Father and Surroundings - CLOSER Discovery

Start

alspac_01_fas

FATHER AND SURROUNDINGS

This questionnaire is for the study child’s father or the person taking the role of father

All answers are confidential

Please answer as much as you can. Just tick the box which is most accurate in your opinion.

There are no good or bad answers, just tell us what is true for you. If there is a question you don't want to answer or it doesn't apply to you - put a line through it.

We know there are some questions you have answered before but we need to ask them regularly so we can track the changes that have happened to you and your family. In time we will be able to tell whether the changes have had an effect on your health and that of your family.

We understand that this may be boring for you, but hope you will be patient.

THANK YOU FOR YOUR HELP

SECTION A: THINGS YOU DO

A1 a-r

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

	-
	1 - Every day 2 - Most days 3 - Once or twice a week 4 - Less than once a week 5 - Not 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
electrical wiring
machining
soldering
radiation(X-ray or other)

A1 s

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

(please tick and specify)

Every day

Most days

Once or twice a week

Less than once a week

Not at all

Other

A2 a-e

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

	-
	1 - Every day 2 - Most days 3 - Once or twice a week 4 - Less than once a week 5 - Not at all
gardening
hairdressing
farm work
hospital work
shift work

What jobs have you had since the study child was 5 that involved exposure to chemicals or machines? Include part-time and voluntary work. If you have not had a job that involved chemicals or machines write 'None'.

	Job	Materials/chemicals/machines used	Date started (month-year)	Date stopped (month-year)
	Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date	Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date	Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date	Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date
1
2
3
4
5
6
7
8
9
10
11
12
13

If there is not enough space please continue on the back cover or on a separate sheet.

A4 a-c

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

	-
	1 - Yes, in own home 2 - Yes, elsewhere 3 - Yes,both home and elsewhere 4 - No, not at all
sanded floors
stripped wallpaper
removed paint or vanish

A5 a

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

much cleaner

a bit cleaner

about the same

less clean

much less clean

don't know

A5 b

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

much tidier

a bit tidier

about the same

less tidy

much less tidy

don't know

A6 a-c

How would you describe the noise level in your home?

	-
	1 - Yes 2 - No
there is usually music or television on in our home
the noises from outside our home are disturbing (neighbours, traffic, factory)
it is often so noisy at home it is difficult to hold a conversation

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

satisfied

fairly satisfied

dissatisfied

very dissatisfied

A8 a-k

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:

	-
	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

A8 l

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: Other problems please tick & describe)

Serious problem

Minor problem

Not a problem

No opinion

Other

A9 a(i)

Do the other people in your neighbourhood: visit your home

No, never

Rarely

Sometimes

Often

Always

A9 a(ii)

Do the other people in your neighbourhood: argue with you

No, never

Rarely

Sometimes

Often

Always

A9 a(iii)

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

No, never

Rarely

Sometimes

Often

Always

A9 a(iv)

Do the other people in your neighbourhood: keep to themselves

No, never

Rarely

Sometimes

Often

Always

A9 b(i)

Do you: visit the home of your neighbours

No, never

Rarely

Sometimes

Often

Always

A9 b(ii)

Do you: argue with your neighbours

No, never

Rarely

Sometimes

Often

Always

A9 b(iii)

Do you: look after your neighbour’s children

No, never

Rarely

Sometimes

Often

Always

A9 b(iv)

Do you: keep to yourself

No, never

Rarely

Sometimes

Often

Always

A10

What do you think of your neighbourhood as a place to live?

a very good place to live

a fairly good place to live

not a very good place to live

not at all a good place to live

A11 a

How often do you drive a car, van or lorry?

almost every day

2-5 times a week

once a week

Rarely

never

Go to Section B on page 11

qc_A11_a == 5

Else

A11 b

What type of fuel is used?

diesel

lead free petrol

other petrol

SECTION B: PILLS AND POTIONS

B1 a-z

Please indicate below if you have used any medicines (pills, syrups, inhalers, drops, sprays, suppositories, pessaries, ointments etc including homeopathic and herbal remedies) in the last 12 months.

	Yes in past 12 months	If yes, give name of substance 1	If yes, give name of substance 2	How often did you take/use this? 1	How often did you take/use this? 2
	1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes Generic text 1 - Yes Generic text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes Generic text 1 - Yes Generic text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes Generic text 1 - Yes Generic text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes Generic text 1 - Yes Generic text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes Generic text 1 - Yes Generic text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text
Headache or or migraine
Backache
Groin pain
Other pain
Indigestion
Nausea
Vomiting
Diarrhoea
Piles or haemorrhoids
Constipation
Depression
Anxiety or nerves
Sleeping
Psoriasis
Eczema
Asthma
Hay fever
Other allergies
Sore throat
Cough
A cold
Flu
Other infection
Diabetes
Epilepsy
High blood pressure

B1 za-zd

Please indicate below if you have used any medicines (pills, syrups, inhalers, drops, sprays, suppositories, pessaries, ointments etc including homeopathic and herbal remedies) in the last 12 months.

