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alspac_92_bgt
GIRL TODDLER QUESTIONNAIRE
This questionnaire asks about your daughter now she is a toddler. We are interested to know about her health and behaviour and how she gets on with other children. Your answers will help us to understand the problems that toddlers and their parents have.
It is like the other questionnaires you have received. To answer simply tick the box which best describes your toddler or your toddler's situation. Again some questions will seem similar but they are not the same. Please answer all questions that you can. If you cannot answer any questions or if they do not apply to you please put a line through them. There are no right or wrong answers. Please just describe what happens in your situation. You may make additional comments at the end. All answers are confidential.
THANK YOU FOR YOUR HELP
SECTION A: YOUR TODDLER'S HEALTH

How would you assess the health of your toddler now? in the past month

1
very healthy, no problems
2
healthy, but a few minor problems
3
sometimes quite ill
4
almost always unwell

How would you assess the health of your toddler now? in the past year

1
very healthy, no problems
2
healthy, but a few minor problems
3
sometimes quite ill
4
almost always unwell

How many of the following immunisations has she had? BCG (for tuberculosis)

(If you don't know put 9 in the appropriate box)

How many

How many of the following immunisations has she had? DTP or Triple (includes whooping cough)

(If you don't know put 9 in the appropriate box)

How many

How many of the following immunisations has she had? DT (without whooping cough)

(If you don't know put 9 in the appropriate box)

How many

How many of the following immunisations has she had? Polio

(If you don't know put 9 in the appropriate box)

How many

How many of the following immunisations has she had? MMR (measles, mumps and rubella)

(If you don't know put 9 in the appropriate box)

How many

How many of the following immunisations has she had? Hib (for meningitis)

(If you don't know put 9 in the appropriate box)

How many

How many of the following immunisations has she had? Other (please describe)

(If you don't know put 9 in the appropriate box)

How many
Other

Did she have a temperature or was she unwell after any immunisation?

1
Yes
2
No
If no, go to A3 on page 3
If yes, please describe:
qc_A2_h == 1

which immunisation?

Generic text

how was she affected?

Generic text

how long after the immunisation did this start?

1
under 3 hours
2
3-24 hours
3
1-2 days
4
3-6 days
5
1 week or more
9
don't know

Has she had fluoride supplements at all? (i.e. special tablets or liquid)

1
Yes
2
No
3
Not known
If no or not known go to A4a below
If yes,
qc_A3 == 1

for how long did she have them?

1
less than 1 month
2
1-2 months
3
3-5 months
4
6-11 months
5
12 months or more
9
don't know

How old was she when she last had fluoride supplements? ... months old

(put 66 if still has them)

Age

Since she was 6 months old, has the doctor been called to your home because she was unwell?

1
Yes
2
No
If no, go to A5 below
If yes,
qc_A4_a == 1

how many times?

1
1
2
2
3
3-4
4
5 or more
Has she had any of the following since she was 6 months old?
-

1 - Yes and saw a doctor

2 - Yes but did not see doctor

3 - No did not have

diarrhoea
blood in the stools
vomiting
cough
high temperature
snuffles/cold
ear ache
ear discharge (pus not wax)
convulsions/fits
colic
rash
wheezing
breathlessness
episodes of stopping breathing
an accident

Has she had any of the following since she was 6 months old? other (please tick and describe)

1
Yes and saw a doctor
2
Yes but did not see doctor
3
No did not have
Other

Has your toddler been admitted to hospital since she was 6 months old?

1
Yes
2
No
If no, go to A7 on page 5
If yes,
qc_A6_a == 1

how many times?

How many
please describe for each admission:
Her age Reason for admission No. of nights stayed Name of hospital
AgeHow manyGeneric textGeneric textHow manyGeneric textGeneric textAgeGeneric textHow manyGeneric textAgeGeneric textHow manyAgeGeneric text AgeHow manyGeneric textGeneric textHow manyGeneric textGeneric textAgeGeneric textHow manyGeneric textAgeGeneric textHow manyAgeGeneric text AgeHow manyGeneric textGeneric textHow manyGeneric textGeneric textAgeGeneric textHow manyGeneric textAgeGeneric textHow manyAgeGeneric text AgeHow manyGeneric textGeneric textHow manyGeneric textGeneric textAgeGeneric textHow manyGeneric textAgeGeneric textHow manyAgeGeneric text
1
2
3
(If more than 3 admissions, please continue on back cover)

How often did you see her while she was in hospital? 1st admission

1
Not at all
2
Less than once a day
3
Every day
4
Stayed in the hospital with her

How often did you see her while she was in hospital? 2nd admission

1
Not at all
2
Less than once a day
3
Every day
4
Stayed in the hospital with her

How often did you see her while she was in hospital? 3rd admission

1
Not at all
2
Less than once a day
3
Every day
4
Stayed in the hospital with her

Has she had any of the following? hernia repair

1
Yes
2
No

Has she had any of the following? other operation (please describe)

1
Yes
2
No
Other

How often has your toddler gone to the Child Health Clinic or Baby Clinic since she was 6 months old?

1
not at all
2
once
3
2-3 times
4
4-5 times
5
6 or more times
9
don't know

Since she was 6 months old has she had any periods when there was wheezing with whistling on her chest when she breathed?

1
Yes
2
No
If no, go to A9h on page 7
If yes,
qc_A9_a == 1

How many separate times has this happened?

1
once
2
twice
3
3-4 times
4
5 or more times
9
don't know

On how many days altogether would you say she had wheezed?

1
1
2
2-3
3
4-9
4
10-19
5
20 or more
9
don't know

Was she breathless (struggling for breath) during any of these times?

1
Yes for all
2
Yes for some
3
No not at all

Did she have a fever during any of these times?

1
Yes for all
2
Yes for some
3
No not at all

How old was she? for the first occurrence: ... months

Age

How old was she? for the most recent occurrence: ... months

Age

What do you think brings them on? (tick all that apply) chest infection or bronchitis

1
Yes

What do you think brings them on? (tick all that apply) being in a smoky room

1
Yes

What do you think brings them on? (tick all that apply) cold weather

1
Yes

What do you think brings them on? (tick all that apply)

9
don't know

What do you think brings them on? (tick all that apply) other (please describe)

1
Yes
Other

Have any of your other children had similar spells of wheezing with whistling on the chest?

1
Yes
2
No
7
have no other children

Has she had a skin rash in the joints and creases of her body (e.g. behind the knees, elbows, under the arms) since she was 6 months old?

1
Yes
2
No
If no, go to A11a below
If yes,
qc_A10_a == 1

how bad was this?

1
very bad
2
quite bad
3
mild
4
no problem

does she have this sort of rash now?

1
Yes
2
No

Has she had an itchy, dry, oozing or crusted rash on the face, forearms or shins since she was 6 months old?

1
Yes
2
No
If no, go to A12a on page 8
If yes,
qc_A11_a == 1

how bad was this?

1
very bad
2
quite bad
3
mild
4
no problem

does she have this sort of rash now?

1
Yes
2
No

Has she had vomiting spells since she was 6 months old?

1
Yes
2
No
If no, go to A13 below
If yes,
qc_A12_a == 1

How many times?

1
once
2
twice
3
3-9 times
4
10 or more times

Have these been associated with: diarrhoea

1
Always
2
Frequently
3
Sometimes
4
Rarely
5
Never

Have these been associated with: chestiness (wheezing or coughing or grunting)

1
Always
2
Frequently
3
Sometimes
4
Rarely
5
Never

Have these been associated with: fever

1
Always
2
Frequently
3
Sometimes
4
Rarely
5
Never

How many motions (or dirty nappies) does she usually have?

