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alspac_95_mnq
MOTHER'S NEW QUESTIONNAIRE
This questionnaire aims to find out what problems parents have. Your answers will help us to identify those problems that may be solved by changes in the health care system. It should be filled in by the mother or person taking the place of the mother.
To answer simply tick the box which is most accurate in your opinion.
Some questions are the same as those you have answered before. This is so that we can tell what changes have happened to you.
Please answer all questions if you can, even if they are similar . If you cannot 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 VERY MUCH
SECTION A: YOUR HEALTH

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
Have you had any of the following in the past year?
-

1 - Yes and consulted doctor

2 - Yes but did not consult doctor

3 - No

anxiety or 'nerves'
depression
headache or migraine
backache
indigestion
cough or cold
haemorrhoids/piles
influenza
wheezing
bronchitis
stomach ulcer
eczema
psoriasis
arthritis
rheumatism
urinary infection
problems with your periods
problems with a pregnancy

Have you had any of the following in the past year? other problems (please tick and describe)

1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Other
In the past year how often have you taken or used 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
painkillers (aspirin paracetamol, etc.)
amphetamines or other stimulants
contraceptive pill
iron
heroin, methadone, crack, cocaine
anticonvulsants
steroids

Other pill, medicine, treatment, drug, ointment or cream (please describe each and tick how frequently you have taken in the past year).

1
Every day
2
Often
3
Sometimes
Other

Other pill, medicine, treatment, drug, ointment or cream (please describe each and tick how frequently you have taken in the past year).

1
Every day
2
Often
3
Sometimes
Other

Other pill, medicine, treatment, drug, ointment or cream (please describe each and tick how frequently you have taken in the past year).

1
Every day
2
Often
3
Sometimes
Other
Please list all the names of the actual medicines, pills or ointments that you have taken in the past month:

Check Have you included the contraceptive pill, iron tablets, laxatives, vitamins, sleeping tablets, aspirin, cough mixtures, pain killers, herbal medicine, homeopathic medicine and ointments?

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

Since your study child was 3 years old have you had to go and stay in hospital?

1
Yes
2
No
If no, go to A6 below
If yes,
qc_A5_a == 1

how many times?

How many
Please describe for each admission.
How old was your study child? ... months What were the reasons for your admission? (please describe) How long did you stay? ... days Did any child stay in hospital with you? If yes, Was this your study child?
How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

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1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

1st admission
2nd admission
3rd admission
In the past month, how often have you had the following:
-

1 - Almost all the time

2 - Sometimes

3 - Not at all

backache
headaches or migraines
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

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

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

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

In general do you enjoy it?

1
yes, very much
2
yes, somewhat
3
no, not a lot
4
no, not at all
5
no sex at the moment

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, to these go to A9 on page 10
qc_A8_a == 3 || qc_A8_a == 4
Else
What forms of contraception are you using now? (tick all that you have used in the past month or so)
-

1 - Yes

withdrawal
the pill
IUCD/coil
condom/sheath
calendar/rhythm method
diaphragm/cap
spermicide
none

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

1
Yes
Other

How many times have you been pregnant since having this study child?

How many
If 0 go to A10 on page 12
(_pregnancy <= qc_A9_a) && (_pregnancy < 7) (_pregnancy <= qc_A9_a) && (_pregnancy < 7)

For these pregnancies please give: date of your last menstrual period before the pregnancy (if you remember it)

Generic date

For these pregnancies please give: what happened:

1
miscarriage
2
abortion/termination for unwanted pregnancy
3
termination for problem (please describe)
4
still pregnant
5
baby born
6
other (please describe)
Generic text

For these pregnancies please give: please give actual date of delivery or end of pregnancy:

(If still pregnant put 77 77 7)

Generic date

For these pregnancies please give: do/did you have any problems

1
Yes
2
No
If yes,
qc_A9_b_iv == 1

please describe

Generic text
If more than 6 pregnancies, please describe others on a separate page.

Since your 4 year old study child was born have you had any problems getting pregnant?

1
yes, have been trying but not successful
2
yes, took over 12 months to succeed
3
no, conceived within 12 months
4
no, did not want to
5
no, no opportunity to

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

1
Very
2
Moderately
3
Mildly
4
Not at all
7
No periods

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

1
Very
2
Moderately
3
Mildly
4
Not at all
7
No periods

How would you describe your most recent periods: irregular

1
Very
2
Moderately
3
Mildly
4
Not at all
7
No periods

How would you describe your most recent periods: how many days does bleeding usually last ... days

How many

"Very occasionally, mothers have mentioned that they felt quite unattached to their babies or even that they felt dislike for them for several weeks." Has this ever happened to you

1
Yes
2
No
If no, go to B1 on page 13
If yes,
qc_A12_a == 1

with your study child?

1
Yes
2
No

Please describe what you felt and how your feelings may have changed over time.

Generic text
SECTION B: YOUR DIET
Mothers eat a variety of different things. How often nowadays do you eat the following foods? Please answer every question even if you never eat the food (in this case tick "Never or rarely").
-

1 - Never or rarely

2 - Once in 2 weeks

3 - 1-3 times a week

4 - 4-7 times a week

5 - More than once a day

Oat cereals (e.g. porridge, Ready Brek, muesli)
Wholegrain or bran cereals (e.g. All Bran, Bran Flakes, Weetabix, Wheatflakes, Fruit & Fibre, Shredded Wheat)
Other cereals (e.g. Cornflakes, Rice Krispies, Special K, Frosties)
Sausages, Burgers
Meat Pies, Pasties (pork pie, steak/meat pie, Cornish pastie etc.)
Vegetarian Pies, Pasties (cheese and onion pasty, vegetable samosa, onion bhaji, vegetable grills etc.)
Ham, bacon, pate and cold meats (e.g. salami, luncheon meat, garlic sausage etc.)
Meat: roast, chops and stews etc. (e.g. beef, lamb, pork, mince)
Liver, kidney, heart and other offal
Chicken/Turkey in crispy coating (e.g. chicken nuggets, turkey burgers, chicken fingers etc.)
Poultry: roast, baked or stewed (chicken, turkey etc.)
Shellfish (prawns, scampi, crab, cockles, mussels etc.)
White fish in breadcumbs or batter (e.g. fishfingers, chip shop fish, breaded cod, plaice or haddock,)
White fish without coating (e.g. grilled fish, cod in parsley sauce etc.)
Tuna
Other fish (pilchards, sardines, mackerel, herrings, kippers, trout, salmon etc.)
Eggs, quiche/flans, omelettes etc.
Cheese
Pizza
Oven chips
Fried chips, potato waffles and croquettes, Alphabites etc.
Roast potatoes (cooked in fat or oil)
Boiled, mashed, jacket potatoes
Rice (boiled, or fried, not rice pudding)
Canned pasta (e.g. spaghetti rings, ravioli, macaroni cheese etc.) Pot Noodles, Super Noodles etc.
Boiled pasta (e.g. spaghetti, fusilli, lasagne) bulgar wheat and cous-cous

Do you eat the fat on meat?

