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alspac_94_pheaf
PARTNER'S HEALTH, EVENTS AND FEELINGS
This questionnaire asks about your lifestyle and the role you have in bringing up a child and any problems you have.
It asks you a number of questions. To answer you simply tick the box which is most accurate in your opinion.
Please answer all questions if you can, even if some are similar to those you may have answered before. 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 think. All answers are confidential.
THANK YOU VERY MUCH FOR YOUR HELP
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 since your study child was 18 months old?
-

1 - Yes and consulted doctor

2 - Yes but did not consult doctor

3 - No

anxiety or 'nerves'
depression
headache or migraine
back ache
indigestion
cough or cold
haemorrhoids/piles
influenza
wheezing
bronchitis
stomach ulcer
eczema
psoriasis
arthritis
rheumatism
urinary infection

Have you had any of the following since your study child was 18 months old? other problems (please tick and describe)

1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Other
Since your study child was 18 months old how often have you taken the following?
I have taken: Other pill, medicine, treatment, drug or medicine (please describe each and state how frequently taken (since your study child was 18 months old ). cs_dash cs_qA3

1 - Every day

2 - Often

3 - Sometimes

4 - Not at all

sleeping pills 1 -
sleeping pills 2 -
vitamins 1 -
vitamins 2 -
cannabis/marihuana 1 -
cannabis/marihuana 2 -
tranquillisers 1 -
tranquillisers 2 -
pills for depression 1 -
pills for depression 2 -
antibiotics 1 -
antibiotics 2 -
painkillers (aspirin, paracetamol, etc) 1 -
painkillers (aspirin, paracetamol, etc) 2 -
amphetamines or other stimulants 1 -
amphetamines or other stimulants 2 -
iron 1 -
iron 2 -
heroin, methadone, crack, cocaine 1 -
heroin, methadone, crack, cocaine 2 -
anticonvulsants 1 -
anticonvulsants 2 -
steroids 1 -
steroids 2 -
Please list all the names of the actual medicines, pills or ointments that you have taken in the past month:

Check Have you included iron tablets, laxatives, vitamins, sleeping tablets, aspirin, cough mixture, pain killers, herbal medicine and homeopathic preparations?

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 18 months 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
How manyAge in monthsGeneric textHow manyAge in monthsGeneric textAge in monthsGeneric textHow many How manyAge in monthsGeneric textHow manyAge in monthsGeneric textAge in monthsGeneric textHow many How manyAge in monthsGeneric textHow manyAge in monthsGeneric textAge in monthsGeneric textHow many
1st admission
2nd admission
3rd admission
In the past month, have you had any of 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, have you had any of 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
SECTION B: MORE ABOUT YOURSELF
Handedness.
Read each of the questions below. Decide which hand you use for each activity. If you are unsure, try it out.

Which hand: do you normally use to write?

1
Left
2
Right
3
Either

Which hand: do you use to draw?

1
Left
2
Right
3
Either

Which hand: do you use to throw a ball?

1
Left
2
Right
3
Either

Which hand: would you use to hold a racket or bat?

1
Left
2
Right
3
Either

Which hand: do you use to hold your toothbrush to clean your teeth?

1
Left
2
Right
3
Either

Which hand: holds a knife when you are cutting things?

1
Left
2
Right
3
Either

Which hand: holds a hammer when you are driving a nail?

1
Left
2
Right
3
Either

Which hand: would you use to hold a match to strike it?

1
Left
2
Right
3
Either

Which hand: would you use to hold a rubber to rub out a mark on paper?

1
Left
2
Right
3
Either

Which hand: do you use to deal from a pack of cards?

1
Left
2
Right
3
Either

Which hand: do you use to hold the thread when threading a needle?

1
Left
2
Right
3
Either
Footedness

Which foot: would you use to kick a ball to someone?

1
Left
2
Right
3
Either

Which foot: would you use to pick up a pebble with your toes?

1
Left
2
Right
3
Either

Which foot: would you use to step on an insect or something similar?

1
Left
2
Right
3
Either

Which foot: would you put on a chair first if you had to step onto the chair?

1
Left
2
Right
3
Either
Eyedness

which eye would you use to look through a telescope?

1
Left
2
Right
3
Either

if you had to look into a dark bottle to see how full it was, which eye would you use?

1
Left
2
Right
3
Either

Which hands do various members of your family use? your own mother

1
Left
2
Right
3
Either
9
Don't Know

Which hands do various members of your family use? your own father

1
Left
2
Right
3
Either
9
Don't Know
Thinking back to your childhood, (i.e. up to the age of 16) please answer the following questions:

What sort of home were you mostly brought up in?

1
house
2
flat
3
caravan
4
other please describe
Other

What sort of home were you mostly brought up in? was this:

1
council housing
2
being bought
3
owned
4
other rented
5
other please describe
9
don't know
Other

Did you have any household pets?

