Start
ncds_02_sc_2
National Child Development Study: 2002-3
Self-completion Booklet 2
In Confidence
A. GENERAL HEALTH AND DIET

First, how would you describe your health generally?Would you say it is ...

1
Excellent
2
Good
3
Fair
4
Poor
Please think about what you normally eat and drink.

What type of milk do you usually use?

1
Whole
2
Semi-skimmed
3
Skimmed
4
Soya
5
Goats'
6
Sheep's
7
Other
8
None

Do you usually have milk with your coffee or coffee substitute(not including non-dairy whiteners and creamers, such as Coffee Mate)?

1
No, or don't drink coffee
2
Yes, a little
3
Yes, an average amount
4
Yes, a large amount

Do you usually have milk with your tea (not including non-dairy whiteners and creamers, such as Coffee Mate)?

1
No, or don't drink tea
2
Yes, a little
3
Yes, an average amount
4
Yes, a large amount
How often do you drink (or eat) ...
-

1 - More than 4 times a day

2 - 2-4 times a day

3 - Once a day

4 - 3-6 days a week

5 - 1 or 2 days a week

6 - Less than 1 day a week

7 - Occasionally

8 - Never

... tea
... coffee
... milk alone or in milky drinks such as hot chocolate, Horlicks, Complan
... milk on cereal (including porridge made with milk)
How often do you eat ...
-

1 - More than 4 times a day

2 - 2-4 times a day

3 - Once a day

4 - 3-6 days a week

5 - 1 or 2 days a week

6 - Less than 1 day a week

7 - Occasionally

8 - Never

... milk-based savoury dishes, such as quiche, cheese or white sauce
... milk-based desserts, such as custard, ice cream, rice pudding or mousse
... hard cheeses, such as Edam or Cheddar
... soft cheese, such as cottage cheese or Brie
And how often do you eat ...
-

1 - More than 4 times a day

2 - 2-4 times a day

3 - Once a day

4 - 3-6 days a week

5 - 1 or 2 days a week

6 - Less than 1 day a week

7 - Occasionally

8 - Never

... margarine on bread or equivalents, such as crackers or crumpets
... butter on bread or equivalents, such as crackers or crumpets
... white fish, for example cod, plaice, halibut
... other fish (oily fish) such as salmon, trout, mackerel, sardines, fresh tuna
... canned tuna fish

Do you or does anyone else add salt or salt alternative to your food during cooking? (sea salt = salt)

1
Yes, add salt
2
Add salt alternative
3
No, don't add salt
8
Can't say

At the table, do you ever add salt to your food?

1
Yes, usually
2
Yes, occasionally
3
Rarely
4
Yes, add salt alternative
5
No, don't add salt

In the last month, have you taken any tablets, pills, powders or drops to supplement your diet?

1
Yes
2
No
If Yes to question A10 Answer A11
qc_A10 == 1

How often have you taken supplements of ... ... combinations of vitamins or minerals (such as multi-vitamins)?

1
Once a day or more
2
3 to 6 times a week
3
Twice a week or less
4
Not in the last month

How often have you taken supplements of ... ... single vitamins or minerals?

1
Once a day or more
2
3 to 6 times a week
3
Twice a week or less
4
Not in the last month

How often have you taken supplements of ... ... cod liver oil or fish oil?

1
Once a day or more
2
3 to 6 times a week
3
Twice a week or less
4
Not in the last month

How often have you taken supplements of ... ... evening primrose type?

1
Once a day or more
2
3 to 6 times a week
3
Twice a week or less
4
Not in the last month

How often have you taken supplements of ... ...other type of supplement? PLEASE WRITE IN WHAT

1
Once a day or more
2
3 to 6 times a week
3
Twice a week or less
4
Not in the last month
Generic text

What do these supplements contain?