1
yes, all of it
2
yes, some of it
3
no
4
never eat meat
How many times nowadays do you eat:
-

1 - Never or rarely

2 - Once in 2 weeks

3 - 1-3 times a week

4 - 4-7 times a week

5 - More than once a day

Baked beans
Peas, broad beans
Sweetcorn
Cabbage, brussel sprouts, spinach, broccoli and other dark green leafy vegetables
Other green vegetables (cauliflower, runner beans, leeks, courgettes etc.)
Carrots
Other root vegetables (turnip, swede, parsnip etc.)
Tomatoes (cooked or raw)
Salads
Pulses - dried peas, beans, lentils, chick peas etc.
Soya 'Meat', TVP, Soya-type Vegeburgers, Bean Curd (Tofu, Miso etc.)
Nuts (eg peanuts, cashews), nut roast etc.
Fresh citrus fruit e.g. oranges, grapefruit, satsumas, tangerines etc.
Other fresh fruit e.g. apple, banana, pear, bunch of grapes, peach etc.
Canned fruit
Yoghurt, Fromage Frais, Milk puddings (e.g. rice pudding, semolina) mousse
Ice cream, choc ice, chocolate ice cream bar etc.
Pudding e.g. fruit pie, crumble, cheesecake, gateaux
Custard, cream, Elmlea, Tip-Top, evaporated milk etc. on puddings
Cakes or buns (fruit cake, sponge, teacake, doughnut, flapjack, scone, custard tart, cream cake etc.)
Crispbreads (Ryvita, crackerbread etc.)
Full-coated chocolate biscuits eg. Club, Kit Kat, Penguin, Breakaway etc.
Other biscuits eg. rich tea, shortcake, digestive and chocolate digestive, Hob Nobs
Chocolate (dairy milk or plain, nut, fruit, filled etc.)
Sweets (peppermints, boiled sweets, toffees etc.)
Crisps, corn snacks (e.g. Wotsits, Quavers), tortilla chips etc.
How many times a week nowadays do you drink
-

1 - Never or rarely

2 - Once in 2 weeks

3 - 1-3 times a week

4 - 4-7 times a week

5 - More than once a day

Fruit juice from a carton, tin or freshly squeezed including tomato juice
Squash, fruit drinks or Ribena
Cola drinks eg. Coca Cola, Pepsi etc.
Other fizzy drinks e.g. lemonade
Bottled water
Water from tap
Milk on its own
Flavoured milk drinks (e.g. Horlicks, Ovaltine, milkshakes) or yoghurt drinks

When you have a soft drink (e.g. lemonade, cola or squash) how often do you choose low calorie or diet soft drinks?

1
always
2
sometimes
3
not at all
4
don't drink soft drinks

When you have a cola drink how often do you choose decaffeinated cola?

1
always
2
sometimes
3
not at all
4
don't drink cola

How many pieces of bread, rolls or chappatis do you eat on a usual day?

1
less than 1
2
1-2
3
3-4
4
5 or more

What type of bread do you eat? white bread

1
Yes usually
2
Yes sometimes
3
No not at all

What type of bread do you eat? soft grain white bread (e.g. Mighty White)

1
Yes usually
2
Yes sometimes
3
No not at all

What type of bread do you eat? brown/granary bread

1
Yes usually
2
Yes sometimes
3
No not at all

What type of bread do you eat? wholemeal bread

1
Yes usually
2
Yes sometimes
3
No not at all

What type of bread do you eat? chappatis or pitta bread

1
Yes usually
2
Yes sometimes
3
No not at all

What type of bread do you eat? naan bread

1
Yes usually
2
Yes sometimes
3
No not at all
What sort of fat do you mainly use:
on bread or vegetables for frying

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

Butter, Ghee, Dripping, Lard , solid cooking fat
Polyunsaturated margarine eg Flora, sunflower margarine, Vitalite
Hard or soft margarine e.g. Blue Band, Stork, supermarket own brand
Low fat spread e.g. Delight, St Ivel Gold, Flora Xtra Light
Sunflower oil, corn oil, soya oil
Olive oil, hazelnut oil, rapeseed oil
Other vegetable oil
Other (please describe )

What sort of fat do you mainly use: Other (please describe )

Other

How many slices of bread (or rolls) spread with fat do you eat each day? (include shop bought sandwiches)

How many

What types of milk do you use? Full fat (e.g. silver or gold top )

1
Yes usually
2
Yes sometimes
3
No not at all

What types of milk do you use? Semi Skimmed (e.g. red stripe )

1
Yes usually
2
Yes sometimes
3
No not at all

What types of milk do you use? Skimmed (e.g. blue stripe )

1
Yes usually
2
Yes sometimes
3
No not at all

What types of milk do you use? Dried milk (e.g. Marvel )

1
Yes usually
2
Yes sometimes
3
No not at all

What types of milk do you use? Goat/sheep milk

1
Yes usually
2
Yes sometimes
3
No not at all

What types of milk do you use? Soya milk

1
Yes usually
2
Yes sometimes
3
No not at all

What types of milk do you use? Other (please describe )

1
Yes usually
2
Yes sometimes
3
No not at all
Other

Is this milk usually:

1
Pasteurised
2
UHT
3
Sterilised
4
Other (please describe )
Other

How many cups of tea do you drink in a day? (do not include herbal teas )

How many

How many spoons of sugar in each cup?

How many

How many cups per day are with milk?

How many

How many cups per day are decaffeinated?

How many

How many cups of coffee do you drink in a day?

How many

How many spoons of sugar in each cup?

How many

How many cups per day are with milk ?

How many

How many cups per day are decaffeinated?

How many

How many are made with real (not instant) coffee?

How many

Do you drink herbal teas at all?

1
yes, often
2
yes, occasionally
3
no, not at all
If no, go to B16 below
If yes,
qc_B15_a == 1 || qc_B15_a == 2

how many cups/mugs of herbal teas have you drunk in the past week ?

How many

Please list the types of herbal teas you have drunk in the past 3 months:

Generic text

Do you buy organic foods? fruit

1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic

Do you buy organic foods? vegetables

1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic

Do you buy organic foods? meat

1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic

Do you buy organic foods? other (please tick describe )

1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic
Other

Apart from herbal teas, are there any other health foods (whether or not bought from a health food shop) that you often eat or drink?

1
Yes
2
No
If yes,
qc_B17 == 1

please describe below:

Generic text

Are you at present on a diet to lose weight?

1
Yes
2
No

Are you at present a vegetarian (do not eat any meat or poultry)?

1
Yes
2
No

Are you at present a vegan (i.e. do not eat meat, poultry, fish, eggs, butter, milk or cheese)?

1
Yes
2
No

Are you at present on any kind of special diet?

1
Yes
2
No
If yes,
qc_B21 == 1

please describe below.

Generic text
During the last week how many of each type of alcoholic drink did you have on each day? (Please put a number.)
Mon. Tues. Wed. Thurs. Frid. Sat. Sun.
How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many
Beer, lager or cider (no. of 1/2 pints)
Wine (no. of glasses)
Spirits (no. of single pub measures)
Other alcoholic drinks (please describe) (no. of glasses or measures)
Low alcohol drink (no. of glasses or 1/2 pints)

Is this week fairly typical of your alcohol drinking?

1
No
2
Yes
If yes, go to B23 on page 22
If no,
qc_B22_b == 1

would you normally drink

1
More
2
Less

For your main meal of the day how often do you eat takeaway foods or have meals out?

1
Never or rarely
2
1 - 3 times a month
3
1 - 2 times a week
4
3-4 times a week
5
5-7 times a week

For your main meal of the day how often do you eat an oven/microwave ready or convenience meal (e.g. Menu Master lasagne, individual shepherds pie, ready prepared chilli con carne etc.)?

1
Never or rarely
2
1 - 3 times a month
3
1 - 2 times a week
4
3-4 times a week
5
5-7 times a week
SECTION C: RECENT EVENTS
Listed below are a number of events which may have brought changes in your life. Have any of these occurred since the study child was 2 1/2 years old? If so please assess how much effect it had on you.