1
4 or more times/day
2
2-3 times/day
3
once a day
4
once in 2-4 days
5
once a week
9
can't say

How often are her motions: hard

1
Usually
2
Often
3
Occasionally
4
Never

How often are her motions: soft

1
Usually
2
Often
3
Occasionally
4
Never

How often are her motions: curdy

1
Usually
2
Often
3
Occasionally
4
Never

How often are her motions: liquid

1
Usually
2
Often
3
Occasionally
4
Never

How often are her motions: green

1
Usually
2
Often
3
Occasionally
4
Never

How often are her motions: brown

1
Usually
2
Often
3
Occasionally
4
Never

How often are her motions: black

1
Usually
2
Often
3
Occasionally
4
Never

How often are her motions: yellow

1
Usually
2
Often
3
Occasionally
4
Never

Since she was 6 months old has she had diarrhoea or gastro-enteritis?

1
Yes
2
No
If no, go to A16a on page 10
If yes,
qc_A15_a == 1

how many times?

How many

how many days did the worst attack last?

How many

Did you: ask the doctor to come to your home

1
Yes
2
No

Did you: ring the doctor for advice

1
Yes
2
No

Did you: go to your doctor

1
Yes
2
No

Did you: treat it yourself

1
Yes
2
No

Did you: other (please describe)

1
Yes
2
No
Other

Did you continue feeding as usual?

1
Yes
2
No
If yes, go to A15f on page 10
If no,
qc_A15_e == 2

how long was normal feeding disturbed?

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

Was the baby treated with an oral rehydration solution?

1
Yes
2
No
9
Don't know
If no or don't know go to A15g below
If yes,
qc_A15_f == 1

give type if known:

Generic text

how long was the solution given?

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

What other treatment was given?

Generic text

Since she was 6 months old has your child ever had a time when she has coughed on and off for at least 2 days?

1
Yes
2
No
If no go to A17 on page 11
If yes,
qc_A16_a == 1

how old was she when this first happened? ... months

Age

how many times has this happened?

1
once
2
twice
3
3-9 times
4
10 or more times

did she have a fever at any of these times?

1
Yes for all
2
Yes for some
3
No not at all

did she have a runny nose during any of these spells?

1
Yes for all
2
Yes for some
3
No not at all
The following questions are about your toddler's ears or hearing.

Generally, does your toddler listen to people or to things that happen nearby:

1
Yes usually
2
Yes often
3
Sometimes
4
Usually not
9
Don't know

Does she turn her head towards sounds?

1
yes usually
2
yes sometimes
3
yes, but only to very loud sounds
4
never turns towards sounds
5
don't know/not sure

During or after a cold, is her hearing worse than usual?

1
yes much worse
2
yes a little worse
7
has never had a cold
3
no, about the same
9
don't know

During a cold, is the dripping (discharge) from her nose:

7
Hasn't had a cold
If Hasn't had a cold to question A17d
qc_A17_d == 7
Else
During a cold, is the dripping (discharge) from her nose:
-

1 - Yes

2 - No

9 - Don't know

clear
slightly white in colour
thick heavy yellow and/or green in colour (catarrh)
very little discharge occurs at all

Does she pull, scratch or poke at her ears?

1
quite often
2
sometimes
3
only at times when poorly, fretful, or in pain
4
hardly ever/never
9
don't know

Do her ears go red and look sore for a long time? (Remember - an ear that has just been slept on may look red for a short time.)

1
quite often
2
sometimes
3
only at times when poorly, fretful, or in pain
4
hardly ever/never
9
don't know

Has pus or a sticky mucus (not ear wax) ever leaked out of her ear?

1
Never
2
once
3
more than once
9
don't know

Does she breathe through her mouth rather than through her nose?

1
all the time
2
much of the time
3
sometimes/occasionally
4
never/hardly ever
9
don't know

Does she snore for more than a few minutes at a time?

1
most nights
2
quite often
3
sometimes/occasionally
4
never/hardly ever
9
don't know

When she is asleep, does she seem to stop breathing or hold her breath for several seconds at a time?

1
yes, often
2
yes, sometimes
3
yes, but rarely
4
no
9
don't know

Have there been times when she seems to have had a pain in her stomach?

1
Yes
2
No
If no go to A19a on page 14
If yes,
qc_A18_a == 1

How many separate times has this happened?

1
once
2
twice
3
3-4 times
4
5 or more times
9
don't know

How old was she? for the first occurrence: ... months

Age

How old was she? for the most recent occurrence: ... months

Age

Has she ever had any form of convulsion, fit, seizure or other turn in which consciousness was lost or any part of the body made an abnormal movement?

1
Yes
2
No
9
Not known
If no or not known go to A20 on page 15
If yes,
qc_A19_a == 1

Please describe the first attack

Generic text

Did she have a high temperature at the time?

1
Yes
2
No
9
Not known

How old was she at the time? ... months

(put 00 if less than 1 month old)

Age

How many attacks has she had?

1
One
2
two
3
3-4
4
5 or more

Who saw the child because of the attack(s) general practitioner at home

1
Yes
2
No
9
Don't know

Who saw the child because of the attack(s) general practitioner at surgery

1
Yes
2
No
9
Don't know

Who saw the child because of the attack(s) hospital outpatients

1
Yes
2
No
9
Don't know

Who saw the child because of the attack(s) admitted to hospital

1
Yes
2
No
9
Don't know

What investigations, if any, were carried out?

Generic text

How did subsequent attacks differ, if any?

Generic text

Does she have pills, ointments or medicine for these attacks? If yes, please describe

1
yes uses every day
2
yes uses when she has a fever
3
no not at all
Generic text

Did the attack(s) occur at any of the following ages? under one month

1
Yes
2
No

Did the attack(s) occur at any of the following ages? 1 - 5 months

1
Yes
2
No

Did the attack(s) occur at any of the following ages? 6 - 11 months

1
Yes
2
No

Did the attack(s) occur at any of the following ages? since her first birthday

1
Yes
2
No

What were these thought to be due to? febrile convulsions (with a fever)

1
Yes
2
No
9
Don't know

What were these thought to be due to? fainting and blackouts

1
Yes
2
No
9
Don't know

What were these thought to be due to? epilepsy

1
Yes
2
No
9
Don't know

What were these thought to be due to? breath holding

1
Yes
2
No
9
Don't know

What were these thought to be due to? reaction to immunisation

1
Yes
2
No
9
Don't know

What were these thought to be due to? other (please specify)

1
Yes
2
No
9
Don't know
Other

Has she ever had any of the following infections? german measles (rubella)

1
Yes
2
No

Has she ever had any of the following infections? measles

1
Yes
2
No

Has she ever had any of the following infections? chicken pox

1
Yes
2
No

Has she ever had any of the following infections? mumps

1
Yes
2
No

Has she ever had any of the following infections? meningitis

1
Yes
2
No

Has she ever had any of the following infections? other infection (please describe)

1
Yes
2
No
Other
SECTION B: SLEEPING AND CRYING

Does your toddler have a regular sleeping routine? (i.e. does she tend to go to sleep at the same times every day?)

1
Yes
2
No

How many hours sleep does she usually have during the day time?

1
none
2
less than 1 hour
3
1-2 hrs
4
more than 2 hours
9
don't know

Normally what time in the evening does your toddler go to sleep?

Generic text

What time does she normally wake up in the morning?

