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alspac_96_smq
STUDY MOTHER'S QUESTIONNAIRE
This questionnaire is for you, the mother, whether or not you are the main carer. Its purpose is to find out what health and other problems you have. Your answers will help us to identify those problems that may be helped by changes in the health care system.
To answer please 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 over time.
Please answer all questions if you can, even if they seem similar. 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.
All answers are confidential
THANK YOU VERY MUCH FOR YOUR HELP
SECTION A: YOUR HEALTH

Which of the following would you say describes your health now?

1
fit and well
2
mostly well and healthy
3
often feel unwell
4
hardly ever feel well
Have you had any of the following in the past year (since your study child was 4 years old)?
-

1 - Yes and consulted doctor

2 - Yes but did not consult doctor

3 - No

anxiety or 'nerves'
depression
headache or migraine
epilepsy
back pain, sciatica, slipped disc
indigestion
high blood pressure
cough or cold
diabetes
haemorrhoids/piles
schizophrenia
influenza
alcohol problem
wheezing or asthma
bronchitis
stomach ulcer
eczema
psoriasis
arthritis
rheumatism
urinary infection
problems with your periods
problems with a pregnancy
syphilis
gonorrhoea
pre-menstrual tension

Have you had any of the following in the past year (since your study child was 4 years old)? other problems (please tick & describe)

1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Other
In the past year how often have you taken the following?
-

1 - Every day

2 - Often

3 - Sometimes

4 - Not at all

sleeping pills
vitamins
cannabis/marihuana
tranquillisers
pills for depression
hormone tablets
antibiotics
aspirin
paracetamol
other painkillers
amphetamines or other stimulants
contraceptive pill
iron
heroin, methadone, crack, cocaine
anticonvulsants
steroids
In the past year how often have you taken the following? other pill, medicine, drug or treatment (please describe each and state how frequently taken)
-

1 - Every day

2 - Often

3 - Sometimes

Please list all the drugs, medicines and ointments that you have taken in the past month:
What did you take: About how many days did you take or use it? How often per day?
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many
1
2
3
4
5
6
7
8
9
10

Since your study child was 4 years old have you been admitted to hospital?

1
Yes
2
No
If no, go to A6 on page 7
If yes,
qc_A5_a == 1

how many times?

How many

for how many different reasons?

How many
(_hospitalstay <= qc_A5_b) && (_hospitalstay < 6)

Reason for each hospital stay:

Generic text

How long did you stay? ... nights

How many
In the past month, how often have you had any of the following:
-

1 - Almost all the time

2 - Sometimes

3 - Once

4 - Not at all

backache
headache or migraine
urinary infection
nausea
vomiting
diarrhoea
haemorrhoids or piles
feeling weepy/tearful
feeling irritable
feeling exhausted
varicose veins
passing urine very often
problem holding urine when you jump, sneeze etc.
indigestion
feeling dizzy/fainting
flashing lights/spots before eyes
shoulder ache
tingling in hands/fingers
tingling in feet/toes
neck ache
feeling depressed
pain in your knee(s)

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

1
Almost all the time
2
Sometimes
3
Once
4
Not at all
Other

Have you ever had pain in one or both of your knees lasting for at least a month?

1
Yes, one
2
Yes, both
3
No
If no, go to A8 on page 9
If yes,
qc_A7_a == 1 || qc_A7_a == 2

about how old were you when this first happened?

1
Less than 10
2
10-13
3
14-16
4
17-19
5
20 or more

Have you had pain in your knees in the past month?

1
Yes
2
No

How often are you having sexual intercourse now?

1
not at all
2
less than once a month
3
1-3 times a month
4
about once a week
5
2-4 times a week
6
5 or more times a week

In general, do you enjoy it?

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

Are you currently trying to get pregnant?

1
no
2
no, but intend to later
3
yes, we are trying
4
I am already pregnant
If yes,
qc_A9_a == 3

for how long have you been trying? ... months

How many
go to A10 on page 11
If I am already pregnant to question A9a
qc_A9_a == 4

How long were you trying before you became pregnant? ... months

How many
go to A10 on page 11
If no or no, but intend to later to question A9a
qc_A9_a == 1 || qc_A9_a == 2
What forms of contraception are you using now? (tick all that you have used in the past 3 months)
-

1 - Yes

withdrawal
the pill
IUCD/coil
condom/sheath
calendar/rhythm method
diaphragm/cap
spermicide
I have been sterilised
My partner has been sterilised
none

What forms of contraception are you using now? (tick all that you have used in the past 3 months) other (please describe)

1
Yes
Other

Have you been pregnant at all in the past 2 years?

1
Yes
2
No
If no, go to A11 on Page 13
If yes,
qc_a10_a == 1

How many times?

How many
(_pregnancy <= qc_A10_b) && (_pregnancy < 7)

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

Generic date

For these pregnancies please give: what happened:

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

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

Generic date

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

1
Yes
2
No
If yes,
qc_A10_c_iv == 1

please describe:

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

Please describe your most recent periods:

7
No periods
If No periods to question A11 go to A12 below
qc_A11 == 7
Else

Please describe your most recent periods: how heavy are your periods?

1
Very
2
Moderately
3
Mildly
4
Not at all

Please describe your most recent periods: how painful are your periods?

1
Very
2
Moderately
3
Mildly
4
Not at all

Please describe your most recent periods: are your periods irregular?