1
Vitamin A (retinol, beta carotene)
2
Folate (folic acid)
3
Vitamin C (ascorbic acid)
4
Vitamin D (calciferol)
5
Vitamin E (a-tocopherol)
6
Fluoride
7
Iron
8
Calcium
9
Zinc
10
Ginseng
11
Other vitamins or minerals
98
None of these / not sure
B. LEISURE ACTIVITIES
EVERYONE PLEASE ANSWER
Here is a list of activities you may have done in the past year.
Please say how often on average you did that activity (in season, if applicable).
For each activity, please write in the average time you spent on that activity each time you did it.
How often on average, did you do this last year?
- Average time per episode Hours Average time per episode Mins
MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Swimming - Leisurely not laps
Swimming - Competitive or laps
Walking for pleasure - do not include walking as a means of transport
Backpacking, hill walking or mountain climbing
Cycling for pleasure - do not include cycling as a means of transport
Racing or rough terrain cycling
How often on average, did you do this last year?
- Average time per episode Hours Average time per episode Mins
MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Mowing the lawn - during the grass cutting season
Watering the lawn or garden in the summer
Digging, shovelling or chopping wood
Weeding, pruning
DIY e.g. carpentry, home or car maintenance
How often on average, did you do this last year?
- Average time per episode Hours Average time per episode Mins
MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

High impact aerobics, step aerobics
Other aerobics
Exercises with weights
Conditioning exercises e.g. using an exercise bike or rowing machine
Floor exercises e.g. stretching, bending, keep fit
How often on average, did you do this last year?
- Average time per episode Hours Average time per episode Mins
MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Dancing e.g. ballroom, disco
Competitive running
Jogging
Bowling - indoor lawn or ten pin
Tennis or badminton
Squash
Table tennis
Golf
Football, rugby or hockey (during the season
Cricket (during the season)
How often on average, did you do this last year?
cs_qB5_Y Other exercises (please specify) cs_dash_Atpe Minutes Hours cs_sc2B1toB5average Hours cs_sc2B1toB5average Minutes Minutes Hours cs_sc2B1toB5average

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Rowing 1 -
Rowing 1 Average time per episode Hours
Rowing 1 Average time per episode Mins
Rowing 2 -
Rowing 2 Average time per episode Hours
Rowing 2 Average time per episode Mins
Netball, volleyball basketball 1 -
Netball, volleyball basketball 1 Average time per episode Hours
Netball, volleyball basketball 1 Average time per episode Mins
Netball, volleyball basketball 2 -
Netball, volleyball basketball 2 Average time per episode Hours
Netball, volleyball basketball 2 Average time per episode Mins
Fishing 1 -
Fishing 1 Average time per episode Hours
Fishing 1 Average time per episode Mins
Fishing 2 -
Fishing 2 Average time per episode Hours
Fishing 2 Average time per episode Mins
Horse-riding 1 -
Horse-riding 1 Average time per episode Hours
Horse-riding 1 Average time per episode Mins
Horse-riding 2 -
Horse-riding 2 Average time per episode Hours
Horse-riding 2 Average time per episode Mins
Snooker, billiards, darts 1 -
Snooker, billiards, darts 1 Average time per episode Hours
Snooker, billiards, darts 1 Average time per episode Mins
Snooker, billiards, darts 2 -
Snooker, billiards, darts 2 Average time per episode Hours
Snooker, billiards, darts 2 Average time per episode Mins
Musical instrument playing, singing 1 -
Musical instrument playing, singing 1 Average time per episode Hours
Musical instrument playing, singing 1 Average time per episode Mins
Musical instrument playing, singing 2 -
Musical instrument playing, singing 2 Average time per episode Hours
Musical instrument playing, singing 2 Average time per episode Mins
Ice-skating 1 -
Ice-skating 1 Average time per episode Hours
Ice-skating 1 Average time per episode Mins
Ice-skating 2 -
Ice-skating 2 Average time per episode Hours
Ice-skating 2 Average time per episode Mins
Sailing, windsurfing, boating 1 -
Sailing, windsurfing, boating 1 Average time per episode Hours
Sailing, windsurfing, boating 1 Average time per episode Mins
Sailing, windsurfing, boating 2 -
Sailing, windsurfing, boating 2 Average time per episode Hours
Sailing, windsurfing, boating 2 Average time per episode Mins
Winter sports e.g. skiing 1 -
Winter sports e.g. skiing 1 Average time per episode Hours
Winter sports e.g. skiing 1 Average time per episode Mins
Winter sports e.g. skiing 2 -
Winter sports e.g. skiing 2 Average time per episode Hours
Winter sports e.g. skiing 2 Average time per episode Mins
Martial arts, boxing, wrestling 1 -
Martial arts, boxing, wrestling 1 Average time per episode Hours
Martial arts, boxing, wrestling 1 Average time per episode Mins
Martial arts, boxing, wrestling 2 -
Martial arts, boxing, wrestling 2 Average time per episode Hours
Martial arts, boxing, wrestling 2 Average time per episode Mins
Please could you say how much time you spent on average during the last year watching TV or videos, or using a computer, other than for work.
How much time, on average, during the last year?