Since the study child was 2 1/2 years old: Your partner died

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

Since the study child was 2 1/2 years old: One of your children died

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

Since the study child was 2 1/2 years old: A friend or relative died

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

Since the study child was 2 1/2 years old: One of your children was ill

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

Since the study child was 2 1/2 years old: Your partner was ill

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

Since the study child was 2 1/2 years old: A friend or relative was ill

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

Since the study child was 2 1/2 years old: You were admitted to hospital

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

Since the study child was 2 1/2 years old: You were in trouble with the law

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

Since the study child was 2 1/2 years old: You were divorced

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

Since the study child was 2 1/2 years old: You found that your partner didn't want your child

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

Since the study child was 2 1/2 years old: You were very ill

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

Since the study child was 2 1/2 years old: Your partner lost his job

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

Since the study child was 2 1/2 years old: Your partner had problems at work

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

Since the study child was 2 1/2 years old: You had problems at work

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

Since the study child was 2 1/2 years old: You lost your job

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

Since the study child was 2 1/2 years old: Your partner went away

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

Since the study child was 2 1/2 years old: Your partner was in trouble with the law

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

Since the study child was 2 1/2 years old: You and your partner separated

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

Since the study child was 2 1/2 years old: Your income was reduced

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

Since the study child was 2 1/2 years old: You argued with your partner

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

Since the study child was 2 1/2 years old: You argued with your family and friends

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

Since the study child was 2 1/2 years old: You moved house

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

Since the study child was 2 1/2 years old: Your partner was physically cruel to you

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

Since the study child was 2 1/2 years old: You became homeless

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

Since the study child was 2 1/2 years old: You had a major financial problem

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

Since the study child was 2 1/2 years old: You got married

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

Since the study child was 2 1/2 years old: Your partner was physically cruel to your children

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

Since the study child was 2 1/2 years old: You were physically cruel to your children

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

Since the study child was 2 1/2 years old: You attempted suicide

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

Since the study child was 2 1/2 years old: You were convicted of an offence

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

Since the study child was 2 1/2 years old: You became pregnant

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

Since the study child was 2 1/2 years old: You started a new job

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

Since the study child was 2 1/2 years old: You returned to work

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

Since the study child was 2 1/2 years old: You had a miscarriage

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

Since the study child was 2 1/2 years old: You had an abortion

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

Since the study child was 2 1/2 years old: You took an examination

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

Since the study child was 2 1/2 years old: Your partner was emotionally cruel to you

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

Since the study child was 2 1/2 years old: Your partner was emotionally cruel to your children

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

Since the study child was 2 1/2 years old: You were emotionally cruel to your children

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

Since the study child was 2 1/2 years old: Your house or car was burgled

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

Since the study child was 2 1/2 years old: Your partner started a new job

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

Since the study child was 2 1/2 years old: A pet died

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

Since the study child was 2 1/2 years old: 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

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 no, go to C45a below
If yes,
qc_C44_a == 1

please describe:

Generic text

How did this affect you?

1
a lot
2
moderately
3
mildly
4
not at all

Are you currently employed?

1
Yes
2
No
If no, go to section D on page 27
If yes,
qc_C45_a == 1

What is your occupation?

Generic text

Have you had the same type of job since this child was 2 1/2 years old?

1
Yes
2
No

Do you work nights?

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

Do you ever leave home for several days as part of your work?

1
yes, often
2
yes, occasionally
3
no, never
SECTION D: YOUR HOUSEHOLD

How many people live in your household now? (including yourself) ... adults (over 18 years)

How many

How many people live in your household now? (including yourself) ... young adults (16-18 years)

How many

How many people live in your household now? (including yourself) ... children (less than 16 years)

How many

Please indicate who the adults over 18 are: yourself

1
Yes

Please indicate who the adults over 18 are: your partner

1
Yes

Please indicate who the adults over 18 are: your parent(s)

1
Yes

Please indicate who the adults over 18 are: your partner's parent(s)

1
Yes

Please indicate who the adults over 18 are: other relation(s) of yourself

1
Yes

Please indicate who the adults over 18 are: other relation(s) of your partner

1
Yes

Please indicate who the adults over 18 are: friend(s)

1
Yes

Please indicate who the adults over 18 are: lodger

1
Yes

Please indicate who the adults over 18 are: other (please tick and describe)

1
Yes
Other

Do you have a rule that smoking never happens in particular rooms?

1
no smoking in house at all
2
smoking only allowed in some rooms
3
smoking allowed anywhere

How many people living in your household (including yourself) are smokers?

How many

What is your present marital status?

1
never married
2
widowed
3
divorced
4
separated
5
married (once only)
6
married for second or third time
If married,
qc_D3_a == 5 || qc_D3_a == 6

what was the date of the most recent marriage?

Generic date

Does the biological (natural) father of the study child live with the study child?

1
No
2
Yes
If yes, go to D4c on page 29
If no,
qc_D4_a == 1

how old was the child when the natural father stopped living with the child? ... months

(put 00 if the father never lived with the child)

Age in months

how often does the natural father see the study child?

1
not at all
2
less than once a month
3
about once a month
4
about once a fortnight
5
once or twice a week
6
nearly every day
7
child's father is dead
If child's father is dead to question D4bii Go to D4 on page 29
qc_D4_b_ii == 7
Else

does he help support the child financially ?

1
yes, on a regular basis
2
yes, occasionally
3
no

Does the biological (natural) mother of the study child live with the study child?

1
No
2
Yes
If yes, go to D5 below
If no,
qc_D4_c == 1

how old was the child when the natural mother stopped living with the child? ... months

(put 00 for from birth)

Age in months

how often does the natural mother see the study child?

1
not at all
2
less than once a month
3
about once a month
4
about once a fortnight
5
once or twice a week
6
nearly every day
7
child's mother is dead
If child's mother is dead to question D4cii Go to D5 below
qc_D4_ii == 7
Else

does she help support the child financially ?

1
yes, on a regular basis
2
yes, occasionally
3
no
Please indicate how many of the children living with you have:
Number of children
How many
you and your partner as their natural parents
you as their natural mother (but their natural father is not present)
your partner as the natural father (but you are not their natural mother)

Please indicate how many of the children living with you have: neither you nor your partner as natural parents (please describe whether you have adopted fostered etc.) Number of children

How many
Generic text
Are there other children of yourself or your partner who visit (whether to play or to stay)?
- Number of children

1 - No

2 - Yes

How many

1 - No

2 - Yes

How many

1 - No

2 - Yes

How many

1 - No

2 - Yes

How many
children of my partner but not me
children of myself but not my partner
children of me and my partner

Do any of the people living in your household, including yourself and your study child, have a chronic illness or disabling condition?

1
Yes
2
No
If no, go to D8 below
If yes,
qc_D7 == 1
please describe:
Nature of condition(s) Person(s) involved (state relationship to you- partner, child, mother, etc.)
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
1
2
3
4
5
6

Do you have any pets?

1
Yes
2
No
If no, go to D9 on page 31
If yes,
qc_D8_a ==1

How many of the following pets do you have? cats

How many

How many of the following pets do you have? dogs.

How many

How many of the following pets do you have? rabbits

How many

How many of the following pets do you have? rodents (mice, hamster, gerbil etc)

How many

How many of the following pets do you have? birds (budgerigar, parrot, etc.)

How many

How many of the following pets do you have? fish

How many

How many of the following pets do you have? turtles/tortoises/terrapin

How many

How many of the following pets do you have? other pets (please say how many and describe)

How many
Other

Would you say that owning a pet has helped your health?

1
Yes improved it
2
No, made it worse
3
No effect

How often do you take pets along when you visit friends or relatives?

1
Never
2
Occasionally
3
Sometimes
4
Often
5
Always

How often are your feelings towards people affected by the way they react to your pets?