1
Yes always
2
Yes, for part of time
3
No, not at all

Would you say that as a family you did things together?

1
Yes often
2
Yes, sometimes
3
No, not at all
7
was not in a family

Did you feel neglected emotionally during your childhood?

1
Yes, severely neglected
2
Yes, somewhat neglected
3
No, not at all

Were you physically neglected as a child (e.g. not fed or clothed properly)?

1
Yes, severely neglected
2
Yes, somewhat neglected
3
No, not at all

Were you physically abused (e.g. beaten) as a child?

1
Yes, severely abused
2
Yes, somewhat abused
3
No, not at all
If yes,
qc_B5_f == 1 || qc_B5_f == 2

who abused you? (tick all that apply) mother

1
Yes
2
No

who abused you? (tick all that apply) father

1
Yes
2
No

who abused you? (tick all that apply): please describe

1
someone else
Generic text

how old were you when this first happened? ... years

Age in years

How would you describe the relationship between your mother and father when you were growing up?

7
Single parent family always
If Single parent family always to question B5g go to h on page 11
qc_B5_g == 7
Else
How would you describe the relationship between your mother and father when you were growing up?
-

1 - Yes, always

2 - Yes, frequently

3 - Yes sometimes

4 - No, not at all

Was it: violent
Was it: affectionate
Was it: quarrelsome
Was it: happy
Was it: frightening
Was it: friendly
Were your parents: respectful of one another
Were your parents: remote or distant from one another

Space for anything else you might like to tell us about your childhood:

Long text
How many brothers and sisters did you have in the family where you grew up:
Brothers Sisters
How manyHow manyHow manyHow many How manyHow manyHow manyHow many
older than you
younger than you

did you have a twin?

1
yes, twin brother
2
yes, twin sister
3
no
If yes, go to B6 i) below
If you had a twin brother:
qc_B6_c == 1

were you identical twins?

1
yes
2
no
3
not sure

did you usually dress alike?

1
yes, usually
2
yes, sometimes
3
no, not at all
SECTION C: YOUR OPINION OF YOURSELF
Below are some statements. Please say how true they are of you.

I feel that I am a person of worth, at least equal to others.

1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I feel I have a number of good qualities.

1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I am able to do things as well as most other people.

1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I feel I do not have much to be proud of.

1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I take a positive attitude towards myself.

1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

Sometimes I think I am no good at all.

1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I am a useful person to have around.

1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I feel I cannot do anything right.

1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

When I do a job I do it well.

1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I feel that my life is not very useful.

1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I am unlucky.

1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true
SECTION D: YOUR FEELINGS
The questions in this section ask you about your feelings and the way you behave. You have answered these questions in other questionnaires, but you may be feeling differently now.
Please indicate the way you feel.

Do you feel upset for no obvious reason?

1
Very often
2
Often
3
Not very often
4
Never

Do you get troubled by dizziness or shortness of breath

1
Very often
2
Often
3
Not very often
4
Never

Have you felt as though you might faint?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel sick or have indigestion?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel that life is too much effort?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel uneasy and restless?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel tingling or prickling sensations in your body, arms or legs?

1
Very often
2
Often
3
Not very often
4
Never

Do you regret much of your past behaviour?

1
Very often
2
Often
3
Not very often
4
Never

Do you sometimes feel panicky?

1
Very often
2
Often
3
Not very often
4
Never

Do you find that you have little or no appetite?

1
Very often
2
Often
3
Not very often
4
Never

Do you wake unusually early in the morning even when you haven't been woken by the family?

1
Very often
2
Often
3
Not very often
4
Never

Do you worry a lot?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel tired or exhausted?

1
Very often
2
Often
3
Not very often
4
Never

Do you experience long periods of sadness?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel strung-up inside?

1
Very often
2
Often
3
Not very often
4
Never

Can you go to sleep alright?

1
Very often
2
Often
3
Not very often
4
Never

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

1
Very often
2
Often
3
Not very often
4
Never

Do you often have excessive sweating or fluttering of the heart?

1
Very often
2
Often
3
Not very often
4
Never

Do you find yourself needing to cry?

1
Very often
2
Often
3
Not very often
4
Never

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

1
Very often
2
Often
3
Not very often
4
Never

Do you lose the ability to feel sympathy for others?

1
Very often
2
Often
3
Not very often
4
Never

Can you think as quickly as you used to?

1
Very often
2
Often
3
Not very often
4
Never

Do you have to make a special effort to face up to a crisis or difficulty?