1 - None

2 - Less than 1 hour a day

3 - 1 to 2 hours a day

4 - 2 to 3 hours a day

5 - 3 or 4 hours a day

6 - More than 4 hours a day

TV or video viewing
Using a computer (during leisure time only)
C. WORK AND HOME CIRCUMSTANCES

We would like to get a few details about what you are doing at the moment. Which of these best describes what you are currently doing?

1
Full time paid employee (30 or more hours a week)
2
Part-time paid employee (under 30 hours a week)
3
Full-time self-employed
4
Part-time self-employed
5
Unemployed and seeking work
6
Full-time education
7
On a government scheme for employment training
8
Temporarily sick/disabled (for less than 6 months)
9
Permanently sick/disabled (for more than 6 months)
10
Looking after home/family
11
Wholly retired
12
Other (please specify
Other

When did this activity start? WRITE IN:

Generic date
IF YOU ARE LIVING WITH A PARTNER BUT NOT LEGALLY MARRIED, THIS SHOULD NOT BE CODED AS MARRIED

What is your current legal marital status?

1
Single and never married
2
Married – your first and only marriage
3
Remarried – this is your second or later marriage
4
Legally separated
5
Divorced
6
Widowed

Are you currently living with someone as a couple?

1
Yes, living with the person you are married to
2
Yes, living with someone you are not married to
3
No, not living with anyone as a couple

Have you separated from someone with whom you lived as a couple in the period since March 1999?

1
Yes
2
No
IF 'Yes' AT C5 Answer C6
qc_C5 == 1

In what month and year did you separate from that person? WRITE IN:

Generic date
EVERYONE PLEASE ANSWER

Do you have any children aged 18 or less living with you, whom you care for?

1
Yes
2
No
IF ‘Yes’ AT C7 Answer C8
qc_C7 == 1

How many children do you have living with you aged 18 or less, for whom you care? WRITE IN:

How many
EVERYONE PLEASE ANSWER

How many natural (biological) children have you ever had, that is all children who were born alive? WRITE IN:

How many
D. LIFE EVENTS
Have any of the following life events or problems happened to you during the last six months?
-

1 - Yes

2 - No

You yourself suffered serious illness, injury or an assault
A serious illness, injury or assault happened to a close relative
Your parent, child or partner died
A close family friend or another relative (aunt, cousin, grandparent) died
You broke off a steady relationship
You had a serious problem with a close friend, neighbour or relative
You had a crisis or a serious disappointment in your work or career
You thought you would soon lose your job
You became unemployed or you were seeking work unsuccessfully for more than one month
You were sacked from your job
You had a major financial crisis
You had problems with the police and a court appearance
Something you valued was lost or stolen
ANSWER D2 IF YOU ARE CURRENTLY LIVING WITH A PARTNER. BY 'PARTNER' WE MEAN SPOUSE OR COHABITEE. OTHERWISE GO TO D3
Have any of the following happened in the last six months?
-

1 - Yes

2 - No

Your partner thought they would soon lose their job?
Your partner had a crisis or serious disappointment in their work or career?
You had a separation due to marital difficulties?
IF YOU ARE A MAN, PLEASE GO TO THE END OF THE BOOKLET
IF YOU ARE A WOMAN, PLEASE GO TO E1 ON THE NEXT PAGE.
E. WOMEN ONLY PLEASE ANSWER

Have you ever taken the contraceptive pill or had a contraceptive injection or implant?

