Question Grid

Name

qg_A2_a-e

Label

A2 a-e

Question Text

In the last 12 months, how often have you done the following:

-

1 - Every day

2 - Most days

3 - Once or twice a week

4 - Less than once a week

5 - Not at all

gardening
hairdressing
farm work
hospital work
shift work

Usage

8 questions before...

In the last 12 months, how often have you used any of the following, whether at work, at home or as a hobby: other chemicals

(please tick and specify)

1
Every day
2
Most days
3
Once or twice a week
4
Less than once a week
5
Not at all
Other
In the last 12 months, how often have you done the following:
-

1 - Every day

2 - Most days

3 - Once or twice a week

4 - Less than once a week

5 - Not at all

gardening
hairdressing
farm work
hospital work
shift work
What jobs have you had since the study child was 5 that involved exposure to chemicals or machines? Include part-time and voluntary work. If you have not had a job that involved chemicals or machines write 'None'.
Job Materials/chemicals/machines used Date started (month-year) Date stopped (month-year)
Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date
1
2
3
4
5
6
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9
10
11
12
13
87 questions after...
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Dimensions

Code Dimension

Type
Code List
Selection Style
SelectOne
Display Code
False
Display Label
False

Code Dimension

Type
Code List
Selection Style
SelectOne
Codes
  • 1 -
Display Code
False
Display Label
False

Response Options

Type
Code List
Selection Style
SelectOne