Avon Longitudinal Study of Parents and Children
ALSPAC Childhood (5 years to 12 years 11 months)
alspac_03_tyo
TWELVE YEARS ON
All answers are confidential
This questionnaire is for the study child's mother or the person taking the role of the mother.
This questionnaire is for the study child's mother or person taking the role of mother. To answer simply tick the box which is most accurate in your opinion.
Changes are occurring around our study children all the time, both in the family and in life outside. Some questions we ask in this questionnaire are the same as those you have answered before. This is so that we can tell what changes there may be in your health and lifestyle.
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 is true for you.
ALL ANSWERS ARE CONFIDENTIAL
Thank you for your help
SECTION A: YOUR HEALTH
Which of the following would you say describes your health now?
Have you had any of the following in the last 2 years (since your study child's 10th birthday)? cancer (please state type)
Have you had any of the following in the last 2 years (since your study child's 10th birthday)? other problems (please tick and describe)
In the past year have you taken or used any homeopathic medicine(s) or remedies?
If no, go to A5 below
Since your study child's 9th birthday have you been admitted to hospital?
If no, go to A7 on page 8
how many times?
for how many different reasons?
Reason for each hospital stay:
How long did you stay? ... nights
In the past month, how often have you had any of the following: In the past month: other problem (please tick and describe)
How often are you having sexual intercourse now?
In general, do you enjoy it?
Are you currently trying to get pregnant?
how long were you trying before you became pregnant? ... months
now go to A10 on page 11
What forms of contraception are you and your partner using now? (tick all that you have used in the past 3 months) other (please describe)
Please describe your most recent periods:
Please describe your most recent periods: how heavy are your periods?
Please describe your most recent periods: how painful are your periods?
Please describe your most recent periods: are your periods irregular?
Please describe your most recent periods: how many days does bleeding usually last? ... days
Do you generally find in the days before or during your periods that you have particular problems (please tick all that apply)? Other (please tick & describe)
Please give below your present weights and measurements if you know them. weight ... kg or ... stones ... pounds
Please give below your present weights and measurements if you know them. height ... cm or ... ft ... in
Please give below your present weights and measurements if you know them. inside leg measurement ... cm or ... in
Please give below your present weights and measurements if you know them. bust ... cm or ... in
Please give below your present weights and measurements if you know them. hips ... cm or ... in
Please give below your present weights and measurements if you know them. waist ... cm or ... in
How many cigarettes do you smoke nowadays per day? (If none, put 00) weekday
How many cigarettes do you smoke nowadays per day? (If none, put 00) weekend day
Do you smoke: pipe
Do you smoke: cigar/cigarillo
SECTION B: LIFE IN THE LAST 4 WEEKS
During the past 4 weeks what was the hardest physical activity you could do for at least 2 minutes?
During the past 4 weeks how much have you been bothered by emotional problems such as feeling anxious, depressed, or downhearted and sad?
During the past 4 weeks how much difficulty have you had doing your usual activities both inside and outside the house, because of your physical and/or emotional health?
During the past 4 weeks how much has your physical and/or emotional health limited your social activities with family, friends, neighbours or groups?
During the past 4 weeks how much bodily pain have you generally had?
During the past 4 weeks how would you rate your health in general?
During the past 4 weeks was someone available to help if you needed and wanted help?
How well have things been going for you during the past 4 weeks?
SECTION C: YOUR HUSBAND/PARTNER
Do you currently have a husband or partner?
If no partner, go to Section D on page 28
does your partner or husband live with you?
If no, go to C2 below
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.)
How would you assess your husband/partner's physical health?
Below are listed a number of conditions which your husband/partner might have had. Please indicate whether he has had any of these since your study child's 10th birthday. other condition(s) (please tick and describe)
How many cigarettes does your husband or partner currently smoke per day? weekday
How many cigarettes does your husband or partner currently smoke per day? weekend day
Does he smoke: pipe
Does he smoke: cigar/cigarillo
Is your husband/partner currently employed?
If no, go to C7 on page 21
What is his occupation?
Please give industry or trade
Has he had the same job since the study child's 10th birthday?
Does he work nights?
Does he leave home for several days as part of his work?
Does he work shifts?
