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alspac_98_mah
MOTHER AND HOME
All answers are confidential
THANK YOU FOR YOUR HELP
This questionnaire is for the study child's mother or person taking the role of mother.
To answer simply tick the box which is most accurate in your opinion.
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 that you can. If you do not want to answer a question or if it does not apply to you, put a line through it. There are no good or bad answers. Just tell us what you really think.
SECTION A: ACCIDENTS AND INJURIES
Have you had any accidents of the following types in the last seven years (since your study child was born)?
-

1 - Yes stayed in hospital

2 - Yes saw a doctor

3 - Yes, but did not see a doctor

4 - No, never happened

Road traffic accident
Playing sport or games
At your place of work
Inside your home
Outside your home (e.g. in garden)
At another building
During a fight or argument
You were attacked

Have you had any accidents of the following types in the last seven years (since your study child was born)? You were: Other type of accident (please tick & describe)

1
Yes stayed in hospital
2
Yes saw a doctor
3
Yes, but did not see a doctor
4
No, never happened
Other
Have you had any of the following injuries in the last seven years (since your study child was born)?
-

1 - Yes stayed in hospital

2 - Yes saw a doctor

3 - Yes, but did not see a doctor

4 - No, never happened

burnt
scalded
badly cut
stabbed
shot
nearly drowned
Have you had any of the following injuries in the last seven years (since your study child was born)?
-

1 - Yes stayed in hospital

2 - Yes saw a doctor

3 - Yes, but did not see a doctor

4 - No, never happened

dislocated hip, shoulder, knee, etc.
broken arm or hand
broken leg or foot
sexual assault
overdose of pills or medicine
concussion

Have you had any of the following injuries in the last seven years (since your study child was born)? You had a: overdose of something else (please tick & describe)

1
Yes stayed in hospital
2
Yes saw a doctor
3
Yes, but did not see a doctor
4
No, never happened
Other

Have you had any of the following injuries in the last seven years (since your study child was born)? You had a: other injury (please tick & describe)

1
Yes stayed in hospital
2
Yes saw a doctor
3
Yes, but did not see a doctor
4
No, never happened
Other
If 'no' to all of these, go to B1 on page 7
qc_A1_a-h$* == 1 || qc_A1_a-h$* == 2 || qc_A1_a-h$* == 3 || qc_A1_i == 1 || qc_A1_i == 2 || qc_A1_i == 3 || qc_A2_a-f$* == 1 || qc_A2_a-f$* == 2 || qc_A2_a-f$* == 3 || qc_A2_g-m$* == 1 || qc_A2_g-m$* == 2 || qc_A2_g-m$* == 3 || qc_A2_l == 1 || qc_A2_l == 2 || qc_A2_l == 3 || qc_A2_n == 1 || qc_A2_n == 2 || qc_A2_n == 3
What physical problems did you have as a result of any of these accidents?
-

1 - Yes still present

2 - Yes but no longer present

3 - No did not happen

pain
reduction in movement
a facial scar or defect
less able to see or hear
inability to work

What physical problems did you have as a result of any of these accidents? Results of accident: other physical result (please tick & describe)

1
Yes still present
2
Yes but no longer present
3
No did not happen
Other
What emotional problems did you have as a result of any of these accidents?
-

1 - Yes still present

2 - Yes but no longer present

3 - No did not happen

loss of self confidence
feeling of depression
very tense
unable to sleep well
loss of appetite

What emotional problems did you have as a result of any of these accidents? Results of accident: something else (please tick & describe)

1
Yes still present
2
Yes but no longer present
3
No did not happen
Other
What other consequences of any of these accidents were there?
-

1 - Yes still present

2 - Yes but no longer present

3 - No did not happen

cost money
lost job
less earnings
problems at work
problems with partner or the family
problems with friends

What other consequences of any of these accidents were there? Results of accident: other problem (please tick & describe)

1
Yes still present
2
Yes but no longer present
3
No did not happen
Other
SECTION B: YOUR HOME
Below are a number of questions about your home. They are similar to some you answered 2 years ago, and will be used to see how your circumstances might have changed.

When did you move to your present address?

Generic date

How many times have you moved home since your study child was 5 years old ?

How many

Is your home:

0
being bought/mortgaged
1
being bought from council
2
owned - with no mortgage to pay
3
rented from council
4
rented from private landlord - furnished
5
rented from private landlord - unfurnished
6
rented from housing association
7
other (please tick describe)
Other

Do you live in your own home or do you live with your parents or others?

1
live in own home
2
live in partner's home
3
live with your parents in their home
4
live with your partner's parents in their home
5
other situation (please tick describe)
Other

Do you currently live in:

1
a whole detached house (or bungalow)
2
a whole semi-detached house/bungalow
3
an end of terrace house
4
a whole terraced house
5
a flat/maisonette (self contained)
6
room in someone else's house
7
other (please tick describe)
Other

What is the lowest level of your living accommodation: 2nd floor or above, give floor

78
basement
0
ground floor
1
1st floor
Floor

In the coldest time of year, describe the temperature in your: living rooms

1
Very warm
2
Warm
3
About right
4
Cold
5
Very cold

In the coldest time of year, describe the temperature in your: the room where the study child sleeps

1
Very warm
2
Warm
3
About right
4
Cold
5
Very cold

Does your home have the following? kitchen where there is space to sit and eat

1
Yes sole use
2
Yes shared with other household(s)
3
No

Does your home have the following? kitchen for cooking only

1
Yes sole use
2
Yes shared with other household(s)
3
No

Does your home have the following? indoor flushing toilet

1
Yes sole use
2
Yes shared with other household(s)
3
No

Apart from the kitchen, how many rooms do you have for living and/or sleeping ?

How many
Do you have sole use of the following amenities or are they shared with other household(s)?
-

1 - Yes sole use

2 - Yes shared

3 - No, don't have at all

running hot water
bath
shower
garden or yard
balcony

Is there a working telephone in your home?

1
No
2
Yes, but for incoming calls only
3
Yes, a fully working phone
If yes, go to B11a on page 10
If no,
qc_B10_a == 1 || qc_B10_a == 2

where is the nearest working telephone that you can use in an emergency?

1
pay phone in the building
2
pay phone in the street
3
neighbour's phone
4
none within 5 minutes walk
5
other (please tick describe)
Other

Do you have a mobile phone (i.e. one that can be used far from home)?

1
Yes
2
No
If yes,
qc_B11_a == 1

how often do you use it?

1
at least once a day
2
4-6 times a week
3
1-3 times a week
4
less than once a week

Is there ever any damp, condensation or mould in your home?

1
Yes
2
No
If no, go to B13a on page 11
If yes,
qc_B12_a == 1

How much of a problem is damp or condensation?

1
no damp or condensation
2
not serious
3
fairly serious
4
very serious

How much of a problem is mould?

