statements about alcohol best applies to your partner:
1
Never drinks alcohol
2
Very occasionally (less than once a week)
3
Occasionally (at least once a week )
4
Drinks 1-2 glasses* nearly every day
5
Drinks 3-9 glasses* every day
6
Drinks at least 10 glasses a day
9
Don't know
If yes,
s_qF16a
[*by glass we mean pub measures (1oz) of spirits or 1/2 pints (1/4 litre) of beer or cider, or 1 glass of wine]
If yes,
F16 b
How many days in the past month do you think he had the equivalent of at least 2 pints of beer, 4 glasses of wine or 4 pub measures of spirit?
1
every day
2
more than 10 days
3
5-10 days
4
3-4 days
5
1-2 days
6
none
If yes,
F17 a-x

Below are attitudes and behaviours which people reveal in their close relationships. Please rate your partner's attitudes and behaviour towards you in recent times and tick the most appropriate box for each item.

-

1 - Very true

2 - Moderately true

3 - Somewhat true

4 - Not at all true
Is very considerate of me
Wants me to take his side in an argument
Wants to know exactly what I'm doing and where I am
Is a good companion
Is affectionate to me
Is clearly hurt if I don't accept his views
Tends to try to change me
Confides closely in me
Tends to criticise me over small issues
Understands my problems and worries
Tends to order me about
Insists I do exactly as I'm told
Is physically gentle and considerate
Makes me feel needed
Wants me to change in small ways
Is very loving to me
Seeks to dominate me
Is fun to be with
Wants to change me in big ways
Tends to control everything I do
Shows his appreciation of me
Is critical of me in private
Is gentle and kind to me
Speaks to me in a warm and friendly voice
If yes,

SECTION G:YOUR FAMILY AND FRIENDS

G1
How many of your relatives and your partner's relatives do you see at least twice a year?
1
None
2
1
3
2-4
4
more than 4
G2
About how many friends do you have?
1
None
2
1
3
2-4
4
more than 4
G3
Overall, would you say you belong to a close circle of friends?
1
Yes
2
No
G4
How many people are there that you can talk to about personal problems?
1
None
2
1
3
2-4
4
more than 4
G5
How many people talk to you about their personal problems or their private feelings?
1
None
2
1
3
2-4
4
more than 4
G6
If you have to make an important decision, how many people are there with whom you can discuss it?
1
None
2
1
3
2-4
4
more than 4
G7
How many people are there among your family and friends from whom you could borrow £100 if you needed to?
1
None
2
1
3
2-4
4
more than 4
G8
How many of your family and friends would help you in times of trouble?
1
None
2
1
3
2-4
4
more than 4
G9
During the last month, how many times did you get together with one or more friends?
1
None
2
1
3
2-4
4
more than 4
G10
During the last month, how many times did you get together with one or more of your relatives or your partner's relatives?
1
None
2
1
3
2-4
4
more than 4
s_qG11
The following statements are about the help and support you have.
G11
I have no one to share my feelings with
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G12
My partner provides the emotional support I need
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no partner
G13
There are other mothers with whom I can share my experiences
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G14
I believe in moments of difficulty my neighbours would help me
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G15
I'm worried that my partner might leave me
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no partner
G16
There is always someone with whom I can share my happiness and excitement about my child
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G17
If I feel tired I can rely on my partner to take over
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no partner
G18
If I was in financial difficulty I know my family would help if they could
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G19
If I was in financial difficulty I know my friends would help if they could
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G20
If all else fails I know the state will support and assist me
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
G21 a
Do you believe in God or in some divine power?
1
yes
2
am not sure
3
no, not at all
G21 b
Do you feel that God (or some divine power) has helped you at any time?
1
Yes
2
Not sure
3
No
G21 c
Would you appeal to God for help if you were in trouble?
1
Yes
2
Not sure
3
No
G21 d
Do you 'pray' even if not in trouble?
1
Yes
2
No
G21 e
What sort of religious faith would you say you had? (tick one only)
1
Church of England
2
Roman Catholic
3
Methodist, Baptist or other Protestant Christian (please tick & describe)
4
Christian Science
5
Mormon
6
Jehovah's Witness
7
Jewish
8
Buddhist
9
Sikh
10
Hindu
11
Muslim
12
Rastafarian
0
None
13
Other (please tick & describe)
Other
G21 f
How long have you had this particular faith?
1
all my life
2
more than 5 years
3
3-5 years
4
1-2 years
5
less than a year
G21 g
Are you bringing your child up in this faith?
1
Yes
2
No
G21 h
Do you go to a place of worship?
1
yes, at least once a week
2
yes, at least once a month
3
yes, at least once a year
4
only for special occasions
5
no, not at all
G21 j(i)
Do you obtain help and support from leaders or others members of religious groups? Help from: Leaders of your religious group (e.g. priests, rabbis, imams)
1
Yes
2
No
G21 j(ii)
Do you obtain help and support from leaders or others members of religious groups? Help from: Other members of your religious group
1
Yes
2
No
G21 j(iii)
Do you obtain help and support from leaders or others members of religious groups? Help from: Members of other religious group (please tick and describe)
1
Yes
2
No
Other