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

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

1
As much as I always could
2
Not quite so much now
3
Definitely not so much now
4
Not at all

I have looked forward with enjoyment to things:

1
As much as I ever did
2
Rather less than I used to
3
Definitely less than I used to
4
Hardly at all
In the past week:

I have blamed myself unnecessarily when things went wrong:

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

I have been anxious or worried for no good reason:

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

I have felt scared or panicky for no very good reason:

1
Yes, quite a lot
2
Yes, sometimes
3
No, not much
4
No, not at all

Things have been getting on top of me:

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

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

1
Yes, most of the time
2
Yes, sometimes
3
Not very often
4
No, not at all
In the past week:

I have felt sad or miserable:

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

I have been so unhappy that I have been crying:

1
Yes, most of the time
2
Yes, quite often
3
Only occasionally
4
Never

The thought of harming myself has occurred to me:

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

On the whole are there more good days than bad?

1
Yes, more good days
2
About half and half
3
No, more bad days
SECTION E: 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 18 months old? If so, please assess how much effect it had on you.

Since the study child was 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months old: Your partner lost her 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months old: Your partner 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 18 months 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 18 months old: Your partner 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 18 months old: Your partner 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 yes,
qc_E43_a == 1

please describe :

Generic text

How did this affect you?

1
a lot
2
moderately
3
mildly
4
not at all
SECTION F: YOUR PARTNER
The section below is concerned with your relationship with your partner. (The partner will be referred to as `she', 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

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

1
Almost always
2
Sometimes
3
Hardly ever
4
Never

How would you rate her on these characteristics? quiet, reserved

1
Almost always
2
Sometimes
3
Hardly ever
4
Never

How would you rate her on these characteristics? unreliable

1
Almost always
2
Sometimes
3
Hardly ever
4
Never

How would you rate her on these characteristics? sociable, outgoing

1
Almost always
2
Sometimes
3
Hardly ever
4
Never

How would you rate her on these characteristics? dominating, assertive

1
Almost always
2
Sometimes
3
Hardly ever
4
Never

How would you rate her on these characteristics? understanding

1
Almost always
2
Sometimes
3
Hardly ever
4
Never

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

1
Almost always
2
Sometimes
3
Hardly ever
4
Never

How would you rate her on these characteristics? cheerful, easygoing

1
Almost always
2
Sometimes
3
Hardly ever
4
Never

Who does these various household tasks? shopping for groceries

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else

Who does these various household tasks? cooking

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else

Who does these various household tasks? cleaning house

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else

Who does these various household tasks? repairs in home

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else

Who does these various household tasks? looking after children

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else

Who does these various household tasks? washing clothes

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else

Who does these various household tasks? ironing

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else

Who decides: how to spend free time

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us
0
Someone else

Who decides: how much to see family or friends

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us
0
Someone else

Who decides: when to do repairs or redecorate

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us
0
Someone else

Who decides: how we should spend our money

1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us
0
Someone else
People vary greatly in the amount they are satisfied or dissatisfied with their relationship. How do you feel about the following aspects of your life together?
-

1 - Very satisfied

2 - Moderately satisfied

3 - Somewhat dissatisfied

4 - Very dissatisfied

handling family finances
demonstrations of affection
sex
amount of time spent together
making major decisions
household tasks
leisure time interests & activities

How often recently have you been irritable with your partner?

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

How often has she been irritable with you?

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

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

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

1 - Yes, I did this

2 - Yes, she did this

3 - Yes, we both did this

4 - No, not at all

not speaking to partner for more than half an hour
one of you walking out of the house
shouting at partner and/or calling partner names
hitting or slapping partner
throwing or deliberately breaking things
In the past three months how often have you done these things with your partner?
-

1 - Never

2 - Less than once a month

3 - Less than once a week

4 - At least once a week

gone out for a meal
gone out for a drink
visited friends
visited family
gone to the cinema or theatre

How 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 her own or with 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 pub measures (1oz) of spirits or 1/2 pints (1/4 litre) of beer or cider]

How many days in the past month do you think she 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
Below are attitudes and behaviours which people reveal in their close relationships. Please rate your partner's attitudes and behaviour towards you in recent times and tick the most appropriate box for each item.
-

1 - Very true

2 - Moderately true

3 - Somewhat true

4 - Not at all true

Is very considerate of me
Wants me to take her side in an argument
Wants to know exactly what I'm doing and where I am
Is a good companion
Is affectionate to me
Is clearly hurt if I don't accept her views
Tends to try to change me
Confides closely in me
Tends to criticize me over small issues
Understands my problems and worries
Tends to order me about
Insists I do exactly as I'm told
Is physically gentle and considerate
Makes me feel needed
Wants me to change in small ways
Is very loving to me
Seeks to dominate me
Is fun to be with
Wants to change me in big ways
Tends to control everything I do
Shows her appreciation of me
Is critical of me in private
Is gentle and kind to me
Speaks to me in a warm and friendly voice
You and the study child.
The following statements are about how you feel about the study child.

