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alspac_91_pq
PARTNER'S QUESTIONNAIRE
This questionnaire asks about you and your feelings at this stage in your partner's pregnancy.
Your answers are confidential. Your name will not be on the questionnaire and none of the doctors or nurses you might see will know your answers.
Please answer all the questions you can. If there are any you cannot answer or do not wish to answer that is fine. Just leave them blank.
THANK YOU VERY MUCH FOR YOUR HELP
SECTION A: YOUR REACTIONS TO BECOMING A PARENT

How would you describe your reaction when you first found your partner was pregnant?

(tick one box only)

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

Does becoming a father 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

does becoming a father 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

How do you feel about the pregnancy now?

(tick one box only)

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

Do you want a boy or girl?

1
boy
2
girl
3
don't mind

Do you think your partner wants a boy or girl?

1
boy
2
girl
3
doesn't mind

Have you decided on the names for the child yet?

1
yes, but boys names only
2
yes, but girls names only
3
yes, both names
4
no, haven't decided
5
no, haven't thought about it

Would you like to be with your partner while she has the baby?

1
yes, I want this very much
2
yes, I would quite like this
3
I don't mind
4
no, I would prefer not to do this
5
no, I definitely do not want this
SECTION B: ACTIVITIES AND LIFESTYLE
Which of the following statements best applied to you just before your partner became pregnant, and now.
-

1 - Very energetic

2 - Quite energetic

3 - Lacking in energy

Before your partner became pregnant
Now

Compared with other men of your age, would you consider yourself to be:

1
much more active
2
somewhat more active
3
about the same
4
somewhat less active
5
much less active

Nowadays at least once a week do you engage in any regular activity like brisk walking, gardening, housework, jogging, cycling, etc. long enough to work up a sweat?

1
Yes
2
No
If yes,
qc_B1_d == 1

how many hours a week: ... hours

How many
We are interested in your diet - how many times each week nowadays do you eat:
-

1 - Never or rarely

2 - Once in 2 weeks

3 - 1 - 3 times a week

4 - 4 - 7 times a week

5 - More than once a day

Sausages, Burgers
Pies, Pasties (pork pie, steak/meat pie etc.)
Meat (beef, lamb, pork, ham, bacon etc.)
Poultry (chicken, turkey etc)
Liver, liver pate, kidney, heart
White fish (cod, haddock, plaice, fish fingers etc)
Other fish (pilchards, sardines, mackerel, tuna, herring, kippers, trout, salmon etc)
Shellfish (prawns, crab, cockles, mussels etc)
Fried foods (eg. fried fish, eggs, bacon, chops etc)
Cabbage, brussel sprouts, kale and other green leafy vegetables
Carrots
Other vegetables
Salad (lettuce, tomato, cucumber etc)
Fresh fruit (apple, pear, banana, orange, bunch of grapes etc)
Tinned fruit juice (not squash)
Pure juice not in tin
Nuts, nut roast

Do you eat the fat on meat?

1
yes, all of it
2
yes, some of it
3
no
7
never eat meat

When you have a soft drink, how often do you choose low calorie or diet soft drinks ?

1
always
2
sometimes
3
not at all
7
don't drink soft drinks

How often, in a week, would you eat takeaway foods for your main meal? ... days

How many

How many pieces of bread or rolls or chappatis do you eat on a usual day ?

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

What types of bread do you eat most days? white bread

1
Yes
2
No

What types of bread do you eat most days? brown/granary bread

1
Yes
2
No

What types of bread do you eat most days? wholemeal bread

1
Yes
2
No

What types of bread do you eat most days? chappatis, nan bread

1
Yes
2
No

What types of bread do you eat most days? don't usually eat any bread

1
Yes
2
No

How many slices of bread (or rolls) do you spread with butter, margarine etc and eat on a usual day? ... slices

How many

How often do you have milk: In tea

1
Yes usually
2
Yes sometimes
3
No not at all

How often do you have milk: In coffee

1
Yes usually
2
Yes sometimes
3
No not at all

How often do you have milk: On breakfast cereal

1
Yes usually
2
Yes sometimes
3
No not at all

How often do you have milk: As pudding (custard, rice)

1
Yes usually
2
Yes sometimes
3
No not at all

How often do you have milk: To drink on its own

1
Yes usually
2
Yes sometimes
3
No not at all

How often do you have milk: As a milky drink (Horlicks, cocoa, all milk coffee)

1
Yes usually
2
Yes sometimes
3
No not at all

How many cups of tea do you drink in a day ? (do not include herbal teas) ... cups

How many

How many spoons of sugar in each cup ? ... spoons

How many

How many of the cups of tea you drink each day are decaffeinated? ... cups

How many

How many cups of coffee do you drink in a day ? ... cups

How many

How many spoons of sugar in each cup ? ... spoons

How many

How many of the cups of coffee you drink each day are decaffeinated? ... cups

How many

How many of the cups of coffee you drink each day are made using real coffee (ie. not instant)? ... cups

How many

How many of the cups of real coffee were decaffeinated? ... cups

How many

How many drinks of cola do you have in a week? ... drinks

How many

How many of these drinks are decaffeinated? ... drinks

How many

What type of water do you usually drink? Cold water in squashes etc or to drink on it's own: I usually use:

1
water from the tap
2
softened tap water
3
filtered tap water
4
bottled water
5
hardly ever drink cold water

What type of water do you usually drink? Hot water in tea, coffee etc, I usually use:

1
water from the tap
2
softened tap water
3
filtered tap water
4
bottled water
5
hardly ever drink hot water

Are you vegetarian or vegan?

