Start
alspac_yayb
You and Your Body Aged 19+
This questionnaire is for the study young women
FILLING IN THE QUESTIONNAIRE
Please use black pen. To answer questions simply put a cross in the box which is most accurate in your opinion
If you make a mistake, shade the box in then cross the correct box.
If you are answering questions which ask you to give further details, please make sure you write inside the boxes.
If you do not want to answer a question or if it does not apply to you, leave it blank. There are no right or wrong answers. Just tell us what is true for you.
THANK YOU FOR YOUR HELP
Section A: About your health
Many people experience bladder or urinary symptoms some of the time. We are trying to find out how many people experience bladder/urinary symptoms and how much they bother them. We would be grateful if you could answer the following questions, thinking about how you have been, on average over the PAST FOUR WEEKS.

How often do you pass urine during the day?

1
1-6 times
2
7-8 times
3
9-10 times
4
11-12 times
5
13 or more times

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 (a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

During the night, how many times do you have to get up to urinate, on average?

1
none
2
one
3
two
4
three
5
four or more

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 (a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

Does urine leak when you are physically active, exert yourself, cough or sneeze?

1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

Do you have a sudden need to rush to the toilet to urinate?

1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

Does urine leak before you can get to the toilet?

1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

Do you ever leak urine for no obvious reason and without feeling that you want to go?

1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

How much urinary leakage occurs?

1
no leakage
2
drops/pants damp
3
dribble/pants wet
4
floods, soaking through to outer clothing
5
floods, running down legs or onto floor

Is there a delay before you can start to urinate?

1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

Do you have to strain to urinate?

1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

Do you stop and start more than once while you urinate?

1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

Would you say that the strength of your urinary stream is ..

1
not reduced
2
reduced a little
3
quite reduced
4
reduced a great deal
5
no stream

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

How often do you leak urine?

1
never
2
once or less per week
3
two to three times per week
4
once per day
5
several times per day

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

Do you leak urine when you are asleep?

1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

Have you ever blocked up completely so that you could not urinate at all and had to have a catheter to drain the bladder?

1
no
2
yes, once
3
yes, twice
4
yes, more than twice

Do you have a burning feeling when you urinate?

1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

How often do you feel that your bladder has not emptied properly after you have urinated?

1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

Can you stop the flow of urine if you try while you are urinating?

1
yes, easily
2
yes, with difficulty
3
no, cannot stop it flowing

If you had to spend the rest of your life with any urinary symptoms that you may have now, how would you feel?

1
No particular symptoms
2
Perfectly happy
3
Pleased
4
Mostly satisfied
5
Mixed feelings
6
Mostly dissatisfied
7
Very unhappy
8
Desperate
Did you or any of your family have a problem of bedwetting or daytime wetting? (when older than 5 yrs)
-

1 - Yes, bed wetting

2 - Yes, daytime wetting

3 - No not at all

4 - Don't know

you
brother or sister
mother
father

Have you had a wetting accident yourself in the past year, either during the night or day?

1
Yes
2
No
If no, go to A22 below
qc_A20 == 2
Else
Could you please indicate how many nights or days this has occurred within the past month.
-
How many
during the night:
during the day

Do you have pain in your bladder?

1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time

How much does this bother you?

Please cross a box numbered between 0 (not at all) and 10 ( a great deal)

0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal

In the past month, how often have you had a urinary/bladder infection:

1
Almost all the time
2
Sometimes
3
Not at all
Many of us have accidents sometimes. How often do the following happen to you?
-

1 - Never

2 - Occasionally but less than once a week

3 - About once a week

4 - 2-5 times a week

5 - Nearly every day

6 - More than once a day

wet yourself during the day
wet the bed at night
dirty your pants during the day
dirty yourself at night
Section B: About you
We want to examine the relationship between the levels of certain hormones in young women and heart disease risk in the future. These hormone levels are linked to how regular your periods are and how much body hair you have.
Are you currently using:
-

1 - Yes

2 - No

the oral contraceptive pill
the contraceptive injection (e.g. Depo-provera)?
a contraceptive implant under your skin (e.g. Implanon)?
a contraceptive coil with hormone (e.g. Mirena)?
a contraceptive patch?
The next question is going to ask you about how regular and long your menstrual cycles are. What we mean when we ask about length is the number of days between the first day of one period and the first day of the next period. So, for example, if the first day that you started bleeding on your last period was 7th May and the one before that was 10th April, the length of that cycle was 27 days.

Are your periods regular?

1
Yes occur every 23 days or less
2
Yes occur between 24 and 35 days
3
Yes occur more than every 35 days
4
No

What was the date of your last period?

(If you cannot remember the exact date please fill in as much detail as you can)

Generic date

Have you ever been given the pill by a doctor in order to regulate your periods?

1
Yes
2
No
If yes,
qc_B4_a == 1

at what age

Age

Are you a parent?