1
Yes
2
No
If ‘Yes’ at E1 Answer E2
qc_E1 == 1

Are you currently taking the contraceptive pill or having a contraceptive injection or implant?

1
Yes
2
No
If ‘Yes’ at E2 Answer E3
qc_E2 == 1

What is the brand name of your contraceptive? Please write in the name below:

Generic text

What kind of contraceptive is this?

1
Injection
2
Mini pill (progestogen only)
3
Combined pill
4
Implant (Norplant)
8
Not sure
All 'Yes' at E1

How old were you when you first took the contraceptive pill, or had a contraceptive injection or implant? Please write in your age in years:

Age

For how long in total (adding up all episodes) have you taken the contraceptive pill or had a contraceptive injection or implant? Please write in how many years:

How many
ALL WOMEN PLEASE ANSWER
Have you ever had any of the following operations?
- Month Year or Age at the time ... years
Age

1 - No

2 - Yes

Month and YearAge

1 - No

2 - Yes

Month and Year

1 - No

2 - Yes

Month and YearAge
Age

1 - No

2 - Yes

Month and YearAge

1 - No

2 - Yes

Month and Year

1 - No

2 - Yes

Month and YearAge
Age

1 - No

2 - Yes

Month and YearAge

1 - No

2 - Yes

Month and Year

1 - No

2 - Yes

Month and YearAge
Removal of uterus (womb) and both ovaries (hysterectomy and bilateral oopherectomy)
Removal of uterus (womb) only (hysterectomy)
Removal or uterus (womb) and one ovary (hysterectomy and oopherectomy)
Removal of both ovaries only (bilateral oopherectomy)
Removal of one ovary only (oopherectomy)

In the last 12 months have you had a period or menstrual bleeding?

1
Yes
2
No
If 'No' at E8 Answer E9
qc_E8 == 2

Were your periods stopped by ...

1
... Surgery?
2
... Chemotherapy or radiation therapy?
3
... Pregnancy or breastfeeding?
4
... No obvious reason / menopause?
5
... Other reason, please specify
Other
If ‘Yes’ at E8 Now go to E12
qc_E8 == 1

In the last 3 months have you had a period or menstrual bleeding?

1
Yes
2
No

On what date did your last period start? (Include current period if bleeding now) Please write in:

Generic date
If you cannot remember the date,
qc_E11 == NULL

please give your age at the time: Please write in:

Age
ALL WOMEN PLEASE ANSWER
If you are still having periods, tell us about the most recent changes.
If your periods have stopped, tell us about the changes before your last period.

In the last few years (in the years before your last period) did your periods

1
... become more regular?
2
... become less regular?
3
... remain about the same? (i.e. as regular/irregular as before)
If ‘More regular’ or ‘Less regular’ at E12 Answer E13
qc_E12 == 1 || qc_E12 == 2

When did you first notice this change?

1
Up to 1 year before last period
2
Up to 2 years before last period
3
Up to 3 years before last period
4
Up to 4 years before last period
5
More than 4 years before last period
ALL WOMEN PLEASE ANSWER

Have you ever had hormone replacement therapy (HRT)?

1
Yes
2
No
If 'Yes' at E14 Answer E15
qc_E14 == 1

When did you first start HRT? Please write in:

Generic date
If you cannot remember the date,
qc_E15 == NULL

please give your age at the time: Please write in:

Age

Before you started HRT had your menstrual periods stopped?