1
Very
2
Moderately
3
Mildly
4
Not at all

Please describe your most recent periods: how many days does bleeding usually last? ... days

How many

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

1
Yes
2
No
9
Don't know
If yes,
qc_A12 == 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/abortion

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
SECTION B: YOUR OPINION OF YOURSELF
Below are some statements. Please say how true they are of you.

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

1
Always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I feel I have a number of good qualities.

1
Always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

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

1
Always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

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

1
Always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I take a positive attitude towards myself.

1
Always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

Sometimes I think I am no good at all.

1
Always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I am a useful person to have around.

1
Always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I feel I cannot do anything right.

1
Always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

When I do a job I do it well.

1
Always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I feel that my life is not very useful.

1
Always true
2
Often true
3
Sometimes true
4
Seldom true
5
Never true

I am unlucky.

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

Do you feel upset for no obvious reason?

1
Very often
2
Often
3
Not very often
4
Never

Do you get troubled by dizziness or shortness of breath?

1
Very often
2
Often
3
Not very often
4
Never

Have you felt as though you might faint?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel sick or have indigestion?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel that life is too much effort?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel uneasy and restless?

1
Very often
2
Often
3
Not very often
4
Never

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

1
Very often
2
Often
3
Not very often
4
Never

Do you regret much of your past behaviour?

1
Very often
2
Often
3
Not very often
4
Never

Do you sometimes feel panicky?

1
Very often
2
Often
3
Not very often
4
Never

Do you find that you have little or no appetite?

1
Very often
2
Often
3
Not very often
4
Never

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

1
Very often
2
Often
3
Not very often
4
Never

Do you worry a lot?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel tired or exhausted?

1
Very often
2
Often
3
Not very often
4
Never

Do you experience long periods of sadness?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel strung-up inside?

1
Very often
2
Often
3
Not very often
4
Never

Can you go to sleep all right?

1
Very often
2
Often
3
Not very often
4
Never

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

1
Very often
2
Often
3
Not very often
4
Never

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

1
Very often
2
Often
3
Not very often
4
Never

Do you find yourself needing to cry?

1
Very often
2
Often
3
Not very often
4
Never

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

1
Very often
2
Often
3
Not very often
4
Never

Do you lose the ability to feel sympathy for others?

1
Very often
2
Often
3
Not very often
4
Never

Can you think as quickly as you used to?

1
Very often
2
Often
3
Not very often
4
Never

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

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

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

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

I have looked forward with enjoyment to things:

1
As much as I ever did
2
Rather less than I used to
3
Definitely less than I used to
4
Hardly at all

I have blamed myself unnecessarily when things went wrong:

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

I have been anxious or worried for no good reason:

1
No, not at all
2
Hardly ever
3
Yes, sometimes
4
Yes, often
In the past week:

I have felt scared or panicky for no good reason:

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

Things have been getting on top of me:

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

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

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

I have felt sad or miserable:

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

I have been so unhappy that I have been crying:

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

The thought of harming myself has occurred to me:

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

On the whole are there more good days than bad?

1
Yes, more good days
2
About half and half
3
No, more bad days
SECTION D: RECENT EVENTS
Listed below are a number of events which may have brought changes in your life. Have any of the these occurred in the past year (since your study child was 4). Some of these may be distressing to recall, but we hope you will let us know just how they affected you.
-

1 - Yes & affected me a lot

2 - Yes, moderately affected

3 - Yes, mildly affected

4 - Yes, but did not affect me at all

5 - No did not happen

Your partner died
One of your children died
A friend or relative died
One of your children was ill
Your partner was ill
A friend or relative was ill
You were admitted to hospital
You were in trouble with the law
You were divorced
You found that your partner didn't want your child
You were very ill
Your partner lost his job
Your partner had problems at work
You had problems at work
You lost your job
Your partner went away
Your partner was in trouble with the law
You and your partner separated
Your income was reduced
You argued with your partner
You argued with your family and friends
You moved house
Your partner was physically cruel to you
You became homeless
You had a major financial problem
You got married
Your partner was physically cruel to your children
You were physically cruel to your children
You attempted suicide
You were convicted of an offence
You became pregnant
You started a new job
You returned to work
You had a miscarriage
You had an abortion
You took an examination
Your partner was emotionally cruel to you
Your partner was emotionally cruel to your children
You were emotionally cruel to your children
Your house or car was burgled
Your partner started a new job
A pet died

Listed below are a number of events which may have brought changes in your life. Have any of the these occurred in the past year (since your study child was 4). Some of these may be distressing to recall, but we hope you will let us know just how they affected you. You had an accident (please tick & describe)

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Generic text

Is there anything else which is not on the list which has concerned you or required additional effort from you to cope in the last year?

1
Yes
2
No
If no, go to E1 on page 24
If yes,
qc_D44_a == 1

please describe:

Generic text

How did this affect you?

1
a lot
2
moderately
3
mildly
4
not at all
SECTION E: 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 2 1/2 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 (or shared with partner)
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 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 room

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

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

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

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 No or Yes, but for incoming calls only to question E10a
qc_E10_a == 1 || qc_E10_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 describe)
Other

Do you or your partner have the use of a car (including vans, minibuses, etc.)?

1
Yes, we own a car
2
Yes, we can borrow a car
3
No
If no, go to E12a on page 27
If yes,
qc_E11_a == 1 || qc_E11_a == 2

how often do you yourself have the use of a car?