1
no mould
2
not serious
3
fairly serious
4
very serious

Does your roof leak at all? (If you have another flat above yours, please tick 'does not apply')

7
does not apply
1
no leak
2
yes, slight leak
3
yes, serious leak

In wet weather, does water get in from anywhere else, such as through badly fitting windows or doors?

1
no leaks
2
yes, slight leaks
3
yes, serious leaks

Taking everything into account, which of the following best describes your feeling about your home?

1
satisfied
2
fairly satisfied
3
dissatisfied
4
very dissatisfied

In the past year have you done any of the following: sanded floors

1
Yes, in own home
2
Yes, elsewhere
3
No, not at all

In the past year have you done any of the following: stripped wallpaper

1
Yes, in own home
2
Yes, elsewhere
3
No, not at all

In the past year have you done any of the following: removed paint or varnish

1
Yes, in own home
2
Yes, elsewhere
3
No, not at all
In the past year have any of the following rooms been decorated or had any brand new furniture?
-

1 - Yes

2 - No

9 - Don't know

painted
wallpapered
new carpet
new furniture
In the past year have any of the following rooms been decorated or had any brand new furniture?
-

1 - Yes

2 - No

9 - Don't know

painted
wallpapered
new carpet
new furniture
In the past year have any of the following rooms been decorated or had any brand new furniture?
-

1 - Yes

2 - No

9 - Don't know

painted
wallpapered
new carpet
new furniture
In the past year have any of the following rooms been decorated or had any brand new furniture?
-

1 - Yes

2 - No

9 - Don't know

painted
wallpapered
new carpet
new furniture

which room (s)?

Generic text

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

1
much tidier
2
a bit tidier
3
about the same
4
less tidy
5
much less tidy
9
don't know
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 pavement/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 & describe)

1
Serious problem
2
Minor problem
3
Not a problem
4
No opinion
Other

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

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

Do the other people in your neighbourhood: visit your home

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always

Do the other people in your neighbourhood: argue with you

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always

Do the other people in your neighbourhood: look after your children

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always

Do the other people in your neighbourhood: keep to themselves

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always

Do you: visit the home of your neighbours

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always

Do you: argue with your neighbours

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always

Do you: look after your neighbour's children

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always

Do you: keep to yourself

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always

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

How heavy is the traffic on the street where you live?

1
very heavy
2
quite heavy
3
not very heavy
4
hardly any traffic
To heat your home in winter what methods do you mainly use?
In main living room In study child's bedroom In other rooms

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

central heating or storage heaters
wood stoves or wood fires
coal fires
paraffin heaters
gas fires (mains gas)
gas fires (bottled gas)
other type of heating (please tick describe)
no heating in this room

To heat your home in winter what methods do you mainly use? other type of heating (please tick & describe)

Other

If your home is centrally heated in winter, please describe:

7
type: no central heating
If no central heating to question B24a Go to B25 below
qc_B24_a == 7
Else

If your home is centrally heated in winter, please describe:

1
type: solid fuel
2
type: oil
3
type: gas
4
type: electricity
5
type: other (please tick describe)
Other

How is heating distributed?

1
Radiators
2
warm air
3
storage heaters
4
under floor heating
5
other please describe
Other

Where is the boiler?

1
kitchen
2
living room
3
no boiler
4
other (please tick describe)
Other

Do you use gas for cooking?

1
Yes, ring(s) only
2
yes, oven only
3
yes, rings and oven
4
no, not at all

When you are cooking, how often do you get rid of the smells and steam using the following:

7
I never cook
If I never cook to question B26 Go to B27 below
qc_B26 == 7
Else
When you are cooking, how often do you get rid of the smells and steam using the following:
-

1 - Usually

2 - Sometimes

3 - Not at all

open windows
ventaxia/air extractor
extractor hood which vents to outside
extractor hood that doesn't vent to outside

When you are cooking, how often do you get rid of the smells and steam using the following: other (please tick and describe)

1
Usually
2
Sometimes
3
Not at all
Other

How often do you have any windows open in your home: In summer: day

1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open

How often do you have any windows open in your home: In summer: night

1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open

How often do you have any windows open in your home: In winter: day

1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open

How often do you have any windows open in your home: In winter: night

1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open

Are any of your windows double glazed? (including secondary double glazing)

1
yes, all of them
2
yes, some of them
3
no, none of them
4
don't know

Does your home have chimneys?

1
Yes
2
No
If yes,
qc_B27_d == 1

have they been blocked up?

1
yes, all of them
2
yes, some of them
3
no
4
don't know

Do you use a thermometer or thermostat to help keep the temperature at the level you want in winter? In main living room:

1
thermostat on radiators
2
room thermostat
3
room thermometer
4
none of these
5
other (please describe)

Do you use a thermometer or thermostat to help keep the temperature at the level you want in winter? In your study child's bedroom:

1
thermostat on radiators
2
room thermostat
3
room thermometer
4
none of these
5
other (please describe)
What temperature do you try to maintain in winter?
day night
TemperatureTemperatureTemperatureTemperature TemperatureTemperatureTemperatureTemperature
in living rooms
in room where your study child sleeps
SECTION C: YOUR HOUSEHOLD
(By household we mean people living with you in your house or flat)
How many people live in your household nowadays? (including yourself and anyone who is away at school or as part of their work)
-
How many
adults (over 18 years)
young adults (16-18 years)
children (less than 16 years)

Please indicate who the adults over 18 are. yourself

1
Yes
2
No

Please indicate who the adults over 18 are. your partner

1
Yes
2
No

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

1
Yes
2
No

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

1
Yes
2
No

Please indicate who the adults over 18 are. your children (aged over 18)

1
Yes
2
No

Please indicate who the adults over 18 are. children of your partner (aged over 18)

1
Yes
2
No

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

1
Yes
2
No

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

1
Yes
2
No

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

1
Yes
2
No

Please indicate who the adults over 18 are. lodger

1
Yes
2
No

Please indicate who the adults over 18 are. other (please tick & describe)

1
Yes
2
No
Other

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 time
7
married for third time
If married,
qc_C3_a == 5 || qc_C3_a == 6 || qc_C3_a == 7

what was the date of your most recent marriage?

Generic date

Is the present live-in father-figure the natural father of the study child?

1
Yes
2
No
7
No live-in father-figure
9
Don't know
If yes, or don't know go to C4c on page 22
If no, or no live-in father-figure,
qc_C4_a == 2 || qc_C4_a == 7

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

Age
Months

how often does the natural father see the study child?

7
child's father is dead
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
If child’s father is dead to question C4bii go to C4c on page 22
qc_C4_b_ii == 7
Else

does he help support the child financially?

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

Is the present live-in mother figure the biological (natural) mother of the study child?

1
Yes
2
No
If yes, go to C5 on page 23
If no,
qc_C4_c == 2

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

Age
Months

how often does the natural mother see the study child?