1
Never
2
Occasionally
3
Sometimes
4
Often
5
Always

Do you keep a picture of your pet(s) with you or on display at home or at work?

1
Yes
2
No
Below are questions about financial matters. We realise this may be a sensitive subject. As with all our questions you may leave this section out if you want to.[If you can complete it though it will be of great help to the study].

On average, about how much is the take home family income each week (include social benefits etc.)?

1
less than £100
2
£100-£199
3
£200-£299
4
£300-£399
5
£400 or more
9
don't know

Out of this, how much do you pay for rent, loans or mortgage each week?

1
nothing
2
less than £20
3
£20-£39
4
£40-£59
5
£60-£79
6
£80 or more
9
don't know

About how much do you spend on food for the whole family each week?

1
less than £20
2
£20-£29
3
£30-£39
4
£40-£49
5
£50-£59
6
£60 or more
9
don't know

How much do you spend on child care each week (playgroup, childminder, baby sitter etc.)

1
nothing
2
less than £10
3
£10-£19
4
£20-£29
5
£30-£39
6
£40-£49
7
£50 or more
8
varies
9
don't know

Do you manage to save at all?

1
Yes
2
No

Do you receive any financial help from your parents or other relatives?

1
Yes
2
No

Do you give financial help to your parents or other relatives?

1
Yes
2
No
The other children in the household:
How many brothers and sisters does your 4 year old study child have that live with you or visit at least 1 day a week? (include half-brothers and half sisters, step-brothers and step-sisters, fostered or adopted children.)
Brothers Sisters
How manyHow manyHow manyHow many How manyHow manyHow manyHow many
younger
same age (e.g. twin)
older
(If no older brothers or sisters please put 00s and go to D19 on page 39)
qc_D10_a-c$1:3 == "00" && qc_D10_a-c$2;3 == "00"
Else
For all these older children, please give child's first name, age and sex (oldest child first)
Name Age -
Age

1 - Boy

2 - Girl

Generic textAge

1 - Boy

2 - Girl

Generic text

1 - Boy

2 - Girl

Generic textAge
Age

1 - Boy

2 - Girl

Generic textAge

1 - Boy

2 - Girl

Generic text

1 - Boy

2 - Girl

Generic textAge
Age

1 - Boy

2 - Girl

Generic textAge

1 - Boy

2 - Girl

Generic text

1 - Boy

2 - Girl

Generic textAge
1
2
3
4
5

Which of these older children is the nearest in age to your 4 year old study child? ... (name)

(If this older child is a pair of twins, put the name of the oldest/first born)

Generic text

We would like to ask about the way your 4 year old study child reacts to this older child. How often does your 4 year old study child react in the following way: My 4 year old: Likes to be with this older child

(If your study child is a twin, answer for the oldest/first born)

1
Frequently
2
Sometimes
3
Rarely or never

We would like to ask about the way your 4 year old study child reacts to this older child. How often does your 4 year old study child react in the following way: My 4 year old: Quarrels with this older child

(If your study child is a twin, answer for the oldest/first born)

1
Frequently
2
Sometimes
3
Rarely or never

We would like to ask about the way your 4 year old study child reacts to this older child. How often does your 4 year old study child react in the following way: My 4 year old: Is upset if parted from this older child

(If your study child is a twin, answer for the oldest/first born)

1
Frequently
2
Sometimes
3
Rarely or never
7
Never parted

We would like to ask about the way your 4 year old study child reacts to this older child. How often does your 4 year old study child react in the following way: My 4 year old: Is unhappy/jealous if you do things just with this older child

(If your study child is a twin, answer for the oldest/first born)

1
Frequently
2
Sometimes
3
Rarely or never

We would like to ask about the way your 4 year old study child reacts to this older child. How often does your 4 year old study child react in the following way: My 4 year old: Wants to play with this older child

(If your study child is a twin, answer for the oldest/first born)

1
Frequently
2
Sometimes
3
Rarely or never

We would like to ask about the way your 4 year old study child reacts to this older child. How often does your 4 year old study child react in the following way: My 4 year old: Is not much interested in this older child

(If your study child is a twin, answer for the oldest/first born)

1
Frequently
2
Sometimes
3
Rarely or never

We would like to ask about the way your 4 year old study child reacts to this older child. How often does your 4 year old study child react in the following way: My 4 year old: Is unhappy/jealous if your partner does things just with this older child

(If your study child is a twin, answer for the oldest/first born)

1
Frequently
2
Sometimes
3
Rarely or never
7
No partner

We would like to ask about the way your 4 year old study child reacts to this older child. How often does your 4 year old study child react in the following way: My 4 year old: Misses this older child when not there

(If your study child is a twin, answer for the oldest/first born)

1
Frequently
2
Sometimes
3
Rarely or never
7
Always there

We would like to ask about the way your 4 year old study child reacts to this older child. How often does your 4 year old study child react in the following way: My 4 year old: Has a lot of fun with this older child

(If your study child is a twin, answer for the oldest/first born)

1
Frequently
2
Sometimes
3
Rarely or never

We would like to ask about the way your 4 year old study child reacts to this older child. How often does your 4 year old study child react in the following way: My 4 year old: Teases/needles this older child

(If your study child is a twin, answer for the oldest/first born)

1
Frequently
2
Sometimes
3
Rarely or never

Now some questions about how often this older child reacts to the study child. This older child: Likes to be with the study child

1
Frequently
2
Sometimes
3
Rarely or never

Now some questions about how often this older child reacts to the study child. This older child: Quarrels with the study child

1
Frequently
2
Sometimes
3
Rarely or never

Now some questions about how often this older child reacts to the study child. This older child: Is upset if parted from the study child

1
Frequently
2
Sometimes
3
Rarely or never
7
Never parted

Now some questions about how often this older child reacts to the study child. This older child: Is unhappy/jealous if you do things just with the study child

1
Frequently
2
Sometimes
3
Rarely or never

Now some questions about how often this older child reacts to the study child. This older child: Wants to play with the study child

1
Frequently
2
Sometimes
3
Rarely or never

Now some questions about how often this older child reacts to the study child. This older child: Is not much interested in the study child

1
Frequently
2
Sometimes
3
Rarely or never

Now some questions about how often this older child reacts to the study child. This older child: Is unhappy/jealous if your partner does things just with the study child

1
Frequently
2
Sometimes
3
Rarely or never
7
No partner

Now some questions about how often this older child reacts to the study child. This older child: Misses the 4 year old study child when not there

1
Frequently
2
Sometimes
3
Rarely or never
7
Always there

Now some questions about how often this older child reacts to the study child. This older child: Has a lot of fun with the 4 year old study child

1
Frequently
2
Sometimes
3
Rarely or never

Now some questions about how often this older child reacts to the study child. This older child: Teases/needles the study child

1
Frequently
2
Sometimes
3
Rarely or never
The following statements apply to some children. Think about this older child's behaviour over the last six months.
-

1 - Doesn't apply

2 - Applies somewhat

3 - Certainly applies

Is considerate of other people's feelings
Is restless, overactive, cannot stay still for long
Often complains of headaches, stomach-aches or sickness
Shares readily with other children (treats, toys, pencils, etc.)
Often has temper tantrums or hot tempers
Is rather solitary, tends to play alone
Is generally obedient, usually does what adults request
Has many worries, often seems worried
Is helpful if someone is hurt, upset or feeling ill
Is constantly fidgeting or squirming
Has at least one good friend
Often fights with other children or bullies them
Is often unhappy, down hearted or tearful
Is generally liked by other children
Is easily distracted, concentration wanders
Is nervous or clingy in new situations, easily loses confidence
Is kind to younger children
Often lies or cheats
Is picked on or bullied by other children
Often volunteers to help others (parents, teachers, other children)
Thinks things out before acting
Steals from home, school or elsewhere
Gets on better with adults than with other children
Has many fears, is easily scared
Sees tasks through to the end, has good attention span

Does this older child live all or most of the time in your household?