1
never
2
sometimes
3
often
4
every day
7
not applicable/do not drive
If never or sometimes or often to question E11b
qc_E11_b >= 1 && qc_E11_b <= 3

do you wish you could have it more often?

1
Yes
2
No

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

1
Yes
2
No
If no, go to E13a on page 28
If yes,
qc_E12_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
Please tick the boxes relating to the problems you get in each room.
-

1 - Condensation on windows/walls/ceilings

2 - Damp patches on walls

3 - Mould on walls

4 - Damp on furniture, carpets or clothes

5 - Mould on furniture, carpets or clothes

6 - None

kitchen (or kitchen/diner)
living room (or lounge/diner)
hall/landing
my bedroom
study child's bedroom
bathroom/toilet
other rooms

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 any of the following rooms been decorated or had any brand new furniture?
-

1 - Yes

2 - No

9 - Don't know

painted
wall papered
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
wall papered
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
wall papered
new carpet
new furniture
In the past year have any of the following rooms been decorated or had any brand new furniture?
- which room(s)

1 - Yes

2 - No

9 - Don't know

Other

1 - Yes

2 - No

9 - Don't know

Other

1 - Yes

2 - No

9 - Don't know

Other

1 - Yes

2 - No

9 - Don't know

Other
painted
wall papered
new carpet
new furniture

How would you rate your home in relation to that of other mothers?

1
much cleaner
2
a bit cleaner
3
about the same
4
less clean
5
much less clean
6
don't know

How would you rate your home in relation to that of other mothers?

1
much tidier
2
a bit tidier
3
about the same
4
less tidy
5
much less tidy
6
don't know

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

1
Smoking not allowed in the house at all
2
Smoking only allowed in some rooms
3
Smoking allowed anywhere

Space for comments:

Generic text
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
SECTION F: YOUR OCCUPATION AND LIFESTYLE

In the last year have you worked at all?

1
no
2
yes, paid work at home
3
yes, paid work outside home
4
yes, paid work both at home and outside home
If no, go to Question F9 on page 35
If yes,
qc_F1_a >= 2 && qc_F1_a <= 4

how old was this study child when you started (or went back to) your most recent job? ... years ... months

Age
Months

are you still working?

1
Yes
2
No
If no,
qc_F1_c == 2

when did you finish?

Generic date
Now go to F9 on page 35
If yes,
qc_F1_c ==1

how many jobs are you now doing?

How many

what job(s) are you doing (please describe the job(s) you do and the type of industry/employer(s) you work for)

Generic text

How many hours a week altogether do you now work? ... hours

Hours in week

Does this include weekends ?

1
Yes
2
No
3
Sometimes

Do you work in the evenings or at night?

1
Yes
2
No
3
Sometimes

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

What are the main reasons you work? financial, I am important as a breadwinner

1
Yes
2
No

What are the main reasons you work? financial, for family extras

1
Yes
2
No

What are the main reasons you work? career

1
Yes
2
No

What are the main reasons you work? enjoyment

1
Yes
2
No

What are the main reasons you work? to get out of the home

1
Yes
2
No

What are the main reasons you work? other (please describe)

1
Yes
2
No
Other

Are you working at the same status as you did before you had your study child?

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 this 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 F6a Go to F7 below
qc_f6_a == 7
Else

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

1
Yes
2
No

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

1
Yes
2
No

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

1
Yes
2
No

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

1
Yes
2
No

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

1
Yes
2
No

How long does it usually take: to travel to work?

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

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

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

1 - Yes almost always

2 - Yes often

3 - Not very often

4 - Never

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

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

1
Yes
2
Sometimes
3
No

Does he/she make a fuss when you leave him/her?

1
Yes
2
Sometimes
3
No
If you are working please now go to Question F10 below
If you are not working:
qc_F1_a == 1

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

1
No
2
Yes
If yes, go to F10 below
If no,
qc_F9_a == 1

Have you been looking for work?

1
Yes
2
No
If no, go to F10 below
If yes,
qc_F9_b == 1

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

How many
Please list all previous paid jobs since the day the study child was born:
Job done Hours/week (average) Month started Year started Month finished Year finished
Hours in weekMonth in yearYearMonth in yearYearGeneric textMonth in yearMonth in yearGeneric textHours in weekYearYearGeneric textYearMonth in yearYearHours in weekMonth in yearMonth in yearMonth in yearYearGeneric textYearHours in weekHours in weekYearMonth in yearYearMonth in yearGeneric textMonth in yearYearYearGeneric textMonth in yearHours in week Hours in weekMonth in yearYearMonth in yearYearGeneric textMonth in yearMonth in yearGeneric textHours in weekYearYearGeneric textYearMonth in yearYearHours in weekMonth in yearMonth in yearMonth in yearYearGeneric textYearHours in weekHours in weekYearMonth in yearYearMonth in yearGeneric textMonth in yearYearYearGeneric textMonth in yearHours in week Hours in weekMonth in yearYearMonth in yearYearGeneric textMonth in yearMonth in yearGeneric textHours in weekYearYearGeneric textYearMonth in yearYearHours in weekMonth in yearMonth in yearMonth in yearYearGeneric textYearHours in weekHours in weekYearMonth in yearYearMonth in yearGeneric textMonth in yearYearYearGeneric textMonth in yearHours in week Hours in weekMonth in yearYearMonth in yearYearGeneric textMonth in yearMonth in yearGeneric textHours in weekYearYearGeneric textYearMonth in yearYearHours in weekMonth in yearMonth in yearMonth in yearYearGeneric textYearHours in weekHours in weekYearMonth in yearYearMonth in yearGeneric textMonth in yearYearYearGeneric textMonth in yearHours in week Hours in weekMonth in yearYearMonth in yearYearGeneric textMonth in yearMonth in yearGeneric textHours in weekYearYearGeneric textYearMonth in yearYearHours in weekMonth in yearMonth in yearMonth in yearYearGeneric textYearHours in weekHours in weekYearMonth in yearYearMonth in yearGeneric textMonth in yearYearYearGeneric textMonth in yearHours in week Hours in weekMonth in yearYearMonth in yearYearGeneric textMonth in yearMonth in yearGeneric textHours in weekYearYearGeneric textYearMonth in yearYearHours in weekMonth in yearMonth in yearMonth in yearYearGeneric textYearHours in weekHours in weekYearMonth in yearYearMonth in yearGeneric textMonth in yearYearYearGeneric textMonth in yearHours in week
1
2
3
4
5
If none go to F11 on page 36.
qc_F10_a$1;1 == NULL && qc_F10_a$1;2 == NULL && qc_F10_a$1;3 == NULL && qc_F10_a$1;4 == NULL && qc_F10_a$1;5 == NULL
Else