7
child's mother is dead
If child's mother is dead to question C4cii go to C5 on page 23
qc_C4_c_ii == 7
Else

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

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 present 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
The following questions will help us understand how complex the families in the study often are.

Are you currently married or living with a partner?

1
Yes
2
No
If no, go to C7d on page 24
If yes,
qc_C7_a == 1

how many children have the pair of you had together? ... children

How many
Please list for each of these children.
Date of birth Currently living with you?

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth
1
2
3
4

Not including your present relationship (if any) how many live-in relationships have you had?

How many
If none go to C7f on page 25
qc_C7_d == 0
Else
Not including your present relationship, if you have had other live-in relationships please list for the 3 most recent:
date married/ moved in together date parted how many children did you have together give date of birth of each child 1 give date of birth of each child 2 give date of birth of each child 3 give date of birth of each child 4 how many of these children live with you now?
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Most recent
2nd most recent
3rd most recent
If you have had more than 4 children, please give extra details on a separate sheet.

Do you have children from any other relationships?

1
Yes
2
No
If no, go to C7g below
If yes,
qc_C7_f == 1
please list:
Dates of birth Currently living with you

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth
1
2
3
4

Are there children from any of your current partner's previous relationship(s) who live with you?

1
Yes
2
No
7
No current partner
If yes,
qc_C7_g == 1
please list:
Dates of birth Currently living with you

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth
1
2
3
4
Here are some questions about your sexuality. Do not answer these questions if you find them too personal.

Since the birth of your study child have your partners been:

1
only male
2
mostly male
3
both male and female
4
mostly female
5
only female
6
no partner

How would you describe your sexuality?

1
heterosexual
2
bisexual
3
lesbian/homosexual

Are you currently living with a partner?

1
yes, a male partner
2
yes, a female partner
3
yes, multiple partners
4
not living with a partner

Since the birth of your study child, have you lived with:

1
male partners only
2
male female partner(s)
3
female partner(s) only
4
not lived with a partner
Now some questions about the children living in your household:

How many are older than the study child?

How many
If none, go to C18 on page 34
If one or more older children,
qc_C9_a >= 1

which of these is the nearest in age to your study child? Name

Generic text

which of these is the nearest in age to your study child? Date of birth

Date of birth

How does your 7 year old study child react to this older child named above? My 7 year old: Likes to be with this older child

1
Frequently
2
Sometimes
3
Rarely or never

How does your 7 year old study child react to this older child named above? My 7 year old: Quarrels with this older child

1
Frequently
2
Sometimes
3
Rarely or never

How does your 7 year old study child react to this older child named above? My 7 year old: Is upset if parted from this older child

1
Frequently
2
Sometimes
3
Rarely or never
7
Never parted

How does your 7 year old study child react to this older child named above? My 7 year old: Is unhappy/jealous if you do things just with this older child

1
Frequently
2
Sometimes
3
Rarely or never

How does your 7 year old study child react to this older child named above? My 7 year old: Wants to play with this older child

1
Frequently
2
Sometimes
3
Rarely or never

How does your 7 year old study child react to this older child named above? My 7 year old: Is not much interested in this older child

1
Frequently
2
Sometimes
3
Rarely or never

How does your 7 year old study child react to this older child named above? My 7 year old: Is unhappy/jealous if your partner does things just with this older child

1
Frequently
2
Sometimes
3
Rarely or never
7
No partner

How does your 7 year old study child react to this older child named above? My 7 year old: Misses this older child when not there

1
Frequently
2
Sometimes
3
Rarely or never
7
Always there

How does your 7 year old study child react to this older child named above? My 7 year old: Has a lot of fun with this older child

1
Frequently
2
Sometimes
3
Rarely or never

How does your 7 year old study child react to this older child named above? My 7 year old: Teases/needles this older child

1
Frequently
2
Sometimes
3
Rarely or never
Remember: if you are answering for twins, always answer for the older of the two only.

Now some questions about how 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 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 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 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 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 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 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 this older child reacts to the study child. This older child: Misses the 7 year old study child when not there

1
Frequently
2
Sometimes
3
Rarely or never
7
Always there

Now some questions about how this older child reacts to the study child. This older child: Has a lot of fun with the 7 year old study child

1
Frequently
2
Sometimes
3
Rarely or never

Now some questions about how 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, downhearted 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 C14a below
If no,
qc_C13_a == 1

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

Days in month

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 C16 on page 32
If no, or no partner:
qc_C14_a == 1 || qc_C14_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 C14b or neither of his/her natural parents present to question C14b
qc_C14_b == 1 || qc_C14_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 C14b or neither of his/her natural parents present to question C14b
qc_C14_b == 2 || qc_C14_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

What are your relations with this older child's other parent(s)? Please reply only for the absent natural parent(s). natural mother

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

What are your relations with this older child's other parent(s)? Please reply only for the absent natural parent(s). natural father

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

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

Days in month

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

Days in month

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

7
both natural parents dead
If both natural parents dead to question C14fiii go to C16 on page 32
qc_C14_f_iii == 7
Else
This older child and the other natural parent(s)
Below are some statements about the older child's relationships with his/her natural parent(s). Please indicate how you think these apply in your situation. (If the relevant natural parent is dead go on to C16 below)
Natural mother Natural father

1 - Yes

2 - No

3 - Can't say

1 - Yes

2 - No

3 - Can't say

1 - Yes

2 - No

3 - Can't say

1 - Yes

2 - No

3 - Can't say

1 - Yes

2 - No

3 - Can't say

1 - Yes

2 - No

3 - Can't say

1 - Yes

2 - No

3 - Can't say

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 C16 go to C17 on page 33
qc_C16 == 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 7 year old 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 C19 go to C20 on page 35
qc_C19 == 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

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 C21a below
If yes,
qc_C20 == 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

Do you have any pets?

1
Yes
2
No
If no,
qc_C21_a == 1

How many of the following pets do you have? cats ... Number

How many

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

How many

How many of the following pets do you have? rabbits ... Number

How many

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

How many

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

How many

How many of the following pets do you have? fish ... Number

How many

How many of the following pets do you have? turtles ... Number

How many

How many of the following pets do you have? other pets (please describe) ... Number

How many
Other
Do any of the following animals or insects inhabit or invade your home or cause dirty conditions in your balcony, garden or yard?
-

1 - Yes frequently

2 - Yes occasionally

3 - No not at all

rats
mice
pigeons
cats
cockroaches
ants
dogs
woodlice

Do any of the following animals or insects inhabit or invade your home or cause dirty conditions in your balcony, garden or yard? other (please tick & describe)

1
Yes frequently
2
Yes occasionally
3
No not at all
Other
SECTION D: HOW DO YOU FEEL?
Below are a number of statements which you may use to describe yourself. Please indicate if you think these apply to you. Each statement applies to how you feel right now, at this moment.
-

1 - Doesn't apply

2 - Applies a bit

3 - Moderately applies

4 - Certainly applies

I feel calm
I feel secure
I feel tense
I feel strained
I feel at ease
I feel upset
I am presently worrying over possible misfortunes
I feel satisfied
I feel frightened
I feel comfortable
I feel self-confident
I feel nervous
I am jittery
I feel indecisive
I am relaxed
I feel content
I am worried
I feel confused
I feel steady
I feel pleasant
About your health

Do you have any difficulty in walking?