Generic text

How often during the night does she usually wake? ... times

How many

How often during the day does she usually-sleep? ... times

How many

In which room does she usually sleep? When you put her down at night

1
in her own room on her own
2
in a room with other children
3
in your bedroom
4
in a room with other adults
5
other place (please describe)
Other

In which room does she usually sleep? When she wakes in the morning from her night sleep

1
in her own room on her own
2
in a room with other children
3
in your bedroom
4
in a room with other adults
5
other place (please describe)
Other

Does she sleep on her own most nights or does she share a bed or cot? When you put her down

1
in her own bed/cot
2
in bed/cot with other children
3
in your bed with you
4
in bed with other adult
5
other place (please describe)
Other

Does she sleep on her own most nights or does she share a bed or cot? When she wakes in the morning from her night sleep

1
in her own bed/cot
2
in bed/cot with other children
3
in your bed with you
4
in bed with other adult
5
other place (please describe)
Other
In the room where the baby sleeps most of the night:
-

1 - Yes always

2 - Yes sometimes

3 - No not at all

is the heating on at night?
is there a window open at night?
does she sleep with a duvet?
does she have an electric blanket on at night?
does she sleep with a pillow?

Do you have a room thermometer in this room:

1
Yes
2
No
If no, go to B5 on page 18
If yes,
qc_B4_d == 1

have you used it to alter the number of bedclothes she has?

1
yes often
2
yes sometimes
3
not at all

Do you feel her sleep pattern is:

1
better than other children of the same age
2
same as other children of the same age
3
worse than other children of the same age
9
don't know
In the past year has your child regularly:
-

1 - Yes, but did not worry me

2 - Yes, worried me somewhat

3 - Yes, worried me greatly

4 - No, did not happen regularly

refused to go to bed
woken very early
had difficulty going to sleep
had nightmares
continued to get up after being put to bed
woken in the night
got up after only a few hours sleep

Compared with other toddlers would you describe the amount of time your toddler cries as:

1
more than other toddlers
2
the same as other toddlers
3
less than other toddlers
9
don't know

Most toddlers fuss and whine. How often does your child whine or fuss?

1
for long periods each day
2
for a short while each day
3
a number of times during the week
4
sometimes
5
never or hardly ever

How often does your daughter cry for no particular reason?

1
often (almost every day)
2
sometimes (at least once a week)
3
never or hardly ever

Does she cry at any particular times? mornings

1
Yes, always
2
Yes, often
3
Yes, sometimes
4
Hardly ever
9
Don't know

Does she cry at any particular times? afternoons (before 17.00 hours)

1
Yes, always
2
Yes, often
3
Yes, sometimes
4
Hardly ever
9
Don't know

Does she cry at any particular times? in the late afternoon/evenings (5 p.m. onwards)

1
Yes, always
2
Yes, often
3
Yes, sometimes
4
Hardly ever
9
Don't know

Does she cry at any particular times? during the night

1
Yes, always
2
Yes, often
3
Yes, sometimes
4
Hardly ever
9
Don't know

Does she cry at any particular times? other (please describe)

1
Yes, always
2
Yes, often
3
Yes, sometimes
4
Hardly ever
9
Don't know
Other

Can you usually calm her when she cries?

1
no
2
yes, after much effort
3
yes, but it takes a while
4
yes, usually fairly easily

Do you ever feel that her crying is a problem?

1
Yes
2
No

How often do you use sweets or other foods to stop her crying or fussing?

1
at least once a day
2
several times a week
3
infrequently
4
never
If never, go to B14
qc_B13_a == 4
Else

what do you use to stop her crying or fussing? sweets

1
Yes
2
No

what do you use to stop her crying or fussing? chocolates

1
Yes
2
No

what do you use to stop her crying or fussing? crisps

1
Yes
2
No

what do you use to stop her crying or fussing? apple or fruit

1
Yes
2
No

what do you use to stop her crying or fussing? breast feed

1
Yes
2
No

what do you use to stop her crying or fussing? milk drink

1
Yes
2
No

what do you use to stop her crying or fussing? other drink

1
Yes
2
No

what do you use to stop her crying or fussing? other food (please describe)

1
Yes
2
No
Other
HOMEOPATHIC MEDICINES

Has your toddler ever taken homeopathic medicines?

1
Yes often
2
Yes sometimes
3
No
If yes,
qc_B14_a == 1 || qc_B14_a == 2

please describe

Generic text
SECTION C: YOU AND YOUR TODDLER
Often parents are anxious that problems might occur. Please indicate how often you think about the following:
-

1 - Yes, worries me a lot

2 - Yes, worry occasionally

3 - No, never think of it

My toddler may have a bad accident
She might get meningitis
She might get asthma
She might have fits
She might be mentally handicapped
She might get AIDS

Often parents are anxious that problems might occur. Please indicate how often you think about the following: Other problem (please describe)

1
Yes, worries me a lot
2
Yes, worry occasionally
3
No, never think of it
Other

Do you ever have a battle of wills with your toddler?

1
never
2
rarely (less than once a week)
3
sometimes (at least once a week)
4
frequently (almost every day)
If no go to C3a on page 22
If yes,
qc_C2_a == 2 || qc_C2_a == 3 || qc_C2_a == 4

What are they usually about:

Generic text

Who most often wins?

1
me
2
my toddler
3
about even
4
neither of us

How often does she refuse to go to bed when you take her?

1
most of the time
2
often
3
at times
4
rarely
5
never
7
I never do this task
If never happens go to C4a on page 23
If she does refuse,
qc_C3_a == 1 || qc_C3_a == 2 || qc_C3_a == 3 || qc_C3_a == 4
how often might you try:
-

1 - Often

2 - Sometimes

3 - Never

allowing her to stay up until she is more sleepy
allowing her to fall asleep then putting her to bed
insisting it is bedtime and putting her in her room
playing or reading with her in her room for a while then putting her to bed
cuddling her until she falls asleep
giving her a bottle
giving her a dummy

how often might you try: other (please describe)

1
Often
2
Sometimes
3
Never
Other

How often does she refuse to eat the meal you yourself prepare for her?

1
most of the time
2
often
3
sometimes
4
rarely
5
never
7
I don't do this
If never happens go to C5a below
qc_C4_a == 5 || qc_C4_a == 7
Else
When she refuses do you:
-

1 - Often

2 - Sometimes

3 - Never

give her another meal to eat
allow her to have dessert without eating a main savoury meal
insist she eats at least some of the meal before she can have a dessert

When she refuses do you: other (please describe)

1
Often
2
Sometimes
3
Never
Other

How often does she have temper tantrums?

1
more than once a day
2
most days
3
at least once a week
4
less than once a week
5
never
If never, go to C6 on page 25
If she has temper tantrums:
qc_C5_a == 1 || qc_C5_a == 2 || qc_C5_a == 3 || qc_C5_a == 4

Do they occur because of: failure to get what she wants

1
Yes
2
No

Do they occur because of: failure to make herself understood

1
Yes
2
No

Do they occur because of: reaction to being corrected

1
Yes
2
No

Do they occur because of: no particular reason

1
Yes
2
No

Do they occur because of: other (please describe)

1
Yes
2
No
Other
When she has temper tantrums how often do you:
-

1 - Often

2 - Sometimes

3 - Never

ignore it, let her get it out of her system
send her away for 'time out' e.g. send her to her bedroom
try to hold and cuddle her
try to reason with her
leave it for someone else to cope with
try to distract her
give her a smack or shake
shout at her

When she has temper tantrums how often do you: other (please describe)

1
Often
2
Sometimes
3
Never
Other

How often does she do the following: repeatedly rocks head or body

1
Once a week or more
2
Less than once a week
3
Never

How often does she do the following: has a tic or twitch

1
Once a week or more
2
Less than once a week
3
Never

How often does she do the following: has other unusual behaviour (please describe)