1
No
2
Yes
If yes, go to D15a below
If no,
qc_D14_a == 1

How many days in a month does this older child spend in your household? ... days

How many

Does this older child have both you and your partner as his/her natural (biological) parents?

1
No
2
have no partner
3
Yes
If yes, go to D17 on page 38
If no, or no partner:
qc_D15_a == 1 || qc_D15_a == 2

Does this older child have (please tick):

1
you as the natural mother (but his/her natural father is not present)
2
your partner as the natural father (but his/her natural mother not present)
3
neither of his/her natural parents present
If you as the natural mother (but his/her natural father is not present) to question D15b or neither of his/her natural parents present to question D15b
qc_D15_b == 1 || qc_D15_b == 3

How often do you or your partner talk to the child's natural father about this older child?

1
once a month or more
2
less than once a month
3
once a year or less
4
never
9
don't know
7
natural father is dead
If your partner as the natural father (but his/her natural mother not present) to question D15b or neither of his/her natural parents present to question D15b
qc_D15_b == 2 || qc_D15_b == 3

How often do you or your partner talk to this older child's natural mother about the child?

1
once a month or more
2
less than once a month
3
once a year or less
4
never
9
don't know
7
natural mother is dead

Are your relations with this older child's other parent(s) :

1
generally warm and friendly
2
sometimes friendly
3
polite
4
distant
5
usually unfriendly
6
no relationship
7
child's other parent is dead

How many days a month (on average) does this older child see his/her other natural parent(s)?

How many
This older child and the other natural parent(s)

Below are some statements about older children's relationships with their natural parents. Please indicate how you think these apply in your situation.

7
Natural parent is dead
If Natural parent is dead to question D16 go to D17 on page 38
qc_D16 == 7
Else
Below are some statements about older children's relationships with their natural parents. Please indicate how you think these apply in your situation.
-

1 - Yes

2 - No

3 - Can't say

The natural parent really loves this child
The natural parent often gets very irritated with this child
The natural parent dislikes the mess and noise that surrounds this child
This older child makes the natural parent pretty happy
The natural parent has frequent battles of will with this child
This older child is very affectionate to the natural parent
This older child gets on the natural parent's nerves
The natural parent seems to feel very close to this child
This older child and your partner:

Below are some statements about your partner's relationships with children. Please indicate if you think these apply to your partner and the older child.

7
Have no partner
If Have no partner to question D17 go to D18 below
qc_D17 == 7
Else
Below are some statements about your partner's relationships with children. Please indicate if you think these apply to your partner and the older child.
-

1 - Yes

2 - No

My partner really loves this child
My partner often gets very irritated with this child
My partner dislikes the mess and noise that surrounds this child
This older child makes my partner pretty happy
My partner has frequent battles of will with this child
This older child is very affectionate to my partner
This older child gets on my partner's nerves
My partner seems to feel very close to this child
You and this older child:
Below are some statements about relationships with children. Please indicate if you think these apply to you and this older child
-

1 - Yes

2 - No

I really love this child
I often get very irritated with this child
I dislike the mess and noise that surrounds this child
This older child makes me pretty happy
I have frequent battles of will with this child
This older child is very affectionate to me
This older child gets on my nerves
I feel very close to this child
Now we are coming back to your 4 year old study child. The following statements apply to some children. Think about your study child's behaviour over the last six months.
-

1 - Doesn't apply

2 - Applies somewhat

3 - Certainly applies

Is considerate of other people's feelings
Is restless, overactive, cannot stay still for long
Often complains of headaches, stomach-aches or sickness
Shares readily with other children (treats, toys, pencils etc.)
Often has temper tantrums or hot tempers
Is rather solitary, tends to play alone
Is generally obedient, usually does what adults request
Has many worries, often seems worried
Is helpful if someone is hurt, upset or feeling ill
Is constantly fidgeting or squirming
Has at least one good friend
Often fights with other children or bullies them
Is often unhappy, down hearted or tearful
Is generally liked by other children
Is easily distracted, concentration wanders
Is nervous or clingy in new situations, easily loses confidence
Is kind to younger children
Often lies or cheats
Is picked on or bullied by other children
Often volunteers to help others (parents, teachers, other children)
Thinks things out before acting
Steals from home, school or elsewhere
Gets on better with adults than with other children
Has many fears, is easily scared
Sees tasks through to the end, has good attention span
You and your study child:
Below are some statements about relationships with children. Please indicate how you think these apply in your situation
-

1 - Yes

2 - No

I really love this child
I often get very irritated with this child
I dislike the mess and noise that surrounds this child
This child makes me pretty happy
I have frequent battles of will with this child
This child is very affectionate to me
This child gets on my nerves
I feel very close to this child
Your partner and your study child:

Below are some statements about your partner's relationships with children. Please indicate how you think these apply in your situation.

7
Have no partner
If Have no partner to question D21 Go to E1 on page 42
qc_D21 == 7
Else
Below are some statements about your partner's relationships with children. Please indicate how you think these apply in your situation.
-

1 - Yes

2 - No

My partner really loves this child
My partner often gets very irritated with this child
My partner dislikes the mess and noise that surrounds this child
This child makes my partner pretty happy
My partner has frequent battles of will with this child
This child is very affectionate to my partner
This child gets on my partner's nerves
My partner seems to feel very close to this child
SECTION E YOUR PARTNER

Do you currently have a partner?

1
yes, a male partner
2
yes, a female partner
3
no partner
If no, go to Section F on page 46
If yes,
qc_E1_a == 1 || qc_E1_a == 2

does your partner live with you?

1
Yes
2
No
If no, go to E2 below
If yes,
qc_E1_b == 1

how long have you lived together? ... years .. months

Years Months
This 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 partner's physical health?

1
always fit and well
2
mostly well and healthy
3
often feels unwell
4
hardly ever feels well
Below are listed a number of conditions which might influence your partner's enjoyment of your study child. Please indicate whether he has had any of these in the past year.

In past year Partner had: headaches or migraine

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: indigestion

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: epilepsy

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: depression

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: anxiety or nerves

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: haemorrhoids/piles

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: cough or cold

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: influenza

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: bronchitis

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: high blood pressure (hypertension)

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: diabetes

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: schizophrenia

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: drink (alcohol) problem

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: stomach ulcers

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: asthma or wheezing

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: eczema

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: psoriasis

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: arthritis

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: urinary infection

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: rheumatism

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: back pain, sciatica or slipped disc

1
Yes, and saw a doctor
2
Yes, but did not see a doctor
3
No not at all
9
Do not know

In past year Partner had: 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

How many cigarettes per day does your partner currently smoke?

(If none, put 00)

How many

Is your partner currently employed?

1
Yes
2
No
If no, go to E6a below
If yes,
qc_E5_a == 1

What is his occupation?

Generic text

Has he had the same type of job since this child was 2 1/2 years old?

1
Yes
2
No

Does he work nights?

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

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

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

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

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

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

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 a pub measure (1oz) of spirits,1/2 pint of beer or cider or a wine glass of wine, etc.]

How many days in the past month do you think he had the equivalent of 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
9
don't know
SECTION F: CHEMICALS IN YOUR ENVIRONMENT
In the last year, how often have you used the following at home:
-

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)

In the last year, how often have you used the following at home: 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

Is your study child ever exposed to chemicals or fumes outside the home?