1
Yes
2
No
If no, go to D2c below
If yes,
qc_D2_a == 1

Is this due to heart disease or breathing problems?

1
Yes
2
No
9
Don't know
If no,
qc_D2_b == 2

please describe cause and go to D3a below

Generic text

Are you troubled by shortness of breath when hurrying on level ground or walking up a slight hill?

1
Yes
2
No

Do you get short of breath walking with other people of your own age on level ground?

1
Yes
2
No

Do you have to stop for breath when walking at your own pace on level ground?

1
Yes
2
No

Are you short of breath on washing or dressing?

1
Yes
2
No

Have you ever had any pain or discomfort in your chest?

1
Yes, in past year
2
Yes, but not in past year
3
No
If no, go to D4a on page 40
If Yes,
qc_D3_a == 1

Do/did you get this pain or discomfort when you walk uphill or hurry?

1
Yes
2
No

Do/did you get the pain or discomfort when you walk at an ordinary pace on the level?

1
Yes
2
No

when you get/got pain or discomfort in your chest what do you do?

1
stop
2
slow down
3
continue at the same pace

does/did it go away when you stand still?

1
Yes
2
No
9
Don't know

How soon?

1
10 minutes or less
2
More than 10 minutes
9
Don't know

Where do/did you get this pain or discomfort?

If yes, in past year or Yes, but not in past year go to D3h on page 39
qc_D3_a == 1 || qc_D3_a == 2

Have you ever had a severe pain across the front of your chest lasting for half an hour or more?

1
Yes
2
No
If no, go to D4a on page 40
If yes,
qc_D3_h == 1

Did you talk to a doctor about it?

1
Yes
2
No
If no, go to k below
If yes,
qc_D3_i == 1

What did they say it was?

Generic text

How many of these attacks have you had?

How many

Since your study child was born, how many times have you been pregnant? ... times

How many
If none, go to D6 on page 43
qc_D4_a == '0'
Else
How many of these pregnancies ended as:
number
How many
miscarriages
termination because pregnancy was not wanted, or I was unable to cope
termination for medical reasons
twins or multiple pregnancy
baby born dead
baby born alive but died in 1st month
baby born alive but died after 1st month
children still alive

How many of these pregnancies ended as: other (please describe)

How many
Other

Have any of these pregnancies occurred in the last 2 years?

1
Yes
2
No
If no, go to D6 on page 43
If yes,
qc_D5_a == 1

How many different pregnancies in the last 2 years?

How many
For these pregnancies please give:
what happened: date of your last menstrual period before the pregnancy (if you remember it ) please give actual date of delivery or end of pregnancy: (If still pregnant put 77 77 77 77) do/did you have any problems? If yes, please describe:
Generic date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic date

1 - Yes

2 - No

Generic textGeneric dateGeneric text

1 - Yes

2 - No

Generic date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic text

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

1 - Yes

2 - No

Generic dateGeneric dateGeneric date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic dateGeneric text

1 - Yes

2 - No

Generic textGeneric date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic date

1 - Yes

2 - No

Generic date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic date

1 - Yes

2 - No

Generic textGeneric dateGeneric text

1 - Yes

2 - No

Generic date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic text

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

1 - Yes

2 - No

Generic dateGeneric dateGeneric date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic dateGeneric text

1 - Yes

2 - No

Generic textGeneric date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic date

1 - Yes

2 - No

Generic date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic date

1 - Yes

2 - No

Generic textGeneric dateGeneric text

1 - Yes

2 - No

Generic date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic text

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

1 - Yes

2 - No

Generic dateGeneric dateGeneric date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic dateGeneric text

1 - Yes

2 - No

Generic textGeneric date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic date

1 - Yes

2 - No

Generic date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic date

1 - Yes

2 - No

Generic textGeneric dateGeneric text

1 - Yes

2 - No

Generic date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic text

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

1 - Yes

2 - No

Generic dateGeneric dateGeneric date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic dateGeneric text

1 - Yes

2 - No

Generic textGeneric date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic date

1 - Yes

2 - No

Generic date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic date

1 - Yes

2 - No

Generic textGeneric dateGeneric text

1 - Yes

2 - No

Generic date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic text

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

1 - Yes

2 - No

Generic dateGeneric dateGeneric date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic dateGeneric text

1 - Yes

2 - No

Generic textGeneric date

1 - miscarriage

2 - abortion/termination for unwanted pregnancies

3 - termination for problem (please describe)

4 - still pregnant

5 - baby born

6 - other (please describe)

Generic date

1 - Yes

2 - No

1st pregnancy
2nd pregnancy
3rd pregnancy
4th pregnancy
5th pregnancy
6th pregnancy

what happened: termination for problem (please describe)

Generic text

what happened: other (please describe)

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

Have you had a D and C (scrape) in the last 2 years?

1
Yes
2
No
9
Don't know
If no, or don't know, go to D7 below
If yes,
qc_D6 == 1

Was this because of: (tick all that apply) heavy periods

1
Yes
2
No

Was this because of: (tick all that apply) painful periods

1
Yes
2
No

Was this because of: (tick all that apply) fibroids

1
Yes
2
No

Was this because of: (tick all that apply) termination

1
Yes
2
No

Was this because of: (tick all that apply) infertility

1
Yes
2
No

Was this because of: (tick all that apply) miscarriage

1
Yes
2
No

Was this because of: (tick all that apply) don't know

1
Yes
2
No

Was this because of: (tick all that apply) other (please describe)

1
Yes
2
No
Other

Please give below your present weights and measurements if you know them. weight ... kg or ... stones ... lbs

Kilograms
Stones
Pounds in stone

Please give below your present weights and measurements if you know them. height ... cm or ... ft ... in

cm
Feet
Inches in foot

Please give below your present weights and measurements if you know them. inside leg measurement ... cm or ... in

cm
Inches

Please give below your present weights and measurements if you know them. bust ... cm or ... in

cm
Inches

Please give below your present weights and measurements if you know them. hips ... cm or ... in

cm
Inches

Please give below your present weights and measurements if you know them. waist ... cm or ... in

cm
Inches
SECTION E: YOUR OCCUPATION AND LIFESTYLE

Since the study child was born have you worked at all? (please tick all that apply).