How many hours a week does he normally work? If his hours are regular, please state how many
How many hours a week does he normally work? If his hours vary, please put the minimum ... and the maximum
Does he usually work:
Does he get home after work before the study child is in bed?
How would you rate him on these characteristics? helpful, co-operative
How would you rate him on these characteristics? quiet, reserved
How would you rate him on these characteristics? unreliable
How would you rate him on these characteristics? sociable, outgoing
How would you rate him on these characteristics? dominating
How would you rate him on these characteristics? understanding
How would you rate him on these characteristics? quick-tempered, easily upset
How would you rate him on these characteristics? cheerful, easygoing
Who does these various household tasks? shopping for groceries
Who does these various household tasks? cooking
Who does these various household tasks? cleaning
Who does these various household tasks? repairs in home
Who does these various household tasks? looking after children
Who does these various household tasks? washing clothes
Who does these various household tasks? ironing
Who decides: how to spend free time
Who decides: how much to see family or friends
Who decides: when to do repairs or redecorate
Who decides: how we should spend our money
How often recently have you been irritable with your husband or partner?
How often has he been irritable with you?
How many arguments or disagreements have you had with one another in the past three months?
In the past three months how often have you done these things with your husband/partner? Together we have: other (please tick & describe)
How many evenings a month do you go out and do things on your own or with your own friends?
How many times a month does your husband/partner go out and do things on his own or with friends?
Which of the following statements about alcohol best applies to your husband/partner:
[*by glass we mean pub measures (1oz) of spirits, 1 glass of wine or 1/2 pint (1/4 litre) of beer or cider]
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?
SECTION D: PILLS AND POTIONS
Please indicate below if you have used any medicines (pills, syrups, inhalers, drops, sprays, suppositories, pessaries, ointments etc including homeopathic and herbal remedies) in the last 12 months.
If possible give the full name of the medicine and indicate how often it was used. If you need more lines for a particular category please include the additional medicines under the 'Other conditions' section at the end of this question on pages 31/32.
SECTION E: BREAKING THE LAW
Most of us have broken the law at some time or other, maybe when larking around in our youth, or on the spur of the moment, or because of circumstances in our lives.
In this section there are some questions about such experiences which we hope you will share with us.
As always, your answers are completely confidential and cannot be linked to your name.
If you are not happy to complete this section for any reason at all, please go to Section F on page 43
Have you ever been in trouble with the law?
Has this happened in the last year?
Apart from speeding have you ever been convicted of an offence?
Has this happened in the last year?
This next set of questions are about things relating to vehicles. By vehicles we mean cars, vans, motorbikes, or other motor vehicles.
Have you ever driven a vehicle on a public road without vehicle insurance or a driving licence?
Has this happened in the last year?
Have you ever driven a vehicle when you thought at the time you could have been over the legal limit for alcohol?
When did this happen? (Please tick all that apply) As a teenager
When did this happen? (Please tick all that apply) As an adult
Have you done this in the last year?
Have you ever stolen, or driven a vehicle away without permission, even if the owner got it back?
Have you done this in the last year?
Have you ever stolen any parts off a vehicle or anything from inside a vehicle?
Have you done this in the last year?
Have you ever damaged any vehicle in any way on purpose, for example by scratching it or breaking a window?
Have you done this in the last year?
These next questions are about other things you may have done.
Have you ever gone into someone's home without their permission because you wanted to steal or damage something?
Have you done this in the last year?
Thinking about other types of buildings such as a factory, office, shop, hospital, school etc. Have you ever gone into any of these types of buildings, without permission because you wanted to steal or damage something?
Have you done this in the last year?
Have you ever painted or written graffiti on anything without permission?
Have you done this in the last year?
Have you ever damaged anything that didn't belong to you or your family on purpose, for example by burning, smashing, or breaking it?
Have you done this in the last year?
In the past year, what have you damaged that didn't belong to you?
Have you ever used force, violence or threats against anyone in order to steal from a shop, petrol station, bank or other business?
Have you done this in the last year?
Have you ever used force, violence or threats, against anyone in order to steal something from them?
Have you done this in the last year?
Have you without using force, violence or threats, ever stolen anything someone was carrying or wearing, for example by taking something from their hand, pocket or bag?
Have you done this in the last year?