1
Once a week or more
2
Less than once a week
3
Never
Other

About how often do you take her to: local shops

1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never

About how often do you take her to: department store

1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never

About how often do you take her to: supermarket

1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never

About how often do you take her to: park or playground

1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never

About how often do you take her to: visits to friends or family

1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never

About how often do you take her to: library

1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never

About how often do you take her to: places of interest (e.g. Zoo)

1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never

About how often do you take her to: places of entertainment (e.g. funfair)

1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never

When out with your toddler do you: allow her to walk witout restraint

1
Often
2
Sometimes
3
Never
4
Does not walk yet

When out with your toddler do you: allow her to walk holding your hand

1
Often
2
Sometimes
3
Never
4
Does not walk yet

When out with your toddler do you: allow her to walk with reins

1
Often
2
Sometimes
3
Never
4
Does not walk yet

When out with your toddler do you: carry her in a backpack

1
Often
2
Sometimes
3
Never

When out with your toddler do you: carry her in your arms

1
Often
2
Sometimes
3
Never

When out with your toddler do you: put her in pushchair or pram

1
Often
2
Sometimes
3
Never

In which places do you allow her to walk freely?

7
Does not walk yet
Go to C11a on page 27
qc_C9 == 7
Else

In which places do you allow her to walk freely? own home

1
Always
2
Often
3
Sometimes
4
Never

In which places do you allow her to walk freely? own garden

1
Always
2
Often
3
Sometimes
4
Never

In which places do you allow her to walk freely? other homes

1
Always
2
Often
3
Sometimes
4
Never

In which places do you allow her to walk freely? other private gardens

1
Always
2
Often
3
Sometimes
4
Never

In which places do you allow her to walk freely? park or playground

1
Always
2
Often
3
Sometimes
4
Never

In which places do you allow her to walk freely? other (please describe)

1
Always
2
Often
3
Sometimes
4
Never
Other

Please tick which is appropriate for your toddler:

1
She wanders further than I like
2
She never leaves me
3
Neither of above

Are there any foods you do not allow her to eat?

1
Yes
2
No
If no, go to C12 below
If yes,
qc_C11_a == 1

What are these?

Generic text

For what reason(s) are they not allowed? health

1
Yes
2
No

For what reason(s) are they not allowed? religious/moral

1
Yes
2
No

For what reason(s) are they not allowed? allergy

1
Yes
2
No

For what reason(s) are they not allowed? advice from doctor or health visitor

1
Yes
2
No

For what reason(s) are they not allowed? likely to choke

1
Yes
2
No

For what reason(s) are they not allowed? other (please describe)

1
Yes
2
No
Other

How much choice do you allow her in deciding what foods she eats at meals?

1
I decide what she will eat
2
She is given a choice from a few alter natives that I select
3
She can choose from any food available
7
I am never in charge of preparing her meals

Do you allow her to choose what clothes she will wear?

1
She always takes part in choosing
2
She has some choice
3
I decide what she will wear
7
I am never responsible for dressing her

Does your toddler have: cuddly toys

1
Yes
2
No

Does your toddler have: push or pull toys

1
Yes
2
No

Does your toddler have: co-ordination toys (eg. set of blocks, shape posting box, stacking cups)

1
Yes
2
No

Does your toddler have: baby walker (that she sits in)

1
Yes
2
No

Does your toddler have: baby bouncer

1
Yes
2
No

About how many books does she have of her own?

1
none
2
1 - 2 books
3
3 - 9 books
4
10 or more

Do you try to teach your toddler?

1
no, she is too young
2
no, I do not have time
3
yes, sometimes
4
yes, often

Which things do you try to do with her? clapping games such as pat-a-cake

1
Yes
2
No

Which things do you try to do with her? parts of the body

1
Yes
2
No

Which things do you try to do with her? to wave bye-bye

1
Yes
2
No

Which things do you try to do with her? colours

1
Yes
2
No

Which things do you try to do with her? alphabet

1
Yes
2
No

Which things do you try to do with her? numbers

1
Yes
2
No

Which things do you try to do with her? nursery rhymes

1
Yes
2
No

Which things do you try to do with her? songs

1
Yes
2
No

Which things do you try to do with her? shapes and sizes

1
Yes
2
No

Which things do you try to do with her? politeness (e.g. 'please', 'thank you')

1
Yes
2
No

Which things do you try to do with her? others (please describe)

1
Yes
2
No
Other

How often do you talk to her while you do housework or are occupied in some other way?

1
never
2
rarely
3
sometimes
4
often
5
nearly always

Do you usually have the television on: in the mornings

1
Yes every day
2
Yes some days
3
No hardly ever
7
Don't have a T.V.

Do you usually have the television on: in the afternoons

1
Yes every day
2
Yes some days
3
No hardly ever
7
Don't have a T.V.

Do you usually have the television on: in the evenings

1
Yes every day
2
Yes some days
3
No hardly ever
7
Don't have a T.V.

Does your toddler watch television?

1
yes, but only while playing
2
yes, concentrates and tries to understand
3
no, she ignores it
4
no, she is never allowed to see it
7
do not have T.V.
If she does watch TV,
qc_C18_b == 1 || qc_C18_b == 2

what programmes does she see? children's programmes

1
Yes
2
No

what programmes does she see? other programmes

1
Yes
2
No

what programmes does she see? children's videos

1
Yes
2
No

what programmes does she see? other videos

1
Yes
2
No

How often does she play with other children (other than brothers or sisters)?

1
everyday
2
2-6 times a week
3
once a week
4
less than once a week
5
never

How often does your partner do these activities with your toddler?

7
Have no partner
Go to C21 on page 31
qc_C20 == 7
Else
How often does your partner do these activities with your toddler?
-

1 - Nearly every day

2 - 3-5 times a week

3 - 1-2 times a week

4 - less than once a week

5 - Never

baths her
feeds her
sings to her
reads stories or shows her pictures in books
plays with toys
cuddles her
imitation games (pat-a-cake, peek-a-boo)
physical play (e.g. rolling over, bouncing)
takes her for walks

How often does your partner do these activities with your toddler? other (please describe)

1
Nearly every day
2
3-5 times a week
3
1-2 times a week
4
less than once a week
5
Never
Other
How often do you do these activities with your toddler?
-

1 - Nearly every day

2 - 3-5 times a week

3 - 1-2 times a week

4 - less than once a week

5 - Never

bath her
feed her
sing to her
read stories or show her pictures in books
play with toys
cuddle her
imitation games (pat-a-cake, peek-a-boo)
physical play (e.g. rolling over, bouncing)
take her for walks

How often do you do these activities with your toddler? other (please describe)

1
Nearly every day
2
3-5 times a week
3
1-2 times a week
4
less than once a week
5
Never
Other
When you and your toddler meet again after being apart for an hour or more, how often does she:
-

1 - usually

2 - sometimes

3 - hardly ever

7 - we are never apart

move away, avoid looking at you
push you away
run to you for a hug or cuddle
SECTION D: BROTHERS AND SISTERS
We are interested in the other children who live with your toddler. Please include half-brothers and half-sisters, step-brothers and step-sisters, fostered or adopted children.

Are there any other children in your home?

1
Yes
2
No
If no, go to Section E on page 35
If yes,
qc_D1_a == 1

Does your toddler have older children living with her?

1
Yes
2
No
If no, go to D2a below
If yes,
qc_D1_b == 1

How many? older brothers:

How many

How many? older sisters:

How many
How does your toddler get on with her older brothers and sisters?
-

1 - Yes, most of the time

2 - Yes, some of the time

3 - No, hardly ever

she likes to be with them
she quarrels with them
she is upset if she's parted from them

Does your toddler have a twin or triplet?