1
Yes
2
No
If no, go to B6a below
If yes,
qc_B5_a == 1

when did you become a parent

Generic date

Are you currently pregnant?

1
Yes
2
No
If no, go to B7 on page 16
If yes,
qc_B6_a == 1

what is your expected date of delivery? (expected date that your baby will be born - if you do not know the exact date please enter the month and year)

Generic date
Some women consider any amount of body hair as unwanted, so when answering the following questions, please think what you would consider an abnormal amount.

Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) The upper lip

1
Yes
2
No
If yes,
qc_B7_a == 1

please mark the most relevant diagram.

1
1
2
2
3
3
4
4

Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) The chin

1
Yes
2
No
If yes.
qc_B8_a == 1

please mark the most relevant diagram

1
1
2
2
3
3
4
4

Do you have hair around the nipples?

1
Yes
2
No

Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) Between the breasts

1
Yes
2
No
If yes,
qc_B9_b == 1

please mark the most relevant diagram

1
1
2
2
3
3
4
4

Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) The upper back

1
Yes
2
No
If yes,
qc_B10_a == 1

please mark the most relevant diagram.

1
1
2
2
3
3
4
4

Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) Lower back

1
Yes
2
No
If yes,
qc_B11_a == 1

please mark the most relevant diagram.

1
1
2
2
3
3
4
4

Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) Upper abdomen (above the belly button)

1
Yes
2
No
If yes,
qc_B12_a == 1

please mark the most relevant diagram.

1
1
2
2
3
3
4
4

Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) The lower abdomen (below the belly button)

1
Yes
2
No
If yes,
qc_B13_a == 1

please mark the most relevant diagram.

1
1
2
2
3
3
4
4

Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) Legs (thighs)

1
Yes
2
No
If yes,
qc_B14_a == 1

please mark the most relevant diagram.

1
1
2
2
3
3
4
4

Do you have hair on your legs below the knee?

1
Yes
2
No

Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) Arms

1
Yes
2
No
If yes,
qc_B16_a == 1

please mark the most relevant diagram.

1
1
2
2
3
3
4
4

Do you have hair on your arms below the elbow?

1
Yes
2
No
Now please complete section C on the back page.
SECTION C:

Did you have any help to fill this in?

1
No
2
Yes
If yes,
qc_C1 == 2

please say who helped you: A parent helped

1
Yes

please say who helped you: Someone else helped

1
Yes

What is your date of birth?

Date of birth

What is today's date?

Generic date
Thank you VERY much for your help

Space for any additional comments you would like to make

Long text
N.B: Please remember we cannot reply to any comment unless you sign it
When completed, please send this back to: Professor George Davey-Smith Children of the Nineties - ALSPAC
End

alspac_yayb

You and Your Body Aged 19+
This questionnaire is for the study young women
FILLING IN THE QUESTIONNAIRE
Please use black pen. To answer questions simply put a cross in the box which is most accurate in your opinion
If you make a mistake, shade the box in then cross the correct box.
If you are answering questions which ask you to give further details, please make sure you write inside the boxes.
If you do not want to answer a question or if it does not apply to you, leave it blank. There are no right or wrong answers. Just tell us what is true for you.
THANK YOU FOR YOUR HELP

Section A: About your health

Many people experience bladder or urinary symptoms some of the time. We are trying to find out how many people experience bladder/urinary symptoms and how much they bother them. We would be grateful if you could answer the following questions, thinking about how you have been, on average over the PAST FOUR WEEKS.

How often do you pass urine during the day?
1
1-6 times
2
7-8 times
3
9-10 times
4
11-12 times
5
13 or more times
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
During the night, how many times do you have to get up to urinate, on average?
1
none
2
one
3
two
4
three
5
four or more
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
Does urine leak when you are physically active, exert yourself, cough or sneeze?
1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
Do you have a sudden need to rush to the toilet to urinate?
1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
Does urine leak before you can get to the toilet?
1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
Do you ever leak urine for no obvious reason and without feeling that you want to go?
1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
How much urinary leakage occurs?
1
no leakage
2
drops/pants damp
3
dribble/pants wet
4
floods, soaking through to outer clothing
5
floods, running down legs or onto floor
Is there a delay before you can start to urinate?
1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
Do you have to strain to urinate?
1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
Do you stop and start more than once while you urinate?
1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
Would you say that the strength of your urinary stream is ..
1
not reduced
2
reduced a little
3
quite reduced
4
reduced a great deal
5
no stream
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
How often do you leak urine?
1
never
2
once or less per week
3
two to three times per week
4
once per day
5
several times per day
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
Do you leak urine when you are asleep?
1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
Have you ever blocked up completely so that you could not urinate at all and had to have a catheter to drain the bladder?
1
no
2
yes, once
3
yes, twice
4
yes, more than twice
Do you have a burning feeling when you urinate?
1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
How often do you feel that your bladder has not emptied properly after you have urinated?
1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
Can you stop the flow of urine if you try while you are urinating?
1
yes, easily
2
yes, with difficulty
3
no, cannot stop it flowing
If you had to spend the rest of your life with any urinary symptoms that you may have now, how would you feel?
1
No particular symptoms
2
Perfectly happy
3
Pleased
4
Mostly satisfied
5
Mixed feelings
6
Mostly dissatisfied
7
Very unhappy
8
Desperate

Did you or any of your family have a problem of bedwetting or daytime wetting? (when older than 5 yrs)

-

1 - Yes, bed wetting

2 - Yes, daytime wetting

3 - No not at all

4 - Don't know

you
brother or sister
mother
father
Have you had a wetting accident yourself in the past year, either during the night or day?
1
Yes
2
No

Could you please indicate how many nights or days this has occurred within the past month.

-
How many
during the night:
during the day
Do you have pain in your bladder?
1
never
2
occasionally
3
sometimes
4
most of the time
5
all of the time
How much does this bother you?
0
0:not at all
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10:a great deal
In the past month, how often have you had a urinary/bladder infection:
1
Almost all the time
2
Sometimes
3
Not at all

Many of us have accidents sometimes. How often do the following happen to you?

-

1 - Never

2 - Occasionally but less than once a week

3 - About once a week

4 - 2-5 times a week

5 - Nearly every day

6 - More than once a day

wet yourself during the day
wet the bed at night
dirty your pants during the day
dirty yourself at night

Section B: About you

We want to examine the relationship between the levels of certain hormones in young women and heart disease risk in the future. These hormone levels are linked to how regular your periods are and how much body hair you have.

Are you currently using:

-

1 - Yes

2 - No

the oral contraceptive pill
the contraceptive injection (e.g. Depo-provera)?
a contraceptive implant under your skin (e.g. Implanon)?
a contraceptive coil with hormone (e.g. Mirena)?
a contraceptive patch?
The next question is going to ask you about how regular and long your menstrual cycles are. What we mean when we ask about length is the number of days between the first day of one period and the first day of the next period. So, for example, if the first day that you started bleeding on your last period was 7th May and the one before that was 10th April, the length of that cycle was 27 days.
Are your periods regular?
1
Yes occur every 23 days or less
2
Yes occur between 24 and 35 days
3
Yes occur more than every 35 days
4
No
What was the date of your last period?
Generic date
Have you ever been given the pill by a doctor in order to regulate your periods?
1
Yes
2
No
at what age
Age
Are you a parent?
1
Yes
2
No
If no, go to B6a below
when did you become a parent
Generic date
Are you currently pregnant?
1
Yes
2
No
If no, go to B7 on page 16
what is your expected date of delivery? (expected date that your baby will be born - if you do not know the exact date please enter the month and year)
Generic date
Some women consider any amount of body hair as unwanted, so when answering the following questions, please think what you would consider an abnormal amount.
Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) The upper lip
1
Yes
2
No
please mark the most relevant diagram.
1
1
2
2
3
3
4
4
Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) The chin
1
Yes
2
No
please mark the most relevant diagram
1
1
2
2
3
3
4
4
Do you have hair around the nipples?
1
Yes
2
No
Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) Between the breasts
1
Yes
2
No
please mark the most relevant diagram
1
1
2
2
3
3
4
4
Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) The upper back
1
Yes
2
No
please mark the most relevant diagram.
1
1
2
2
3
3
4
4
Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) Lower back
1
Yes
2
No
please mark the most relevant diagram.
1
1
2
2
3
3
4
4
Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) Upper abdomen (above the belly button)
1
Yes
2
No
please mark the most relevant diagram.
1
1
2
2
3
3
4
4
Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) The lower abdomen (below the belly button)
1
Yes
2
No
please mark the most relevant diagram.
1
1
2
2
3
3
4
4
Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) Legs (thighs)
1
Yes
2
No
please mark the most relevant diagram.
1
1
2
2
3
3
4
4
Do you have hair on your legs below the knee?
1
Yes
2
No
Do you have unwanted/excess hair in the following areas? (not including arm pit or pubic hair) Arms
1
Yes
2
No
please mark the most relevant diagram.
1
1
2
2
3
3
4
4
Do you have hair on your arms below the elbow?
1
Yes
2
No
Now please complete section C on the back page.

SECTION C:

Did you have any help to fill this in?
1
No
2
Yes
please say who helped you: A parent helped
1
Yes
please say who helped you: Someone else helped
1
Yes
What is your date of birth?
Date of birth
What is today's date?
Generic date
Thank you VERY much for your help
Space for any additional comments you would like to make
Long text
N.B: Please remember we cannot reply to any comment unless you sign it
When completed, please send this back to: Professor George Davey-Smith Children of the Nineties - ALSPAC