Did any of these jobs involve working at weekends?

1
Yes
2
Sometimes
3
No
If no, go to F10d on page 36
If yes,
qc_F10_b == 1

which ones? (Tick all that apply)

1
Job No. 1
2
Job No. 2
3
Job No. 3
4
Job No. 4
5
Job No. 5

Did any of these jobs involve working in the evenings or at nights?

1
Yes
2
No
If no, go to F10f below
If yes,
qc_F10_d == 1

which ones? (Tick all that apply)

1
Job No. 1
2
Job No. 2
3
Job No. 3
4
Job No. 4
5
Job No. 5

Were any gaps in employment due to paid maternity leave?

1
Yes
2
No
If yes,
qc_F10_f == 1

between which jobs?

Generic text

How many cigarettes per day do you currently smoke?

30
30+
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 much alcohol do you drink?

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

How many days in the past month do you think you had the equivalent of at least 2 pints of beer, 4 glasses of wine or 4 pub measures of spirit?

1
every day
2
more than 10 days
3
5-10 days
4
3-4 days
5
1-2 days
6
none

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

1
Yes
2
No

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

1
Yes
2
No

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

1
Yes
2
No

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

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

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

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

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

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

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

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

How difficult at the moment do you find it to afford these items: things you need for your children

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

How difficult at the moment do you find it to afford these items: costs of educational courses (e.g. ballet, music, etc)

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

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

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

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

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

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

1
Very difficult
2
Fairly difficult
3
Slightly difficult
Other

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

Do you believe in God or in some divine power?

1
yes
2
am not sure
3
no, not at all

Do you feel that God (or some divine power) has helped you at any time?

1
Yes
2
Not sure
3
No

Would you appeal to God for help if you were in trouble?

1
Yes
2
Not sure
3
No

What sort of religious faith would you say you had? (tick one only)

1
Church of England
2
Roman Catholic
3
Jehovah's Witness
4
Christian Science
5
Mormon
6
Other Christian (please describe)
7
Jewish
8
Buddhist
9
Sikh
10
Hindu
11
Muslim
12
Rastafarian
0
None
13
Other (please describe)
Other

How long have you had this particular faith?

1
all my life
2
more than 5 years
3
3-5 years
4
1-2 years
5
less than a year

Do you go to a place of worship?

1
yes, at least once a week
2
yes, at least once a month
3
yes, at least once a year
4
no, not at all

Do you obtain help and support from leaders or other members of religious groups? Help from: Leaders of your religious group (e.g. priests, rabbis, imams)

1
Yes
2
No

Do you obtain help and support from leaders or other members of religious groups? Help from: Other members of your religious group

1
Yes
2
No

Do you obtain help and support from leaders or other members of religious groups? Help from: Members of other religious group(s) (please 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_F17_a == 1

please describe:

Generic text

Are you on any committees?

1
Yes
2
No
If yes,
qc_F17_b == 1

please describe

Generic text

Do you do any voluntary work?

1
Yes
2
No
If yes,
qc_F17_c == 1

please describe

Generic text
In the past 2 years have you taken any courses or other educational training?
-

1 - Yes

2 - No

training within my job
evening classes
University

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

1
Yes
2
No
Other
What educational qualifications do you, and your partner, have?
Yourself Your partner

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

No qualifications
CSE or GCSE (D, E, F or G )
O-level or GCSE (A, B or C)
A-level
Qualifications in shorthand/typing/ or other skills, e.g. hairdressing
Apprenticeship
State enrolled nurse
State registered nurse
City & Guilds intermediate technical
City & Guilds final technical
City & Guilds full technical
Teaching qualification
University degree
Qualifications not known

What educational qualifications do you, and your partner, have? Your partner Not applicable, no such person

1
Yes

What educational qualifications do you, and your partner, have? Yourself Other (please tick describe)

1
Yes
Other

What educational qualifications do you, and your partner, have? Your partner Other (please tick describe)

1
Yes
Other
SECTION G:YOUR NEIGHBOURHOOD

Do the other people in your neighbourhood: visit your home

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Almost every day

Do the other people in your neighbourhood: argue with you

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Almost every day

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

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Almost every day

Do the other people in your neighbourhood: keep to themselves

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Almost every day

Do you: visit the home of your neighbours

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Almost every day

Do you: argue with your neighbours

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Almost every day

Do you: look after your neighbours children

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Almost every day

Do you: keep to yourselves

1
No, never
2
Rarely
3
Sometimes
4
Often
5
Almost every day

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 in the street you live on?