1
Yes
2
No
If 'Yes' at E16 Answer E17
qc_E16 == 1

What was the date of your last period before starting HRT? WRITE IN:

Generic date
If you cannot remember the date,
qc_E17 == NULL

please give your age at the time: WRITE IN:

Age
All women who have ever had HRT

How long, in total, have you taken HRT? Don't include any times when you may have stopped taking HRT for any reason. WRITE IN: Years

How many

Are you currently taking HRT?

1
Yes
2
No
If 'Yes' at E19 Answer E20
qc_E19 == 1

What is the brand name of the HRT you are taking? Please write the brand name of the HRT you are taking below:

Generic text
Thank you very much for taking the time to answer our questions. Please hand the booklet back to the nurse. All your answers will remain confidential.
End

ncds_02_sc_2

National Child Development Study: 2002-3
Self-completion Booklet 2
In Confidence

A. GENERAL HEALTH AND DIET

First, how would you describe your health generally?Would you say it is ...
1
Excellent
2
Good
3
Fair
4
Poor
Please think about what you normally eat and drink.
What type of milk do you usually use?
1
Whole
2
Semi-skimmed
3
Skimmed
4
Soya
5
Goats'
6
Sheep's
7
Other
8
None
Do you usually have milk with your coffee or coffee substitute(not including non-dairy whiteners and creamers, such as Coffee Mate)?
1
No, or don't drink coffee
2
Yes, a little
3
Yes, an average amount
4
Yes, a large amount
Do you usually have milk with your tea (not including non-dairy whiteners and creamers, such as Coffee Mate)?
1
No, or don't drink tea
2
Yes, a little
3
Yes, an average amount
4
Yes, a large amount

How often do you drink (or eat) ...

-

1 - More than 4 times a day

2 - 2-4 times a day

3 - Once a day

4 - 3-6 days a week

5 - 1 or 2 days a week

6 - Less than 1 day a week

7 - Occasionally

8 - Never

... tea
... coffee
... milk alone or in milky drinks such as hot chocolate, Horlicks, Complan
... milk on cereal (including porridge made with milk)

How often do you eat ...

-

1 - More than 4 times a day

2 - 2-4 times a day

3 - Once a day

4 - 3-6 days a week

5 - 1 or 2 days a week

6 - Less than 1 day a week

7 - Occasionally

8 - Never

... milk-based savoury dishes, such as quiche, cheese or white sauce
... milk-based desserts, such as custard, ice cream, rice pudding or mousse
... hard cheeses, such as Edam or Cheddar
... soft cheese, such as cottage cheese or Brie

And how often do you eat ...

-

1 - More than 4 times a day

2 - 2-4 times a day

3 - Once a day

4 - 3-6 days a week

5 - 1 or 2 days a week

6 - Less than 1 day a week

7 - Occasionally

8 - Never

... margarine on bread or equivalents, such as crackers or crumpets
... butter on bread or equivalents, such as crackers or crumpets
... white fish, for example cod, plaice, halibut
... other fish (oily fish) such as salmon, trout, mackerel, sardines, fresh tuna
... canned tuna fish
Do you or does anyone else add salt or salt alternative to your food during cooking? (sea salt = salt)
1
Yes, add salt
2
Add salt alternative
3
No, don't add salt
8
Can't say
At the table, do you ever add salt to your food?
1
Yes, usually
2
Yes, occasionally
3
Rarely
4
Yes, add salt alternative
5
No, don't add salt
In the last month, have you taken any tablets, pills, powders or drops to supplement your diet?
1
Yes
2
No
How often have you taken supplements of ... ... combinations of vitamins or minerals (such as multi-vitamins)?
1
Once a day or more
2
3 to 6 times a week
3
Twice a week or less
4
Not in the last month
How often have you taken supplements of ... ... single vitamins or minerals?
1
Once a day or more
2
3 to 6 times a week
3
Twice a week or less
4
Not in the last month
How often have you taken supplements of ... ... cod liver oil or fish oil?
1
Once a day or more
2
3 to 6 times a week
3
Twice a week or less
4
Not in the last month
How often have you taken supplements of ... ... evening primrose type?
1
Once a day or more
2
3 to 6 times a week
3
Twice a week or less
4
Not in the last month
How often have you taken supplements of ... ...other type of supplement? PLEASE WRITE IN WHAT
1
Once a day or more
2
3 to 6 times a week
3
Twice a week or less
4
Not in the last month
Generic text
What do these supplements contain?
1
Vitamin A (retinol, beta carotene)
2
Folate (folic acid)
3
Vitamin C (ascorbic acid)
4
Vitamin D (calciferol)
5
Vitamin E (a-tocopherol)
6
Fluoride
7
Iron
8
Calcium
9
Zinc
10
Ginseng
11
Other vitamins or minerals
98
None of these / not sure

