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alspac_91_yhal
YOUR HOME & LIFESTYLE
Finding out how the environment and lifestyle affects mothers and their babies will help us to make the environment and lifestyle a healthier place.
This questionnaire asks about your environment and lifestyle. It asks about where you live and work, and about what you do.
All the answers you give are confidential. We would be grateful if you would answer as many questions as you can.
If there is any question you don't want to answer just leave it blank.
THANK YOU VERY MUCH FOR YOUR HELP
SECTION A: YOUR HOME ENVIRONMENT
A1

How long have you lived in or near Avon?

1
less than 1 year
2
1 - 4 years
3
5 - 9 years
4
10 years or more
5
all my life
A2 a

When did you move to your present address?

Generic date
A2 b

How many times have you moved home in the last 5 years?

How many
A3

Is your home:

0
being bought/mortgaged
1
owned - with no mortgage to pay
2
rented from council
3
rented from private landlord - furnished
4
rented from private landlord - unfurnished
5
rented from housing association
6
other (please describe)
Other
A4

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

1
live in own home
2
live with parents in their home
3
other situation (please describe)
Other
A5

Do you currently live in:

1
a whole detached house (or bungalow)
2
a whole semi-detached house/bungalow
3
a whole terraced house
4
a flat/maisonette (self contained)
5
room in someone else's house
6
other (please describe)
Other
A6

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

78
basement
0
ground floor
1
1st floor
Generic text
A7 a

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

1
Very warm
2
Warm
3
About right
4
Cold
5
Very cold
A7 b

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

1
Very warm
2
Warm
3
About right
4
Cold
5
Very cold
A8 a

In your home do you ever use: central heating or storage heaters

1
Yes
2
No
A8 b

In your home do you ever use: wood stoves or wood fires

1
Yes
2
No
A8 c

In your home do you ever use: coal fires

1
Yes
2
No
A8 d

In your home do you ever use: paraffin heaters

1
Yes
2
No
A8 e

In your home do you ever use: gas fires (mains gas)

1
Yes
2
No
A8 f

In your home do you ever use: gas fires (calor gas)

1
Yes
2
No
A8 g

In your home do you ever use: other types of heating (please describe)

1
Yes
2
No
Other
A9

What is your main method of heating in winter?

Generic text
A10 a-e
During this pregnancy have you heated your bed using any of the following:
-

1 - No

2 - Yes sometimes

3 - Yes most days

4 - Yes every day
hot water bottle
electric under blanket
electric over blanket
electric pad
electric water bed
A10 f

During this pregnancy have you heated your bed using any of the following: other (please describe)

1
No
2
Yes sometimes
3
Yes most days
4
Yes every day
Other
A11 a

Do you use gas for cooking?

1
yes, ring
2
yes, oven
3
yes, rings and oven
4
no, not at all
A11 a(i)

Do you use the cooker for any other purpose than cooking (e.g. drying clothes, heating the room)?

1
Yes
2
No
If yes,
qc_A11_a_i == 1
A11 a(i)

please describe:

Generic text
A11 a(ii)

How old is your cooker?

1
More than 10 years old
2
5-10 years old
3
2-4 years old
4
Less than 2 years old
9
Don't know
A11 b(i-iii)
Does your home have the following?
-

1 - Yes sole use

2 - Yes shared with other house-hold(s)

3 - No
kitchen where there is space to sit and eat
kitchen for cooking only
indoor flushing toilet
A11 c(i-ii)
Apart from the kitchen or kitchen/dining room, how many living rooms and bedrooms do you have?
-
How many
number of living rooms:
number of bedrooms: (not regularly used as living rooms)
A12 a-e
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
A13 a

Is there a working telephone in your home?

1
Yes
2
No
If no,
qc_A13_a == 2
A13 b

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
A14 a

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

1
Yes
2
No
If yes,
qc_A14_a == 1
A14 b

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

1
never
2
not every day
3
almost every day
7
not applicable/do not drive
A15 a(i)

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

1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
A15 a(ii)

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

1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
A15 b(i)

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

1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
A15 b(ii)

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

1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
A15 c

at night the window in my bedroom is:

1
almost always open
2
sometimes open
3
almost never open
A15 d

Are any of your windows double glazed?

1
yes all of them
2
yes some of them
3
no none of them
9
don't know
A16 a

Do you have any pets?

1
Yes
2
No
If no, go to A17, on page 9.
If yes,,
qc_A16_a == 1
A16 b(i)

How many of the following pets do you have? cats

How many
A16 b(ii)

How many of the following pets do you have? dogs

How many
A16 b(iii)

How many of the following pets do you have? rabbits

How many
A16 b(iv)

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

How many
A16 b(v)

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

How many
A16 b(vi)

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

How many
Other
A17 a-g
Do any of the following animals or insects inhabit or invade your home or cause dirty conditions in your balcony, garden or yard?
-

1 - Yes frequently

2 - Yes occasionally

3 - No not at all
rats
mice
pigeons
cats
cockroaches
ants
dogs
A17 h

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

1
Yes frequently
2
Yes occasionally
3
No not at all
Other
A18 a

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

1
Yes
2
No
If no, go to A19.a, on page 11.
If yes,
qc_A18_a == 1
A18 b

How much of a problem is damp or condensation?

1
no damp or condensation
2
not serious
3
fairly serious
4
very serious
A18 c

How much of a problem is mould?

1
no mould
2
not serious
3
fairly serious
4
very serious
A18 d-j
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
other bedrooms
bathroom/toilet
other rooms
A19 a

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

7
does not apply
1
no leak
2
yes, slight leak
3
yes, serious leak
A19 b

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
A20

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

1
satisfied
2
fairly satisfied
3
dissatisfied
4
very dissatisfied
A21 a-d
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
Your bedroom: painted
Your bedroom: wall papered
Your bedroom: new carpet
Your bedroom: new furniture
Your living room: painted
Your living room: wall papered
Your living room: new carpet
Your living room: new furniture
Your kitchen: painted
Your kitchen: wall papered
Your kitchen: new carpet
Your kitchen: new furniture
Any other rooms: painted
Any other rooms: wall papered
Any other rooms: new carpet
Any other rooms: new furniture
A21 i

In the past year have any of the following rooms been decorated or had any brand new furniture? Which room(s)?

Other
SECTION B: CHEMICALS AND MEDICINES
B1 a-o
During this pregnancy, how often have you used the following:
-

1 - Every day

2 - Most days

3 - About once a week

4 - Less than once week

5 - Not at at all
disinfectant
bleach
window cleaner
carpet cleaner
oven/drain cleaner
dry cleaning fluid
turpentine/white spirit
paint stripper
household paint or varnish
weed killers
pesticides/insect killers (including flea or fly sprays or powders)
aerosols or sprays including hair spray
hair dye/bleach
hair removal creams
air fresheners (spray, stick or aerosol)
B1 p

During this pregnancy, how often have you used the following: other (please describe)

1
Every day
2
Most days
3
About once a week
4
Less than once week
5
Not at at all
Other
B2 a-o
During this pregnancy have you ever taken any medicines, pills or used ointment or suppositories for the following:
-

1 - Yes, taken in 1st 3 months of pregnancy

2 - Yes, taken later in pregnancy

4 - No, not at all
nausea
heartburn
vomiting
anxiety
infection
migraine
difficulty going to sleep
pain
allergies
skin condition
bleeding
depression
piles
constipation
cough
B2 p

During this pregnancy have you ever taken any medicines, pills or used ointment or suppositories for the following: other reason (please describe)

1
Yes, taken in 1st 3 months of pregnancy
2
Yes, taken later in pregnancy
4
No, not at all
Other
B3 a

During this pregnancy have you been taking any of the following? iron

1
Yes
2
No
B3 b

During this pregnancy have you been taking any of the following? zinc

1
Yes
2
No
B3 c

During this pregnancy have you been taking any of the following? calcium

1
Yes
2
No
B3 d

During this pregnancy have you been taking any of the following? folic acid/folate

1
Yes
2
No
B3 e

During this pregnancy have you been taking any of the following? vitamins (please describe)

1
Yes
2
No
Generic text
B3 f

During this pregnancy have you been taking any of the following? other supplements or diet foods (please describe)

1
Yes
2
No
Other
B4 a

Do you ever take homeopathic medicines?