1
Yes
2
No
If no, go to D3a on page 33
If yes,
qc_D2_a == 1

Would you say they are alike: in looks

1
Yes
2
No

Would you say they are alike: in behaviour

1
Yes
2
No

Would you say they are alike: personality/character

1
Yes
2
No

Would you say they are alike: in health

1
Yes
2
No

How do you dress them?

1
in similar clothes each day
2
in similar clothes sometimes
3
hardly ever in similar clothes
How does this twin react to the other?
-

1 - Yes, most of the time

2 - Yes, some of the time

3 - No, hardly ever

she likes to be with her twin
she quarrels with her twin
she is upset if she is parted from her twin

Does your toddler have any younger brothers or sisters?

1
Yes
2
No
If no, go to Section E on page 35
If yes,
qc_D3_a == 1

How many? Younger brothers:

How many

How many? Younger sisters:

How many
Please give each child's name, age and sex:
Name Age (months) Sex
Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text
Younger Child 1
Younger Child 2
Younger Child 3

When your younger child/children arrived how did your toddler react? Younger Child 1

1
seemed pleased
2
didn't mind
3
was unhappy

When your younger child/children arrived how did your toddler react? Younger Child 2

1
seemed pleased
2
didn't mind
3
was unhappy

When your younger child/children arrived how did your toddler react? Younger Child 3

1
seemed pleased
2
didn't mind
3
was unhappy

Does she like to touch her younger brother(s)/sister(s)?

1
yes often
2
sometimes
3
No

Does she try to harm her younger brother(s)/sister(s)?

1
yes often
2
sometimes
3
No

Is she affectionate to her younger brother(s)/sister(s)?

1
yes often
2
sometimes
3
No

Does she like helping you to look after her younger brother(s)/sister(s)?

1
yes often
2
sometimes
3
No

Does she resent her younger brother(s)/sister(s)?

1
yes often
2
sometimes
3
No

Does she get angry with her younger brother(s)/sister(s)?

1
yes often
2
sometimes
3
No
SECTION E: UPSETTING EVENTS
Below are listed some events that might upset some children. Please state whether any of these happened.
-

1 - Yes and she was very upset

2 - Yes and she was quite upset

3 - Yes and she was a bit upset

4 - Yes but she wasn't upset

5 - No did not happen

She was taken into care*
A pet died
She moved home
She had a shock or fright*
She was physically hurt by someone*
She was sexually abused*
She was separated from her mother for at least a week*
She was separated from her father for at least a week*
She acquired a new parent*
She had a new brother or sister
She was admitted to hospital
She changed carer/care giver
She was separated from someone else*
She started creche or nursery
Something else*
If yes, to any marked *,
qc_E1-E15$*;1,4:9,13,15 >= 1 && qc_E1-E15$*;1,4:9,13,15 <=4

please give details below:

Generic text
SECTION F: MILESTONES
Below are a list of things which children gradually learn to do as they get older. Some of them your toddler will be doing and others she won't have started yet. Please indicate which she is doing:
-

1 - Yes, can do well

2 - Has only done once or twice

3 - Has not yet started

She is able to drink from a cup
She shows what she wants without crying for it
She copies me doing the housework
She uses a spoon without spilling much
She helps in the house with simple tasks
She can take off her clothes with help
She can put her shoes on (without fastening them)
She can wash and dry her hands
She lets me know when she wants to go to the lavatory
She will play happily on her own
She eats with a spoon and fork
She is shy when she first meets a stranger
She plays peek-a-boo
She plays pat-a-cake (or other clapping game) with me
Below are a list of things which children gradually learn to do as they get older. Some of them your toddler will be doing and others she won't have started yet. Please indicate which she is doing:
-

1 - Yes, can do well

2 - Has only done once or twice

3 - Has not yet started

She can hold a rattle
She can focus her eyes on a small object such as a raisin
She can pick up a small object such as a raisin
She can pass an object from one hand to another
She can bang together two similar objects that she is holding
She grabs objects using the whole hand
She can pick up a small object using finger and thumb only
She will use a pencil and scribble
She can build a tower putting one object on top of another
She can build a tower of 3 bricks
She can build a tower of 4 bricks
She can build a tower of 8 bricks
She holds a pencil in her fist
She can copy a vertical line with a pencil
She points to what she wants
She will turn the pages of a book
Below are a list of things which children gradually learn to do as they get older. Some of them your toddler will be doing and others she won't have started yet. Please indicate which she is doing:
-

1 - Yes, can do well

2 - Has only done once or twice

3 - Has not yet started

When a bell rings, she moves or makes a noise
She turns towards people when they are speaking
She tries to copy what you say
She says 'dada' and 'mama' and knows what they mean
She says at least 3 other words and knows what they mean
She combines two different words (e.g. nice dinner)
She can point to her toes when asked
She uses plurals (eg. cats, toys)
She gives her first name
She gives her first and last name
She understands the word 'cold'
She understands 'hungry'
She can name three colours, even if she doesn't get them right
She makes negative statements (e.g. no bath)
Below are a list of things which children gradually learn to do as they get older. Some of them your toddler will be doing and others she won't have started yet. Please indicate which she is doing:
-

1 - Yes, can do well

2 - Has only done once or twice

3 - Has not yet started

She can stand up without being supported even if only for a very short time
From a standing position she can bend down and return to standing
She can stand alone for at least a minute without holding on to anything
She can walk while holding someone's hand
She can walk alone for at least 5 steps
She can walk backwards 5 steps
She can move around by shuffling on her bottom
She can kick a ball
She can throw a ball
She can balance on one foot for at least 1 second
She can jump up and down
She can climb stairs

Are you worried about any aspects of your child's growth and development? her speech

1
Yes I am worried
2
No not worried

Are you worried about any aspects of your child's growth and development? her weight

1
Yes I am worried
2
No not worried

Are you worried about any aspects of your child's growth and development? her height

1
Yes I am worried
2
No not worried

Are you worried about any aspects of your child's growth and development? her behaviour

1
Yes I am worried
2
No not worried

Are you worried about any aspects of your child's growth and development? her general development

1
Yes I am worried
2
No not worried
If yes to any of these,
qc_F5_a == 1 || qc_F5_b == 1 || qc_F5_c == 1 || qc_F5_d == 1 || qc_F5_e == 1

please describe what worries you:

Generic text
This is confidential information, so we cannot make any response to what you put. If you are worried about your child's development we suggest you contact your family doctor or your health visitor.

This questionnaire was completed by: mother

1
Yes
2
No

This questionnaire was completed by: father

1
Yes
2
No

This questionnaire was completed by: other (please describe)

1
Yes
2
No
Other

Please give the date on which you completed this questionnaire:

Generic date

Please give the date of birth of your toddler:

Date of birth
THANK YOU VERY MUCH FOR YOUR HELP

Space for any additional comments you would like to make.