	Yes in past 12 months	If yes, give name of substance	How often did you take/use this?
	Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text
Other condition (please tick & describe)
Other condition (please tick & describe)
Other condition (please tick & describe)
Other condition (please tick & describe)

B1 ze

Please indicate below if you have used any medicines (pills, syrups, inhalers, drops, sprays, suppositories, pessaries, ointments etc including homeopathic and herbal remedies) in the last 12 months. Took no medicines, pills, drops or ointment

Yes

Please include medicines prescribed by your doctor and also those you may have purchased over the counter. ( Do not include vitamins and supplements unless taken for a specific medical condition, as these are covered in the next section).

If possible give the full name of the medicine and indicate how often it was used. If you need more lines for a particular category please include the additional medicines under the ‘Other conditions’ section at the end of this question on page 14.

B2 a-d

Vitamin, mineral and other supplements are widely used. Some people take them regularly for their health, whereas others may use them more sporadically to try to improve a specific area of their health. Please indicate below whether you have used such supplements regularly, occasionally or not at all in the last 12 months .

	Used in the last 12 month
	1 - Regularly 2 - Occasionally 3 - Not at all
Vitamins
Minerals (e.g. calcium, iron)
Oil supplements e.g. fish oils, evening primrose oil
Other supplements e.g. Ginseng

B3 a(i-iii)

Please describe below any vitamins, minerals such as iron or calcium or other supplements taken for your health in the past month and indicate how often you used them. Vitamins

(Please say which vitamins and give brand name)

	-	-
	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text
1
2
3

B3 b(i-iii)

Please describe below any vitamins, minerals such as iron or calcium or other supplements taken for your health in the past month and indicate how often you used them. Mineral supplements

(Please say which minerals e.g. iron, calcium, and give brand name)

	-	-
	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text
1
2
3

B3 c(i-iii)

Please describe below any vitamins, minerals such as iron or calcium or other supplements taken for your health in the past month and indicate how often you used them. Oil supplements

(Please say which, e.g. fish oils, Evening Primrose oil, and give brand name)

	-	-
	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text
1
2
3

B3 d(i-iii)

Please describe below any vitamins, minerals such as iron or calcium or other supplements taken for your health in the past month and indicate how often you used them. Other supplements

(Please say which, e.g. Ginseng, Royal Jelly, and give brand name)

	-	-
	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text
1
2
3

Some of these questions may seem familiar

Please bear with us- but we need to ask them again

SECTION C: YOUR OCCUPATION AND LIFESTYLE

C1 a

Since the study child was 5 years old have you worked at all? (please tick all that apply).

No, not at all

If no, go to Question C8 on page 22

qc_C1_a_i == 7

Else

C1 a(i-iii)

Since the study child was 5 years old have you worked at all? (please tick all that apply).

	-
	1 - Yes
yes, paid work at home
yes, paid work outside home
yes, voluntary work

C1 b

Have you been working all the time since you started work after the study child was 5?

yes, same job all the time

yes, but not always the same job

no, stopped started again

no, do not work now

If no, stopped & started again to question C1b or no, do not work now to question C1b

qc_C1_b_i == 3 || qc_C1_b_i == 4

C1 b(i)

when did you last stop?

Generic date

If do not work now go to C7 on page 22

qc_C1_b_ii == 4

Else

C1 b(ii)

when did you start again?

Generic date

C1 b(iii)

how many jobs are you now doing?

How many

C1 b(iv)

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

Generic text

C1 c

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

Hours in week

C1 c(i)

Was this a typical week?

Yes

No, usually work more hours

No, usually work less hours

If no,

qc_C1_c_i == 2 || qc_C1_c_i == 3

C1 c(ii)

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

Hours in week

C1 d

Does your work include weekends?

Yes, usually

Yes, sometimes

No, never

C1 e

Do you work in the evenings or at night?