7
no, not at all
If no, go to Question E8 on page 49
qc_E1_a == 7
Else

Since the study child was born have you worked at all? (please tick all that apply). yes, paid work at home

1
Yes

Since the study child was born have you worked at all? (please tick all that apply). yes, paid work outside home

1
Yes

Since the study child was born have you worked at all? (please tick all that apply). yes, voluntary work

1
Yes

have you been working all the time since you started work after the study child was born?

1
yes, same job all the time
2
yes, but not always the same job
3
no, stopped started again
4
no, do not work now
If no, stopped & started again or no, do not work now to question E1b
qc_E1_b == 3 || qc_E1_b == 4

when did you last stop?

Generic date
If do not work now go to E7 on page
qc_E1_b == 4
Else

when did you start again?

Generic date

how many jobs are you now doing?

How many

Whether or not you are self-employed, what job(s) are you doing (please describe the job(s) you do and the type of industry/employer(s) you work for). If you are self-employed please also say so.

Generic text

How many hours did you work last week ? ... hours

Hours in week

Was this a typical week?

1
Yes
2
No, usually work more hours
3
No, usually work less hours
If no,
qc_E1_c_i == 2 || qc_E1_c_i == 3

how many hours in a usual week? ... hours

Hours in week

Does your work include weekends?

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

Do you work in the evenings or at night?

1
Yes, often
2
Yes, sometimes
3
No

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

1
very little effort, mostly sitting
2
some physical effort
3
quite a lot of physical effort
4
considerable physical effort

Do you usually work:

1
the basic no. of hours per week
2
basic hours plus paid overtime
3
longer than basic hours (but not paid extra)
4
self-employed - as long as necessary

Which of the following best describes how you are paid in your present job?

1
Monthly salary plus performance
2
Monthly salary only
3
Weekly wage
4
Hourly paid
5
Piecework
6
Self-employed
7
Other (please describe)
Other

Are you on a recognised pay scale with increments, either automatic or performance related?

1
Yes
2
No
9
Don't know

If you decided to leave your job, how much notice are you officially required to give?

1
Less than one week
2
1, 2 or 3 weeks
3
1 or 2 months
4
3 months or more
5
not relevant (self-employed)
9
Don't know

In your sort of work, are there opportunities for promotion either in your current organisation or by changing employers?

1
Yes
2
No
9
Don't know

Who decides what time you start and leave work?

1
Flexitime system
2
Employer decides
3
I decide, within certain limits
4
Negotiated with employer

Does your job require you to design and plan important aspects of your own work, or is your work largely specified for you?

1
I am required to design/plan my work
2
Work is largely specified by others
3
Other

How much influence do you personally have in deciding what tasks you are to do?

1
A great deal
2
A fair amount
3
Not much
4
None
What are the main reasons you work? (tick all that apply)
-

1 - Yes

financial, I am important as a breadwinner
financial, for family extras
career
enjoyment
to get out of the home

What are the main reasons you work? (tick all that apply) other (please tick & describe)

1
Yes
Other

Are you working at the same status as you did before the study child was born?

7
didn't work before
1
no, lower level
2
yes, same level
3
no, higher level

Do you find your job satisfying?

1
Yes
2
No
3
Sometimes

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 E6a Go to E7 below
qc_E6_a == 7
Else

How do you usually travel to work? (Tick all that apply) public transport (bus, train)

1
Yes

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

1
Yes

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

1
Yes

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

1
Yes

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

1
Yes

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
Please list all jobs you have had since your study child's 5th birthday, apart from your present job, if you are currently working.
Age of child at start of job Job Hours worked in usual week
Hours in weekAgeGeneric textHours in weekAgeGeneric textAgeGeneric textHours in week Hours in weekAgeGeneric textHours in weekAgeGeneric textAgeGeneric textHours in week Hours in weekAgeGeneric textHours in weekAgeGeneric textAgeGeneric textHours in week
1
2
3
4
5
If you are working now please go to Question E9 below
If you are not working:
qc_E1_a == 7 || qc_E1_b == 4

Have you chosen not to work so that you can stay at home with your children?

1
No
2
Yes
If yes, go to E9 below
If no,
qc_E8 == 1

Have you been looking for work?

1
Yes
2
No
If no, go to E8c below
If yes
qc_E8_a == 1

How long have you been seeking work? ... months

How many
If you have not been looking for work,
qc_E8_a == 2
please give reasons (tick all that apply):
-

1 - Yes

do not want to work
looking after family
on maternity leave
not well enough

If you have not been looking for work, please give reasons (tick all that apply): other (please tick describe)

1
Yes
Other

How many cigarettes per day do you currently smoke ?

30
30 or more
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
none
8
pipe only
9
cigars only
How difficult at the moment do you find it to afford these items:
-

1 - Very difficult

2 - Fairly difficult

3 - Slightly difficult

4 - Not difficult

5 - Don't pay for this

food
clothing
heating
rent or mortgage
things you need for your children
costs of educational courses (e.g. ballet, music, etc.)
medical or dental care
child care

How difficult at the moment do you find it to afford these items: something else (please tick and describe)

1
Very difficult
2
Fairly difficult
3
Slightly difficult
Other

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-£99
7
£100+
9
don't know

About how much do you spend on electricity, gas, water, and telephone 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

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-£69
7
£70 - £79
8
£80 or more
9
don't know

About how much do you spend on clothing, hobbies, and entertainment 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

About how much do you spend on child care each week (e.g. after-school club, sitters)?

1
nothing
2
less than £20
3
£20 - £39
4
£40 - £59
5
£60 - £79
6
£80-£99
7
£100 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, other relatives or friends?

1
Yes
2
No

Do you help your parents, other relatives or friends financially?

1
Yes
2
No

How much help would you say you had nowadays: with housework

1
Too much help
2
Right amount of help
3
Too little help

How much help would you say you had nowadays: with looking after the children

1
Too much help
2
Right amount of help
3
Too little help

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 that you are getting enough sleep?

1
Yes
2
No
In the past 2 years have you taken any courses or educational training?
-

1 - Yes

2 - No

training within my job
evening classes
University course

In the past 2 years have you taken any courses or educational training? other (please tick describe)

1
Yes
2
No
Other

Do you, in your spare time, belong to any organisations or groups of people (e.g. choir, gardening club, sports club, charity fund raising etc.)?

1
Yes
2
No
If yes,
qc_E15_a == 1

please describe:

Generic text

Are you on any committees?

1
Yes
2
No
During the past year, on average how often did you spend time doing the following?
-

1 - Never

2 - Once a month or less

3 - Once a week or less

4 - 2-3 times a week

5 - 4-5 times a week

6 - Most days

hiking or walking including walking to work, walking the dog
jogging (slower than 10 mins a mile)
running (10 mins a mile or faster)
cycling (including cycling machine)
keep fit, aerobics, step aerobics, etc.
tennis, squash, badminton etc.
swimming
other energetic leisure activity e.g. gardening
On average how many hours per day do you spend doing the following?
Weekday Weekend day
Hours in dayHours in dayHours in dayHours in day Hours in dayHours in dayHours in dayHours in day
standing or walking ... hours
sitting, including driving ... hours
watching television

What is your usual walking pace?

1
slow
2
casual pace
3
average pace
4
brisk pace
5
unable to walk

How many flights of stairs (from one floor to the next) do you climb up daily?

1
No flights
2
1-2 flights of stairs
3
3-4 flights of stairs
4
5-9 flights of stairs
5
10-14 flights of stairs
6
15 or more flights of stairs

How much time do you spend with your children on average? watching TV together? weekdays

1
None
2
Less than 30 minutes
3
30-60 minutes
4
1-2 hours
5
3 hours or more

How much time do you spend with your children on average? watching TV together? weekend days

1
None
2
Less than 30 minutes
3
30-60 minutes
4
1-2 hours
5
3 hours or more

How much time do you spend with your children on average? interacting with children (e.g. singing, reading to one another, helping with homework) weekdays

1
None
2
Less than 30 minutes
3
30-60 minutes
4
1-2 hours
5
3 hours or more

How much time do you spend with your children on average? interacting with children (e.g. singing, reading to one another, helping with homework) weekend days

1
None
2
Less than 30 minutes
3
30-60 minutes
4
1-2 hours
5
3 hours or more

do you think this is enough time?

1
No
2
yes
If yes, go to F1 on page 56
If no,
qc_E20_c == 1

why is this? (tick all that apply) because of job

1
Yes

why is this? (tick all that apply) because of demands of partner

1
Yes

why is this? (tick all that apply) because of studying

1
Yes

why is this? (tick all that apply) because of housework

1
Yes

why is this? (tick all that apply) other reason (please tick describe)

1
Yes
Other
SECTION F: DRINKS
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 (e.g. Coca Cola, Pepsi etc.)
Other fizzy drinks(e.g. lemonade, fizzy water)
Bottled water on its own
Water from tap, on its own
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 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 F7 on page 58
If yes,
qc_F6_a == 1 || qc_F6_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

Did you drink any alcohol last week?

1
Yes
2
No
If no, go to G1 on page 60
If yes,
qc_F7 == 1
During last week how many of each type of alcoholic drink did you have on each day?
Mon. Tues. Wed. Thurs. Frid. Sat. Sun.
How manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherOtherHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow many How manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherOtherHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow many How manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherOtherHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow many How manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherOtherHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow many How manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherOtherHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow many How manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherOtherHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow many How manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherOtherHow manyHow manyHow manyHow manyHow manyHow manyOtherHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyOtherHow 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 last week fairly typical of your alcohol drinking?

1
No
2
Yes
If yes, go to G1 on page 60
If no,
qc_F7_c == 1

would you normally drink:

1
More
2
Less
THANK YOU VERY MUCH FOR YOUR HELP
SECTION G:

This questionnaire was completed by: child's biological mother

1
Yes
2
No

This questionnaire was completed by: child's mother-figure

1
Yes
2
No

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

1
Yes
2
No
Other

Please give the date on which you completed this questionnaire

Generic date

Please give your date of birth:

Date of birth

Please give your study child's date of birth

Date of birth

Space for any additional comments you would like to make.

Long text
When completed, please return the questionnaire to: Professor Jean Golding Children of the Nineties - ALSPAC Institute of Child Health
End

alspac_98_mah

MOTHER AND HOME
All answers are confidential
THANK YOU FOR YOUR HELP
This questionnaire is for the study child's mother or person taking the role of mother.
To answer simply tick the box which is most accurate in your opinion.
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 that you can. If you do not want to answer a question or if it does not apply to you, put a line through it. There are no good or bad answers. Just tell us what you really think.

SECTION A: ACCIDENTS AND INJURIES

Have you had any accidents of the following types in the last seven years (since your study child was born)?

-

1 - Yes stayed in hospital

2 - Yes saw a doctor

3 - Yes, but did not see a doctor

4 - No, never happened

Road traffic accident
Playing sport or games
At your place of work
Inside your home
Outside your home (e.g. in garden)
At another building
During a fight or argument
You were attacked
Have you had any accidents of the following types in the last seven years (since your study child was born)? You were: Other type of accident (please tick & describe)
1
Yes stayed in hospital
2
Yes saw a doctor
3
Yes, but did not see a doctor
4
No, never happened
Other

Have you had any of the following injuries in the last seven years (since your study child was born)?

-

1 - Yes stayed in hospital

2 - Yes saw a doctor

3 - Yes, but did not see a doctor

4 - No, never happened

burnt
scalded
badly cut
stabbed
shot
nearly drowned

Have you had any of the following injuries in the last seven years (since your study child was born)?

-

1 - Yes stayed in hospital

2 - Yes saw a doctor

3 - Yes, but did not see a doctor

4 - No, never happened

dislocated hip, shoulder, knee, etc.
broken arm or hand
broken leg or foot
sexual assault
overdose of pills or medicine
concussion
Have you had any of the following injuries in the last seven years (since your study child was born)? You had a: overdose of something else (please tick & describe)
1
Yes stayed in hospital
2
Yes saw a doctor
3
Yes, but did not see a doctor
4
No, never happened
Other
Have you had any of the following injuries in the last seven years (since your study child was born)? You had a: other injury (please tick & describe)
1
Yes stayed in hospital
2
Yes saw a doctor
3
Yes, but did not see a doctor
4
No, never happened
Other

What physical problems did you have as a result of any of these accidents?

-

1 - Yes still present

2 - Yes but no longer present

3 - No did not happen

pain
reduction in movement
a facial scar or defect
less able to see or hear
inability to work
What physical problems did you have as a result of any of these accidents? Results of accident: other physical result (please tick & describe)
1
Yes still present
2
Yes but no longer present
3
No did not happen
Other

What emotional problems did you have as a result of any of these accidents?

-

1 - Yes still present

2 - Yes but no longer present

3 - No did not happen

loss of self confidence
feeling of depression
very tense
unable to sleep well
loss of appetite
What emotional problems did you have as a result of any of these accidents? Results of accident: something else (please tick & describe)
1
Yes still present
2
Yes but no longer present
3
No did not happen
Other

What other consequences of any of these accidents were there?