Long text
When completed, please return the questionnaire to: Dr. Jean Golding, Children of the Nineties - ALSPAC, Institute of Child Health, 24, Tyndall Avenue, Bristol. BS8 1BR. Tel: Bristol 256260
End

alspac_92_bgt

GIRL TODDLER QUESTIONNAIRE
This questionnaire asks about your daughter now she is a toddler. We are interested to know about her health and behaviour and how she gets on with other children. Your answers will help us to understand the problems that toddlers and their parents have.
It is like the other questionnaires you have received. To answer simply tick the box which best describes your toddler or your toddler's situation. Again some questions will seem similar but they are not the same. Please answer all questions that you can. If you cannot answer any questions or if they do not apply to you please put a line through them. There are no right or wrong answers. Please just describe what happens in your situation. You may make additional comments at the end. All answers are confidential.
THANK YOU FOR YOUR HELP

SECTION A: YOUR TODDLER'S HEALTH

How would you assess the health of your toddler now? in the past month
1
very healthy, no problems
2
healthy, but a few minor problems
3
sometimes quite ill
4
almost always unwell
How would you assess the health of your toddler now? in the past year
1
very healthy, no problems
2
healthy, but a few minor problems
3
sometimes quite ill
4
almost always unwell
How many of the following immunisations has she had? BCG (for tuberculosis)
How many
How many of the following immunisations has she had? DTP or Triple (includes whooping cough)
How many
How many of the following immunisations has she had? DT (without whooping cough)
How many
How many of the following immunisations has she had? Polio
How many
How many of the following immunisations has she had? MMR (measles, mumps and rubella)
How many
How many of the following immunisations has she had? Hib (for meningitis)
How many
How many of the following immunisations has she had? Other (please describe)
How many
Other
Did she have a temperature or was she unwell after any immunisation?
1
Yes
2
No
If no, go to A3 on page 3
which immunisation?
Generic text
how was she affected?
Generic text
how long after the immunisation did this start?
1
under 3 hours
2
3-24 hours
3
1-2 days
4
3-6 days
5
1 week or more
9
don't know
Has she had fluoride supplements at all? (i.e. special tablets or liquid)
1
Yes
2
No
3
Not known
If no or not known go to A4a below
for how long did she have them?
1
less than 1 month
2
1-2 months
3
3-5 months
4
6-11 months
5
12 months or more
9
don't know
How old was she when she last had fluoride supplements? ... months old
Age
Since she was 6 months old, has the doctor been called to your home because she was unwell?
1
Yes
2
No
If no, go to A5 below
how many times?
1
1
2
2
3
3-4
4
5 or more

Has she had any of the following since she was 6 months old?

-

1 - Yes and saw a doctor

2 - Yes but did not see doctor

3 - No did not have

diarrhoea
blood in the stools
vomiting
cough
high temperature
snuffles/cold
ear ache
ear discharge (pus not wax)
convulsions/fits
colic
rash
wheezing
breathlessness
episodes of stopping breathing
an accident
Has she had any of the following since she was 6 months old? other (please tick and describe)
1
Yes and saw a doctor
2
Yes but did not see doctor
3
No did not have
Other
Has your toddler been admitted to hospital since she was 6 months old?
1
Yes
2
No
If no, go to A7 on page 5
how many times?
How many

please describe for each admission:

Her age Reason for admission No. of nights stayed Name of hospital
AgeHow manyGeneric textGeneric textHow manyGeneric textGeneric textAgeGeneric textHow manyGeneric textAgeGeneric textHow manyAgeGeneric text AgeHow manyGeneric textGeneric textHow manyGeneric textGeneric textAgeGeneric textHow manyGeneric textAgeGeneric textHow manyAgeGeneric text AgeHow manyGeneric textGeneric textHow manyGeneric textGeneric textAgeGeneric textHow manyGeneric textAgeGeneric textHow manyAgeGeneric text AgeHow manyGeneric textGeneric textHow manyGeneric textGeneric textAgeGeneric textHow manyGeneric textAgeGeneric textHow manyAgeGeneric text
1
2
3
(If more than 3 admissions, please continue on back cover)
How often did you see her while she was in hospital? 1st admission
1
Not at all
2
Less than once a day
3
Every day
4
Stayed in the hospital with her
How often did you see her while she was in hospital? 2nd admission
1
Not at all
2
Less than once a day
3
Every day
4
Stayed in the hospital with her
How often did you see her while she was in hospital? 3rd admission
1
Not at all
2
Less than once a day
3
Every day
4
Stayed in the hospital with her
Has she had any of the following? hernia repair
1
Yes
2
No
Has she had any of the following? other operation (please describe)
1
Yes
2
No
Other
How often has your toddler gone to the Child Health Clinic or Baby Clinic since she was 6 months old?
1
not at all
2
once
3
2-3 times
4
4-5 times
5
6 or more times
9
don't know
Since she was 6 months old has she had any periods when there was wheezing with whistling on her chest when she breathed?
1
Yes
2
No
If no, go to A9h on page 7
How many separate times has this happened?
1
once
2
twice
3
3-4 times
4
5 or more times
9
don't know
On how many days altogether would you say she had wheezed?
1
1
2
2-3
3
4-9
4
10-19
5
20 or more
9
don't know
Was she breathless (struggling for breath) during any of these times?
1
Yes for all
2
Yes for some
3
No not at all
Did she have a fever during any of these times?
1
Yes for all
2
Yes for some
3
No not at all
How old was she? for the first occurrence: ... months
Age
How old was she? for the most recent occurrence: ... months
Age
What do you think brings them on? (tick all that apply) chest infection or bronchitis
1
Yes
What do you think brings them on? (tick all that apply) being in a smoky room
1
Yes
What do you think brings them on? (tick all that apply) cold weather
1
Yes
What do you think brings them on? (tick all that apply)
9
don't know
What do you think brings them on? (tick all that apply) other (please describe)
1
Yes
Other
Have any of your other children had similar spells of wheezing with whistling on the chest?
1
Yes
2
No
7
have no other children
Has she had a skin rash in the joints and creases of her body (e.g. behind the knees, elbows, under the arms) since she was 6 months old?
1
Yes
2
No
If no, go to A11a below
how bad was this?
1
very bad
2
quite bad
3
mild
4
no problem
does she have this sort of rash now?
1
Yes
2
No
Has she had an itchy, dry, oozing or crusted rash on the face, forearms or shins since she was 6 months old?
1
Yes
2
No
If no, go to A12a on page 8
how bad was this?
1
very bad
2
quite bad
3
mild
4
no problem
does she have this sort of rash now?
1
Yes
2
No
Has she had vomiting spells since she was 6 months old?
1
Yes
2
No
If no, go to A13 below
How many times?
1
once
2
twice
3
3-9 times
4
10 or more times
Have these been associated with: diarrhoea
1
Always
2
Frequently
3
Sometimes
4
Rarely
5
Never
Have these been associated with: chestiness (wheezing or coughing or grunting)
1
Always
2
Frequently
3
Sometimes
4
Rarely
5
Never
Have these been associated with: fever
1
Always
2
Frequently
3
Sometimes
4
Rarely
5
Never
How many motions (or dirty nappies) does she usually have?
1
4 or more times/day
2
2-3 times/day
3
once a day
4
once in 2-4 days
5
once a week
9
can't say
How often are her motions: hard
1
Usually
2
Often
3
Occasionally
4
Never
How often are her motions: soft
1
Usually
2
Often
3
Occasionally
4
Never
How often are her motions: curdy
1
Usually
2
Often
3
Occasionally
4
Never
How often are her motions: liquid
1
Usually
2
Often
3
Occasionally
4
Never
How often are her motions: green
1
Usually
2
Often
3
Occasionally
4
Never
How often are her motions: brown
1
Usually
2
Often
3
Occasionally
4
Never
How often are her motions: black
1
Usually
2
Often
3
Occasionally
4
Never
How often are her motions: yellow
1
Usually
2
Often
3
Occasionally
4
Never
Since she was 6 months old has she had diarrhoea or gastro-enteritis?
1
Yes
2
No
If no, go to A16a on page 10
how many times?
How many
how many days did the worst attack last?
How many
Did you: ask the doctor to come to your home
1
Yes
2
No
Did you: ring the doctor for advice
1
Yes
2
No
Did you: go to your doctor
1
Yes
2
No
Did you: treat it yourself
1
Yes
2
No
Did you: other (please describe)
1
Yes
2
No
Other
Did you continue feeding as usual?
1
Yes
2
No
If yes, go to A15f on page 10
how long was normal feeding disturbed?
1
less than 1 day
2
1 day
3
2 days
4
3-4 days
5
5 or more days
Was the baby treated with an oral rehydration solution?
1
Yes
2
No
9
Don't know
If no or don't know go to A15g below
give type if known:
Generic text
how long was the solution given?
1
less than 1 day
2
1 day
3
2 days
4
3-4 days
5
5 or more days
What other treatment was given?
Generic text
Since she was 6 months old has your child ever had a time when she has coughed on and off for at least 2 days?
1
Yes
2
No
If no go to A17 on page 11
how old was she when this first happened? ... months
Age
how many times has this happened?
1
once
2
twice
3
3-9 times
4
10 or more times
did she have a fever at any of these times?
1
Yes for all
2
Yes for some
3
No not at all
did she have a runny nose during any of these spells?
1
Yes for all
2
Yes for some
3
No not at all