Yes, often

Yes, sometimes

C1 f

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

very little effort, mostly sitting

some physical effort

quite a lot of physical effort

considerable physical effort

C1 g

Do you usually work:

the basic no. of hours per week

basic hours plus paid overtime

longer than basic hours (but not paid extra)

self-employed - as long as necessary

C1 h

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

Monthly salary plus performance

Monthly salary only

Weekly wage

Hourly paid

Piecework

Self-employed

Other (please describe)

Other

C1 i

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

Yes

Don't know

C1 j

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

Less than one week

1, 2 or 3 weeks

1 or 2 months

3 months or more

not relevant (self-employed)

Don't know

C1 k

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

Yes

Don't know

C1 l

Who decides what time you start and leave work?

Flexitime system

Employer decides

I decide, within certain limits

Negotiated with employer

C1 m

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

I am required to design/plan my work

Work is largely specified by others

Other

C1 n

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

A great deal

A fair amount

Not much

None

C2 a-e

What are the main reasons you work? (tick all that apply)

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

C2 f

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

Yes

Other

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

didn't work before

no, lower level

yes, same level

no, higher level

Do you find your job satisfying?

Yes

Sometimes

Do you wish that you could generally spend more time with your study child?

yes, often

yes, sometimes

yes, but rarely

no, not at all

C6 a

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

Work at home

If Work at home to question C6a Go to C7 on page 22

qc_C6_a == 7

Else

C6 a(i-iv)

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

	-
	1 - Yes
public transport (bus, train)
car
cycle
walk

C6 a(v)

How do you usually travel to work? (Tick all that apply) other (please tick and describe)

Yes

Other

C6 b(i)

How long does it usually take: to travel to work

Less than 15 mins

15-29 mins

30-59 mins

An hour or more

C6 b(ii)

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

Less than 15 mins

15-29 mins

30-59 mins

An hour or more

Please list all jobs you have had since your study child's 7th birthday, apart from your present job if you are currently working.

	Age of child at start of job	Job	Hours worked in usual week
	Hours in weekAgeGeneric textHours in weekAgeGeneric textAgeGeneric textHours in week	Hours in weekAgeGeneric textHours in weekAgeGeneric textAgeGeneric textHours in week	Hours in weekAgeGeneric textHours in weekAgeGeneric textAgeGeneric textHours in week
1
2
3
4
5

If you are working now please go to Question C9 on page 23

now go to C9 on page 23

If you are not working now:

qc_C1_a_ii == 7 || qc_C1_b_ii == 4

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

Yes

If yes, go to C9 on page 23

If no,

qc_C8 == 1

C8 a

Have you been looking for work?

Yes

If no, go to C8c on page 23

If yes

qc_C8_a == 1

C8 b

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

How many

C8 c(i-iv)

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

	-
	1 - Yes
do not want to work
looking after family
retired
not well enough

C8 c(v)

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

Yes

C9 a-c

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

	-
	1 - Yes 2 - No
training within my job
evening classes
university course

C9 d

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

Yes

Other

C10 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?

THANK YOU VERY MUCH FOR YOUR HELP

SECTION D:

D1 a

This questionnaire was completed by: (Please tick all that apply) child's biological father

Yes

D1 b

This questionnaire was completed by: (Please tick all that apply) mother's husband/male partner

Yes

D1 c

This questionnaire was completed by: (Please tick all that apply) mother's female partner

Yes

D1 d

This questionnaire was completed by: (Please tick all that apply) someone else (please describe)

Yes

Other

Do you live in the same house as the study child?

Yes

Please give the date on which you completed this questionnaire:

Generic date

Please give your date of birth:

Date of birth

Please give your study child's date of birth:

Date of birth

outro i

Space for any additional comments you would like to make.

Long text

N.B. Please remember we cannot reply to any comment unless you sign it.

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

End

alspac_01_fas

s_intro_vi

SECTION A: THINGS YOU DO

A1 a-r

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

	-
	1 - Every day 2 - Most days 3 - Once or twice a week 4 - Less than once a week 5 - Not 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
electrical wiring
machining
soldering
radiation(X-ray or other)

A1 s

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

Every day

Most days

Once or twice a week

Less than once a week

Not at all

Other

A2 a-e

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

	-
	1 - Every day 2 - Most days 3 - Once or twice a week 4 - Less than once a week 5 - Not at all
gardening
hairdressing
farm work
hospital work
shift work

	Job	Materials/chemicals/machines used	Date started (month-year)	Date stopped (month-year)
	Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date	Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date	Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date	Generic textGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric date
1
2
3
4
5
6
7
8
9
10
11
12
13

A4 a-c

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

	-
	1 - Yes, in own home 2 - Yes, elsewhere 3 - Yes,both home and elsewhere 4 - No, not at all
sanded floors
stripped wallpaper
removed paint or vanish

A5 a

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

much cleaner

a bit cleaner

about the same

less clean

much less clean

don't know

A5 b

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

much tidier

a bit tidier

about the same

less tidy

much less tidy

don't know

A6 a-c

How would you describe the noise level in your home?