1
Yes often
2
Yes sometimes
3
No
If yes,
qc_B4_a == 1 || qc_B4_a == 2
B4 b

please describe:

Generic text
B5 a(i-v)
Please indicate how often you have taken the following pills during this pregnancy.
-

1 - Every day

2 - Most days

3 - Sometimes

4 - Not at at all
aspirin
paracetamol
codeine/anadin
mogadon, or other sleeping tablets
valium, or other tranquillisers
B5 b
Please describe all pills, medicines and ointments you have taken or used in the first month of this pregnancy.

Check Have you included the contraceptive pill, iron tablets, laxatives, vitamins, sleeping tablets, aspirin, cough mixture, pain killers, herbal medicine?

What did you take: About how many days did you take or use it How many weeks pregnant were you?
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
11
12
13
14
15
SECTION C: THINGS YOU DO
C1 a-r
Since you became pregnant, how often have you used any of the following, whether at work or as a hobby:
-

1 - Every day

2 - Most days

3 - About once a week

4 - Less than once week

5 - Not at at all
dental amalgam
ceramics/enamels
dry cleaning fluids
electroplating
glues
leather working
fabric/textiles
dyes
insecticides
plastics
metal cleaners/degreasers, polishers
petrol
paint
photographic chemicals/other chemicals
electrical wiring
machining
soldering
radiation (x-ray or other)
C2 a-e
Since becoming pregnant how often have you done the following whether at work or as a hobby:
-

1 - Every day

2 - Most days

3 - About once a week

4 - Less than once a week

5 - Not at at all
domestic work in other people's homes
hairdressing
farm work
hospital work
shift work
C3

Have you ever had a paid job?

1
Yes
2
No
If no, go to D1, on page 21
qc_C3 == 2
Else
C4 a

What is your present job? If you are not working, what was your most recent job?

Generic text
C4 b

Are/were you working:

1
full-time
2
part-time
3
casually
C4 c

type of industry or service given:

Generic text
C5 a

About how long does/did it take you altogether to travel, to get to and from work each day? ... hours ... minutes

Hours
Minutes
C5 b

How do/did you travel to work?

1
By foot
2
By public transport
3
By bicycle
4
By car
5
Work at home
6
Other (please describe)
Other
C6 a-f
What is your job like: (If you are no longer working answer for your most recent job).
-

1 - Yes, always

2 - Yes, mostly

3 - Sometimes

4 - Not very often

5 - Never
Do you enjoy your job?
Do you have problems at work?
Are the people at your work friendly?
Are the people at your work supportive?
Is it very noisy?
Do you work in a smoky atmosphere?
C7 a-h
In the year before this pregnancy, in the first months of this pregnancy, and now did/do you do any of the following (whether at home, at school, at work or elsewhere):

[Please make sure you have answered each of the three columns]

In the year before this pregnancy In the first 3 months of this pregnancy From 4 months of this pregnancy until now

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No
Did/do you use a VDU? (television type screen)
Are/were you mostly sitting?
Are/were you bending a lot?
Are/were you standing most of the time?
Are/were you doing repetitive, boring tasks?
Did/does your job involve challenging and mentally demanding tasks?
Are/were you using a lot of physical energy?
In your job are/were you in contact with fumes or chemicals (please describe)
C7 h

In the year before this pregnancy, in the first months of this pregnancy, and now did/do you do any of the following (whether at home, at school, at work or elsewhere): In your job are/were you in contact with fumes or chemicals? (please describe)

Generic text
C8
What jobs have you had since the age of 16? Include part-time and voluntary work. If you have not worked write 'None'.

If there is not enough space please continue on the back cover.

Job Materials/machines or chemicals used Date started (month-year) Date stopped (month-year)
Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date
1
2
3
4
5
6
7
8
9
10
SECTION D: YOUR HOUSEHOLD
D1 a(i)

How many people live in your household? (including yourself) ... adults (over 18 years)

How many
D1 a(ii)

How many people live in your household? (including yourself) ... young adults (16 - 18 years)

How many
D1 a(iii)

How many people live in your household? (including yourself) ... children (0 - 15 years)

How many
D1 b(i-viii)
Please indicate who the adults over 18 in your household are:
-

1 - Yes

2 - No
yourself
your partner
your parent(s)
your partner's parent(s)
other relation(s) of yourself
other relations of your partner
friend(s)
lodger
D1 b(ix)

Please indicate who the adults over 18 in your household are: other (please describe)

1
Yes
2
No
Other
D2 a

Do you currently have a partner?

1
yes, husband
2
yes, other male partner
3
no, not at all
4
other (please describe)
Other
If no, go to D4, on page 22.
If yes,
qc_D2_a == 1 || qc_D2_a == 2 || qc_D2_a == 4
D2 b

is your partner the father of your unborn child?

1
Yes
2
No
3
Not sure
D2 c

does your partner live with you?

1
Yes
2
No
If your partner does live with you:
qc_D2_c == 1
D2 d

how long have you lived together? ... years ... months

Years
Months
D3

How would you assess your partner's physical health

1
always fit and well
2
usually fit and well
3
sometimes unwell
4
often unwell
5
always unwell
D4 a

What is your present marital status?

1
never married
2
widowed
3
divorced
4
separated
5
married (once only)
6
married for second or third time
If married,
qc_D4_a == 5 || qc_D4_a == 6
D4 b

what was the date of the most recent marriage?

Generic date
D4 c

How many other marriages/live-in partners have you had?

How many
D5 a-c
Please indicate how many of the children (aged 18 or under) living with you have:
Number of children
How many
you and your partner as their natural parents
you as their natural mother (but their natural father is not present)
your partner as the natural father (but you are not their natural mother)
D5 d

Please indicate how many of the children (aged 18 or under) living with you have: neither you nor your partner as natural parents (please describe whether you have adopted, fostered etc.)

How many
Other
D6 a-c
Are there other children of yourself or your partner who do not live with you?
-

1 - Yes

2 - No
children of my partner
children of myself
children of partner & self
D7 a

Do any of the people living in your household, including yourself and your children have a long lasting disorder, illness or disabling condition? (e.g. asthma, epilepsy, arthritis, depression)

1
Yes
2
No
If yes, please describe:
qc_D7_a == 1
D7 b

nature of illness/condition:

Generic text
D7 c

person involved:

Generic text
D7 d

the consequences for the household:

Generic text
D8 a

Were you deliberately trying to get pregnant this time?