1
very heavy
2
quite heavy
3
not very heavy
4
hardly any traffic
How much time do you and your study child spend: On a usual weekday in school term-time:
You hours You minutes Study child hours Study child minutes
How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many
walking/cycling
in a car
on a bus
How much time do you and your study child spend: On a usual week-end* in term-time:
You hours You minutes Study child hours Study child minutes
How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many
walking/cycling
in a car
on a bus
How much time do you and your study child spend: On a usual weekday in school holidays:
You hours You minutes Study child hours Study child minutes
How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many
walking/cycling
in a car
on a bus
How much time do you and your study child spend: On a usual week-end* in school holidays:
You hours You minutes Study child hours Study child minutes
How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many How manyMinutesHow manyMinutesMinutesHow manyMinutesHow manyHow manyMinutesMinutesHow manyMinutesMinutesHow manyHow many
walking/cycling
in a car
on a bus
[* Count time on Saturday and on Sunday added together]
SECTION H: YOUR FAMILY AND FRIENDS

Excluding your partner and children, how many of your relatives and your partner's relatives do you see at least twice a year?

1
None
2
1
3
2-4
4
more than 4

About how many friends do you have, (people you know more than just casually)?

1
None
2
1
3
2-4
4
more than 4

Overall, would you say you belong to a close circle of friends?

1
Yes
2
No

How many people, including your partner, are there that you can talk to about personal problems?

1
None
2
1
3
2-4
4
more than 4

How many people, including your partner, talk to you about their personal problems or their private feelings?

1
None
2
1
3
2-4
4
more than 4

If you have to make an important decision, how many people, including your partner are there with whom you can discuss it?

1
None
2
1
3
2-4
4
more than 4

How many people are there among your family and friends from whom you could borrow £100 if you needed to?

1
None
2
1
3
2-4
4
more than 4

How many of your family and friends would help you in times of trouble?

1
None
2
1
3
2-4
4
more than 4

During the last month, how many times did you get together with one or more friends?

1
None
2
1
3
2-4
4
more than 4

During the last month, how many times did you get together with one or more of your relatives or your partner's relatives?

1
None
2
1
3
2-4
4
more than 4
The following statements are about the help and support you have.

I have no one to share my feelings with

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

My partner provides the emotional support I need

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no partner

There are other mothers with whom I can share my experiences

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

I believe in moments of difficulty my neighbours would help me

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

I'm worried that my partner might leave me

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no partner

There is always someone with whom I can share my happiness and excitement about my child

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

If I feel tired I can rely on my partner to take over

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
no partner

If I was in financial difficulty I know my family would help if they could

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

If I was in financial difficulty I know my friends would help if they could

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

If all else fails I know the state will support and assist me

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

This questionnaire was completed by: child's mother

1
Yes
2
No

This questionnaire was completed by: child's father

1
Yes
2
No

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

1
Yes
2
No
Other

Please give the date on which you completed this questionnaire

Generic date

Please give your date of birth:

Date of birth
THANK YOU VERY MUCH FOR YOUR HELP

Space for any additional comments you would like to make.

Long text
NB Please remember we cannot reply personally to your comments unless they are signed.
When completed, please return the questionnaire to: Professor Jean Golding Children of the Nineties - ALSPAC Institute of Child Health
End

alspac_96_smq

STUDY MOTHER'S QUESTIONNAIRE
This questionnaire is for you, the mother, whether or not you are the main carer. Its purpose is to find out what health and other problems you have. Your answers will help us to identify those problems that may be helped by changes in the health care system.
To answer please 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 over time.
Please answer all questions if you can, even if they seem similar. 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.
All answers are confidential
THANK YOU VERY MUCH FOR YOUR HELP

SECTION A: YOUR HEALTH

Which of the following would you say describes your health now?
1
fit and well
2
mostly well and healthy
3
often feel unwell
4
hardly ever feel well

Have you had any of the following in the past year (since your study child was 4 years old)?

-

1 - Yes and consulted doctor

2 - Yes but did not consult doctor

3 - No

anxiety or 'nerves'
depression
headache or migraine
epilepsy
back pain, sciatica, slipped disc
indigestion
high blood pressure
cough or cold
diabetes
haemorrhoids/piles
schizophrenia
influenza
alcohol problem
wheezing or asthma
bronchitis
stomach ulcer
eczema
psoriasis
arthritis
rheumatism
urinary infection
problems with your periods
problems with a pregnancy
syphilis
gonorrhoea
pre-menstrual tension
Have you had any of the following in the past year (since your study child was 4 years old)? other problems (please tick & describe)
1
Yes and consulted doctor
2
Yes but did not consult doctor
3
No
Other

In the past year how often have you taken the following?