Have you without using force, violence or threats, ever stolen anything from a shop?
Have you done this in the last year?
Have you ever stolen anything from where you work(ed) or went to school?
Have you done this in the last year?
In the past year, what have you stolen from work?
Apart from anything you have already mentioned, have you ever stolen anything else?
Have you done this in the last year?
In the past year, what have you stolen ?
Have you ever used force on anyone on purpose, for example scratching, hitting, kicking, throwing things, which you think physically injured them in some way?
Have you done this in the last year?
Have you ever carried a weapon in case you needed it in a fight?
Have you done this in the last year?
Have you ever used a weapon to injure anyone on purpose?
Have you done this in the last year?
If you answered yes to any of the questions in Section E, have you regretted any of your actions?
SECTION F: YOUR FAMILY AND FRIENDS
How many of your relatives and your husband/partner's relatives do you see at least twice a year?
About how many friends do you have?
Overall, would you say you belong to a close circle of friends?
How many people are there that you can talk to about personal problems?
How many people talk to you about their personal problems or their private feelings?
If you have to make an important decision, how many people are there with whom you can discuss it?
How many people are there among your family and friends from whom you could borrow £200 if you needed to?
How many of your family and friends would help you in times of trouble?
During the last month, how many times did you get together with one or more friends?
During the last month, how many times did you get together with one or more of your relatives or your husband/partner's relatives?
The following statements are about the help and support you have.
I have no one to share my feelings with
My husband/partner provides the emotional support I need
There are other mothers with whom I can share my experiences
I believe in moments of difficulty my neighbours would help me
I'm worried that my husband/partner might leave me
There is always someone with whom I can share my happiness and excitement about my child
If I feel tired I can rely on my husband/partner to take over
If I was in financial difficulty I know my family would help if they could
If I was in financial difficulty I know my friends would help if they could
If all else fails I know the state will support and assist me
SECTION G: YOUR DIET
How often do you have fried food, excluding chips? e.g. Fried bacon and eggs, fried fish, chops, steak, or beefburgers etc.
Do you eat the fat on meat?
In total, how many portions of green vegetables e.g. broccoli, cauliflower, courgettes, cabbage, leeks, green beans do you eat in a week? ... portions
Out of these total portions, how many are dark green leafy vegetables e.g. broccoli, Brussel sprouts, cabbage, spinach etc.? ... portions
In total how many pieces of raw fruit e.g. apple, banana, orange, Satsuma, peach, grapes, strawberries etc. do you eat in a week? (For small fruit such as grapes etc, one "piece" will be a "helping" e.g. a small dish of strawberries or a small sprig of grapes.)
Out of these, how many of them are citrus fruit e.g. tangerine, orange, Satsuma, grapefruit etc.?
Do you eat breakfast cereals at all?
If no, go to G9 on page 52
How many teaspoons of sugar do you have on cereal?
How many times per week do you have milk on cereal? ... times
On days when you eat biscuits, how many biscuits do you normally eat in that day? ... biscuits
On days when you eat sweets, how many individual sweets do you normally eat in that day?
On days when you have chocolate or chocolate bars (e.g. Mars bars, Dairy Milk): What size bar do you have?
How many chocolates/bars of this size do you usually eat in that day?
When you have soft drinks (e.g. lemonade, cola, squash) how often are they low calorie, diet or reduced sugar drinks?
When you have cola drinks how often are they decaffeinated?
What type of bread do you eat most often? (Tick all that apply) Other (please tick and describe
How many slices of bread, rolls or chappatis do you eat on a usual day? (include bought sandwiches)
How many slices of bread (or rolls) spread with butter or margarine do you eat each day on average? (include shop bought sandwiches) ... slices
How many slices of bread (or rolls) spread with sweet things such as jam/honey/chocolate spread etc. do you eat each day on average? ... slices
What sort of fat do you mainly use? On bread or vegetables Other (please tick & describe)
What sort of fat do you mainly use? For frying Other (please tick & describe)
What types of milk do you drink most often? Full fat (silver or gold top)
What types of milk do you drink most often? Semi-skimmed (red stripe)
What types of milk do you drink most often? Skimmed (blue stripe)
What types of milk do you drink most often? Goat/sheep milk
What types of milk do you drink most often? Soya milk