I really enjoy this child

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

I would have preferred that we had not had this child when we did

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 feel confident with my child

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

I dislike the mess that surrounds my child

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

It is a great pleasure to watch my child develop

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 really cannot bear it when the child cries

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 feel constantly unsure if I'm doing the right thing for my child

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

I feel I should be enjoying my child but am not

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 feel I have no time to myself

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

Having this child has made me feel more fulfilled

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

Children are fun

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
SECTION G: YOUR OCCUPATION AND LIFESTYLE

Compared with other parents of your age, would you consider yourself to be:

1
much more active
2
somewhat more active
3
about the same
4
somewhat less active

At least once a week do you engage in any regular activity like brisk walking, jogging, cycling, etc. long enough to work up a sweat?

1
Yes
2
No
If yes,
qc_G2_a == 1

how many days a week: ... days

How many
As far as you can, please describe your actual job, occupation, trade or profession. (Use precise terms such as radio mechanic, woodworking machinist, toolroom foreman. If the occupation is known by a special name, please use that name. If in H.M. Forces, give the rank in addition to the actual job. Please also describe the type of industry or service given: i.e. give details of what is made, materials used, or services given).
Your present job or last main job.

Actual job, occupation, trade or profession

Generic text

Please tick which of the following apply to you:

1
foreman
2
manager
3
supervisor
4
leading hand
5
self-employed
6
none of these

Type of industry or service given (main things done in job) :

Generic text

How would you describe the physical effort you need for your current job?

1
very little effort, mostly sitting
2
some physical effort
3
quite a lot of physical effort
4
considerable physical effort
7
don't have a job
If don't have a job to question G3d go to G9 on page 29
qc_G3_d == 7
Else

Do you find your job satisfying?

1
Yes
2
No

Do you wish that you could generally spend more time with your study child?

1
yes often
2
yes sometimes
3
yes but rarely
4
no not at all

How do you usually travel to work? (Tick all that apply)

7
Work at home
If Work at home to question G6a Go to G7 on page 29
qc_G6_a == 7
Else
How do you usually travel to work? (Tick all that apply)
-

1 - Yes

2 - No

public transport (bus, train)
car
cycle
walk

How do you usually travel to work? (Tick all that apply) other (please describe)

1
Yes
2
No
Generic text

How long does it usually take: to travel to work

1
Less than 15 mins
2
15-29 mins
3
30-59 mins
4
An hour or more

How long does it usually take: to travel home from work

1
Less than 15 mins
2
15-29 mins
3
30-59 mins
4
An hour or more
Below are statements about how working affects being a parent. Please indicate which is true for you:
-

1 - Yes almost always

2 - Yes often

3 - Not very often

4 - Never

I enjoy seeing my child after work
After a day at work I find it hard to cope with a young child

Do you worry about your study child when you are at work?

1
Yes often
2
Yes sometimes
2
No

Does he/she cry when you leave him/her?

1
Yes
2
No

How many cigarettes per day do you currently smoke?

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
05
5-9
01
1-4
00
none
08
pipe only
09
cigars only

How much alcohol do you drink?

1
never drink alcohol
2
very occasionally (less than once a week)
3
occasionally (at least once a week)
4
drink 1-2 glasses* nearly every day
5
drink 3-9 glasses* every day
6
drink at least 10 glasses* a day
[* by glass we mean a pub measure (1oz) of spirits, half a pint (1/4 litre) of lager or cider, a wine glass of wine, etc]

How many days in the past month do you think you have 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

Do you or your partner make your own alcoholic drinks? wine

1
Yes
2
No

Do you or your partner make your own alcoholic drinks? beer

1
Yes
2
No

Do you or your partner make your own alcoholic drinks? spirits

1
Yes
2
No

How difficult at the moment do you find it to afford these items: food

1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult

How difficult at the moment do you find it to afford these items: clothing

1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult

How difficult at the moment do you find it to afford these items: heating

1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
5
Paid directly by Social Security

How difficult at the moment do you find it to afford these items: rent or mortgage

1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
5
Paid directly by Social Security

How difficult at the moment do you find it to afford these items: things you need for this study child

1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult

How many hours sleep do you get altogether now? during an average night

1
None
2
1 - 3 hours
3
4 - 5 hours
4
6 - 7 hours
5
More than 7 hours

How many hours sleep do you get altogether now? during an average day

1
None
2
1 - 3 hours
3
4 - 5 hours
4
6 - 7 hours
5
More than 7 hours

do you feel you are getting enough sleep?

1
Yes
2
No
SECTION H: YOUR HOME AND NEIGHBOURHOOD
Here is a list of some things that can be a problem in people's homes or in the neighbourhood. How much of a problem are the following for you and your family?
-

1 - Serious problem

2 - Minor problem

3 - Not a problem

4 - No opinion

Badly fitted doors and windows
Poor ventilation
Noise travelling between the rooms of your home
Noise from other homes
Noise from outside in the street
Rubbish or litter dumped around your neighbourhood
Dog dirt on pavements/walkways
Worry about vandalism
Worry about burglaries
Worry about muggings or attacks
Disturbance from teenagers or youths

Here is a list of some things that can be a problem in people's homes or in the neighbourhood. How much of a problem are the following for you and your family? Other problems (please tick and describe)

1
Serious problem
2
Minor problem
3
Not a problem
4
No opinion
Generic text

How would you rate your home in relation to that of other homes with young children?