1
Yes
2
No
If yes,
qc_F2 == 1

please describe:

Generic text

How often do you drive a car, van or lorry ?

1
almost every day
2
2-5 times a week
3
once a week
4
rarely
5
never
If never to question F3a Go to F4 below
qc_F3_a == 5
Else

What type of fuel is used?

1
diesel
2
lead free petrol
3
other petrol

About how many cigarettes do you smoke each day?

(If none, put 00)

How many

How often during the day are you in a room or enclosed place where other 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

How often during the day are you in a room or enclosed place where other 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
SECTION G: HEALTH SERVICES
When your 'Children of the Nineties' child has a health problem, what do you do?
-

1 - Always

2 - Usually

3 - Sometimes

4 - Never

Contact the family doctor(GP)
Contact your health visitor
Ask the chemist about it
Seek advice from family and friends
Treat it yourself
Wait for it to clear up by itself

When your 'Children of the Nineties' child has a health problem, what do you do? Other (please tick and describe )

1
Always
2
Usually
3
Sometimes
4
Never
Other

In the last 6 months, how many times have you taken your child to the doctor for a health problem? ... times

How many

When you take your child to the doctor because you think he/she has a health problem, does the doctor: Prescribe something

1
Always
2
Usually
3
Sometimes
4
Never
5
Not sure

When you take your child to the doctor because you think he/she has a health problem, does the doctor: Refer your child to someone else

1
Always
2
Usually
3
Sometimes
4
Never
5
Not sure

If your doctor has prescribed medicine or tablets for your child's health problems, have you usually: (tick one)

1
used it all up
2
used it until he/she seemed better
3
saved some in case he/she gets another attack
4
shared it with someone else who needed it
5
found it didn't agree with him/her and went back to the doctor
6
found it didn't agree with him/her and stopped giving it
7
Doctor didn't prescribe anything
If you have ever taken your study child to the doctor for a health problem, has the doctor (or surgery nurse) explained all that you wanted to know:
-

1 - Yes

2 - No

About your child's problem
About the treatment or reason for no treatment
About what else you could do

Does your study child attend nursery/playgroup/child-minder?

1
Yes
2
No
If no, go to G8a below
qc_G6 == 2
Else

When your child is unwell, do you: Let him/her go to nursery/playgroup/child-minder

1
Always
2
Usually
3
Sometimes
4
Never

When your child is unwell, do you: Keep him/her at home

1
Always
2
Usually
3
Sometimes
4
Never

When your child is unwell, do you: Make other arrangements (please tick and describe)

1
Always
2
Usually
3
Sometimes
4
Never
Other

During the last 12 months, about how many days has he/she missed nursery/playgroup or not been with the child-minder because of illness? ... days

How many

In the past 12 months, about how many times have you or your partner had to take time off work because of your child's illness or disability? Self ... times

How many

In the past 12 months, about how many times have you or your partner had to take time off work because of your child's illness or disability? Partner ... times

How many

How many days off does this add up to altogether? Self ... days

How many

How many days off does this add up to altogether? Partner ... days

How many
If you or your partner had to take time off because of your child's health problems, did you usually: (tick as many as apply)
You Partner

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

lose pay
take it as holiday
say you were ill or give some other reason
make up the time later
haven't taken time off work/not working

Thinking of the last 6 months, can you say how much your study child's health problems have cost the family? Please add up carefully all the costs you can think of (e.g: for travel to the doctor counted at 15p per mile, loss of pay, extra medicines, extra child-care, etc.)

0
nothing
1
up to £10
2
£11-£30
3
£31-£100
4
over £100
5
not sure
If nothing , go to G12 below
qc_G10 == 0
Else

How much of a burden has this been for your household finances?

1
small
2
moderate
3
heavy
4
no problem

Do your child's health problems mean you need to give him/her more attention than you would otherwise do?

1
no
2
a little more
3
more than a little
4
a lot more

How much time have you lost for leisure activities because of these problems? Self ... hours

(Please total it up over 6 months; if more than 99, put 99)

How many

How much time have you lost for leisure activities because of these problems? Partner ... hours

(Please total it up over 6 months; if more than 99, put 99)

How many
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.

The health visitor never seems to have time to talk and explain things to 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

I don't have any confidence in doctors.

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 know that if my child was very ill, my doctor would come quickly.

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

The health visitor gives very helpful advice.

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

The doctor in the clinic is always helpful.

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 think I could have coped well without the health visitor to help and advise 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

Space for comments:

Long text
THANK YOU VERY MUCH FOR YOUR HELP

This questionnaire was completed by: child's mother

1
Yes

This questionnaire was completed by: child's father

1
Yes

This questionnaire was completed by: someone else (please describe)

1
Yes
Other

Please give the date on which you completed this questionnaire:

Generic date

Please give your date of birth:

Generic date

Space for any additional comments you would like to make.

Long text
NB Please remember that we cannot respond personally to your comments unless they are signed.
When completed, please return the questionnaire to: Dr. Jean Golding, Children of the Nineties - ALSPAC Institute of Child Health 24 Tyndall Avenue Bristol BS8 1BR Tel: Bristol 928 5007
End

alspac_95_mnq

MOTHER'S NEW QUESTIONNAIRE
This questionnaire aims to find out what problems parents have. Your answers will help us to identify those problems that may be solved by changes in the health care system. It should be filled in by the mother or person taking the place of the mother.
To answer simply tick the box which is most accurate in your opinion.
Some questions are the same as those you have answered before. This is so that we can tell what changes have happened to you.
Please answer all questions if you can, even if they are similar . If you cannot 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 VERY MUCH

SECTION A: YOUR HEALTH

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

Have you had any of the following in the past year?

-

1 - Yes and consulted doctor

2 - Yes but did not consult doctor

3 - No

anxiety or 'nerves'
depression
headache or migraine
backache
indigestion
cough or cold
haemorrhoids/piles
influenza
wheezing
bronchitis
stomach ulcer
eczema
psoriasis
arthritis
rheumatism
urinary infection
problems with your periods
problems with a pregnancy
Have you had any of the following in the past year? other problems (please tick and describe)
1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Other

In the past year how often have you taken or used 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
painkillers (aspirin paracetamol, etc.)
amphetamines or other stimulants
contraceptive pill
iron
heroin, methadone, crack, cocaine
anticonvulsants
steroids
Other pill, medicine, treatment, drug, ointment or cream (please describe each and tick how frequently you have taken in the past year).
1
Every day
2
Often
3
Sometimes
Other
Other pill, medicine, treatment, drug, ointment or cream (please describe each and tick how frequently you have taken in the past year).
1
Every day
2
Often
3
Sometimes
Other
Other pill, medicine, treatment, drug, ointment or cream (please describe each and tick how frequently you have taken in the past year).
1
Every day
2
Often
3
Sometimes
Other

Please list all the names of the actual medicines, pills or 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
Since your study child was 3 years old have you had to go and stay in hospital?
1
Yes
2
No
If no, go to A6 below
how many times?
How many

Please describe for each admission.