1
yes, vegetarian
2
yes, vegan
3
no, neither
If yes,
qc_B14_a == 1 || qc_B14_a == 2

for how many years have you been vegetarian/ vegan? ... years

How many

Have you ever been a smoker?

1
Yes
2
No
If no, go to B17, on page 11.
If yes,
qc_B15_a == 1

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

Age

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
05
5-9
01
1-4

Have you now stopped smoking?

1
Yes
2
No
If yes,
qc_B15_d == 1

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

Years
Months in year

Did you smoke regularly at any time in the last 9 months?

1
no
2
yes, cigarettes
3
yes, cigars
4
yes, pipe
5
yes, other (please describe)
Other

how many times per day did you smoke - at the start of your partner's pregnancy?

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
05
5-9
01
1-4
00
0

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

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
05
5-9
01
1-4
00
0

What brand, type and strength of cigarette/tobacco do you usually smoke? brand:

Generic text

What brand, type and strength of cigarette/tobacco do you usually smoke? type:

1
filtered
2
unfiltered
3
unfiltered/roll your own
4
pipe/cigar
Please enclose an empty packet of your usual brand with this questionnaire.
Please indicate how often you smoked marijuana/grass/cannabis/ ganja -
-

1 - Almost 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 your partner conceived
In the last 3 months

How often have you taken the following in the past 3 months? amphetamines

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

How often have you taken the following in the past 3 months? barbiturates

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

How often have you taken the following in the past 3 months? crack

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

How often have you taken the following in the past 3 months? cocaine

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

How often have you taken the following in the past 3 months? heroin

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

How often have you taken the following in the past 3 months? methadone

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

How often have you taken the following in the past 3 months? ecstasy

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

How often have you taken the following in the past 3 months? other (please describe)

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

How often have you drunk alcoholic drinks? Before your partner became pregnant

1
Never
2
Less than once a week
3
At least once a week
4
1-2 glasses every day
5
3-9 glasses every day
6
At least 10 glasses every day

How often have you drunk alcoholic drinks? In the past 3 months

1
Never
2
Less than once a week
3
At least once a week
4
1-2 glasses every day
5
3-9 glasses every day
6
At least 10 glasses every day

How many days in the past month did you drink 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

Which is the alcoholic drink you most often drink?

(tick one box 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
SECTION C: YOUR FAMILY AND FRIENDS

How many of your relatives and your partner's relatives do you see at least twice a year?

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

About how many friends do you have ?

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

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

1
Yes
2
No

How many people are there that you can talk to about personal problems?

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

How many people talk to you about their personal problems or their private feelings?

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

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

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

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

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

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

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

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

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

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

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

I have no one to share my feelings with

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

My partner provides the emotional support I need

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

There are other fathers-to-be with whom I can share my experiences

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

I believe in moments of difficulty my neighbours would help me

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

I'm worried that my partner might leave me

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

There is always someone with whom I can share my happiness and excitement about my partner's pregnancy

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

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

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

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

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

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

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

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

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

Do you believe in God or in some divine power?

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

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

1
Yes
2
Not sure
3
No

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

1
Yes
2
Not sure
3
No

What sort of religious faith would you say you had?

(tick one box only)

1
Church of England
2
Roman Catholic
3
Jehovah's Witness
4
Christian Science
5
Mormon
6
Other Christian (please describe)
7
Jewish
8
Buddhist
9
Sikh
10
Hindu
11
Muslim
12
Rastafarian
00
None
13
Other (please describe)
Other

How long have you had this particular faith?

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

Do you go to a place of worship?

1
yes, at least once a week
2
yes, at least once a month
3
yes, at least once a year
4
not at all

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

1
Yes
2
No

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

1
Yes
2
No

Do you obtain help and support from leaders or other members of religious groups? Members of other religious group (please describe)

1
Yes
2
No
Other
SECTION D: RECENT EVENTS
Listed below are a number of events which may have brought changes in your life. Have any of these occurred since your partner became pregnant? If so, please assess how much effect it had on you.