	-
	1 - Yes 2 - No
there is usually music or television on in our home
the noises from outside our home are disturbing (neighbours, traffic, factory)
it is often so noisy at home it is difficult to hold a conversation

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

satisfied

fairly satisfied

dissatisfied

very dissatisfied

A8 a-k

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:

	-
	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

A8 l

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: Other problems please tick & describe)

Serious problem

Minor problem

Not a problem

No opinion

Other

A9 a(i)

Do the other people in your neighbourhood: visit your home

No, never

Rarely

Sometimes

Often

Always

A9 a(ii)

Do the other people in your neighbourhood: argue with you

No, never

Rarely

Sometimes

Often

Always

A9 a(iii)

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

No, never

Rarely

Sometimes

Often

Always

A9 a(iv)

Do the other people in your neighbourhood: keep to themselves

No, never

Rarely

Sometimes

Often

Always

A9 b(i)

Do you: visit the home of your neighbours

No, never

Rarely

Sometimes

Often

Always

A9 b(ii)

Do you: argue with your neighbours

No, never

Rarely

Sometimes

Often

Always

A9 b(iii)

Do you: look after your neighbour’s children

No, never

Rarely

Sometimes

Often

Always

A9 b(iv)

Do you: keep to yourself

No, never

Rarely

Sometimes

Often

Always

A10

What do you think of your neighbourhood as a place to live?

a very good place to live

a fairly good place to live

not a very good place to live

not at all a good place to live

A11 a

How often do you drive a car, van or lorry?

almost every day

2-5 times a week

once a week

Rarely

never

A11 b

What type of fuel is used?

diesel

lead free petrol

other petrol

SECTION B: PILLS AND POTIONS

B1 a-z

Please indicate below if you have used any medicines (pills, syrups, inhalers, drops, sprays, suppositories, pessaries, ointments etc including homeopathic and herbal remedies) in the last 12 months.

	Yes in past 12 months	If yes, give name of substance 1	If yes, give name of substance 2	How often did you take/use this? 1	How often did you take/use this? 2
	1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes Generic text 1 - Yes Generic text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes Generic text 1 - Yes Generic text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes Generic text 1 - Yes Generic text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes Generic text 1 - Yes Generic text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes Generic text 1 - Yes Generic text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic textGeneric textGeneric text 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text
Headache or or migraine
Backache
Groin pain
Other pain
Indigestion
Nausea
Vomiting
Diarrhoea
Piles or haemorrhoids
Constipation
Depression
Anxiety or nerves
Sleeping
Psoriasis
Eczema
Asthma
Hay fever
Other allergies
Sore throat
Cough
A cold
Flu
Other infection
Diabetes
Epilepsy
High blood pressure

B1 za-zd

Please indicate below if you have used any medicines (pills, syrups, inhalers, drops, sprays, suppositories, pessaries, ointments etc including homeopathic and herbal remedies) in the last 12 months.

	Yes in past 12 months	If yes, give name of substance	How often did you take/use this?
	Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text	Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice 1 - Yes 1 - Every day 2 - Most days 3 - Sometimes 4 - Once or twice Generic text
Other condition (please tick & describe)
Other condition (please tick & describe)
Other condition (please tick & describe)
Other condition (please tick & describe)

B1 ze

Yes

B2 a-d

	Used in the last 12 month
	1 - Regularly 2 - Occasionally 3 - Not at all
Vitamins
Minerals (e.g. calcium, iron)
Oil supplements e.g. fish oils, evening primrose oil
Other supplements e.g. Ginseng

B3 a(i-iii)

Please describe below any vitamins, minerals such as iron or calcium or other supplements taken for your health in the past month and indicate how often you used them. Vitamins

	-	-
	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text
1
2
3

B3 b(i-iii)

Please describe below any vitamins, minerals such as iron or calcium or other supplements taken for your health in the past month and indicate how often you used them. Mineral supplements

	-	-
	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text
1
2
3

B3 c(i-iii)

Please describe below any vitamins, minerals such as iron or calcium or other supplements taken for your health in the past month and indicate how often you used them. Oil supplements

	-	-
	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text
1
2
3

B3 d(i-iii)

Please describe below any vitamins, minerals such as iron or calcium or other supplements taken for your health in the past month and indicate how often you used them. Other supplements

	-	-
	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text	1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text 1 - Every day 2 - Most days 3 - About 1-2 times a week 4 - Less than once a week 5 - Not at all Generic text
1
2
3

SECTION C: YOUR OCCUPATION AND LIFESTYLE

C1 a

Since the study child was 5 years old have you worked at all? (please tick all that apply).