-

1 - Every day

2 - Often

3 - Sometimes

4 - Not at all

sleeping pills
vitamins
cannabis/marihuana
tranquillisers
pills for depression
hormone tablets
antibiotics
aspirin
paracetamol
other painkillers
amphetamines or other stimulants
contraceptive pill
iron
heroin, methadone, crack, cocaine
anticonvulsants
steroids

In the past year how often have you taken the following? other pill, medicine, drug or treatment (please describe each and state how frequently taken)

-

1 - Every day

2 - Often

3 - Sometimes

Please list all the drugs, medicines and ointments that you have taken in the past month:

What did you take: About how many days did you take or use it? How often per day?
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many
1
2
3
4
5
6
7
8
9
10
Since your study child was 4 years old have you been admitted to hospital?
1
Yes
2
No
If no, go to A6 on page 7
how many times?
How many
for how many different reasons?
How many

(_hospitalstay <= qc_A5_b) && (_hospitalstay < 6)

Reason for each hospital stay:
Generic text
How long did you stay? ... nights
How many

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

-

1 - Almost all the time

2 - Sometimes

3 - Once

4 - Not at all

backache
headache or migraine
urinary infection
nausea
vomiting
diarrhoea
haemorrhoids or piles
feeling weepy/tearful
feeling irritable
feeling exhausted
varicose veins
passing urine very often
problem holding urine when you jump, sneeze etc.
indigestion
feeling dizzy/fainting
flashing lights/spots before eyes
shoulder ache
tingling in hands/fingers
tingling in feet/toes
neck ache
feeling depressed
pain in your knee(s)
In the past month, how often have you had any of the following: other problem (please tick & describe)
1
Almost all the time
2
Sometimes
3
Once
4
Not at all
Other
Have you ever had pain in one or both of your knees lasting for at least a month?
1
Yes, one
2
Yes, both
3
No
If no, go to A8 on page 9
about how old were you when this first happened?
1
Less than 10
2
10-13
3
14-16
4
17-19
5
20 or more
Have you had pain in your knees in the past month?
1
Yes
2
No
How often are you having sexual intercourse now?
1
not at all
2
less than once a month
3
1-3 times a month
4
about once a week
5
2-4 times a week
6
5 or more times a week
In general, do you enjoy it?
1
yes, very much
2
yes, somewhat
3
no, not a lot
4
no, not at all
5
no sex at the moment
Are you currently trying to get pregnant?
1
no
2
no, but intend to later
3
yes, we are trying
4
I am already pregnant
for how long have you been trying? ... months
How many
go to A10 on page 11
How long were you trying before you became pregnant? ... months
How many
go to A10 on page 11

What forms of contraception are you using now? (tick all that you have used in the past 3 months)

-

1 - Yes

withdrawal
the pill
IUCD/coil
condom/sheath
calendar/rhythm method
diaphragm/cap
spermicide
I have been sterilised
My partner has been sterilised
none
What forms of contraception are you using now? (tick all that you have used in the past 3 months) other (please describe)
1
Yes
Other
Have you been pregnant at all in the past 2 years?
1
Yes
2
No
If no, go to A11 on Page 13
How many times?
How many

(_pregnancy <= qc_A10_b) && (_pregnancy < 7)

For these pregnancies please give: date of your last menstrual period before the pregnancy (if you remember it)
Generic date
For these pregnancies please give: what happened:
1
miscarriage
2
abortion/termination for unwanted pregnancy
3
termination for problem (please describe)
4
still pregnant
5
baby born
6
other (please describe)
Generic text
For these pregnancies please give: please give actual date of delivery or end of pregnancy:
Generic date
For these pregnancies please give: do/did you have any problems?
1
Yes
2
No
please describe:
Generic text
If more than 6 pregnancies, please describe others on a separate page.
Please describe your most recent periods:
7
No periods
Please describe your most recent periods: how heavy are your periods?
1
Very
2
Moderately
3
Mildly
4
Not at all
Please describe your most recent periods: how painful are your periods?
1
Very
2
Moderately
3
Mildly
4
Not at all
Please describe your most recent periods: are your periods irregular?
1
Very
2
Moderately
3
Mildly
4
Not at all
Please describe your most recent periods: how many days does bleeding usually last? ... days
How many
Have you had a D and C (scrape) in the last 2 years?
1
Yes
2
No
9
Don't know
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/abortion
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

SECTION B: YOUR OPINION OF YOURSELF

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

SECTION C: YOUR FEELINGS

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

Your feelings in the past week.

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

SECTION D: RECENT EVENTS

Listed below are a number of events which may have brought changes in your life. Have any of the these occurred in the past year (since your study child was 4). Some of these may be distressing to recall, but we hope you will let us know just how they affected you.

-

1 - Yes & affected me a lot

2 - Yes, moderately affected

3 - Yes, mildly affected

4 - Yes, but did not affect me at all

5 - No did not happen

Your partner died
One of your children died
A friend or relative died
One of your children was ill
Your partner was ill
A friend or relative was ill
You were admitted to hospital
You were in trouble with the law
You were divorced
You found that your partner didn't want your child
You were very ill
Your partner lost his job
Your partner had problems at work
You had problems at work
You lost your job
Your partner went away
Your partner was in trouble with the law
You and your partner separated
Your income was reduced
You argued with your partner
You argued with your family and friends
You moved house
Your partner was physically cruel to you
You became homeless
You had a major financial problem
You got married
Your partner was physically cruel to your children
You were physically cruel to your children
You attempted suicide
You were convicted of an offence
You became pregnant
You started a new job
You returned to work
You had a miscarriage
You had an abortion
You took an examination
Your partner was emotionally cruel to you
Your partner was emotionally cruel to your children
You were emotionally cruel to your children
Your house or car was burgled
Your partner started a new job
A pet died
Listed below are a number of events which may have brought changes in your life. Have any of the these occurred in the past year (since your study child was 4). Some of these may be distressing to recall, but we hope you will let us know just how they affected you. You had an accident (please tick & describe)
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Generic text
Is there anything else which is not on the list which has concerned you or required additional effort from you to cope in the last year?
1
Yes
2
No
If no, go to E1 on page 24
please describe:
Generic text
How did this affect you?
1
a lot
2
moderately
3
mildly
4
not at all