Since your partner became pregnant: Your parent died

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

Since your partner became pregnant: One of your children died

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

Since your partner became pregnant: A friend or relative died

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

Since your partner became pregnant: One of your children was ill

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

Since your partner became pregnant: Your partner was ill

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

Since your partner became pregnant: A friend or relative was ill

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

Since your partner became pregnant: You were admitted to hospital

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

Since your partner became pregnant: You were in trouble with the law

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

Since your partner became pregnant: You were divorced

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

Since your partner became pregnant: You found that your partner didn't want the child

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

Since your partner became pregnant: You were very ill

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

Since your partner became pregnant: Your partner lost her job

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

Since your partner became pregnant: Your partner had problems at work

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

Since your partner became pregnant: You had problems at work

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

Since your partner became pregnant: You lost your job

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

Since your partner became pregnant: Your partner went away

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

Since your partner became pregnant: Your partner was in trouble with the law

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

Since your partner became pregnant: You and your partner separated

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

Since your partner became pregnant: Your income was reduced

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

Since your partner became pregnant: You argued with your partner

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

Since your partner became pregnant: You had arguments with your family or friends

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

Since your partner became pregnant: You moved house

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

Since your partner became pregnant: Your partner hurt you

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

Since your partner became pregnant: You became homeless

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

Since your partner became pregnant: You had a major financial problem

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

Since your partner became pregnant: You got married

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

Since your partner became pregnant: Your partner hurt your children

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

Since your partner became pregnant: You attempted suicide

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

Since your partner became pregnant: You were convicted of an offence

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

Since your partner became pregnant: You thought your partner might miscarry

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

Since your partner became pregnant: You started a new job

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

Since your partner became pregnant: Your partner had a test to see if your baby was normal

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

Since your partner became pregnant: Your partner had a result on a test that suggested your baby might not be normal

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

Since your partner became pregnant: You were told that your partner was going to have twins

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

Since your partner became pregnant: You heard that something that had happened might be harmful to the baby

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

Since your partner became pregnant: You took an examination

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

Since your partner became pregnant: Your partner was emotionally cruel to you

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

Since your partner became pregnant: Your partner was emotionally cruel to your children

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

Since your partner became pregnant: Your house or car was burgled

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

Since your partner became pregnant: You had an accident

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

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

1
Yes
2
No
If yes,
qc_D41_a == 1

please describe :

Generic text

How did this affect you?

1
a lot
2
moderately
3
mildly
4
not at all

How much did it affect you when your partner became pregnant?

1
a lot
2
moderately
3
mildly
4
not at all
7
she wasn't my partner at the time
SECTION E: YOUR FEELINGS
The following questions are about feelings. Please indicate the way you feel.

Do you feel upset for no obvious reason?

1
Very often
2
Often
3
Not very often
4
Never

Do you get troubled by dizziness or shortness of breath?

1
Very often
2
Often
3
Not very often
4
Never

Have you felt as though you might faint?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel sick or have indigestion?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel that life is too much effort?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel uneasy and restless?

1
Very often
2
Often
3
Not very often
4
Never

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

1
Very often
2
Often
3
Not very often
4
Never

Do you regret much of your past behaviour?

1
Very often
2
Often
3
Not very often
4
Never

Do you sometimes feel panicky?

1
Very often
2
Often
3
Not very often
4
Never

Do you find that you have little or no appetite?

1
Very often
2
Often
3
Not very often
4
Never

Do you wake unusually early in the morning

1
Very often
2
Often
3
Not very often
4
Never

Do you worry a lot?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel tired or exhausted?

1
Very often
2
Often
3
Not very often
4
Never

Do you experience long periods of sadness?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel strung-up inside?

1
Very often
2
Often
3
Not very often
4
Never

Can you get off to sleep alright?

1
Very often
2
Often
3
Not very often
4
Never

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

1
Very often
2
Often
3
Not very often
4
Never

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

1
Very often
2
Often
3
Not very often
4
Never

Do you find yourself needing to cry?

1
Very often
2
Often
3
Not very often
4
Never

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

1
Very often
2
Often
3
Not very often
4
Never

Do you lose the ability to feel sympathy for other?

1
Very often
2
Often
3
Not very often
4
Never

Can you think quickly?

1
Very often
2
Often
3
Not very often
4
Never

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

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

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

1
As much as I always could
2
Not quite so much now
3
Definitely not so much now
4
Not at all
In the past week:

I have looked forward with enjoyment to things:

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

I have blamed myself unnecessarily when things went wrong:

1
Yes, most of the time
2
Yes, some of the time
3
Not very often
4
No never

I have been anxious or worried for no good reason:

1
No, not at all
2
Hardly ever
3
Yes, sometimes
4
Yes, often

I have felt scared or panicky for no very good reason:

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

Things have been getting on top of me:

1
Yes, most of the time
2
Yes, sometimes
3
No, hardly ever
4
No, not at all
In the past week:

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

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

I have felt sad or miserable:

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

I have been so unhappy that I have been crying:

1
Yes, most of the time
2
Yes, quite often
3
Only occasionally
4
No, never

The thought of harming myself has occurred to me:

1
Yes, quite often
2
Sometimes
3
Hardly ever
4
Never
Since your partner became pregnant have you noticed any change in your partner in any of the following:
-

1 - Yes, increased a lot

2 - Yes, increased a little

3 - No change

4 - Yes decreased a little

5 - Yes decreased a lot

How irritable she is
How nervous she is
How healthy she is
How communicative she is
How active she is
How able she is to think and concentrate
How physically attractive she is

How frequently during her pregnancy has she been: Irritable

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during her pregnancy has she been: Nervous

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during her pregnancy has she been: Active

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during her pregnancy has she been: In good health

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during her pregnancy has she been: Communicative

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during her pregnancy has she been: Able to think and concentrate

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during her pregnancy has she been: Looking attractive

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never
Since your partner became pregnant have you noticed any change in:
-

1 - Yes, increased a lot

2 - Yes, increased a little

3 - No change

4 - Yes decreased a little

5 - Yes decreased a lot

How irritable you are
How nervous you are
How healthy you are
How communicative you are
How active you are
How able you are to think and concentrate
How physically attractive you are

How frequently during the pregnancy have you been: Irritable

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during the pregnancy have you been: Nervous

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during the pregnancy have you been: Active

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during the pregnancy have you been: In good health

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during the pregnancy have you been: Communicative

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during the pregnancy have you been: Able to think and concentrate

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never

How frequently during the pregnancy have you been: Feeling attractive

1
Always
2
Often
3
Sometimes
4
Rarely
5
Never
SECTION F: EDUCATION AND OCCUPATION
What educational qualifications do you, your partner, your mother, and your father have? Please tick all that apply.
Your self Your partner Your mother* Your father*

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

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

What educational qualifications do you, your partner, your mother, and your father have? Please tick all that apply. Other (please describe)

Other
[* by this we mean the mother figure or father figure who was mostly responsible for bringing you up]
What is the present employment situation of yourself and your partner?

Please tick all that apply.

Yourself Your partner

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

1 - Yes

Working for an employer full-time (more than 30 hours a week)
Working for an employer part-time (one hour or more a week)
Self-employed, employing other people
Self-employed, not employing other people
On a government employment or training scheme
Waiting to start a job already accepted
Unemployed and looking for a job
At school or in other full-time education
Unable to work because of long-term sickness or disability
Retired from paid work
Looking after the home or family
Other (please describe)

What is the present employment situation of yourself and your partner? Other (please describe)

Please tick all that apply.

Other
The questions below ask about your current occupation.
As far as you can, please describe the actual job, occupation, trade or profession. (Use precise terms such as radio mechanic, woodworking machinist, toolroom foreman. If the occupation is known by a special name, please use that name. If in H.M. Forces, give the rank in addition to the actual job. Please also describe the type of industry or service given: i.e. give details of what is made, materials used, or services given).

Your present job or last main job. Actual job, occupation, trade or profession

Generic text

Your present job or last main job. Hours worked per week: (on average)

How many

Your present job or last main job. Please tick which of the following apply to you:

1
foreman
2
manager
3
supervisor
4
leading hand
5
self-employed
6
none of these

Your present job or last main job. Type of industry or service given (main things done in job):

Generic text

The main job your mother did at around the time you left school (Please put HW if she was a housewife) Actual job, occupation, trade or profession:

Generic text

The main job your mother did at around the time you left school (Please put HW if she was a housewife) Type of industry or service given (main things done in job):

Generic text

How old was your mother when you were born? ... years

(If you don't know, put 99)

Age

Did she ever smoke cigarettes?

1
Yes
2
No
If yes,
qc_F4_c == 1

did she smoke when she was expecting you?

1
Yes
2
No
9
Don't know

Is she still alive?

1
Yes
2
No
9
Don't know

The main job your father did at around the time you left school Actual job, occupation, trade or profession:

Generic text

The main job your father did at around the time you left school Please tick which of the following apply/applied to him

1
foreman
2
manager
3
supervisor
4
leading hand
5
self-employed
6
none of these

The main job your father did at around the time you left school Type of Industry or service given (main things done in job):

Generic text

How old was your father when you were born? ... years

(If you don't know, put 99)

Age

Did your father ever smoke?

1
No
2
Yes, cigarettes
3
Yes, cigars
4
Yes, a pipe
5
Yes, other (please describe)
6
Don't know
Other

Is he still alive?

1
Yes
2
No
9
Don't know

How would you describe the race or ethnic group of yourself, your partner and your parents? Yourself

1
white
2
black/Caribbean
3
black/African
4
black/other (please describe below)
5
Indian
6
Pakistani
7
Bangladeshi
8
Chinese
9
Any other ethnic group (please describe)
Other

How would you describe the race or ethnic group of yourself, your partner and your parents? Partner

1
white
2
black/Caribbean
3
black/African
4
black/other (please describe below)
5
Indian
6
Pakistani
7
Bangladeshi
8
Chinese
9
Any other ethnic group (please describe)
Other

How would you describe the race or ethnic group of yourself, your partner and your parents? Your mother*

1
white
2
black/Caribbean
3
black/African
4
black/other (please describe below)
5
Indian
6
Pakistani
7
Bangladeshi
8
Chinese
9
Any other ethnic group (please describe)
Other

How would you describe the race or ethnic group of yourself, your partner and your parents? Your father*

1
white
2
black/Caribbean
3
black/African
4
black/other (please describe below)
5
Indian
6
Pakistani
7
Bangladeshi
8
Chinese
9
Any other ethnic group (please describe)
Other
(* by this we mean the mother or father who was mostly responsible for bringing you up)
SECTION G: YOUR OWN CHILDHOOD
Please indicate if any of the following events happened to you before you were 17 and how much it affected you.