How old was your study child? ... months What were the reasons for your admission? (please describe) How long did you stay? ... days Did any child stay in hospital with you? If yes, Was this your study child?
How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

1st admission
2nd admission
3rd admission

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

-

1 - Almost all the time

2 - Sometimes

3 - Not at all

backache
headaches or migraines
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
In the past month, how often have you had the following: other problem (please tick and describe)
1
Almost all the time
2
Sometimes
3
Not at all
Other
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
In general do you enjoy it?
1
yes, very much
2
yes, somewhat
3
no, not a lot
4
no, not at all
5
no sex at the moment
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

What forms of contraception are you using now? (tick all that you have used in the past month or so)

-

1 - Yes

withdrawal
the pill
IUCD/coil
condom/sheath
calendar/rhythm method
diaphragm/cap
spermicide
none
What forms of contraception are you using now? (tick all that you have used in the past month or so) other (please describe)
1
Yes
Other
How many times have you been pregnant since having this study child?
How many
If 0 go to A10 on page 12

(_pregnancy <= qc_A9_a) && (_pregnancy < 7)

For these pregnancies please give: date of your last menstrual period before the pregnancy (if you remember it)
Generic date
For these pregnancies please give: what happened:
1
miscarriage
2
abortion/termination for unwanted pregnancy
3
termination for problem (please describe)
4
still pregnant
5
baby born
6
other (please describe)
Generic text
For these pregnancies please give: please give actual date of delivery or end of pregnancy:
Generic date
For these pregnancies please give: do/did you have any problems
1
Yes
2
No
please describe
Generic text
If more than 6 pregnancies, please describe others on a separate page.
Since your 4 year old study child was born have you had any problems getting pregnant?
1
yes, have been trying but not successful
2
yes, took over 12 months to succeed
3
no, conceived within 12 months
4
no, did not want to
5
no, no opportunity to
How would you describe your most recent periods: how heavy are your periods?
1
Very
2
Moderately
3
Mildly
4
Not at all
7
No periods
How would you describe your most recent periods: how painful are your periods?
1
Very
2
Moderately
3
Mildly
4
Not at all
7
No periods
How would you describe your most recent periods: irregular
1
Very
2
Moderately
3
Mildly
4
Not at all
7
No periods
How would you describe your most recent periods: how many days does bleeding usually last ... days
How many
"Very occasionally, mothers have mentioned that they felt quite unattached to their babies or even that they felt dislike for them for several weeks." Has this ever happened to you
1
Yes
2
No
If no, go to B1 on page 13
with your study child?
1
Yes
2
No
Please describe what you felt and how your feelings may have changed over time.
Generic text

SECTION B: YOUR DIET

Mothers eat a variety of different things. How often nowadays do you eat the following foods? Please answer every question even if you never eat the food (in this case tick "Never or rarely").

-

1 - Never or rarely

2 - Once in 2 weeks

3 - 1-3 times a week

4 - 4-7 times a week

5 - More than once a day

Oat cereals (e.g. porridge, Ready Brek, muesli)
Wholegrain or bran cereals (e.g. All Bran, Bran Flakes, Weetabix, Wheatflakes, Fruit & Fibre, Shredded Wheat)
Other cereals (e.g. Cornflakes, Rice Krispies, Special K, Frosties)
Sausages, Burgers
Meat Pies, Pasties (pork pie, steak/meat pie, Cornish pastie etc.)
Vegetarian Pies, Pasties (cheese and onion pasty, vegetable samosa, onion bhaji, vegetable grills etc.)
Ham, bacon, pate and cold meats (e.g. salami, luncheon meat, garlic sausage etc.)
Meat: roast, chops and stews etc. (e.g. beef, lamb, pork, mince)
Liver, kidney, heart and other offal
Chicken/Turkey in crispy coating (e.g. chicken nuggets, turkey burgers, chicken fingers etc.)
Poultry: roast, baked or stewed (chicken, turkey etc.)
Shellfish (prawns, scampi, crab, cockles, mussels etc.)
White fish in breadcumbs or batter (e.g. fishfingers, chip shop fish, breaded cod, plaice or haddock,)
White fish without coating (e.g. grilled fish, cod in parsley sauce etc.)
Tuna
Other fish (pilchards, sardines, mackerel, herrings, kippers, trout, salmon etc.)
Eggs, quiche/flans, omelettes etc.
Cheese
Pizza
Oven chips
Fried chips, potato waffles and croquettes, Alphabites etc.
Roast potatoes (cooked in fat or oil)
Boiled, mashed, jacket potatoes
Rice (boiled, or fried, not rice pudding)
Canned pasta (e.g. spaghetti rings, ravioli, macaroni cheese etc.) Pot Noodles, Super Noodles etc.
Boiled pasta (e.g. spaghetti, fusilli, lasagne) bulgar wheat and cous-cous
Do you eat the fat on meat?
1
yes, all of it
2
yes, some of it
3
no
4
never eat meat

How many times nowadays do you eat:

-

1 - Never or rarely

2 - Once in 2 weeks

3 - 1-3 times a week

4 - 4-7 times a week

5 - More than once a day

Baked beans
Peas, broad beans
Sweetcorn
Cabbage, brussel sprouts, spinach, broccoli and other dark green leafy vegetables
Other green vegetables (cauliflower, runner beans, leeks, courgettes etc.)
Carrots
Other root vegetables (turnip, swede, parsnip etc.)
Tomatoes (cooked or raw)
Salads
Pulses - dried peas, beans, lentils, chick peas etc.
Soya 'Meat', TVP, Soya-type Vegeburgers, Bean Curd (Tofu, Miso etc.)
Nuts (eg peanuts, cashews), nut roast etc.
Fresh citrus fruit e.g. oranges, grapefruit, satsumas, tangerines etc.
Other fresh fruit e.g. apple, banana, pear, bunch of grapes, peach etc.
Canned fruit
Yoghurt, Fromage Frais, Milk puddings (e.g. rice pudding, semolina) mousse
Ice cream, choc ice, chocolate ice cream bar etc.
Pudding e.g. fruit pie, crumble, cheesecake, gateaux
Custard, cream, Elmlea, Tip-Top, evaporated milk etc. on puddings
Cakes or buns (fruit cake, sponge, teacake, doughnut, flapjack, scone, custard tart, cream cake etc.)
Crispbreads (Ryvita, crackerbread etc.)
Full-coated chocolate biscuits eg. Club, Kit Kat, Penguin, Breakaway etc.
Other biscuits eg. rich tea, shortcake, digestive and chocolate digestive, Hob Nobs
Chocolate (dairy milk or plain, nut, fruit, filled etc.)
Sweets (peppermints, boiled sweets, toffees etc.)
Crisps, corn snacks (e.g. Wotsits, Quavers), tortilla chips etc.

How many times a week nowadays do you drink

-

1 - Never or rarely

2 - Once in 2 weeks

3 - 1-3 times a week

4 - 4-7 times a week

5 - More than once a day

Fruit juice from a carton, tin or freshly squeezed including tomato juice
Squash, fruit drinks or Ribena
Cola drinks eg. Coca Cola, Pepsi etc.
Other fizzy drinks e.g. lemonade
Bottled water
Water from tap
Milk on its own
Flavoured milk drinks (e.g. Horlicks, Ovaltine, milkshakes) or yoghurt drinks
When you have a soft drink (e.g. lemonade, cola or squash) how often do you choose low calorie or diet soft drinks?
1
always
2
sometimes
3
not at all
4
don't drink soft drinks
When you have a cola drink how often do you choose decaffeinated cola?
1
always
2
sometimes
3
not at all
4
don't drink cola
How many pieces of bread, rolls or chappatis do you eat on a usual day?
1
less than 1
2
1-2
3
3-4
4
5 or more
What type of bread do you eat? white bread
1
Yes usually
2
Yes sometimes
3
No not at all
What type of bread do you eat? soft grain white bread (e.g. Mighty White)
1
Yes usually
2
Yes sometimes
3
No not at all
What type of bread do you eat? brown/granary bread
1
Yes usually
2
Yes sometimes
3
No not at all
What type of bread do you eat? wholemeal bread
1
Yes usually
2
Yes sometimes
3
No not at all
What type of bread do you eat? chappatis or pitta bread
1
Yes usually
2
Yes sometimes
3
No not at all
What type of bread do you eat? naan bread
1
Yes usually
2
Yes sometimes
3
No not at all