1
Yes
2
No
If no, go to D9, on page 24.
If yes,
qc_D8_a == 1
D8 b

for how long had you been trying?

1
under 6 months
2
6-11 months
3
1-2 years
4
3 years or more
D9

How would you describe your reaction when you first found you were pregnant?

(tick one only)

1
overjoyed
2
pleased
3
mixed feelings
4
not happy
5
very unhappy
6
no particular feelings
D10 a

Does becoming a mother mean giving up something that is important to you? Please add any extra comments you wish to make:

1
yes, a great deal
2
yes, quite a lot
3
not really
4
definitely not
9
don't know
Generic text
D10 b

Does becoming a mother give you new opportunities and interests? Please add any extra comments you wish to make:

1
yes, a great deal
2
yes, quite a lot
3
not really
4
definitely not
9
don't know
Generic text
D11

How do you feel about your pregnancy now?

1
overjoyed
2
pleased
3
mixed feelings
4
not happy
5
very unhappy
6
no particular feelings
D12

How do you think your partner feels about your pregnancy?

1
overjoyed
2
pleased
3
mixed feelings
4
not happy
5
very unhappy
6
no particular feelings
7
have no partner
D13 i

How has your partner reacted to you since you have become pregnant? When he first knew

1
supportive
2
indifferent
3
resentful
7
have no partner
4
other (please describe)
Other
D13 ii

How has your partner reacted to you since you have become pregnant? Now

1
supportive
2
indifferent
3
resentful
7
have no partner
4
other (please describe)
Other
SECTION E: YOUR PREVIOUS PREGNANCIES
E1

Have you ever been pregnant before?

1
Yes
2
No
If no, go to Section F, on page 29.
If yes,
qc_E1 == 1
E2 a

How many times have you been pregnant altogether before this time?

How many
E2 b

Is this the first pregnancy with your present partner?

1
Yes
2
No
9
Am not sure
E3 a

How many children still living, of your own do you have?

How many
E3 b

Do they all live with you?

1
Yes
2
No
7
Don't have children
E4 a

Have you ever had any miscarriages?

1
Yes
2
No
If yes,
qc_E4_a == 1
E4 b

how many times have you miscarried?

How many
E5 a

Have you ever had any abortions or terminations?

1
Yes
2
No
If yes,
qc_E5_a == 1
E5 b

how many ?

How many
E6 a

Have you ever had a stillborn baby ?

1
Yes
2
No
If yes,
qc_E6_a == 1
E6 b

how many?

How many
E7 a

Have you ever had any babies who were born alive but died later?

1
Yes
2
No
If yes, please describe:
qc_E7_a == 1
E7 b

how many?

How many
E7 c

what caused their death?

Generic text
E7 d

how old were they when they died?

Generic text
E8

Were any of your babies under 5lb 8oz (2500 grammes) at birth?

1
Yes
2
No
9
Don't know
E9 a

Were any of your babies born more than 3 weeks early?

1
Yes
2
No
9
Don't know
E9 b

Have you ever had a caesarean section?

1
Yes
2
No
9
Don't know
E10

How old were you when you became pregnant for the very first time? ... years

Age
E11 a

What was the outcome of the last pregnancy before this pregnancy?

1
miscarriage
2
abortion or termination
3
stillbirth
4
liveborn baby that died
5
liveborn baby still alive
6
other (please describe)
Other
E11 b

Please give the date of your last birth/miscarriage/abortion or termination before this pregnancy:

Generic date
E11 c

Did you breast feed your last baby?

1
Yes
2
No
7
Have not had a baby
If yes,
qc_E11_c == 1
E11 d

for how long?

1
under 1 month
2
1-3 months
3
more than 3 months
SECTION F: ABOUT YOURSELF
F1

In general: I feel insecure when I say goodbye to people

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F2

In general: I worry about the effect I have on other people

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F3

In general: I avoid saying what I think for fear of being rejected

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F4

In general: I feel uneasy meeting new people

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F5

In general: If others knew the real me, they would not like me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F6

In general: I feel secure when I'm in a close relationship

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F7

In general: I don't get angry with people for fear that I may hurt them

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F8

In general: After a row with a friend, I feel uncomfortable until I have made peace

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F9

In general: I am always aware of how other people feel

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F10

In general: I worry about being criticised for things I have said or done

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F11

In general: I always notice if someone doesn't respond to me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F12

In general: I worry about losing someone close to me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F13

In general: I feel that people generally like me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F14

In general: I will do something I don't want to do rather than offend or upset someone

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F15

In general: I can only believe that something I have done is good when someone tells me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F16

In general: I will go out of my way to please someone I am close to

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F17

In general: I feel anxious when I say goodbye to people

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F18

In general: I feel happy when someone compliments me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F19

In general: I fear that my feelings will overwhelm me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F20

In general: I can make other people feel happy

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F21

In general: I find it hard to get angry with people

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F22

In general: I worry about criticising people

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F23

In general: If someone is critical of something I do, I feel bad

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F24

In general: If other people knew what I am really like, they would think less of me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F25

In general: I always expect criticism

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F26

In general: I can never be really sure if someone is pleased with me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F27

In general: I don't like people to really know me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F28

In general: If someone upsets me, I am not able to put it easily out of my mind

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F29

In general: I feel others do not understand me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F30

In general: I worry about what others think of me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F31

In general: I don't feel happy unless people I know admire me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F32

In general: I am never rude to anyone

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F33

In general: I worry about hurting the feelings of other people

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F34

In general: I feel hurt when someone is angry with me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F35

In general: My value as a person depends enormously on what others think of me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F36

In general: I care about what people feel about me

1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
SECTION G: YOUR LIFESTYLE
G1 a

Have you ever been a smoker?

1
Yes
2
No
If no, please go to G2, on page 33.
If yes,
qc_G1_a == 1
G1 b

at what age did you start smoking regularly? ... years

Age
G1 c(i)

which of the following have you smoked regularly? cigarette

1
Yes
2
No
G1 c(ii)

which of the following have you smoked regularly? pipe

1
Yes
2
No
G1 c(iii)

which of the following have you smoked regularly? cigar

1
Yes
2
No
G1 c(iv)

which of the following have you smoked regularly? other

1
Yes
2
No
G1 d

What was the maximum number of times a day you smoked?

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
0
G1 e

Have you now stopped smoking?

1
Yes
2
No
If yes,
qc_G1_e == 1
G1 e(i)

how long ago? ... years ... months

Years
Months
G1 f(i)

Did you smoke regularly at any of the following times in the last 9 months? Before pregnancy

1
No
2
Yes, cigarettes
3
Yes, cigars
4
Yes, pipe
5
Yes, other (please describe)
Other
G1 f(ii)

Did you smoke regularly at any of the following times in the last 9 months? First 3 months of pregnancy

1
No
2
Yes, cigarettes
3
Yes, cigars
4
Yes, pipe
5
Yes, other (please describe)
Other
G1 f(iii)

Did you smoke regularly at any of the following times in the last 9 months? Last 2 weeks

1
No
2
Yes, cigarettes
3
Yes, cigars
4
Yes, pipe
5
Yes, other (please describe)
Other
G1 g(i)

how many times per day did you smoke - just before you became pregnant per day

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
0
G1 g(ii)

how many times per day did you smoke - in the first 3 months of your pregnancy per day

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
0
G1 g(iii)

how many times per day did you smoke - in the last 2 weeks? per day

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
0
G1 h(i)

What brand and type of cigarette or tobacco do/did you usually smoke? brand:

Generic text
G1 h(ii)

What brand and type of cigarette or tobacco do/did you usually smoke? type:

1
filtered
2
unfiltered
3
roll-your-own
4
pipe/cigar
Please send us an empty packet/carton of the brand you usually smoke.
G2 a

Did your mother ever smoke?