B. LEISURE ACTIVITIES

EVERYONE PLEASE ANSWER
Here is a list of activities you may have done in the past year.
Please say how often on average you did that activity (in season, if applicable).
For each activity, please write in the average time you spent on that activity each time you did it.

How often on average, did you do this last year?

- Average time per episode Hours Average time per episode Mins
MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Swimming - Leisurely not laps
Swimming - Competitive or laps
Walking for pleasure - do not include walking as a means of transport
Backpacking, hill walking or mountain climbing
Cycling for pleasure - do not include cycling as a means of transport
Racing or rough terrain cycling

How often on average, did you do this last year?

- Average time per episode Hours Average time per episode Mins
MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Mowing the lawn - during the grass cutting season
Watering the lawn or garden in the summer
Digging, shovelling or chopping wood
Weeding, pruning
DIY e.g. carpentry, home or car maintenance

How often on average, did you do this last year?

- Average time per episode Hours Average time per episode Mins
MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

High impact aerobics, step aerobics
Other aerobics
Exercises with weights
Conditioning exercises e.g. using an exercise bike or rowing machine
Floor exercises e.g. stretching, bending, keep fit

How often on average, did you do this last year?

- Average time per episode Hours Average time per episode Mins
MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Hours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

MinutesMinutesHours

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Dancing e.g. ballroom, disco
Competitive running
Jogging
Bowling - indoor lawn or ten pin
Tennis or badminton
Squash
Table tennis
Golf
Football, rugby or hockey (during the season
Cricket (during the season)

How often on average, did you do this last year?

cs_qB5_Y Other exercises (please specify) cs_dash_Atpe Minutes Hours cs_sc2B1toB5average Hours cs_sc2B1toB5average Minutes Minutes Hours cs_sc2B1toB5average

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

1 - Not done in last year

2 - Less than once month

3 - Once a month

4 - 2 to 3 times a month

5 - Once a week

6 - 2 to 3 times a week

7 - 4 to 5 times a week

8 - Every day

Rowing 1 -
Rowing 1 Average time per episode Hours
Rowing 1 Average time per episode Mins
Rowing 2 -
Rowing 2 Average time per episode Hours
Rowing 2 Average time per episode Mins
Netball, volleyball basketball 1 -
Netball, volleyball basketball 1 Average time per episode Hours
Netball, volleyball basketball 1 Average time per episode Mins
Netball, volleyball basketball 2 -
Netball, volleyball basketball 2 Average time per episode Hours
Netball, volleyball basketball 2 Average time per episode Mins
Fishing 1 -
Fishing 1 Average time per episode Hours
Fishing 1 Average time per episode Mins
Fishing 2 -
Fishing 2 Average time per episode Hours
Fishing 2 Average time per episode Mins
Horse-riding 1 -
Horse-riding 1 Average time per episode Hours
Horse-riding 1 Average time per episode Mins
Horse-riding 2 -
Horse-riding 2 Average time per episode Hours
Horse-riding 2 Average time per episode Mins
Snooker, billiards, darts 1 -
Snooker, billiards, darts 1 Average time per episode Hours
Snooker, billiards, darts 1 Average time per episode Mins
Snooker, billiards, darts 2 -
Snooker, billiards, darts 2 Average time per episode Hours
Snooker, billiards, darts 2 Average time per episode Mins
Musical instrument playing, singing 1 -
Musical instrument playing, singing 1 Average time per episode Hours
Musical instrument playing, singing 1 Average time per episode Mins
Musical instrument playing, singing 2 -
Musical instrument playing, singing 2 Average time per episode Hours
Musical instrument playing, singing 2 Average time per episode Mins
Ice-skating 1 -
Ice-skating 1 Average time per episode Hours
Ice-skating 1 Average time per episode Mins
Ice-skating 2 -
Ice-skating 2 Average time per episode Hours
Ice-skating 2 Average time per episode Mins
Sailing, windsurfing, boating 1 -
Sailing, windsurfing, boating 1 Average time per episode Hours
Sailing, windsurfing, boating 1 Average time per episode Mins
Sailing, windsurfing, boating 2 -
Sailing, windsurfing, boating 2 Average time per episode Hours
Sailing, windsurfing, boating 2 Average time per episode Mins
Winter sports e.g. skiing 1 -
Winter sports e.g. skiing 1 Average time per episode Hours
Winter sports e.g. skiing 1 Average time per episode Mins
Winter sports e.g. skiing 2 -
Winter sports e.g. skiing 2 Average time per episode Hours
Winter sports e.g. skiing 2 Average time per episode Mins
Martial arts, boxing, wrestling 1 -
Martial arts, boxing, wrestling 1 Average time per episode Hours
Martial arts, boxing, wrestling 1 Average time per episode Mins
Martial arts, boxing, wrestling 2 -
Martial arts, boxing, wrestling 2 Average time per episode Hours
Martial arts, boxing, wrestling 2 Average time per episode Mins

Please could you say how much time you spent on average during the last year watching TV or videos, or using a computer, other than for work.

How much time, on average, during the last year?

1 - None

2 - Less than 1 hour a day

3 - 1 to 2 hours a day

4 - 2 to 3 hours a day

5 - 3 or 4 hours a day

6 - More than 4 hours a day

TV or video viewing
Using a computer (during leisure time only)

C. WORK AND HOME CIRCUMSTANCES

We would like to get a few details about what you are doing at the moment. Which of these best describes what you are currently doing?
1
Full time paid employee (30 or more hours a week)
2
Part-time paid employee (under 30 hours a week)
3
Full-time self-employed
4
Part-time self-employed
5
Unemployed and seeking work
6
Full-time education
7
On a government scheme for employment training
8
Temporarily sick/disabled (for less than 6 months)
9
Permanently sick/disabled (for more than 6 months)
10
Looking after home/family
11
Wholly retired
12
Other (please specify
Other
When did this activity start? WRITE IN:
Generic date
IF YOU ARE LIVING WITH A PARTNER BUT NOT LEGALLY MARRIED, THIS SHOULD NOT BE CODED AS MARRIED
What is your current legal marital status?
1
Single and never married
2
Married – your first and only marriage
3
Remarried – this is your second or later marriage
4
Legally separated
5
Divorced
6
Widowed
Are you currently living with someone as a couple?
1
Yes, living with the person you are married to
2
Yes, living with someone you are not married to
3
No, not living with anyone as a couple
Have you separated from someone with whom you lived as a couple in the period since March 1999?
1
Yes
2
No
In what month and year did you separate from that person? WRITE IN:
Generic date
EVERYONE PLEASE ANSWER
Do you have any children aged 18 or less living with you, whom you care for?
1
Yes
2
No
How many children do you have living with you aged 18 or less, for whom you care? WRITE IN:
How many
EVERYONE PLEASE ANSWER
How many natural (biological) children have you ever had, that is all children who were born alive? WRITE IN:
How many

D. LIFE EVENTS

Have any of the following life events or problems happened to you during the last six months?