1
much cleaner
2
a bit cleaner
3
about the same
4
less clean
5
much less clean
9
don't know

How would you rate your home in relation to that of other homes with young children?

1
much tidier
2
a bit tidier
3
about the same
4
less tidy
5
much less tidy
9
don't know

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, what was the date of the most recent marriage?

Generic date

What do you think of your neighbourhood as a place to live?

1
a very good place to live
2
a fairly good place to live
3
not a very good place to live
4
not at all a good place to live
SECTION I: CHEMICALS IN YOUR ENVIRONMENT
In the last few months, 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 repellant (moth balls)

In the last few months, 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
Generic text

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

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

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

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

Have you ever had any training in first aid?

1
Yes
2
No
If yes,
qc_I3 == 1

please describe

Generic text

Do you agree with the statements: No family is complete until there is a pet in the home

1
Strongly agree
2
Agree
3
Disagree
4
Strongly disgree

Do you agree with the statements: Pets should have the same rights and privileges as family members

1
Strongly agree
2
Agree
3
Disagree
4
Strongly disgree

Do you have any pets?

1
Yes
2
No
If no, go to J1 on page 36
If yes,
qc_I5_a == 1

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
THANK YOU VERY MUCH FOR YOUR HELP

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.

This questionnaire was completed by: child's mother

1
Yes
2
No

This questionnaire was completed by: child's father

1
Yes
2
No

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

1
Yes
2
No
Generic text

Please give the date on which you completed this questionnaire:

Generic date

Please give your date of birth:

Date of birth
When completed, please return the questionnaire to: Dr. Jean Golding, Children of the Nineties - ALSPAC, Institute of Child Health
End

alspac_94_pheaf

PARTNER'S HEALTH, EVENTS AND FEELINGS
This questionnaire asks about your lifestyle and the role you have in bringing up a child and any problems you have.
It asks you a number of questions. To answer you simply tick the box which is most accurate in your opinion.
Please answer all questions if you can, even if some are similar to those you may have answered before. 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 think. All answers are confidential.
THANK YOU VERY MUCH FOR YOUR HELP

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 since your study child was 18 months old?

-

1 - Yes and consulted doctor

2 - Yes but did not consult doctor

3 - No

anxiety or 'nerves'
depression
headache or migraine
back ache
indigestion
cough or cold
haemorrhoids/piles
influenza
wheezing
bronchitis
stomach ulcer
eczema
psoriasis
arthritis
rheumatism
urinary infection
Have you had any of the following since your study child was 18 months old? other problems (please tick and describe)
1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Other

Since your study child was 18 months old how often have you taken the following?

I have taken: Other pill, medicine, treatment, drug or medicine (please describe each and state how frequently taken (since your study child was 18 months old ). cs_dash cs_qA3

1 - Every day

2 - Often

3 - Sometimes

4 - Not at all

sleeping pills 1 -
sleeping pills 2 -
vitamins 1 -
vitamins 2 -
cannabis/marihuana 1 -
cannabis/marihuana 2 -
tranquillisers 1 -
tranquillisers 2 -
pills for depression 1 -
pills for depression 2 -
antibiotics 1 -
antibiotics 2 -
painkillers (aspirin, paracetamol, etc) 1 -
painkillers (aspirin, paracetamol, etc) 2 -
amphetamines or other stimulants 1 -
amphetamines or other stimulants 2 -
iron 1 -
iron 2 -
heroin, methadone, crack, cocaine 1 -
heroin, methadone, crack, cocaine 2 -
anticonvulsants 1 -
anticonvulsants 2 -
steroids 1 -
steroids 2 -

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 18 months 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
How manyAge in monthsGeneric textHow manyAge in monthsGeneric textAge in monthsGeneric textHow many How manyAge in monthsGeneric textHow manyAge in monthsGeneric textAge in monthsGeneric textHow many How manyAge in monthsGeneric textHow manyAge in monthsGeneric textAge in monthsGeneric textHow many
1st admission
2nd admission
3rd admission

In the past month, have you had any of 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, have you had any of 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

SECTION B: MORE ABOUT YOURSELF

Handedness.

Read each of the questions below. Decide which hand you use for each activity. If you are unsure, try it out.
Which hand: do you normally use to write?
1
Left
2
Right
3
Either
Which hand: do you use to draw?
1
Left
2
Right
3
Either
Which hand: do you use to throw a ball?
1
Left
2
Right
3
Either
Which hand: would you use to hold a racket or bat?
1
Left
2
Right
3
Either
Which hand: do you use to hold your toothbrush to clean your teeth?
1
Left
2
Right
3
Either
Which hand: holds a knife when you are cutting things?
1
Left
2
Right
3
Either
Which hand: holds a hammer when you are driving a nail?
1
Left
2
Right
3
Either
Which hand: would you use to hold a match to strike it?
1
Left
2
Right
3
Either
Which hand: would you use to hold a rubber to rub out a mark on paper?
1
Left
2
Right
3
Either
Which hand: do you use to deal from a pack of cards?
1
Left
2
Right
3
Either
Which hand: do you use to hold the thread when threading a needle?
1
Left
2
Right
3
Either

Footedness

Which foot: would you use to kick a ball to someone?
1
Left
2
Right
3
Either
Which foot: would you use to pick up a pebble with your toes?
1
Left
2
Right
3
Either
Which foot: would you use to step on an insect or something similar?
1
Left
2
Right
3
Either
Which foot: would you put on a chair first if you had to step onto the chair?
1
Left
2
Right
3
Either

Eyedness

which eye would you use to look through a telescope?
1
Left
2
Right
3
Either
if you had to look into a dark bottle to see how full it was, which eye would you use?
1
Left
2
Right
3
Either
Which hands do various members of your family use? your own mother
1
Left
2
Right
3
Either
9
Don't Know
Which hands do various members of your family use? your own father
1
Left
2
Right
3
Either
9
Don't Know
Thinking back to your childhood, (i.e. up to the age of 16) please answer the following questions:
What sort of home were you mostly brought up in?
1
house
2
flat
3
caravan
4
other please describe
Other
What sort of home were you mostly brought up in? was this:
1
council housing
2
being bought
3
owned
4
other rented
5
other please describe
9
don't know
Other
Did you have any household pets?
1
Yes always
2
Yes, for part of time
3
No, not at all
Would you say that as a family you did things together?
1
Yes often
2
Yes, sometimes
3
No, not at all
7
was not in a family
Did you feel neglected emotionally during your childhood?
1
Yes, severely neglected
2
Yes, somewhat neglected
3
No, not at all
Were you physically neglected as a child (e.g. not fed or clothed properly)?
1
Yes, severely neglected
2
Yes, somewhat neglected
3
No, not at all
Were you physically abused (e.g. beaten) as a child?
1
Yes, severely abused
2
Yes, somewhat abused
3
No, not at all
who abused you? (tick all that apply) mother
1
Yes
2
No
who abused you? (tick all that apply) father
1
Yes
2
No
who abused you? (tick all that apply): please describe
1
someone else
Generic text
how old were you when this first happened? ... years
Age in years
How would you describe the relationship between your mother and father when you were growing up?
7
Single parent family always

How would you describe the relationship between your mother and father when you were growing up?

-

1 - Yes, always

2 - Yes, frequently

3 - Yes sometimes

4 - No, not at all

Was it: violent
Was it: affectionate
Was it: quarrelsome
Was it: happy
Was it: frightening
Was it: friendly
Were your parents: respectful of one another
Were your parents: remote or distant from one another
Space for anything else you might like to tell us about your childhood:
Long text

How many brothers and sisters did you have in the family where you grew up:

Brothers Sisters
How manyHow manyHow manyHow many How manyHow manyHow manyHow many
older than you
younger than you
did you have a twin?
1
yes, twin brother
2
yes, twin sister
3
no
If yes, go to B6 i) below
were you identical twins?
1
yes
2
no
3
not sure
did you usually dress alike?
1
yes, usually
2
yes, sometimes
3
no, not at all

SECTION C: YOUR OPINION OF YOURSELF

Below are some statements. Please say how true they are of you.
I feel that I am a person of worth, at least equal to others.
1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true
I feel I have a number of good qualities.
1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true
I am able to do things as well as most other people.
1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true
I feel I do not have much to be proud of.
1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true
I take a positive attitude towards myself.
1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true
Sometimes I think I am no good at all.
1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true
I am a useful person to have around.
1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true
I feel I cannot do anything right.
1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true
When I do a job I do it well.
1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true
I feel that my life is not very useful.
1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true
I am unlucky.
1
Almost always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

SECTION D: YOUR FEELINGS

The questions in this section ask you about your feelings and the way you behave. You have answered these questions in other questionnaires, but you may be feeling differently now.
Please indicate the way you feel.
Do you feel upset for no obvious reason?
1
Very often
2
Often
3
Not very often
4
Never
Do you get troubled by dizziness or shortness of breath
1
Very often
2
Often
3
Not very often
4
Never
Have you felt as though you might faint?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel sick or have indigestion?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel that life is too much effort?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel uneasy and restless?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel tingling or prickling sensations in your body, arms or legs?
1
Very often
2
Often
3
Not very often
4
Never
Do you regret much of your past behaviour?
1
Very often
2
Often
3
Not very often
4
Never
Do you sometimes feel panicky?
1
Very often
2
Often
3
Not very often
4
Never
Do you find that you have little or no appetite?
1
Very often
2
Often
3
Not very often
4
Never
Do you wake unusually early in the morning even when you haven't been woken by the family?
1
Very often
2
Often
3
Not very often
4
Never
Do you worry a lot?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel tired or exhausted?
1
Very often
2
Often
3
Not very often
4
Never
Do you experience long periods of sadness?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel strung-up inside?
1
Very often
2
Often
3
Not very often
4
Never
Can you go to sleep alright?
1
Very often
2
Often
3
Not very often
4
Never
Do you ever have the feeling you are going to pieces?
1
Very often
2
Often
3
Not very often
4
Never
Do you often have excessive sweating or fluttering of the heart?
1
Very often
2
Often
3
Not very often
4
Never
Do you find yourself needing to cry?
1
Very often
2
Often
3
Not very often
4
Never
Do you have bad dreams which upset you when you wake up?
1
Very often
2
Often
3
Not very often
4
Never
Do you lose the ability to feel sympathy for others?
1
Very often
2
Often
3
Not very often
4
Never
Can you think as quickly as you used to?
1
Very often
2
Often
3
Not very often
4
Never
Do you have to make a special effort to face up to a crisis or difficulty?
1
Very often
2
Often
3
Not very often
4
Never

Your feelings in the past week.

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

SECTION E: 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 18 months old? If so, please assess how much effect it had on you.
Since the study child was 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months old: Your partner lost her 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months old: Your partner 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 18 months 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 18 months old: Your partner 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 18 months old: Your partner 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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 18 months 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
please describe :
Generic text
How did this affect you?
1
a lot
2
moderately
3
mildly
4
not at all

SECTION F: YOUR PARTNER

The section below is concerned with your relationship with your partner. (The partner will be referred to as `she', 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
How would you rate her on these characteristics? helpful, co-operative
1
Almost always
2
Sometimes
3
Hardly ever
4
Never
How would you rate her on these characteristics? quiet, reserved
1
Almost always
2
Sometimes
3
Hardly ever
4
Never
How would you rate her on these characteristics? unreliable
1
Almost always
2
Sometimes
3
Hardly ever
4
Never
How would you rate her on these characteristics? sociable, outgoing
1
Almost always
2
Sometimes
3
Hardly ever
4
Never
How would you rate her on these characteristics? dominating, assertive
1
Almost always
2
Sometimes
3
Hardly ever
4
Never
How would you rate her on these characteristics? understanding
1
Almost always
2
Sometimes
3
Hardly ever
4
Never
How would you rate her on these characteristics? quick-tempered, easily upset
1
Almost always
2
Sometimes
3
Hardly ever
4
Never
How would you rate her on these characteristics? cheerful, easygoing
1
Almost always
2
Sometimes
3
Hardly ever
4
Never
Who does these various household tasks? shopping for groceries
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else
Who does these various household tasks? cooking
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else
Who does these various household tasks? cleaning house
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else
Who does these various household tasks? repairs in home
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else
Who does these various household tasks? looking after children
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else
Who does these various household tasks? washing clothes
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else
Who does these various household tasks? ironing
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us together
0
Someone else
Who decides: how to spend free time
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us
0
Someone else
Who decides: how much to see family or friends
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us
0
Someone else
Who decides: when to do repairs or redecorate
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us
0
Someone else
Who decides: how we should spend our money
1
Me always
2
Me mostly
3
Sometimes me, sometimes my partner
4
Partner mostly
5
Partner always
6
Always both of us
0
Someone else

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

-

1 - Very satisfied

2 - Moderately satisfied

3 - Somewhat dissatisfied

4 - Very dissatisfied

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

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

-

1 - Yes, I did this

2 - Yes, she did this

3 - Yes, we both did this

4 - No, not at all

not speaking to partner for more than half an hour
one of you walking out of the house
shouting at partner and/or calling partner names
hitting or slapping partner
throwing or deliberately breaking things

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

-

1 - Never

2 - Less than once a month

3 - Less than once a week

4 - At least once a week

gone out for a meal
gone out for a drink
visited friends
visited family
gone to the cinema or theatre
How 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 her own or with 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 pub measures (1oz) of spirits or 1/2 pints (1/4 litre) of beer or cider]
How many days in the past month do you think she 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

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

-

1 - Very true

2 - Moderately true

3 - Somewhat true

4 - Not at all true

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

You and the study child.

The following statements are about how you feel about the study child.
I really enjoy this child
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
I would have preferred that we had not had this child when we did
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 feel confident with my child
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
I dislike the mess that surrounds my child
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
It is a great pleasure to watch my child develop
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 really cannot bear it when the child cries
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 feel constantly unsure if I'm doing the right thing for my child
1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
I feel I should be enjoying my child but am not
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 feel I have no time to myself
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
Having this child has made me feel more fulfilled
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
Children are fun
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

SECTION G: YOUR OCCUPATION AND LIFESTYLE

Compared with other parents of your age, would you consider yourself to be:
1
much more active
2
somewhat more active
3
about the same
4
somewhat less active
At least once a week do you engage in any regular activity like brisk walking, jogging, cycling, etc. long enough to work up a sweat?
1
Yes
2
No
how many days a week: ... days
How many
As far as you can, please describe your actual job, occupation, trade or profession. (Use precise terms such as radio mechanic, woodworking machinist, toolroom foreman. If the occupation is known by a special name, please use that name. If in H.M. Forces, give the rank in addition to the actual job. Please also describe the type of industry or service given: i.e. give details of what is made, materials used, or services given).

Your present job or last main job.

Actual job, occupation, trade or profession
Generic text
Please tick which of the following apply to you:
1
foreman
2
manager
3
supervisor
4
leading hand
5
self-employed
6
none of these
Type of industry or service given (main things done in job) :
Generic text
How would you describe the physical effort you need for your current job?
1
very little effort, mostly sitting
2
some physical effort
3
quite a lot of physical effort
4
considerable physical effort
7
don't have a job
Do you find your job satisfying?
1
Yes
2
No
Do you wish that you could generally spend more time with your study child?
1
yes often
2
yes sometimes
3
yes but rarely
4
no not at all
How do you usually travel to work? (Tick all that apply)
7
Work at home

How do you usually travel to work? (Tick all that apply)

-

1 - Yes

2 - No

public transport (bus, train)
car
cycle
walk
How do you usually travel to work? (Tick all that apply) other (please describe)
1
Yes
2
No
Generic text
How long does it usually take: to travel to work
1
Less than 15 mins
2
15-29 mins
3
30-59 mins
4
An hour or more
How long does it usually take: to travel home from work
1
Less than 15 mins
2
15-29 mins
3
30-59 mins
4
An hour or more

Below are statements about how working affects being a parent. Please indicate which is true for you:

-

1 - Yes almost always

2 - Yes often

3 - Not very often

4 - Never

I enjoy seeing my child after work
After a day at work I find it hard to cope with a young child
Do you worry about your study child when you are at work?
1
Yes often
2
Yes sometimes
2
No
Does he/she cry when you leave him/her?
1
Yes
2
No
How many cigarettes per day do you currently smoke?
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
05
5-9
01
1-4
00
none
08
pipe only
09
cigars only
How much alcohol do you drink?
1
never drink alcohol
2
very occasionally (less than once a week)
3
occasionally (at least once a week)
4
drink 1-2 glasses* nearly every day
5
drink 3-9 glasses* every day
6
drink at least 10 glasses* a day
[* by glass we mean a pub measure (1oz) of spirits, half a pint (1/4 litre) of lager or cider, a wine glass of wine, etc]
How many days in the past month do you think you have 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
Do you or your partner make your own alcoholic drinks? wine
1
Yes
2
No
Do you or your partner make your own alcoholic drinks? beer
1
Yes
2
No
Do you or your partner make your own alcoholic drinks? spirits
1
Yes
2
No
How difficult at the moment do you find it to afford these items: food
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
How difficult at the moment do you find it to afford these items: clothing
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
How difficult at the moment do you find it to afford these items: heating
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
5
Paid directly by Social Security
How difficult at the moment do you find it to afford these items: rent or mortgage
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
5
Paid directly by Social Security
How difficult at the moment do you find it to afford these items: things you need for this study child
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
How many hours sleep do you get altogether now? during an average night
1
None
2
1 - 3 hours
3
4 - 5 hours
4
6 - 7 hours
5
More than 7 hours
How many hours sleep do you get altogether now? during an average day
1
None
2
1 - 3 hours
3
4 - 5 hours
4
6 - 7 hours
5
More than 7 hours
do you feel you are getting enough sleep?
1
Yes
2
No

SECTION H: YOUR HOME AND NEIGHBOURHOOD

Here is a list of some things that can be a problem in people's homes or in the neighbourhood. How much of a problem are the following for you and your family?

-

1 - Serious problem

2 - Minor problem

3 - Not a problem

4 - No opinion

Badly fitted doors and windows
Poor ventilation
Noise travelling between the rooms of your home
Noise from other homes
Noise from outside in the street
Rubbish or litter dumped around your neighbourhood
Dog dirt on pavements/walkways
Worry about vandalism
Worry about burglaries
Worry about muggings or attacks
Disturbance from teenagers or youths
Here is a list of some things that can be a problem in people's homes or in the neighbourhood. How much of a problem are the following for you and your family? Other problems (please tick and describe)
1
Serious problem
2
Minor problem
3
Not a problem
4<