The following questions are about your toddler's ears or hearing.

Generally, does your toddler listen to people or to things that happen nearby:
1
Yes usually
2
Yes often
3
Sometimes
4
Usually not
9
Don't know
Does she turn her head towards sounds?
1
yes usually
2
yes sometimes
3
yes, but only to very loud sounds
4
never turns towards sounds
5
don't know/not sure
During or after a cold, is her hearing worse than usual?
1
yes much worse
2
yes a little worse
7
has never had a cold
3
no, about the same
9
don't know
During a cold, is the dripping (discharge) from her nose:
7
Hasn't had a cold

During a cold, is the dripping (discharge) from her nose:

-

1 - Yes

2 - No

9 - Don't know

clear
slightly white in colour
thick heavy yellow and/or green in colour (catarrh)
very little discharge occurs at all
Does she pull, scratch or poke at her ears?
1
quite often
2
sometimes
3
only at times when poorly, fretful, or in pain
4
hardly ever/never
9
don't know
Do her ears go red and look sore for a long time? (Remember - an ear that has just been slept on may look red for a short time.)
1
quite often
2
sometimes
3
only at times when poorly, fretful, or in pain
4
hardly ever/never
9
don't know
Has pus or a sticky mucus (not ear wax) ever leaked out of her ear?
1
Never
2
once
3
more than once
9
don't know
Does she breathe through her mouth rather than through her nose?
1
all the time
2
much of the time
3
sometimes/occasionally
4
never/hardly ever
9
don't know
Does she snore for more than a few minutes at a time?
1
most nights
2
quite often
3
sometimes/occasionally
4
never/hardly ever
9
don't know
When she is asleep, does she seem to stop breathing or hold her breath for several seconds at a time?
1
yes, often
2
yes, sometimes
3
yes, but rarely
4
no
9
don't know
Have there been times when she seems to have had a pain in her stomach?
1
Yes
2
No
If no go to A19a on page 14
How many separate times has this happened?
1
once
2
twice
3
3-4 times
4
5 or more times
9
don't know
How old was she? for the first occurrence: ... months
Age
How old was she? for the most recent occurrence: ... months
Age
Has she ever had any form of convulsion, fit, seizure or other turn in which consciousness was lost or any part of the body made an abnormal movement?
1
Yes
2
No
9
Not known
If no or not known go to A20 on page 15
Please describe the first attack
Generic text
Did she have a high temperature at the time?
1
Yes
2
No
9
Not known
How old was she at the time? ... months
Age
How many attacks has she had?
1
One
2
two
3
3-4
4
5 or more
Who saw the child because of the attack(s) general practitioner at home
1
Yes
2
No
9
Don't know
Who saw the child because of the attack(s) general practitioner at surgery
1
Yes
2
No
9
Don't know
Who saw the child because of the attack(s) hospital outpatients
1
Yes
2
No
9
Don't know
Who saw the child because of the attack(s) admitted to hospital
1
Yes
2
No
9
Don't know
What investigations, if any, were carried out?
Generic text
How did subsequent attacks differ, if any?
Generic text
Does she have pills, ointments or medicine for these attacks? If yes, please describe
1
yes uses every day
2
yes uses when she has a fever
3
no not at all
Generic text
Did the attack(s) occur at any of the following ages? under one month
1
Yes
2
No
Did the attack(s) occur at any of the following ages? 1 - 5 months
1
Yes
2
No
Did the attack(s) occur at any of the following ages? 6 - 11 months
1
Yes
2
No
Did the attack(s) occur at any of the following ages? since her first birthday
1
Yes
2
No
What were these thought to be due to? febrile convulsions (with a fever)
1
Yes
2
No
9
Don't know
What were these thought to be due to? fainting and blackouts
1
Yes
2
No
9
Don't know
What were these thought to be due to? epilepsy
1
Yes
2
No
9
Don't know
What were these thought to be due to? breath holding
1
Yes
2
No
9
Don't know
What were these thought to be due to? reaction to immunisation
1
Yes
2
No
9
Don't know
What were these thought to be due to? other (please specify)
1
Yes
2
No
9
Don't know
Other
Has she ever had any of the following infections? german measles (rubella)
1
Yes
2
No
Has she ever had any of the following infections? measles
1
Yes
2
No
Has she ever had any of the following infections? chicken pox
1
Yes
2
No
Has she ever had any of the following infections? mumps
1
Yes
2
No
Has she ever had any of the following infections? meningitis
1
Yes
2
No
Has she ever had any of the following infections? other infection (please describe)
1
Yes
2
No
Other

SECTION B: SLEEPING AND CRYING

Does your toddler have a regular sleeping routine? (i.e. does she tend to go to sleep at the same times every day?)
1
Yes
2
No
How many hours sleep does she usually have during the day time?
1
none
2
less than 1 hour
3
1-2 hrs
4
more than 2 hours
9
don't know
Normally what time in the evening does your toddler go to sleep?
Generic text
What time does she normally wake up in the morning?
Generic text
How often during the night does she usually wake? ... times
How many
How often during the day does she usually-sleep? ... times
How many
In which room does she usually sleep? When you put her down at night
1
in her own room on her own
2
in a room with other children
3
in your bedroom
4
in a room with other adults
5
other place (please describe)
Other
In which room does she usually sleep? When she wakes in the morning from her night sleep
1
in her own room on her own
2
in a room with other children
3
in your bedroom
4
in a room with other adults
5
other place (please describe)
Other
Does she sleep on her own most nights or does she share a bed or cot? When you put her down
1
in her own bed/cot
2
in bed/cot with other children
3
in your bed with you
4
in bed with other adult
5
other place (please describe)
Other
Does she sleep on her own most nights or does she share a bed or cot? When she wakes in the morning from her night sleep
1
in her own bed/cot
2
in bed/cot with other children
3
in your bed with you
4
in bed with other adult
5
other place (please describe)
Other

In the room where the baby sleeps most of the night:

-

1 - Yes always

2 - Yes sometimes

3 - No not at all

is the heating on at night?
is there a window open at night?
does she sleep with a duvet?
does she have an electric blanket on at night?
does she sleep with a pillow?
Do you have a room thermometer in this room:
1
Yes
2
No
If no, go to B5 on page 18
have you used it to alter the number of bedclothes she has?
1
yes often
2
yes sometimes
3
not at all
Do you feel her sleep pattern is:
1
better than other children of the same age
2
same as other children of the same age
3
worse than other children of the same age
9
don't know