SECTION E: 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 2 1/2 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 (or shared with partner)
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 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 room
1
Very warm
2
Warm
3
About right
4
Cold
5
Very cold
In the coldest time of year, describe the temperature in your: bedroom
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

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
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 describe)
Other
Do you or your partner have the use of a car (including vans, minibuses, etc.)?
1
Yes, we own a car
2
Yes, we can borrow a car
3
No
If no, go to E12a on page 27
how often do you yourself have the use of a car?
1
never
2
sometimes
3
often
4
every day
7
not applicable/do not drive
do you wish you could have it more often?
1
Yes
2
No
Is there ever any damp, condensation or mould in your home?
1
Yes
2
No
If no, go to E13a on page 28
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

Please tick the boxes relating to the problems you get in each room.

-

1 - Condensation on windows/walls/ceilings

2 - Damp patches on walls

3 - Mould on walls

4 - Damp on furniture, carpets or clothes

5 - Mould on furniture, carpets or clothes

6 - None

kitchen (or kitchen/diner)
living room (or lounge/diner)
hall/landing
my bedroom
study child's bedroom
bathroom/toilet
other rooms
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 any of the following rooms been decorated or had any brand new furniture?

-

1 - Yes

2 - No

9 - Don't know

painted
wall papered
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
wall papered
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
wall papered
new carpet
new furniture

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

- which room(s)

1 - Yes

2 - No

9 - Don't know

Other

1 - Yes

2 - No

9 - Don't know

Other

1 - Yes

2 - No

9 - Don't know

Other

1 - Yes

2 - No

9 - Don't know

Other
painted
wall papered
new carpet
new furniture
How would you rate your home in relation to that of other mothers?
1
much cleaner
2
a bit cleaner
3
about the same
4
less clean
5
much less clean
6
don't know
How would you rate your home in relation to that of other mothers?
1
much tidier
2
a bit tidier
3
about the same
4
less tidy
5
much less tidy
6
don't know
Do you have a rule that smoking never happens in particular rooms?
1
Smoking not allowed in the house at all
2
Smoking only allowed in some rooms
3
Smoking allowed anywhere
Space for comments:
Generic text

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

SECTION F: YOUR OCCUPATION AND LIFESTYLE

In the last year have you worked at all?
1
no
2
yes, paid work at home
3
yes, paid work outside home
4
yes, paid work both at home and outside home
If no, go to Question F9 on page 35
how old was this study child when you started (or went back to) your most recent job? ... years ... months
Age
Months
are you still working?
1
Yes
2
No
when did you finish?
Generic date
Now go to F9 on page 35
how many jobs are you now doing?
How many
what job(s) are you doing (please describe the job(s) you do and the type of industry/employer(s) you work for)
Generic text
How many hours a week altogether do you now work? ... hours
Hours in week
Does this include weekends ?
1
Yes
2
No
3
Sometimes
Do you work in the evenings or at night?
1
Yes
2
No
3
Sometimes
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
What are the main reasons you work? financial, I am important as a breadwinner
1
Yes
2
No
What are the main reasons you work? financial, for family extras
1
Yes
2
No
What are the main reasons you work? career
1
Yes
2
No
What are the main reasons you work? enjoyment
1
Yes
2
No
What are the main reasons you work? to get out of the home
1
Yes
2
No
What are the main reasons you work? other (please describe)
1
Yes
2
No
Other
Are you working at the same status as you did before you had your study child?
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 this child?
1
yes, often
2
yes, sometimes
3
yes, but rarely
4
no, not at all
How do you usually travel to work? (Tick all that apply)
7
Work at home
How do you usually travel to work? (Tick all that apply) public transport (bus, train)
1
Yes
2
No
How do you usually travel to work? (Tick all that apply) car
1
Yes
2
No
How do you usually travel to work? (Tick all that apply) cycle
1
Yes
2
No
How do you usually travel to work? (Tick all that apply) walk
1
Yes
2
No
How do you usually travel to work? (Tick all that apply) other
1
Yes
2
No
How long does it usually take: to travel to work?
1
Less than 15 mins
2
15-29 mins
3
30-59 mins
4
An hour or more
How long does it usually take: to travel home from work?
1
Less than 15 mins
2
15-29 mins
3
30-59 mins
4
An hour or more

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

-

1 - Yes almost always

2 - Yes often

3 - Not very often

4 - Never

I enjoy seeing my child after work
After a day working I find it hard to cope with a young child
Do you worry about your study child when you are at work?
1
Yes
2
Sometimes
3
No
Does he/she make a fuss when you leave him/her?
1
Yes
2
Sometimes
3
No
If you are working please now go to Question F10 below
Have you chosen not to work so that you can stay at home with your child?
1
No
2
Yes
If yes, go to F10 below
Have you been looking for work?
1
Yes
2
No
If no, go to F10 below
how long have you been seeking work? ... months
How many