-

1 - Yes still present

2 - Yes but no longer present

3 - No did not happen

cost money
lost job
less earnings
problems at work
problems with partner or the family
problems with friends
What other consequences of any of these accidents were there? Results of accident: other problem (please tick & describe)
1
Yes still present
2
Yes but no longer present
3
No did not happen
Other

SECTION B: YOUR HOME

Below are a number of questions about your home. They are similar to some you answered 2 years ago, and will be used to see how your circumstances might have changed.
When did you move to your present address?
Generic date
How many times have you moved home since your study child was 5 years old ?
How many
Is your home:
0
being bought/mortgaged
1
being bought from council
2
owned - with no mortgage to pay
3
rented from council
4
rented from private landlord - furnished
5
rented from private landlord - unfurnished
6
rented from housing association
7
other (please tick describe)
Other
Do you live in your own home or do you live with your parents or others?
1
live in own home
2
live in partner's home
3
live with your parents in their home
4
live with your partner's parents in their home
5
other situation (please tick describe)
Other
Do you currently live in:
1
a whole detached house (or bungalow)
2
a whole semi-detached house/bungalow
3
an end of terrace house
4
a whole terraced house
5
a flat/maisonette (self contained)
6
room in someone else's house
7
other (please tick describe)
Other
What is the lowest level of your living accommodation: 2nd floor or above, give floor
78
basement
0
ground floor
1
1st floor
Floor
In the coldest time of year, describe the temperature in your: living rooms
1
Very warm
2
Warm
3
About right
4
Cold
5
Very cold
In the coldest time of year, describe the temperature in your: the room where the study child sleeps
1
Very warm
2
Warm
3
About right
4
Cold
5
Very cold
Does your home have the following? kitchen where there is space to sit and eat
1
Yes sole use
2
Yes shared with other household(s)
3
No
Does your home have the following? kitchen for cooking only
1
Yes sole use
2
Yes shared with other household(s)
3
No
Does your home have the following? indoor flushing toilet
1
Yes sole use
2
Yes shared with other household(s)
3
No
Apart from the kitchen, how many rooms do you have for living and/or sleeping ?
How many

Do you have sole use of the following amenities or are they shared with other household(s)?

-

1 - Yes sole use

2 - Yes shared

3 - No, don't have at all

running hot water
bath
shower
garden or yard
balcony
Is there a working telephone in your home?
1
No
2
Yes, but for incoming calls only
3
Yes, a fully working phone
If yes, go to B11a on page 10
where is the nearest working telephone that you can use in an emergency?
1
pay phone in the building
2
pay phone in the street
3
neighbour's phone
4
none within 5 minutes walk
5
other (please tick describe)
Other
Do you have a mobile phone (i.e. one that can be used far from home)?
1
Yes
2
No
how often do you use it?
1
at least once a day
2
4-6 times a week
3
1-3 times a week
4
less than once a week
Is there ever any damp, condensation or mould in your home?
1
Yes
2
No
If no, go to B13a on page 11
How much of a problem is damp or condensation?
1
no damp or condensation
2
not serious
3
fairly serious
4
very serious
How much of a problem is mould?
1
no mould
2
not serious
3
fairly serious
4
very serious
Does your roof leak at all? (If you have another flat above yours, please tick 'does not apply')
7
does not apply
1
no leak
2
yes, slight leak
3
yes, serious leak
In wet weather, does water get in from anywhere else, such as through badly fitting windows or doors?
1
no leaks
2
yes, slight leaks
3
yes, serious leaks
Taking everything into account, which of the following best describes your feeling about your home?
1
satisfied
2
fairly satisfied
3
dissatisfied
4
very dissatisfied
In the past year have you done any of the following: sanded floors
1
Yes, in own home
2
Yes, elsewhere
3
No, not at all
In the past year have you done any of the following: stripped wallpaper
1
Yes, in own home
2
Yes, elsewhere
3
No, not at all
In the past year have you done any of the following: removed paint or varnish
1
Yes, in own home
2
Yes, elsewhere
3
No, not at all

In the past year have any of the following rooms been decorated or had any brand new furniture?

-

1 - Yes

2 - No

9 - Don't know

painted
wallpapered
new carpet
new furniture

In the past year have any of the following rooms been decorated or had any brand new furniture?

-

1 - Yes

2 - No

9 - Don't know

painted
wallpapered
new carpet
new furniture

In the past year have any of the following rooms been decorated or had any brand new furniture?

-

1 - Yes

2 - No

9 - Don't know

painted
wallpapered
new carpet
new furniture

In the past year have any of the following rooms been decorated or had any brand new furniture?

-

1 - Yes

2 - No

9 - Don't know

painted
wallpapered
new carpet
new furniture
which room (s)?
Generic text
How would you rate your home in relation to that of other homes with 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 children?
1
much tidier
2
a bit tidier
3
about the same
4
less tidy
5
much less tidy
9
don't know

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 pavement/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 & describe)
1
Serious problem
2
Minor problem
3
Not a problem
4
No opinion
Other
Do you have a rule that smoking never happens in particular rooms?
1
no smoking in the house at all
2
smoking only allowed in some rooms
3
smoking allowed anywhere
Do the other people in your neighbourhood: visit your home
1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always
Do the other people in your neighbourhood: argue with you
1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always
Do the other people in your neighbourhood: look after your children
1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always
Do the other people in your neighbourhood: keep to themselves
1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always
Do you: visit the home of your neighbours
1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always
Do you: argue with your neighbours
1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always
Do you: look after your neighbour's children
1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always
Do you: keep to yourself
1
No, never
2
Rarely
3
Sometimes
4
Often
5
Always
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
How heavy is the traffic on the street where you live?
1
very heavy
2
quite heavy
3
not very heavy
4
hardly any traffic

To heat your home in winter what methods do you mainly use?

In main living room In study child's bedroom In other rooms

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

central heating or storage heaters
wood stoves or wood fires
coal fires
paraffin heaters
gas fires (mains gas)
gas fires (bottled gas)
other type of heating (please tick describe)
no heating in this room
To heat your home in winter what methods do you mainly use? other type of heating (please tick & describe)
Other
If your home is centrally heated in winter, please describe:
7
type: no central heating
If your home is centrally heated in winter, please describe:
1
type: solid fuel
2
type: oil
3
type: gas
4
type: electricity
5
type: other (please tick describe)
Other
How is heating distributed?
1
Radiators
2
warm air
3
storage heaters
4
under floor heating
5
other please describe
Other
Where is the boiler?
1
kitchen
2
living room
3
no boiler
4
other (please tick describe)
Other
Do you use gas for cooking?
1
Yes, ring(s) only
2
yes, oven only
3
yes, rings and oven
4
no, not at all
When you are cooking, how often do you get rid of the smells and steam using the following:
7
I never cook

When you are cooking, how often do you get rid of the smells and steam using the following:

-

1 - Usually

2 - Sometimes

3 - Not at all

open windows
ventaxia/air extractor
extractor hood which vents to outside
extractor hood that doesn't vent to outside
When you are cooking, how often do you get rid of the smells and steam using the following: other (please tick and describe)
1
Usually
2
Sometimes
3
Not at all
Other
How often do you have any windows open in your home: In summer: day
1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
How often do you have any windows open in your home: In summer: night
1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
How often do you have any windows open in your home: In winter: day
1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
How often do you have any windows open in your home: In winter: night
1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
Are any of your windows double glazed? (including secondary double glazing)
1
yes, all of them
2
yes, some of them
3
no, none of them
4
don't know
Does your home have chimneys?
1
Yes
2
No
have they been blocked up?
1
yes, all of them
2
yes, some of them
3
no
4
don't know
Do you use a thermometer or thermostat to help keep the temperature at the level you want in winter? In main living room:
1
thermostat on radiators
2
room thermostat
3
room thermometer
4
none of these
5
other (please describe)
Do you use a thermometer or thermostat to help keep the temperature at the level you want in winter? In your study child's bedroom:
1
thermostat on radiators
2
room thermostat
3
room thermometer
4
none of these
5
other (please describe)

What temperature do you try to maintain in winter?

day night
TemperatureTemperatureTemperatureTemperature TemperatureTemperatureTemperatureTemperature
in living rooms
in room where your study child sleeps

SECTION C: YOUR HOUSEHOLD

(By household we mean people living with you in your house or flat)

How many people live in your household nowadays? (including yourself and anyone who is away at school or as part of their work)

-
How many
adults (over 18 years)
young adults (16-18 years)
children (less than 16 years)
Please indicate who the adults over 18 are. yourself
1
Yes
2
No
Please indicate who the adults over 18 are. your partner
1
Yes
2
No
Please indicate who the adults over 18 are. your parent(s)
1
Yes
2
No
Please indicate who the adults over 18 are. your partner's parent(s )
1
Yes
2
No
Please indicate who the adults over 18 are. your children (aged over 18)
1
Yes
2
No
Please indicate who the adults over 18 are. children of your partner (aged over 18)
1
Yes
2
No
Please indicate who the adults over 18 are. other relation(s) of yourself
1
Yes
2
No
Please indicate who the adults over 18 are. other relation(s) of your partner
1
Yes
2
No
Please indicate who the adults over 18 are. friend(s )
1
Yes
2
No
Please indicate who the adults over 18 are. lodger
1
Yes
2
No
Please indicate who the adults over 18 are. other (please tick & describe)
1
Yes
2
No
Other
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 time
7
married for third time
what was the date of your most recent marriage?
Generic date
Is the present live-in father-figure the natural father of the study child?
1
Yes
2
No
7
No live-in father-figure
9
Don't know
If yes, or don't know go to C4c on page 22
how old was the child when the natural father stopped living with the child?
Age
Months
how often does the natural father see the study child?
7
child's father is dead
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
does he help support the child financially?
1
yes, on a regular basis
2
yes, occasionally
3
no
Is the present live-in mother figure the biological (natural) mother of the study child?
1
Yes
2
No
If yes, go to C5 on page 23
how old was the child when the natural mother stopped living with the child?
Age
Months
how often does the natural mother see the study child?
7
child's mother is dead
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
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 present 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
The following questions will help us understand how complex the families in the study often are.
Are you currently married or living with a partner?
1
Yes
2
No
If no, go to C7d on page 24
how many children have the pair of you had together? ... children
How many

Please list for each of these children.

Date of birth Currently living with you?

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth
1
2
3
4
Not including your present relationship (if any) how many live-in relationships have you had?
How many

Not including your present relationship, if you have had other live-in relationships please list for the 3 most recent:

date married/ moved in together date parted how many children did you have together give date of birth of each child 1 give date of birth of each child 2 give date of birth of each child 3 give date of birth of each child 4 how many of these children live with you now?
Generic dateHow manyHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyHow manyDate of birthHow manyHow manyGeneric dateGeneric dateDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyDate of birthDate of birthDate of birthHow manyDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyHow manyDate of birth Generic dateHow manyHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyHow manyDate of birthHow manyHow manyGeneric dateGeneric dateDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyDate of birthDate of birthDate of birthHow manyDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyHow manyDate of birth Generic dateHow manyHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyHow manyDate of birthHow manyHow manyGeneric dateGeneric dateDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyDate of birthDate of birthDate of birthHow manyDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyHow manyDate of birth Generic dateHow manyHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyHow manyDate of birthHow manyHow manyGeneric dateGeneric dateDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyDate of birthDate of birthDate of birthHow manyDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyHow manyDate of birth Generic dateHow manyHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyHow manyDate of birthHow manyHow manyGeneric dateGeneric dateDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyDate of birthDate of birthDate of birthHow manyDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyHow manyDate of birth Generic dateHow manyHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyHow manyDate of birthHow manyHow manyGeneric dateGeneric dateDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyDate of birthDate of birthDate of birthHow manyDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyHow manyDate of birth Generic dateHow manyHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyHow manyDate of birthHow manyHow manyGeneric dateGeneric dateDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyDate of birthDate of birthDate of birthHow manyDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyHow manyDate of birth Generic dateHow manyHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyHow manyDate of birthHow manyHow manyGeneric dateGeneric dateDate of birthDate of birthDate of birthGeneric dateDate of birthGeneric dateHow manyDate of birthDate of birthDate of birthHow manyDate of birthHow manyGeneric dateHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyGeneric dateDate of birthDate of birthDate of birthDate of birthHow manyDate of birthDate of birthDate of birthGeneric dateGeneric dateHow manyHow manyDate of birth
Most recent
2nd most recent
3rd most recent
If you have had more than 4 children, please give extra details on a separate sheet.
Do you have children from any other relationships?
1
Yes
2
No
If no, go to C7g below

please list:

Dates of birth Currently living with you

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth
1
2
3
4
Are there children from any of your current partner's previous relationship(s) who live with you?
1
Yes
2
No
7
No current partner

please list:

Dates of birth Currently living with you

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth

1 - Yes

2 - No

Date of birth
1
2
3
4
Here are some questions about your sexuality. Do not answer these questions if you find them too personal.
Since the birth of your study child have your partners been:
1
only male
2
mostly male
3
both male and female
4
mostly female
5
only female
6
no partner
How would you describe your sexuality?
1
heterosexual
2
bisexual
3
lesbian/homosexual
Are you currently living with a partner?
1
yes, a male partner
2
yes, a female partner
3
yes, multiple partners
4
not living with a partner
Since the birth of your study child, have you lived with:
1
male partners only
2
male female partner(s)
3
female partner(s) only
4
not lived with a partner
Now some questions about the children living in your household:
How many are older than the study child?
How many
If none, go to C18 on page 34
which of these is the nearest in age to your study child? Name
Generic text
which of these is the nearest in age to your study child? Date of birth
Date of birth
How does your 7 year old study child react to this older child named above? My 7 year old: Likes to be with this older child
1
Frequently
2
Sometimes
3
Rarely or never
How does your 7 year old study child react to this older child named above? My 7 year old: Quarrels with this older child
1
Frequently
2
Sometimes
3
Rarely or never
How does your 7 year old study child react to this older child named above? My 7 year old: Is upset if parted from this older child
1
Frequently
2
Sometimes
3
Rarely or never
7
Never parted