Before you were 17: A parent died

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: A brother or sister died

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: A relative died

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: A friend died

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: A parent had a serious illness

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: A parent was in hospital

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: You had a serious physical illness

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: You were in hospital

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: Brother or sister had a serious illness

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: Brother or sister was in hospital

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: A parent had a serious accident

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: You had a serious accident

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: Brother or sister had a serious accident

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: You acquired a physical deformity

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: Your girlfriend became pregnant

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: A parent was imprisoned

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: A parent was physically cruel to you

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: Your parents separated

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: Your parents divorced

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: A parent remarried

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: A parent was emotionally cruel to you

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: Your parents had serious arguments

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: You were sexually abused

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: A parent was mentally ill

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: You discovered you were adopted

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: Your family moved to a new district

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: You were in trouble with the police

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: You were expelled or suspended from school

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: You failed an important exam

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: Your family's financial circumstances got worse

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen

Before you were 17: Other important happening (please tick & describe)

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen
Other

How many schools did you attend between the ages of 5 and 16? ... schools

How many

Did you like school?

1
yes always
2
yes mostly
3
it was alright
4
no, not really
5
no, definitely not

Was school a valuable experience for you?

1
yes, very valuable
2
yes, generally valuable
3
I'm not sure
4
no, generally not valuable
5
no, of no value

Were you frequently away from school? before age 11

1
Yes
2
No

Were you frequently away from school? aged 11 or more

1
Yes
2
No
If yes,
qc_G35_a_i == 1 || qc_G35_a_ii == 1
why was this?
Before age 11 After age 11

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

illness
truancy
other (please tick and describe)

why was this? other (please tick and describe)

Other
SECTION H: ABOUT YOU

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

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

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

In general: I feel uneasy meeting new people

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

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

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

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

In general: After a fight 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

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

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

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

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

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

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

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

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

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

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

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

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

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

In general: I worry about criticising people

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

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

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

In general: I always expect criticism

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

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

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

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

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

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

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

In general: I am never rude to anyone

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

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

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

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

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 I: BEING A PARENT
Below are a number of statements about how some people think a parent should behave with a baby. Please indicate how much you agree with them.

Babies should be picked up whenever they cry

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

It is important to develop a regular pattern of feeding and sleeping with a baby

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Babies should be fed whenever they are hungry

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Babies need to be stimulated if they are to develop well

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Babies need quiet secure surroundings and should not be disturbed too much

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Parents need to adapt their lives to the baby's demands

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

A baby should fit into its parents' routine

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Babies should be left to develop naturally

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Talking, to even a very young baby, is important

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Cuddling a baby is very important

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree
SECTION J: INFANT FEEDING
Below are some attitudes about infant feeding. Please indicate your views.

Breast-feeding stops a mother from having the freedom to do what she wants

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

Breast-feeding gives the mother a special relationship with her baby

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

Bottle feeding allows the father to share the child more

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

Bottle feeding is more convenient for the mother

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

A mother who does not breast feed is inferior

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

Breast-feeding is difficult

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

How would you like the baby to be fed?

1
don't know
2
no strong feelings
3
undecided
4
want the baby to be breast fed
5
want the baby to be bottle fed

Were you breast fed as a baby?

1
Yes
2
No
9
Don't know
SECTION K

Please put the date of completing this questionnaire:

Generic date

Please give your date of birth:

Generic date

Space for any comments you might like to make:

Generic text
VERY MANY THANKS FOR ALL YOUR HELP
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 (Bristol during office hours). Alternatively your General Practitioner should be able to advise you.
When completed, return the questionnaire to:
Dr. Jean Golding, Children of Nineties - ALSPAC, Institute of Child Health
If you smoke, please enclose an empty cigarette packet.
End

alspac_91_pq

PARTNER'S QUESTIONNAIRE
This questionnaire asks about you and your feelings at this stage in your partner's pregnancy.
Your answers are confidential. Your name will not be on the questionnaire and none of the doctors or nurses you might see will know your answers.
Please answer all the questions you can. If there are any you cannot answer or do not wish to answer that is fine. Just leave them blank.
THANK YOU VERY MUCH FOR YOUR HELP

SECTION A: YOUR REACTIONS TO BECOMING A PARENT

How would you describe your reaction when you first found your partner was pregnant?
1
overjoyed
2
pleased
3
mixed feelings
4
not happy
5
very unhappy
6
no particular feelings
Does becoming a father 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
does becoming a father 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
How do you feel about the pregnancy now?
1
overjoyed
2
pleased
3
mixed feelings
4
not happy
5
very unhappy
6
no particular feelings
Do you want a boy or girl?
1
boy
2
girl
3
don't mind
Do you think your partner wants a boy or girl?
1
boy
2
girl
3
doesn't mind
Have you decided on the names for the child yet?
1
yes, but boys names only
2
yes, but girls names only
3
yes, both names
4
no, haven't decided
5
no, haven't thought about it
Would you like to be with your partner while she has the baby?
1
yes, I want this very much
2
yes, I would quite like this
3
I don't mind
4
no, I would prefer not to do this
5
no, I definitely do not want this

SECTION B: ACTIVITIES AND LIFESTYLE

Which of the following statements best applied to you just before your partner became pregnant, and now.

-

1 - Very energetic

2 - Quite energetic

3 - Lacking in energy

Before your partner became pregnant
Now
Compared with other men of your age, would you consider yourself to be:
1
much more active
2
somewhat more active
3
about the same
4
somewhat less active
5
much less active
Nowadays at least once a week do you engage in any regular activity like brisk walking, gardening, housework, jogging, cycling, etc. long enough to work up a sweat?
1
Yes
2
No
how many hours a week: ... hours
How many

We are interested in your diet - how many times each week nowadays do you eat:

-

1 - Never or rarely

2 - Once in 2 weeks

3 - 1 - 3 times a week

4 - 4 - 7 times a week

5 - More than once a day

Sausages, Burgers
Pies, Pasties (pork pie, steak/meat pie etc.)
Meat (beef, lamb, pork, ham, bacon etc.)
Poultry (chicken, turkey etc)
Liver, liver pate, kidney, heart
White fish (cod, haddock, plaice, fish fingers etc)
Other fish (pilchards, sardines, mackerel, tuna, herring, kippers, trout, salmon etc)
Shellfish (prawns, crab, cockles, mussels etc)
Fried foods (eg. fried fish, eggs, bacon, chops etc)
Cabbage, brussel sprouts, kale and other green leafy vegetables
Carrots
Other vegetables
Salad (lettuce, tomato, cucumber etc)
Fresh fruit (apple, pear, banana, orange, bunch of grapes etc)
Tinned fruit juice (not squash)
Pure juice not in tin
Nuts, nut roast
Do you eat the fat on meat?
1
yes, all of it
2
yes, some of it
3
no
7
never eat meat
When you have a soft drink, how often do you choose low calorie or diet soft drinks ?
1
always
2
sometimes
3
not at all
7
don't drink soft drinks
How often, in a week, would you eat takeaway foods for your main meal? ... days
How many
How many pieces of bread or rolls or chappatis do you eat on a usual day ?
1
less than 1
2
1 - 2
3
3 - 4
4
5 or more
What types of bread do you eat most days? white bread
1
Yes
2
No
What types of bread do you eat most days? brown/granary bread
1
Yes
2
No
What types of bread do you eat most days? wholemeal bread
1
Yes
2
No
What types of bread do you eat most days? chappatis, nan bread
1
Yes
2
No
What types of bread do you eat most days? don't usually eat any bread
1
Yes
2
No
How many slices of bread (or rolls) do you spread with butter, margarine etc and eat on a usual day? ... slices
How many
How often do you have milk: In tea
1
Yes usually
2
Yes sometimes
3
No not at all
How often do you have milk: In coffee
1
Yes usually
2
Yes sometimes
3
No not at all
How often do you have milk: On breakfast cereal
1
Yes usually
2
Yes sometimes
3
No not at all
How often do you have milk: As pudding (custard, rice)
1
Yes usually
2
Yes sometimes
3
No not at all
How often do you have milk: To drink on its own
1
Yes usually
2
Yes sometimes
3
No not at all
How often do you have milk: As a milky drink (Horlicks, cocoa, all milk coffee)
1
Yes usually
2
Yes sometimes
3
No not at all
How many cups of tea do you drink in a day ? (do not include herbal teas) ... cups
How many
How many spoons of sugar in each cup ? ... spoons
How many
How many of the cups of tea you drink each day are decaffeinated? ... cups
How many
How many cups of coffee do you drink in a day ? ... cups
How many
How many spoons of sugar in each cup ? ... spoons
How many
How many of the cups of coffee you drink each day are decaffeinated? ... cups
How many
How many of the cups of coffee you drink each day are made using real coffee (ie. not instant)? ... cups
How many
How many of the cups of real coffee were decaffeinated? ... cups
How many
How many drinks of cola do you have in a week? ... drinks
How many
How many of these drinks are decaffeinated? ... drinks
How many
What type of water do you usually drink? Cold water in squashes etc or to drink on it's own: I usually use:
1
water from the tap
2
softened tap water
3
filtered tap water
4
bottled water
5
hardly ever drink cold water
What type of water do you usually drink? Hot water in tea, coffee etc, I usually use:
1
water from the tap
2
softened tap water
3
filtered tap water
4
bottled water
5
hardly ever drink hot water
Are you vegetarian or vegan?
1
yes, vegetarian
2
yes, vegan
3
no, neither
for how many years have you been vegetarian/ vegan? ... years
How many
Have you ever been a smoker?
1
Yes
2
No
If no, go to B17, on page 11.
at what age did you start smoking regularly? ... years
Age
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
05
5-9
01
1-4
Have you now stopped smoking?
1
Yes
2
No
how long ago? ... years, ... months
Years
Months in year
Did you smoke regularly at any time in the last 9 months?
1
no
2
yes, cigarettes
3
yes, cigars
4
yes, pipe
5
yes, other (please describe)
Other
how many times per day did you smoke - at the start of your partner's pregnancy?
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
05
5-9
01
1-4
00
0
how many times per day did you smoke - in the last 2 weeks?
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
05
5-9
01
1-4
00
0
What brand, type and strength of cigarette/tobacco do you usually smoke? brand:
Generic text
What brand, type and strength of cigarette/tobacco do you usually smoke? type:
1
filtered
2
unfiltered
3
unfiltered/roll your own
4
pipe/cigar
Please enclose an empty packet of your usual brand with this questionnaire.

Please indicate how often you smoked marijuana/grass/cannabis/ ganja -

-

1 - Almost 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 your partner conceived
In the last 3 months
How often have you taken the following in the past 3 months? amphetamines
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you taken the following in the past 3 months? barbiturates
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you taken the following in the past 3 months? crack
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you taken the following in the past 3 months? cocaine
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you taken the following in the past 3 months? heroin
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you taken the following in the past 3 months? methadone
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you taken the following in the past 3 months? ecstasy
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you taken the following in the past 3 months? other (please describe)
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
Other
How often have you drunk alcoholic drinks? Before your partner became pregnant
1
Never
2
Less than once a week
3
At least once a week
4
1-2 glasses every day
5
3-9 glasses every day
6
At least 10 glasses every day
How often have you drunk alcoholic drinks? In the past 3 months
1
Never
2
Less than once a week
3
At least once a week
4
1-2 glasses every day
5
3-9 glasses every day
6
At least 10 glasses every day
How many days in the past month did you drink 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
Which is the alcoholic drink you most often drink?
1
wine
2
beer/lager
3
sherry/port
4
gin/whisky/vodka/brandy
5
other (please describe)
7
don't drink at all
Other

SECTION C: YOUR FAMILY AND FRIENDS

How many of your relatives and your partner's relatives do you see at least twice a year?
1
None
2
1
3
2-4
4
more than 4
About how many friends do you have ?
1
None
2
1
3
2-4
4
more than 4
Overall, would you say you belong to a close circle of friends ?
1
Yes
2
No
How many people are there that you can talk to about personal problems?
1
None
2
1
3
2-4
4
more than 4
How many people talk to you about their personal problems or their private feelings?
1
None
2
1
3
2-4
4
more than 4
If you have to make an important decision, how many people are there with whom you can discuss it?
1
None
2
1
3
2-4
4
more than 4
How many people are there among your family and friends from whom you could borrow £100 if you needed to?
1
None
2
1
3
2-4
4
more than 4
How many of your family and friends would help you in times of trouble?
1
None
2
1
3
2-4
4
more than 4
During the last month, how many times did you get together with one or more friends?
1
None
2
1
3
2-4
4
more than 4
During the last month, how many times did you get together with one or more of your relatives or your partner's relatives?
1
None
2
1
3
2-4
4
more than 4
The following statements are about the help and support you have.
I have no one to share my feelings with
1
This is exactly how I feel
2
This is often how I feel
3
This is sometimes how I feel
4
I never feel this way
My partner provides the emotional support I need
1
This is exactly how I feel
2
This is often how I feel
3
This is sometimes how I feel
4
I never feel this way
There are other fathers-to-be with whom I can share my experiences
1
This is exactly how I feel
2
This is often how I feel
3
This is sometimes how I feel
4
I never feel this way
I believe in moments of difficulty my neighbours would help me
1
This is exactly how I feel
2
This is often how I feel
3
This is sometimes how I feel
4
I never feel this way
I'm worried that my partner might leave me
1
This is exactly how I feel
2
This is often how I feel
3
This is sometimes how I feel
4
I never feel this way
There is always someone with whom I can share my happiness and excitement about my partner's pregnancy
1
This is exactly how I feel
2
This is often how I feel
3
This is sometimes how I feel
4
I never feel this way
If I feel tired I can rely on my partner to take over
1
This is exactly how I feel
2
This is often how I feel
3
This is sometimes how I feel
4
I never feel this way
If I was in financial difficulty I know my family would help if they could
1
This is exactly how I feel
2
This is often how I feel
3
This is sometimes how I feel
4
I never feel this way
If I was in financial difficulty I know my friends would help if they could
1
This is exactly how I feel
2
This is often how I feel
3
This is sometimes how I feel
4
I never feel this way
If all else fails I know the state will support and assist me
1
This is exactly how I feel
2
This is often how I feel
3
This is sometimes how I feel
4
I never feel this way
Do you believe in God or in some divine power?
1
yes
2
am not sure
3
no, not at all
Do you feel that God (or some divine power) has helped you at any time?
1
Yes
2
Not sure
3
No
Would you appeal to God for help if you were in trouble?
1
Yes
2
Not sure
3
No
What sort of religious faith would you say you had?
1
Church of England
2
Roman Catholic
3
Jehovah's Witness
4
Christian Science
5
Mormon
6
Other Christian (please describe)
7
Jewish
8
Buddhist
9
Sikh
10
Hindu
11
Muslim
12
Rastafarian
00
None
13
Other (please describe)
Other
How long have you had this particular faith?
1
all my life
2
more than 5 years
3
3-5 years
4
1-2 years
5
less than a year
Do you go to a place of worship?
1
yes, at least once a week
2
yes, at least once a month
3
yes, at least once a year
4
not at all
Do you obtain help and support from leaders or other members of religious groups? Leaders of your religious group (e.g. priests, rabbis, imams)
1
Yes
2
No
Do you obtain help and support from leaders or other members of religious groups? Other members of your religious group
1
Yes
2
No
Do you obtain help and support from leaders or other members of religious groups? Members of other religious group (please describe)
1
Yes
2
No
Other