No, not at all

C1 a(i-iii)

Since the study child was 5 years old have you worked at all? (please tick all that apply).

	-
	1 - Yes
yes, paid work at home
yes, paid work outside home
yes, voluntary work

C1 b

Have you been working all the time since you started work after the study child was 5?

yes, same job all the time

yes, but not always the same job

no, stopped started again

no, do not work now

C1 b(i)

when did you last stop?

Generic date

C1 b(ii)

when did you start again?

Generic date

C1 b(iii)

how many jobs are you now doing?

How many

C1 b(iv)

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

Generic text

C1 c

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

Hours in week

C1 c(i)

Was this a typical week?

Yes

No, usually work more hours

No, usually work less hours

C1 c(ii)

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

Hours in week

C1 d

Does your work include weekends?

Yes, usually

Yes, sometimes

No, never

C1 e

Do you work in the evenings or at night?

Yes, often

Yes, sometimes

C1 f

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

very little effort, mostly sitting

some physical effort

quite a lot of physical effort

considerable physical effort

C1 g

Do you usually work:

the basic no. of hours per week

basic hours plus paid overtime

longer than basic hours (but not paid extra)

self-employed - as long as necessary

C1 h

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

Monthly salary plus performance

Monthly salary only

Weekly wage

Hourly paid

Piecework

Self-employed

Other (please describe)

Other

C1 i

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

Yes

Don't know

C1 j

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

Less than one week

1, 2 or 3 weeks

1 or 2 months

3 months or more

not relevant (self-employed)

Don't know

C1 k

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

Yes

Don't know

C1 l

Who decides what time you start and leave work?

Flexitime system

Employer decides

I decide, within certain limits

Negotiated with employer

C1 m

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

I am required to design/plan my work

Work is largely specified by others

Other

C1 n

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

A great deal

A fair amount

Not much

None

C2 a-e

What are the main reasons you work? (tick all that apply)

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

C2 f

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

Yes

Other

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

didn't work before

no, lower level

yes, same level

no, higher level

Do you find your job satisfying?

Yes

Sometimes

Do you wish that you could generally spend more time with your study child?

yes, often

yes, sometimes

yes, but rarely

no, not at all

C6 a

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

Work at home

C6 a(i-iv)

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

	-
	1 - Yes
public transport (bus, train)
car
cycle
walk

C6 a(v)

How do you usually travel to work? (Tick all that apply) other (please tick and describe)

Yes

Other

C6 b(i)

How long does it usually take: to travel to work

Less than 15 mins

15-29 mins

30-59 mins

An hour or more

C6 b(ii)

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

Less than 15 mins

15-29 mins

30-59 mins

An hour or more

Please list all jobs you have had since your study child's 7th birthday, apart from your present job if you are currently working.

	Age of child at start of job	Job	Hours worked in usual week
	Hours in weekAgeGeneric textHours in weekAgeGeneric textAgeGeneric textHours in week	Hours in weekAgeGeneric textHours in weekAgeGeneric textAgeGeneric textHours in week	Hours in weekAgeGeneric textHours in weekAgeGeneric textAgeGeneric textHours in week
1
2
3
4
5

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

Yes

C8 a

Have you been looking for work?

Yes

C8 b

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

How many

C8 c(i-iv)

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

	-
	1 - Yes
do not want to work
looking after family
retired
not well enough

C8 c(v)

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

Yes

C9 a-c

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

	-
	1 - Yes 2 - No
training within my job
evening classes
university course

C9 d

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

Yes

Other

C10 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?

SECTION D:

D1 a

This questionnaire was completed by: (Please tick all that apply) child's biological father

Yes

D1 b

This questionnaire was completed by: (Please tick all that apply) mother's husband/male partner

Yes

D1 c

This questionnaire was completed by: (Please tick all that apply) mother's female partner

Yes

D1 d

This questionnaire was completed by: (Please tick all that apply) someone else (please describe)

Yes

Other

Do you live in the same house as the study child?

Yes

Please give the date on which you completed this questionnaire:

Generic date

outro i

Space for any additional comments you would like to make.

Long text

Name

Father and Surroundings

External Instrument Location

https://discovery.closer.ac.uk/files/instruments/alspac_01_fas-5a35e10001cbba0954bd757d919ed750.pdf

Appears Within

Information

History

Download

CLOSER Discovery

alspac_01_fas

SECTION A: THINGS YOU DO

SECTION B: PILLS AND POTIONS

SECTION C: YOUR OCCUPATION AND LIFESTYLE

SECTION D: