







- | |
---|---|
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 |
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 - 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 |
- | |
---|---|
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 |
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. |

- | |
---|---|
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 |



- | |
---|---|
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 |

- | |
---|---|
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 |
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 - 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) |




- | |
---|---|
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 |
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 - 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 |

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

- | |
---|---|
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 |


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







alspac_96_ml
SECTION A: BEING A GAMBLER
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 |
SECTION B: YOUR FEELINGS
Your feelings in the past week.
SECTION C: YOUR HEALTH
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 |
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 |
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 |
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. |
(_hospitalstay <= qc_C5_b) && (_hospitalstay < 6)
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 |
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 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 |
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) |
SECTION D: RECENT EVENTS
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 |
SECTION E: YOUR ENVIRONMENT
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) |
SECTION F: YOUR PARTNER
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 |
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 |
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 |
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 |
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 |
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 |
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
SECTION H: HEALTH SERVICES
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 |
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:
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 |
Mother's Lifestyle