What sort of fat do you mainly use:

on bread or vegetables for frying

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

Butter, Ghee, Dripping, Lard , solid cooking fat
Polyunsaturated margarine eg Flora, sunflower margarine, Vitalite
Hard or soft margarine e.g. Blue Band, Stork, supermarket own brand
Low fat spread e.g. Delight, St Ivel Gold, Flora Xtra Light
Sunflower oil, corn oil, soya oil
Olive oil, hazelnut oil, rapeseed oil
Other vegetable oil
Other (please describe )
What sort of fat do you mainly use: Other (please describe )
Other
How many slices of bread (or rolls) spread with fat do you eat each day? (include shop bought sandwiches)
How many
What types of milk do you use? Full fat (e.g. silver or gold top )
1
Yes usually
2
Yes sometimes
3
No not at all
What types of milk do you use? Semi Skimmed (e.g. red stripe )
1
Yes usually
2
Yes sometimes
3
No not at all
What types of milk do you use? Skimmed (e.g. blue stripe )
1
Yes usually
2
Yes sometimes
3
No not at all
What types of milk do you use? Dried milk (e.g. Marvel )
1
Yes usually
2
Yes sometimes
3
No not at all
What types of milk do you use? Goat/sheep milk
1
Yes usually
2
Yes sometimes
3
No not at all
What types of milk do you use? Soya milk
1
Yes usually
2
Yes sometimes
3
No not at all
What types of milk do you use? Other (please describe )
1
Yes usually
2
Yes sometimes
3
No not at all
Other
Is this milk usually:
1
Pasteurised
2
UHT
3
Sterilised
4
Other (please describe )
Other
How many cups of tea do you drink in a day? (do not include herbal teas )
How many
How many spoons of sugar in each cup?
How many
How many cups per day are with milk?
How many
How many cups per day are decaffeinated?
How many
How many cups of coffee do you drink in a day?
How many
How many spoons of sugar in each cup?
How many
How many cups per day are with milk ?
How many
How many cups per day are decaffeinated?
How many
How many are made with real (not instant) coffee?
How many
Do you drink herbal teas at all?
1
yes, often
2
yes, occasionally
3
no, not at all
If no, go to B16 below
how many cups/mugs of herbal teas have you drunk in the past week ?
How many
Please list the types of herbal teas you have drunk in the past 3 months:
Generic text
Do you buy organic foods? fruit
1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic
Do you buy organic foods? vegetables
1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic
Do you buy organic foods? meat
1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic
Do you buy organic foods? other (please tick describe )
1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic
Other
Apart from herbal teas, are there any other health foods (whether or not bought from a health food shop) that you often eat or drink?
1
Yes
2
No
please describe below:
Generic text
Are you at present on a diet to lose weight?
1
Yes
2
No
Are you at present a vegetarian (do not eat any meat or poultry)?
1
Yes
2
No
Are you at present a vegan (i.e. do not eat meat, poultry, fish, eggs, butter, milk or cheese)?
1
Yes
2
No
Are you at present on any kind of special diet?
1
Yes
2
No
please describe below.
Generic text

During the last week how many of each type of alcoholic drink did you have on each day? (Please put a number.)

Mon. Tues. Wed. Thurs. Frid. Sat. Sun.
How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many
Beer, lager or cider (no. of 1/2 pints)
Wine (no. of glasses)
Spirits (no. of single pub measures)
Other alcoholic drinks (please describe) (no. of glasses or measures)
Low alcohol drink (no. of glasses or 1/2 pints)
Is this week fairly typical of your alcohol drinking?
1
No
2
Yes
If yes, go to B23 on page 22
would you normally drink
1
More
2
Less
For your main meal of the day how often do you eat takeaway foods or have meals out?
1
Never or rarely
2
1 - 3 times a month
3
1 - 2 times a week
4
3-4 times a week
5
5-7 times a week
For your main meal of the day how often do you eat an oven/microwave ready or convenience meal (e.g. Menu Master lasagne, individual shepherds pie, ready prepared chilli con carne etc.)?
1
Never or rarely
2
1 - 3 times a month
3
1 - 2 times a week
4
3-4 times a week
5
5-7 times a week

SECTION C: RECENT EVENTS

Listed below are a number of events which may have brought changes in your life. Have any of these occurred since the study child was 2 1/2 years old? If so please assess how much effect it had on you.
Since the study child was 2 1/2 years old: Your partner died
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
Since the study child was 2 1/2 years old: One of your children died
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
Since the study child was 2 1/2 years old: A friend or relative died
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
Since the study child was 2 1/2 years old: One of your children was ill
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
Since the study child was 2 1/2 years old: Your partner was ill
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
Since the study child was 2 1/2 years old: A friend or relative was ill
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
Since the study child was 2 1/2 years old: You were admitted to hospital
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
Since the study child was 2 1/2 years old: You were in trouble with the law
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
Since the study child was 2 1/2 years old: You were divorced
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
Since the study child was 2 1/2 years old: You found that your partner didn't want your child
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
Since the study child was 2 1/2 years old: You were very ill
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
Since the study child was 2 1/2 years old: Your partner lost his job
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
Since the study child was 2 1/2 years old: Your partner had problems at work
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
Since the study child was 2 1/2 years old: You had problems at work
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
Since the study child was 2 1/2 years old: You lost your job
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
Since the study child was 2 1/2 years old: Your partner went away
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
Since the study child was 2 1/2 years old: Your partner was in trouble with the law
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
Since the study child was 2 1/2 years old: You and your partner separated
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
Since the study child was 2 1/2 years old: Your income was reduced
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
Since the study child was 2 1/2 years old: You argued with your partner
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
Since the study child was 2 1/2 years old: You argued with your family and friends
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
Since the study child was 2 1/2 years old: You moved house
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
Since the study child was 2 1/2 years old: Your partner was physically cruel to you
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
Since the study child was 2 1/2 years old: You became homeless
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
Since the study child was 2 1/2 years old: You had a major financial problem
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
Since the study child was 2 1/2 years old: You got married
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
Since the study child was 2 1/2 years old: Your partner was physically cruel to your children
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
Since the study child was 2 1/2 years old: You were physically cruel to your children
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
Since the study child was 2 1/2 years old: You attempted suicide
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
Since the study child was 2 1/2 years old: You were convicted of an offence
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
Since the study child was 2 1/2 years old: You became pregnant
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
Since the study child was 2 1/2 years old: You started a new job
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
Since the study child was 2 1/2 years old: You returned to work
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
Since the study child was 2 1/2 years old: You had a miscarriage
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
Since the study child was 2 1/2 years old: You had an abortion
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
Since the study child was 2 1/2 years old: You took an examination
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
Since the study child was 2 1/2 years old: Your partner was emotionally cruel to you
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
Since the study child was 2 1/2 years old: Your partner was emotionally cruel to your children
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
Since the study child was 2 1/2 years old: You were emotionally cruel to your children
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
Since the study child was 2 1/2 years old: Your house or car was burgled
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
Since the study child was 2 1/2 years old: Your partner started a new job
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
Since the study child was 2 1/2 years old: A pet died
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
Since the study child was 2 1/2 years old: 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
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 no, go to C45a below
please describe:
Generic text
How did this affect you?
1
a lot
2
moderately
3
mildly
4
not at all
Are you currently employed?
1
Yes
2
No
If no, go to section D on page 27
What is your occupation?
Generic text
Have you had the same type of job since this child was 2 1/2 years old?
1
Yes
2
No