In the past year has your child regularly:

-

1 - Yes, but did not worry me

2 - Yes, worried me somewhat

3 - Yes, worried me greatly

4 - No, did not happen regularly

refused to go to bed
woken very early
had difficulty going to sleep
had nightmares
continued to get up after being put to bed
woken in the night
got up after only a few hours sleep
Compared with other toddlers would you describe the amount of time your toddler cries as:
1
more than other toddlers
2
the same as other toddlers
3
less than other toddlers
9
don't know
Most toddlers fuss and whine. How often does your child whine or fuss?
1
for long periods each day
2
for a short while each day
3
a number of times during the week
4
sometimes
5
never or hardly ever
How often does your daughter cry for no particular reason?
1
often (almost every day)
2
sometimes (at least once a week)
3
never or hardly ever
Does she cry at any particular times? mornings
1
Yes, always
2
Yes, often
3
Yes, sometimes
4
Hardly ever
9
Don't know
Does she cry at any particular times? afternoons (before 17.00 hours)
1
Yes, always
2
Yes, often
3
Yes, sometimes
4
Hardly ever
9
Don't know
Does she cry at any particular times? in the late afternoon/evenings (5 p.m. onwards)
1
Yes, always
2
Yes, often
3
Yes, sometimes
4
Hardly ever
9
Don't know
Does she cry at any particular times? during the night
1
Yes, always
2
Yes, often
3
Yes, sometimes
4
Hardly ever
9
Don't know
Does she cry at any particular times? other (please describe)
1
Yes, always
2
Yes, often
3
Yes, sometimes
4
Hardly ever
9
Don't know
Other
Can you usually calm her when she cries?
1
no
2
yes, after much effort
3
yes, but it takes a while
4
yes, usually fairly easily
Do you ever feel that her crying is a problem?
1
Yes
2
No
How often do you use sweets or other foods to stop her crying or fussing?
1
at least once a day
2
several times a week
3
infrequently
4
never
what do you use to stop her crying or fussing? sweets
1
Yes
2
No
what do you use to stop her crying or fussing? chocolates
1
Yes
2
No
what do you use to stop her crying or fussing? crisps
1
Yes
2
No
what do you use to stop her crying or fussing? apple or fruit
1
Yes
2
No
what do you use to stop her crying or fussing? breast feed
1
Yes
2
No
what do you use to stop her crying or fussing? milk drink
1
Yes
2
No
what do you use to stop her crying or fussing? other drink
1
Yes
2
No
what do you use to stop her crying or fussing? other food (please describe)
1
Yes
2
No
Other

HOMEOPATHIC MEDICINES

Has your toddler ever taken homeopathic medicines?
1
Yes often
2
Yes sometimes
3
No
please describe
Generic text

SECTION C: YOU AND YOUR TODDLER

Often parents are anxious that problems might occur. Please indicate how often you think about the following:

-

1 - Yes, worries me a lot

2 - Yes, worry occasionally

3 - No, never think of it

My toddler may have a bad accident
She might get meningitis
She might get asthma
She might have fits
She might be mentally handicapped
She might get AIDS
Often parents are anxious that problems might occur. Please indicate how often you think about the following: Other problem (please describe)
1
Yes, worries me a lot
2
Yes, worry occasionally
3
No, never think of it
Other
Do you ever have a battle of wills with your toddler?
1
never
2
rarely (less than once a week)
3
sometimes (at least once a week)
4
frequently (almost every day)
If no go to C3a on page 22
What are they usually about:
Generic text
Who most often wins?
1
me
2
my toddler
3
about even
4
neither of us
How often does she refuse to go to bed when you take her?
1
most of the time
2
often
3
at times
4
rarely
5
never
7
I never do this task
If never happens go to C4a on page 23

how often might you try:

-

1 - Often

2 - Sometimes

3 - Never

allowing her to stay up until she is more sleepy
allowing her to fall asleep then putting her to bed
insisting it is bedtime and putting her in her room
playing or reading with her in her room for a while then putting her to bed
cuddling her until she falls asleep
giving her a bottle
giving her a dummy
how often might you try: other (please describe)
1
Often
2
Sometimes
3
Never
Other
How often does she refuse to eat the meal you yourself prepare for her?
1
most of the time
2
often
3
sometimes
4
rarely
5
never
7
I don't do this

When she refuses do you:

-

1 - Often

2 - Sometimes

3 - Never

give her another meal to eat
allow her to have dessert without eating a main savoury meal
insist she eats at least some of the meal before she can have a dessert
When she refuses do you: other (please describe)
1
Often
2
Sometimes
3
Never
Other
How often does she have temper tantrums?
1
more than once a day
2
most days
3
at least once a week
4
less than once a week
5
never
If never, go to C6 on page 25
Do they occur because of: failure to get what she wants
1
Yes
2
No
Do they occur because of: failure to make herself understood
1
Yes
2
No
Do they occur because of: reaction to being corrected
1
Yes
2
No
Do they occur because of: no particular reason
1
Yes
2
No
Do they occur because of: other (please describe)
1
Yes
2
No
Other

When she has temper tantrums how often do you:

-

1 - Often

2 - Sometimes

3 - Never

ignore it, let her get it out of her system
send her away for 'time out' e.g. send her to her bedroom
try to hold and cuddle her
try to reason with her
leave it for someone else to cope with
try to distract her
give her a smack or shake
shout at her
When she has temper tantrums how often do you: other (please describe)
1
Often
2
Sometimes
3
Never
Other
How often does she do the following: repeatedly rocks head or body
1
Once a week or more
2
Less than once a week
3
Never
How often does she do the following: has a tic or twitch
1
Once a week or more
2
Less than once a week
3
Never
How often does she do the following: has other unusual behaviour (please describe)
1
Once a week or more
2
Less than once a week
3
Never
Other
About how often do you take her to: local shops
1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never
About how often do you take her to: department store
1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never
About how often do you take her to: supermarket
1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never
About how often do you take her to: park or playground
1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never
About how often do you take her to: visits to friends or family
1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never
About how often do you take her to: library
1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never
About how often do you take her to: places of interest (e.g. Zoo)
1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never
About how often do you take her to: places of entertainment (e.g. funfair)
1
Nearly every day
2
Once a week
3
Once a month
4
A few times per year
5
Never
When out with your toddler do you: allow her to walk witout restraint
1
Often
2
Sometimes
3
Never
4
Does not walk yet
When out with your toddler do you: allow her to walk holding your hand
1
Often
2
Sometimes
3
Never
4
Does not walk yet
When out with your toddler do you: allow her to walk with reins
1
Often
2
Sometimes
3
Never
4
Does not walk yet
When out with your toddler do you: carry her in a backpack
1
Often
2
Sometimes
3
Never
When out with your toddler do you: carry her in your arms
1
Often
2
Sometimes
3
Never
When out with your toddler do you: put her in pushchair or pram
1
Often
2
Sometimes
3
Never
In which places do you allow her to walk freely?
7
Does not walk yet
In which places do you allow her to walk freely? own home
1
Always
2
Often
3
Sometimes
4
Never
In which places do you allow her to walk freely? own garden
1
Always
2
Often
3
Sometimes
4
Never
In which places do you allow her to walk freely? other homes
1
Always
2
Often
3
Sometimes
4
Never
In which places do you allow her to walk freely? other private gardens
1
Always
2
Often
3
Sometimes
4
Never
In which places do you allow her to walk freely? park or playground
1
Always
2
Often
3
Sometimes
4
Never
In which places do you allow her to walk freely? other (please describe)
1
Always
2
Often
3
Sometimes
4
Never
Other