SECTION D: RECENT EVENTS

Listed below are a number of events which may have brought changes in your life. Have any of these occurred since your partner became pregnant? If so, please assess how much effect it had on you.
Since your partner became pregnant: Your parent died
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: One of your children died
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: A friend or relative died
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: One of your children was ill
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your partner was ill
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: A friend or relative was ill
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You were admitted to hospital
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You were in trouble with the law
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You were divorced
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You found that your partner didn't want the child
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You were very ill
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your partner lost her job
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your partner had problems at work
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You had problems at work
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You lost your job
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your partner went away
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your partner was in trouble with the law
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You and your partner separated
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your income was reduced
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You argued with your partner
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You had arguments with your family or friends
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You moved house
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your partner hurt you
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You became homeless
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You had a major financial problem
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You got married
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your partner hurt your children
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You attempted suicide
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You were convicted of an offence
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You thought your partner might miscarry
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You started a new job
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your partner had a test to see if your baby was normal
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your partner had a result on a test that suggested your baby might not be normal
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You were told that your partner was going to have twins
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You heard that something that had happened might be harmful to the baby
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You took an examination
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your partner was emotionally cruel to you
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your partner was emotionally cruel to your children
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: Your house or car was burgled
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Since your partner became pregnant: You had an accident
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect at all
5
No did me not happen
Is there anything else which is not on the list which has concerned you or required additional effort from you to cope?
1
Yes
2
No
please describe :
Generic text
How did this affect you?
1
a lot
2
moderately
3
mildly
4
not at all
How much did it affect you when your partner became pregnant?
1
a lot
2
moderately
3
mildly
4
not at all
7
she wasn't my partner at the time

SECTION E: YOUR FEELINGS

The following questions are about feelings. Please indicate the way you feel.
Do you feel upset for no obvious reason?
1
Very often
2
Often
3
Not very often
4
Never
Do you get troubled by dizziness or shortness of breath?
1
Very often
2
Often
3
Not very often
4
Never
Have you felt as though you might faint?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel sick or have indigestion?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel that life is too much effort?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel uneasy and restless?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel tingling or prickling sensations in your body, arms or legs?
1
Very often
2
Often
3
Not very often
4
Never
Do you regret much of your past behaviour?
1
Very often
2
Often
3
Not very often
4
Never
Do you sometimes feel panicky?
1
Very often
2
Often
3
Not very often
4
Never
Do you find that you have little or no appetite?
1
Very often
2
Often
3
Not very often
4
Never
Do you wake unusually early in the morning
1
Very often
2
Often
3
Not very often
4
Never
Do you worry a lot?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel tired or exhausted?
1
Very often
2
Often
3
Not very often
4
Never
Do you experience long periods of sadness?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel strung-up inside?
1
Very often
2
Often
3
Not very often
4
Never
Can you get off to sleep alright?
1
Very often
2
Often
3
Not very often
4
Never
Do you ever have the feeling you are going to pieces?
1
Very often
2
Often
3
Not very often
4
Never
Do you often have excessive sweating or fluttering of the heart?
1
Very often
2
Often
3
Not very often
4
Never
Do you find yourself needing to cry?
1
Very often
2
Often
3
Not very often
4
Never
Do you have bad dreams which upset you when you wake up?
1
Very often
2
Often
3
Not very often
4
Never
Do you lose the ability to feel sympathy for other?
1
Very often
2
Often
3
Not very often
4
Never
Can you think quickly?
1
Very often
2
Often
3
Not very often
4
Never