1
Yes
2
No
9
Don't know
If yes,
qc_G2_a == 1
G2 a(i)

did she smoke when she was expecting you?

1
Yes
2
No
9
Don't know
G2 b

Did your father ever smoke?

1
Yes
2
No
9
Don't know
G3 a

Does your partner smoke?

1
No
2
Yes, cigarettes
3
Yes, cigars
4
Yes, pipe
5
Yes, other (please describe)
7
Don't have a partner
Other
If no, or don't have a partner, go to G4, on page 34.
Go to G4, on page 34.
If yes,
qc_G3_a == 2 || qc_G3_a == 3 || qc_G3_a == 4 || qc_G3_a == 5
G3 b

about how many times per day does your partner smoke at the moment?

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
99
don't know
G3 c(i)

what brand, and type of cigarette/tobacco does your partner smoke? brand:

Generic text
G3 c(ii)

what brand, and type of cigarette/tobacco does your partner smoke? type:

1
filtered
2
unfiltered
3
roll-your-own
4
pipe/cigar
G3 d

at what age did your partner start smoking? ... years

Age
99
don't know
G4 a

Apart from yourself and your partner, are there any other members of your household who smoke?

1
Yes
2
No
If yes,
qc_G4_a == 1
G4 b

how many:

How many
G5 a-c
How often did you smoke marijuana/grass/cannabis/ganja -
-

1 - Every day

2 - 2-4 times a week

3 - Once a week

4 - Less than once a week

5 - Not at all
In the 6 months before you conceived
In the first 3 months of pregnancy
Between 3 months and now
G6 a

How often have you taken the following during this pregnancy: amphetamines

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 b

How often have you taken the following during this pregnancy: barbiturates

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 c

How often have you taken the following during this pregnancy: crack

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 d

How often have you taken the following during this pregnancy: cocaine

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 e

How often have you taken the following during this pregnancy: heroin

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 f

How often have you taken the following during this pregnancy: methadone

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 g

How often have you taken the following during this pregnancy: ecstasy

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 h

How often have you taken the following during this pregnancy: other (please describe)

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
Other
G7 a-c
How often have you drunk alcoholic drinks? Please indicate for each of the following times:
-

1 - Never

2 - Less than once a week

3 - At least once a week

4 - 1-2 glasses every day

5 - At least 3-9 glasses every day

6 - At least 10 glasses every day
Before this pregnancy
1st 3 months of this pregnancy
At around the time you first felt the baby move
G8

How many days in the past month have you drunk the equivalent of 2 pints of beer, 4 glasses of wine or 4 pub measures of spirit?

5
everyday
4
more than 10 days
3
5-10 days
2
3-4 days
1
1-2 days
0
none
G9

Which is the alcoholic drink you have most often drunk during this pregnancy?

(tick one only)

1
wine
2
beer/lager
3
sherry/port
4
gin/whisky/vodka/brandy
5
other (please describe)
7
don't drink at all
Other
G10

How would you describe your partner's alcohol drinking? Which of the following statements best applies:

1
Never drinks alcohol
2
Very occasionally (less than once a week)
3
Occasionally (at least once a week)
4
Drinks 1-2 glasses nearly every day
5
Drinks 3-9 glasses every day
6
Drinks at least 10 glasses a day
7
Don't have a partner
9
Don't know
G11 a-l
At present how much of the following do you usually drink in a day:
Weekday Weekend day
How manyHow manyHow manyHow many How manyHow manyHow manyHow many
ordinary tea (cups)
decaffeinated tea (cups)
coffee (cups)
decaffeinated coffee (cups)
beer or lager (half-pints)
wine (glasses)
spirits (pub-measures)
cola/pepsi (cans)
decaffeinated cola/pepsi cans
other alcoholic drinks (pub measures)
milk (glasses)
other drinks (please describe)
G11 l

At present how much of the following do you usually drink in a day: other drinks (please describe)

Other
SECTION H: YOUR SOCIAL ENVIRONMENT
H1 a

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
H1 b(i)

Do the other people in your neighbourhood: visit your home

1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 b(ii)

Do the other people in your neighbourhood: argue with you

1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 b(iii)

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

1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 b(iv)

Do the other people in your neighbourhood: keep to themselves

1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 c(i)

Do you: visit the home of your neighbours

1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 c(ii)

Do you: argue with your neighbours

1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 c(iii)

Do you: look after your neighbours children

1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 c(iv)

Do you: keep to yourself

1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H2 a-d
How worried are you that in your neighbourhood:
-

1 - Very worried

2 - Fairly worried

3 - Not very worried

4 - Not at all worried

9 - Don't know
you might have your home broken into and something stolen
you might be mugged or robbed
you might be sexually assaulted or pestered
you might have your home or property damaged by vandals
H3 i

Is your neighbourhood: lively

1
Yes usually
2
Yes sometimes
3
No not at all
H3 ii

Is your neighbourhood: friendly

1
Yes usually
2
Yes sometimes
3
No not at all
H3 iii

Is your neighbourhood: noisy

1
Yes usually
2
Yes sometimes
3
No not at all
H3 iv

Is your neighbourhood: clean

1
Yes usually
2
Yes sometimes
3
No not at all
H3 v

Is your neighbourhood: attractive

1
Yes usually
2
Yes sometimes
3
No not at all
H3 vi

Is your neighbourhood: polluted/dirty

1
Yes usually
2
Yes sometimes
3
No not at all
SECTION I
I1

Please put the date of completing this questionnaire:

Generic date
I2

Please give your date of birth:

Generic date
N.B. Have you remembered to enclose an empty cigarette packet?
I i

Space for any comments you might like to make:

Long text
VERY MANY THANKS FOR ALL YOUR HELP
When completed, put in the envelope provided and either bring to the clinic or post to:
Children of the Nineties - ALSPAC, Institute of Child Health
Please remember, because this is strictly confidential, the people who look at this booklet will not know your name. They will be unable to give you any help or contact anyone after reading what you have written. If you feel you need advice, please feel free to contact our hotline ( during office hours). Alternatively your General Practitioner should be able to advise you.
End

alspac_91_yhal

s_intro_i
YOUR HOME & LIFESTYLE
s_intro_ii
Finding out how the environment and lifestyle affects mothers and their babies will help us to make the environment and lifestyle a healthier place.
s_intro_iii
This questionnaire asks about your environment and lifestyle. It asks about where you live and work, and about what you do.
s_intro_iv
All the answers you give are confidential. We would be grateful if you would answer as many questions as you can.
s_intro_v
If there is any question you don't want to answer just leave it blank.
s_intro_vi
THANK YOU VERY MUCH FOR YOUR HELP

SECTION A: YOUR HOME ENVIRONMENT

A1
How long have you lived in or near Avon?
1
less than 1 year
2
1 - 4 years
3
5 - 9 years
4
10 years or more
5
all my life
A2 a
When did you move to your present address?
Generic date
A2 b
How many times have you moved home in the last 5 years?
How many
A3
Is your home:
0
being bought/mortgaged
1
owned - with no mortgage to pay
2
rented from council
3
rented from private landlord - furnished
4
rented from private landlord - unfurnished
5
rented from housing association
6
other (please describe)
Other
A4
Do you live in your own home or do you live with your parents or others?
1
live in own home
2
live with parents in their home
3
other situation (please describe)
Other
A5
Do you currently live in:
1
a whole detached house (or bungalow)
2
a whole semi-detached house/bungalow
3
a whole terraced house
4
a flat/maisonette (self contained)
5
room in someone else's house
6
other (please describe)
Other
A6
What is the lowest level of your living accommodation: 2nd floor or above, give floor ...
78
basement
0
ground floor
1
1st floor
Generic text
A7 a
In the coldest time of year, describe the temperature in your: living rooms
1
Very warm
2
Warm
3
About right
4
Cold
5
Very cold
A7 b
In the coldest time of year, describe the temperature in your: bedrooms
1
Very warm
2
Warm
3
About right
4
Cold
5
Very cold
A8 a
In your home do you ever use: central heating or storage heaters
1
Yes
2
No
A8 b
In your home do you ever use: wood stoves or wood fires
1
Yes
2
No
A8 c
In your home do you ever use: coal fires
1
Yes
2
No
A8 d
In your home do you ever use: paraffin heaters
1
Yes
2
No
A8 e
In your home do you ever use: gas fires (mains gas)
1
Yes
2
No
A8 f
In your home do you ever use: gas fires (calor gas)
1
Yes
2
No
A8 g
In your home do you ever use: other types of heating (please describe)
1
Yes
2
No
Other
A9
What is your main method of heating in winter?
Generic text
A10 a-e

During this pregnancy have you heated your bed using any of the following:

-

1 - No

2 - Yes sometimes

3 - Yes most days

4 - Yes every day
hot water bottle
electric under blanket
electric over blanket
electric pad
electric water bed
A10 f
During this pregnancy have you heated your bed using any of the following: other (please describe)
1
No
2
Yes sometimes
3
Yes most days
4
Yes every day
Other
A11 a
Do you use gas for cooking?
1
yes, ring
2
yes, oven
3
yes, rings and oven
4
no, not at all
A11 a(i)
Do you use the cooker for any other purpose than cooking (e.g. drying clothes, heating the room)?
1
Yes
2
No
A11 a(i)
please describe:
Generic text
If yes,
A11 a(ii)
How old is your cooker?
1
More than 10 years old
2
5-10 years old
3
2-4 years old
4
Less than 2 years old
9
Don't know
A11 b(i-iii)

Does your home have the following?

-

1 - Yes sole use

2 - Yes shared with other house-hold(s)

3 - No
kitchen where there is space to sit and eat
kitchen for cooking only
indoor flushing toilet
A11 c(i-ii)

Apart from the kitchen or kitchen/dining room, how many living rooms and bedrooms do you have?

-
How many
number of living rooms:
number of bedrooms: (not regularly used as living rooms)
A12 a-e

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
A13 a
Is there a working telephone in your home?
1
Yes
2
No
A13 b
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
If no,
A14 a
Do you or your partner have the use of a car (including vans, minibuses, etc.)?
1
Yes
2
No
A14 b
how often do you yourself have the use of a car?
1
never
2
not every day
3
almost every day
7
not applicable/do not drive
If yes,
A15 a(i)
How often do you have any windows open in your home: In summer: day
1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
A15 a(ii)
How often do you have any windows open in your home: In summer: night
1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
A15 b(i)
How often do you have any windows open in your home: In winter: day
1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
A15 b(ii)
How often do you have any windows open in your home: In winter: night
1
Windows almost always open
2
Windows open only when weather is good
3
Windows open occasionally
4
Windows almost never open
A15 c
at night the window in my bedroom is:
1
almost always open
2
sometimes open
3
almost never open
A15 d
Are any of your windows double glazed?
1
yes all of them
2
yes some of them
3
no none of them
9
don't know
A16 a
Do you have any pets?
1
Yes
2
No
s_qA16a
If no, go to A17, on page 9.
A16 b(i)
How many of the following pets do you have? cats
How many
If yes,,
A16 b(ii)
How many of the following pets do you have? dogs
How many
If yes,,
A16 b(iii)
How many of the following pets do you have? rabbits
How many
If yes,,
A16 b(iv)
How many of the following pets do you have? rodents (mice, hamster, gerbil, etc.)
How many
If yes,,
A16 b(v)
How many of the following pets do you have? birds (budgerigar, parrot, etc.)
How many
If yes,,
A16 b(vi)
How many of the following pets do you have? other pets (please describe)
How many
Other
If yes,,
A17 a-g

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

-

1 - Yes frequently

2 - Yes occasionally

3 - No not at all
rats
mice
pigeons
cats
cockroaches
ants
dogs
A17 h
Do any of the following animals or insects inhabit or invade your home or cause dirty conditions in your balcony, garden or yard? other (please describe)
1
Yes frequently
2
Yes occasionally
3
No not at all
Other
A18 a
Is there ever any damp, condensation or mould in your home?
1
Yes
2
No
s_qA18a
If no, go to A19.a, on page 11.
A18 b
How much of a problem is damp or condensation?
1
no damp or condensation
2
not serious
3
fairly serious
4
very serious
If yes,
A18 c
How much of a problem is mould?
1
no mould
2
not serious
3
fairly serious
4
very serious
If yes,
A18 d-j

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
other bedrooms
bathroom/toilet
other rooms
If yes,
A19 a
Does your roof leak at all? (If you have an other flat above yours, please tick 'does not apply').
7
does not apply
1
no leak
2
yes, slight leak
3
yes, serious leak
A19 b
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
A20
Taking everything into account, which of the following best describes your feelings about your home?
1
satisfied
2
fairly satisfied
3
dissatisfied
4
very dissatisfied
A21 a-d

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
Your bedroom: painted
Your bedroom: wall papered
Your bedroom: new carpet
Your bedroom: new furniture
Your living room: painted
Your living room: wall papered
Your living room: new carpet
Your living room: new furniture
Your kitchen: painted
Your kitchen: wall papered
Your kitchen: new carpet
Your kitchen: new furniture
Any other rooms: painted
Any other rooms: wall papered
Any other rooms: new carpet
Any other rooms: new furniture
A21 i
In the past year have any of the following rooms been decorated or had any brand new furniture? Which room(s)?
Other

SECTION B: CHEMICALS AND MEDICINES

B1 a-o

During this pregnancy, how often have you used the following:

-

1 - Every day

2 - Most days

3 - About once a week

4 - Less than once week

5 - Not at at all
disinfectant
bleach
window cleaner
carpet cleaner
oven/drain cleaner
dry cleaning fluid
turpentine/white spirit
paint stripper
household paint or varnish
weed killers
pesticides/insect killers (including flea or fly sprays or powders)
aerosols or sprays including hair spray
hair dye/bleach
hair removal creams
air fresheners (spray, stick or aerosol)
B1 p
During this pregnancy, how often have you used the following: other (please describe)
1
Every day
2
Most days
3
About once a week
4
Less than once week
5
Not at at all
Other
B2 a-o

During this pregnancy have you ever taken any medicines, pills or used ointment or suppositories for the following:

-

1 - Yes, taken in 1st 3 months of pregnancy

2 - Yes, taken later in pregnancy

4 - No, not at all
nausea
heartburn
vomiting
anxiety
infection
migraine
difficulty going to sleep
pain
allergies
skin condition
bleeding
depression
piles
constipation
cough
B2 p
During this pregnancy have you ever taken any medicines, pills or used ointment or suppositories for the following: other reason (please describe)
1
Yes, taken in 1st 3 months of pregnancy
2
Yes, taken later in pregnancy
4
No, not at all
Other
B3 a
During this pregnancy have you been taking any of the following? iron
1
Yes
2
No
B3 b
During this pregnancy have you been taking any of the following? zinc
1
Yes
2
No
B3 c
During this pregnancy have you been taking any of the following? calcium
1
Yes
2
No
B3 d
During this pregnancy have you been taking any of the following? folic acid/folate
1
Yes
2
No
B3 e
During this pregnancy have you been taking any of the following? vitamins (please describe)
1
Yes
2
No
Generic text
B3 f
During this pregnancy have you been taking any of the following? other supplements or diet foods (please describe)
1
Yes
2
No
Other
B4 a
Do you ever take homeopathic medicines?
1
Yes often
2
Yes sometimes
3
No
B4 b
please describe:
Generic text
If yes,
B5 a(i-v)

Please indicate how often you have taken the following pills during this pregnancy.

-

1 - Every day

2 - Most days

3 - Sometimes

4 - Not at at all
aspirin
paracetamol
codeine/anadin
mogadon, or other sleeping tablets
valium, or other tranquillisers
B5 b

Please describe all pills, medicines and ointments you have taken or used in the first month of this pregnancy.

What did you take: About how many days did you take or use it How many weeks pregnant were you?
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
11
12
13
14
15

SECTION C: THINGS YOU DO

C1 a-r

Since you became pregnant, how often have you used any of the following, whether at work or as a hobby:

-

1 - Every day

2 - Most days

3 - About once a week

4 - Less than once week

5 - Not at at all
dental amalgam
ceramics/enamels
dry cleaning fluids
electroplating
glues
leather working
fabric/textiles
dyes
insecticides
plastics
metal cleaners/degreasers, polishers
petrol
paint
photographic chemicals/other chemicals
electrical wiring
machining
soldering
radiation (x-ray or other)
C2 a-e

Since becoming pregnant how often have you done the following whether at work or as a hobby:

-

1 - Every day

2 - Most days

3 - About once a week

4 - Less than once a week

5 - Not at at all
domestic work in other people's homes
hairdressing
farm work
hospital work
shift work
C3
Have you ever had a paid job?
1
Yes
2
No
C4 a
What is your present job? If you are not working, what was your most recent job?
Generic text
C4 b
Are/were you working:
1
full-time
2
part-time
3
casually
C4 c
type of industry or service given:
Generic text
C5 a
About how long does/did it take you altogether to travel, to get to and from work each day? ... hours ... minutes
Hours
Minutes
C5 b
How do/did you travel to work?
1
By foot
2
By public transport
3
By bicycle
4
By car
5
Work at home
6
Other (please describe)
Other
C6 a-f

What is your job like: (If you are no longer working answer for your most recent job).

-

1 - Yes, always

2 - Yes, mostly

3 - Sometimes

4 - Not very often

5 - Never
Do you enjoy your job?
Do you have problems at work?
Are the people at your work friendly?
Are the people at your work supportive?
Is it very noisy?
Do you work in a smoky atmosphere?
C7 a-h

In the year before this pregnancy, in the first months of this pregnancy, and now did/do you do any of the following (whether at home, at school, at work or elsewhere):

In the year before this pregnancy In the first 3 months of this pregnancy From 4 months of this pregnancy until now

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No
Did/do you use a VDU? (television type screen)
Are/were you mostly sitting?
Are/were you bending a lot?
Are/were you standing most of the time?
Are/were you doing repetitive, boring tasks?
Did/does your job involve challenging and mentally demanding tasks?
Are/were you using a lot of physical energy?
In your job are/were you in contact with fumes or chemicals (please describe)
C7 h
In the year before this pregnancy, in the first months of this pregnancy, and now did/do you do any of the following (whether at home, at school, at work or elsewhere): In your job are/were you in contact with fumes or chemicals? (please describe)
Generic text
C8

What jobs have you had since the age of 16? Include part-time and voluntary work. If you have not worked write 'None'.

Job Materials/machines or chemicals used Date started (month-year) Date stopped (month-year)
Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date
1
2
3
4
5
6
7
8
9
10

SECTION D: YOUR HOUSEHOLD

D1 a(i)
How many people live in your household? (including yourself) ... adults (over 18 years)
How many
D1 a(ii)
How many people live in your household? (including yourself) ... young adults (16 - 18 years)
How many
D1 a(iii)
How many people live in your household? (including yourself) ... children (0 - 15 years)
How many
D1 b(i-viii)

Please indicate who the adults over 18 in your household are:

-

1 - Yes

2 - No
yourself
your partner
your parent(s)
your partner's parent(s)
other relation(s) of yourself
other relations of your partner
friend(s)
lodger
D1 b(ix)
Please indicate who the adults over 18 in your household are: other (please describe)
1
Yes
2
No
Other
D2 a
Do you currently have a partner?
1
yes, husband
2
yes, other male partner
3
no, not at all
4
other (please describe)
Other
s_qD2a
If no, go to D4, on page 22.
D2 b
is your partner the father of your unborn child?
1
Yes
2
No
3
Not sure
If yes,
D2 c
does your partner live with you?
1
Yes
2
No
If yes,
D2 d
how long have you lived together? ... years ... months
Years
Months
If yes,
If your partner does live with you:
D3
How would you assess your partner's physical health
1
always fit and well
2
usually fit and well
3
sometimes unwell
4
often unwell
5
always unwell
If yes,
D4 a
What is your present marital status?
1
never married
2
widowed
3
divorced
4
separated
5
married (once only)
6
married for second or third time
D4 b
what was the date of the most recent marriage?
Generic date
If married,
D4 c
How many other marriages/live-in partners have you had?
How many
D5 a-c

Please indicate how many of the children (aged 18 or under) living with you have:

Number of children
How many
you and your partner as their natural parents
you as their natural mother (but their natural father is not present)
your partner as the natural father (but you are not their natural mother)
D5 d
Please indicate how many of the children (aged 18 or under) living with you have: neither you nor your partner as natural parents (please describe whether you have adopted, fostered etc.)
How many
Other
D6 a-c

Are there other children of yourself or your partner who do not live with you?

-

1 - Yes

2 - No
children of my partner
children of myself
children of partner & self
D7 a
Do any of the people living in your household, including yourself and your children have a long lasting disorder, illness or disabling condition? (e.g. asthma, epilepsy, arthritis, depression)
1
Yes
2
No
D7 b
nature of illness/condition:
Generic text
If yes, please describe:
D7 c
person involved:
Generic text
If yes, please describe:
D7 d
the consequences for the household:
Generic text
If yes, please describe:
D8 a
Were you deliberately trying to get pregnant this time?
1
Yes
2
No
s_qD8a
If no, go to D9, on page 24.
D8 b
for how long had you been trying?
1
under 6 months
2
6-11 months
3
1-2 years
4
3 years or more
If yes,
D9
How would you describe your reaction when you first found you were pregnant?
1
overjoyed
2
pleased
3
mixed feelings
4
not happy
5
very unhappy
6
no particular feelings
D10 a
Does becoming a mother mean giving up something that is important to you? Please add any extra comments you wish to make:
1
yes, a great deal
2
yes, quite a lot
3
not really
4
definitely not
9
don't know
Generic text
D10 b
Does becoming a mother give you new opportunities and interests? Please add any extra comments you wish to make:
1
yes, a great deal
2
yes, quite a lot
3
not really
4
definitely not
9
don't know
Generic text
D11
How do you feel about your pregnancy now?
1
overjoyed
2
pleased
3
mixed feelings
4
not happy
5
very unhappy
6
no particular feelings
D12
How do you think your partner feels about your pregnancy?
1
overjoyed
2
pleased
3
mixed feelings
4
not happy
5
very unhappy
6
no particular feelings
7
have no partner
D13 i
How has your partner reacted to you since you have become pregnant? When he first knew
1
supportive
2
indifferent
3
resentful
7
have no partner
4
other (please describe)
Other
D13 ii
How has your partner reacted to you since you have become pregnant? Now
1
supportive
2
indifferent
3
resentful
7
have no partner
4
other (please describe)
Other

SECTION E: YOUR PREVIOUS PREGNANCIES

E1
Have you ever been pregnant before?
1
Yes
2
No
s_qE1
If no, go to Section F, on page 29.
E2 a
How many times have you been pregnant altogether before this time?
How many
If yes,
E2 b
Is this the first pregnancy with your present partner?
1
Yes
2
No
9
Am not sure
If yes,
E3 a
How many children still living, of your own do you have?
How many
If yes,
E3 b
Do they all live with you?
1
Yes
2
No
7
Don't have children
If yes,
E4 a
Have you ever had any miscarriages?
1
Yes
2
No
If yes,
E4 b
how many times have you miscarried?
How many
If yes,
If yes,
E5 a
Have you ever had any abortions or terminations?
1
Yes
2
No
If yes,
E5 b
how many ?
How many
If yes,
If yes,
E6 a
Have you ever had a stillborn baby ?
1
Yes
2
No
If yes,
E6 b
how many?
How many
If yes,
If yes,
E7 a
Have you ever had any babies who were born alive but died later?
1
Yes
2
No
If yes,
E7 b
how many?
How many
If yes,
If yes, please describe:
E7 c
what caused their death?
Generic text
If yes,
If yes, please describe:
E7 d
how old were they when they died?
Generic text
If yes,
If yes, please describe:
E8
Were any of your babies under 5lb 8oz (2500 grammes) at birth?
1
Yes
2
No
9
Don't know
If yes,
E9 a
Were any of your babies born more than 3 weeks early?
1
Yes
2
No
9
Don't know
If yes,
E9 b
Have you ever had a caesarean section?
1
Yes
2
No
9
Don't know
If yes,
E10
How old were you when you became pregnant for the very first time? ... years
Age
If yes,
E11 a
What was the outcome of the last pregnancy before this pregnancy?
1
miscarriage
2
abortion or termination
3
stillbirth
4
liveborn baby that died
5
liveborn baby still alive
6
other (please describe)
Other
If yes,
E11 b
Please give the date of your last birth/miscarriage/abortion or termination before this pregnancy:
Generic date
If yes,
E11 c
Did you breast feed your last baby?
1
Yes
2
No
7
Have not had a baby
If yes,
E11 d
for how long?
1
under 1 month
2
1-3 months
3
more than 3 months
If yes,
If yes,

SECTION F: ABOUT YOURSELF

F1
In general: I feel insecure when I say goodbye to people
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F2
In general: I worry about the effect I have on other people
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F3
In general: I avoid saying what I think for fear of being rejected
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F4
In general: I feel uneasy meeting new people
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F5
In general: If others knew the real me, they would not like me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F6
In general: I feel secure when I'm in a close relationship
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F7
In general: I don't get angry with people for fear that I may hurt them
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F8
In general: After a row with a friend, I feel uncomfortable until I have made peace
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F9
In general: I am always aware of how other people feel
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F10
In general: I worry about being criticised for things I have said or done
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F11
In general: I always notice if someone doesn't respond to me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F12
In general: I worry about losing someone close to me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F13
In general: I feel that people generally like me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F14
In general: I will do something I don't want to do rather than offend or upset someone
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F15
In general: I can only believe that something I have done is good when someone tells me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F16
In general: I will go out of my way to please someone I am close to
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F17
In general: I feel anxious when I say goodbye to people
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F18
In general: I feel happy when someone compliments me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F19
In general: I fear that my feelings will overwhelm me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F20
In general: I can make other people feel happy
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F21
In general: I find it hard to get angry with people
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F22
In general: I worry about criticising people
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F23
In general: If someone is critical of something I do, I feel bad
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F24
In general: If other people knew what I am really like, they would think less of me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F25
In general: I always expect criticism
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F26
In general: I can never be really sure if someone is pleased with me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F27
In general: I don't like people to really know me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F28
In general: If someone upsets me, I am not able to put it easily out of my mind
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F29
In general: I feel others do not understand me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F30
In general: I worry about what others think of me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F31
In general: I don't feel happy unless people I know admire me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F32
In general: I am never rude to anyone
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F33
In general: I worry about hurting the feelings of other people
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F34
In general: I feel hurt when someone is angry with me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F35
In general: My value as a person depends enormously on what others think of me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me
F36
In general: I care about what people feel about me
1
Very like me
2
Moderately like me
3
Moderately unlike me
4
Very unlike me

SECTION G: YOUR LIFESTYLE

G1 a
Have you ever been a smoker?
1
Yes
2
No
s_qG1a
If no, please go to G2, on page 33.
G1 b
at what age did you start smoking regularly? ... years
Age
If yes,
G1 c(i)
which of the following have you smoked regularly? cigarette
1
Yes
2
No
If yes,
G1 c(ii)
which of the following have you smoked regularly? pipe
1
Yes
2
No
If yes,
G1 c(iii)
which of the following have you smoked regularly? cigar
1
Yes
2
No
If yes,
G1 c(iv)
which of the following have you smoked regularly? other
1
Yes
2
No
If yes,
G1 d
What was the maximum number of times a day you smoked?
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
0
If yes,
G1 e
Have you now stopped smoking?
1
Yes
2
No
If yes,
G1 e(i)
how long ago? ... years ... months
Years
Months
If yes,
If yes,
G1 f(i)
Did you smoke regularly at any of the following times in the last 9 months? Before pregnancy
1
No
2
Yes, cigarettes
3
Yes, cigars
4
Yes, pipe
5
Yes, other (please describe)
Other
If yes,
G1 f(ii)
Did you smoke regularly at any of the following times in the last 9 months? First 3 months of pregnancy
1
No
2
Yes, cigarettes
3
Yes, cigars
4
Yes, pipe
5
Yes, other (please describe)
Other
If yes,
G1 f(iii)
Did you smoke regularly at any of the following times in the last 9 months? Last 2 weeks
1
No
2
Yes, cigarettes
3
Yes, cigars
4
Yes, pipe
5
Yes, other (please describe)
Other
If yes,
G1 g(i)
how many times per day did you smoke - just before you became pregnant per day
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
0
If yes,
G1 g(ii)
how many times per day did you smoke - in the first 3 months of your pregnancy per day
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
0
If yes,
G1 g(iii)
how many times per day did you smoke - in the last 2 weeks? per day
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
0
If yes,
G1 h(i)
What brand and type of cigarette or tobacco do/did you usually smoke? brand:
Generic text
If yes,
G1 h(ii)
What brand and type of cigarette or tobacco do/did you usually smoke? type:
1
filtered
2
unfiltered
3
roll-your-own
4
pipe/cigar
If yes,
s_qG1hii
Please send us an empty packet/carton of the brand you usually smoke.
If yes,
G2 a
Did your mother ever smoke?
1
Yes
2
No
9
Don't know
G2 a(i)
did she smoke when she was expecting you?
1
Yes
2
No
9
Don't know
If yes,
G2 b
Did your father ever smoke?
1
Yes
2
No
9
Don't know
G3 a
Does your partner smoke?
1
No
2
Yes, cigarettes
3
Yes, cigars
4
Yes, pipe
5
Yes, other (please describe)
7
Don't have a partner
Other
s_qG3a_i
If no, or don't have a partner, go to G4, on page 34.
s_qG3a_ii
Go to G4, on page 34.
G3 b
about how many times per day does your partner smoke at the moment?
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
99
don't know
If yes,
G3 c(i)
what brand, and type of cigarette/tobacco does your partner smoke? brand:
Generic text
If yes,
G3 c(ii)
what brand, and type of cigarette/tobacco does your partner smoke? type:
1
filtered
2
unfiltered
3
roll-your-own
4
pipe/cigar
If yes,
G3 d
at what age did your partner start smoking? ... years
Age
99
don't know
If yes,
G4 a
Apart from yourself and your partner, are there any other members of your household who smoke?
1
Yes
2
No
G4 b
how many:
How many
If yes,
G5 a-c

How often did you smoke marijuana/grass/cannabis/ganja -

-

1 - Every day

2 - 2-4 times a week

3 - Once a week

4 - Less than once a week

5 - Not at all
In the 6 months before you conceived
In the first 3 months of pregnancy
Between 3 months and now
G6 a
How often have you taken the following during this pregnancy: amphetamines
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 b
How often have you taken the following during this pregnancy: barbiturates
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 c
How often have you taken the following during this pregnancy: crack
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 d
How often have you taken the following during this pregnancy: cocaine
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 e
How often have you taken the following during this pregnancy: heroin
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 f
How often have you taken the following during this pregnancy: methadone
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 g
How often have you taken the following during this pregnancy: ecstasy
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
G6 h
How often have you taken the following during this pregnancy: other (please describe)
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
Other
G7 a-c

How often have you drunk alcoholic drinks? Please indicate for each of the following times:

-

1 - Never

2 - Less than once a week

3 - At least once a week

4 - 1-2 glasses every day

5 - At least 3-9 glasses every day

6 - At least 10 glasses every day
Before this pregnancy
1st 3 months of this pregnancy
At around the time you first felt the baby move
G8
How many days in the past month have you drunk the equivalent of 2 pints of beer, 4 glasses of wine or 4 pub measures of spirit?
5
everyday
4
more than 10 days
3
5-10 days
2
3-4 days
1
1-2 days
0
none
G9
Which is the alcoholic drink you have most often drunk during this pregnancy?
1
wine
2
beer/lager
3
sherry/port
4
gin/whisky/vodka/brandy
5
other (please describe)
7
don't drink at all
Other
G10
How would you describe your partner's alcohol drinking? Which of the following statements best applies:
1
Never drinks alcohol
2
Very occasionally (less than once a week)
3
Occasionally (at least once a week)
4
Drinks 1-2 glasses nearly every day
5
Drinks 3-9 glasses every day
6
Drinks at least 10 glasses a day
7
Don't have a partner
9
Don't know
G11 a-l

At present how much of the following do you usually drink in a day:

Weekday Weekend day
How manyHow manyHow manyHow many How manyHow manyHow manyHow many
ordinary tea (cups)
decaffeinated tea (cups)
coffee (cups)
decaffeinated coffee (cups)
beer or lager (half-pints)
wine (glasses)
spirits (pub-measures)
cola/pepsi (cans)
decaffeinated cola/pepsi cans
other alcoholic drinks (pub measures)
milk (glasses)
other drinks (please describe)
G11 l
At present how much of the following do you usually drink in a day: other drinks (please describe)
Other

SECTION H: YOUR SOCIAL ENVIRONMENT

H1 a
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
H1 b(i)
Do the other people in your neighbourhood: visit your home
1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 b(ii)
Do the other people in your neighbourhood: argue with you
1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 b(iii)
Do the other people in your neighbourhood: look after your children
1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 b(iv)
Do the other people in your neighbourhood: keep to themselves
1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 c(i)
Do you: visit the home of your neighbours
1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 c(ii)
Do you: argue with your neighbours
1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 c(iii)
Do you: look after your neighbours children
1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H1 c(iv)
Do you: keep to yourself
1
No,never
2
Rarely
3
Sometimes
4
Often
5
Always
H2 a-d

How worried are you that in your neighbourhood:

-

1 - Very worried

2 - Fairly worried

3 - Not very worried

4 - Not at all worried

9 - Don't know
you might have your home broken into and something stolen
you might be mugged or robbed
you might be sexually assaulted or pestered
you might have your home or property damaged by vandals
H3 i
Is your neighbourhood: lively
1
Yes usually
2
Yes sometimes
3
No not at all
H3 ii
Is your neighbourhood: friendly
1
Yes usually
2
Yes sometimes
3
No not at all
H3 iii
Is your neighbourhood: noisy
1
Yes usually
2
Yes sometimes
3
No not at all
H3 iv
Is your neighbourhood: clean
1
Yes usually
2
Yes sometimes
3
No not at all
H3 v
Is your neighbourhood: attractive
1
Yes usually
2
Yes sometimes
3
No not at all
H3 vi
Is your neighbourhood: polluted/dirty
1
Yes usually
2
Yes sometimes
3
No not at all

SECTION I

I1
Please put the date of completing this questionnaire:
Generic date
I2
Please give your date of birth:
Generic date
s_section_I
N.B. Have you remembered to enclose an empty cigarette packet?
I i
Space for any comments you might like to make:
Long text
s_outro_i
VERY MANY THANKS FOR ALL YOUR HELP
s_outro_ii
When completed, put in the envelope provided and either bring to the clinic or post to:
s_outro_iii
Children of the Nineties - ALSPAC, Institute of Child Health
s_outro_iv
Please remember, because this is strictly confidential, the people who look at this booklet will not know your name. They will be unable to give you any help or contact anyone after reading what you have written. If you feel you need advice, please feel free to contact our hotline ( during office hours). Alternatively your General Practitioner should be able to advise you.
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