SECTION H: HEALTH SERVICES

H1 a-g

In the past year have you had contact with any of the following, for whatever reason:

-

1 - Yes

2 - No, but would have liked to

3 - No, didn't need contact
G.P./family doctor
Health visitor
Midwife
Social services benefit worker
Social worker
Physiotherapist
Psychologist/psychiatrist
H1 h
In the past year have you had contact with any of the following, for whatever reason: Other support service (please tick & describe)
1
Yes
2
No, but would have liked to
3
No, didn't need contact
Other
H2 a-c

The statements below describe the ways some mothers feel about the health services. We would be grateful if you could indicate what your own feelings are.

-

1 - This is exactly how I feel

2 - This is often how I feel

3 - This is how I sometimes feel

4 - I never feel this way
I don't have any confidence in the national health service
I know that if my child was very ill my doctor would come quickly
The doctor in the clinic is always helpful

Your outlook on life:

H3
Did getting good marks at school mean a great deal to you?
1
Yes
2
No
H4
Are you often blamed for things that just are not your fault?
1
Yes
2
No
H5
Do you feel that most of the time it does not pay to try hard because things never turn out right anyway?
1
Yes
2
No
H6
Do you feel that if things start out well in the morning then it's going to be a good day no matter what you do?
1
Yes
2
No
H7
Do you believe that whether or not people like you depends on how you act?
1
Yes
2
No
H8
Do you believe that when bad things are going to happen they are just going to happen no matter what you try to do to stop them?
1
Yes
2
No
H9
Do you feel that when good things happen they happen because of hard work?
1
Yes
2
No
H10
Do you feel that when someone does not like you there is little you can do about it?
1
Yes
2
No
H11
Did you usually feel that it was almost useless to try in school because most other children were cleverer than you?
1
Yes
2
No
H12
Are you the kind of person who believes that planning ahead makes things turn out better?
1
Yes
2
No
H13
Most of the time, do you feel that you have little to say about what your family decides to do?
1
Yes
2
No
H14
Do you think it's better to be clever than to be lucky?
1
Yes
2
No
H15 a-f

Do you think you have been treated unfairly/unjustly in the last 12 months because of:

-

1 - Yes

2 - No
your sex
your skin colour
the way you dress
your family background
the way you speak
your religion
H15 g
Do you think you have been treated unfairly/unjustly in the last 12 months because of: other (please tick & describe)
1
Yes
2
No
Other
J1 a
This questionnaire was completed by: mother
1
Yes
J1 b
This questionnaire was completed by: father
1
Yes
J1 c
This questionnaire was completed by: other (please tick & describe)
1
Yes
Other
J2
Please give the date on which you completed this questionnaire:
Generic date
J3
Please give your date of birth:
Date of birth
s_outro_i
THANK YOU VERY MUCH FOR YOUR HELP
s_outro_ii
Space for any additional comments you would like to make.
s_outro_iii
Please remember we cannot reply to any comment unless you sign it.
s_outro_iv
When completed, please return the questionnaire to:
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Professor Jean Golding Children of the Nineties - ALSPAC Institute of Child Health
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