Please list all previous paid jobs since the day the study child was born:

Job done Hours/week (average) Month started Year started Month finished Year finished
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1
2
3
4
5
Did any of these jobs involve working at weekends?
1
Yes
2
Sometimes
3
No
If no, go to F10d on page 36
which ones? (Tick all that apply)
1
Job No. 1
2
Job No. 2
3
Job No. 3
4
Job No. 4
5
Job No. 5
Did any of these jobs involve working in the evenings or at nights?
1
Yes
2
No
If no, go to F10f below
which ones? (Tick all that apply)
1
Job No. 1
2
Job No. 2
3
Job No. 3
4
Job No. 4
5
Job No. 5
Were any gaps in employment due to paid maternity leave?
1
Yes
2
No
between which jobs?
Generic text
How many cigarettes per day do you currently smoke?
30
30+
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 much alcohol do you drink?
1
never drink alcohol
2
very occasionally (less than once a week )
3
occasionally (at least once a week)
4
drink 1-2 glasses* nearly every day
5
drink 3-9 glasses* every day
6
drink at least 10 glasses* a day
(* by glass we mean a pub measure (1oz) of spirits, half a pint (1/4 litre) of lager or cider, a wine glass of wine, etc)
How many days in the past month do you think you had the equivalent of at least 2 pints of beer, 4 glasses of wine or 4 pub measures of spirit?
1
every day
2
more than 10 days
3
5-10 days
4
3-4 days
5
1-2 days
6
none
Do you or your partner make your own alcoholic drinks? wine
1
Yes
2
No
Do you or your partner make your own alcoholic drinks? beer
1
Yes
2
No
Do you or your partner make your own alcoholic drinks? spirits
1
Yes
2
No
How difficult at the moment do you find it to afford these items: food
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
How difficult at the moment do you find it to afford these items: clothing
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
How difficult at the moment do you find it to afford these items: heating
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
5
Paid directly by Social Security
How difficult at the moment do you find it to afford these items: rent or mortgage
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
5
Paid directly by Social Security
How difficult at the moment do you find it to afford these items: things you need for your children
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
How difficult at the moment do you find it to afford these items: costs of educational courses (e.g. ballet, music, etc)
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
How difficult at the moment do you find it to afford these items: medical care
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
How difficult at the moment do you find it to afford these items: child care
1
Very difficult
2
Fairly difficult
3
Slightly difficult
4
Not difficult
How difficult at the moment do you find it to afford these items: something else (please tick and describe)
1
Very difficult
2
Fairly difficult
3
Slightly difficult
Other
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
Do you believe in God or in some divine power?
1
yes
2
am not sure
3
no, not at all
Do you feel that God (or some divine power) has helped you at any time?
1
Yes
2
Not sure
3
No
Would you appeal to God for help if you were in trouble?
1
Yes
2
Not sure
3
No
What sort of religious faith would you say you had? (tick one only)
1
Church of England
2
Roman Catholic
3
Jehovah's Witness
4
Christian Science
5
Mormon
6
Other Christian (please describe)
7
Jewish
8
Buddhist
9
Sikh
10
Hindu
11
Muslim
12
Rastafarian
0
None
13
Other (please describe)
Other
How long have you had this particular faith?
1
all my life
2
more than 5 years
3
3-5 years
4
1-2 years
5
less than a year
Do you go to a place of worship?
1
yes, at least once a week
2
yes, at least once a month
3
yes, at least once a year
4
no, not at all
Do you obtain help and support from leaders or other members of religious groups? Help from: Leaders of your religious group (e.g. priests, rabbis, imams)
1
Yes
2
No
Do you obtain help and support from leaders or other members of religious groups? Help from: Other members of your religious group
1
Yes
2
No
Do you obtain help and support from leaders or other members of religious groups? Help from: Members of other religious group(s) (please 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
please describe:
Generic text
Are you on any committees?
1
Yes
2
No
please describe
Generic text
Do you do any voluntary work?
1
Yes
2
No
please describe
Generic text

In the past 2 years have you taken any courses or other educational training?

-

1 - Yes

2 - No

training within my job
evening classes
University
In the past 2 years have you taken any courses or other educational training? other (please describe)
1
Yes
2
No
Other

What educational qualifications do you, and your partner, have?

Yourself Your partner

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

No qualifications
CSE or GCSE (D, E, F or G )
O-level or GCSE (A, B or C)
A-level
Qualifications in shorthand/typing/ or other skills, e.g. hairdressing
Apprenticeship
State enrolled nurse
State registered nurse
City & Guilds intermediate technical
City & Guilds final technical
City & Guilds full technical
Teaching qualification
University degree
Qualifications not known
What educational qualifications do you, and your partner, have? Your partner Not applicable, no such person
1
Yes
What educational qualifications do you, and your partner, have? Yourself Other (please tick describe)
1
Yes
Other
What educational qualifications do you, and your partner, have? Your partner Other (please tick describe)
1
Yes
Other

SECTION G:YOUR NEIGHBOURHOOD

Do the other people in your neighbourhood: visit your home
1
No, never
2
Rarely
3
Sometimes
4
Often
5
Almost every day
Do the other people in your neighbourhood: argue with you
1
No, never
2
Rarely
3
Sometimes
4
Often
5
Almost every day
Do the other people in your neighbourhood: look after your children