-

1 - Yes

2 - No

You yourself suffered serious illness, injury or an assault
A serious illness, injury or assault happened to a close relative
Your parent, child or partner died
A close family friend or another relative (aunt, cousin, grandparent) died
You broke off a steady relationship
You had a serious problem with a close friend, neighbour or relative
You had a crisis or a serious disappointment in your work or career
You thought you would soon lose your job
You became unemployed or you were seeking work unsuccessfully for more than one month
You were sacked from your job
You had a major financial crisis
You had problems with the police and a court appearance
Something you valued was lost or stolen

Have any of the following happened in the last six months?

-

1 - Yes

2 - No

Your partner thought they would soon lose their job?
Your partner had a crisis or serious disappointment in their work or career?
You had a separation due to marital difficulties?
IF YOU ARE A MAN, PLEASE GO TO THE END OF THE BOOKLET

E. WOMEN ONLY PLEASE ANSWER

Have you ever taken the contraceptive pill or had a contraceptive injection or implant?
1
Yes
2
No
Are you currently taking the contraceptive pill or having a contraceptive injection or implant?
1
Yes
2
No
What is the brand name of your contraceptive? Please write in the name below:
Generic text
What kind of contraceptive is this?
1
Injection
2
Mini pill (progestogen only)
3
Combined pill
4
Implant (Norplant)
8
Not sure
All 'Yes' at E1
How old were you when you first took the contraceptive pill, or had a contraceptive injection or implant? Please write in your age in years:
Age
For how long in total (adding up all episodes) have you taken the contraceptive pill or had a contraceptive injection or implant? Please write in how many years:
How many
ALL WOMEN PLEASE ANSWER

Have you ever had any of the following operations?

- Month Year or Age at the time ... years
Age

1 - No

2 - Yes

Month and YearAge

1 - No

2 - Yes

Month and Year

1 - No

2 - Yes

Month and YearAge
Age

1 - No

2 - Yes

Month and YearAge

1 - No

2 - Yes

Month and Year

1 - No

2 - Yes

Month and YearAge
Age

1 - No

2 - Yes

Month and YearAge

1 - No

2 - Yes

Month and Year

1 - No

2 - Yes

Month and YearAge
Removal of uterus (womb) and both ovaries (hysterectomy and bilateral oopherectomy)
Removal of uterus (womb) only (hysterectomy)
Removal or uterus (womb) and one ovary (hysterectomy and oopherectomy)
Removal of both ovaries only (bilateral oopherectomy)
Removal of one ovary only (oopherectomy)
In the last 12 months have you had a period or menstrual bleeding?
1
Yes
2
No
Were your periods stopped by ...
1
... Surgery?
2
... Chemotherapy or radiation therapy?
3
... Pregnancy or breastfeeding?
4
... No obvious reason / menopause?
5
... Other reason, please specify
Other
In the last 3 months have you had a period or menstrual bleeding?
1
Yes
2
No
On what date did your last period start? (Include current period if bleeding now) Please write in:
Generic date
please give your age at the time: Please write in:
Age
ALL WOMEN PLEASE ANSWER
If you are still having periods, tell us about the most recent changes.
If your periods have stopped, tell us about the changes before your last period.
In the last few years (in the years before your last period) did your periods
1
... become more regular?
2
... become less regular?
3
... remain about the same? (i.e. as regular/irregular as before)
When did you first notice this change?
1
Up to 1 year before last period
2
Up to 2 years before last period
3
Up to 3 years before last period
4
Up to 4 years before last period
5
More than 4 years before last period
ALL WOMEN PLEASE ANSWER
Have you ever had hormone replacement therapy (HRT)?
1
Yes
2
No
When did you first start HRT? Please write in:
Generic date
please give your age at the time: Please write in:
Age
Before you started HRT had your menstrual periods stopped?
1
Yes
2
No
What was the date of your last period before starting HRT? WRITE IN:
Generic date
please give your age at the time: WRITE IN:
Age
All women who have ever had HRT
How long, in total, have you taken HRT? Don't include any times when you may have stopped taking HRT for any reason. WRITE IN: Years
How many
Are you currently taking HRT?
1
Yes
2
No
What is the brand name of the HRT you are taking? Please write the brand name of the HRT you are taking below:
Generic text
Thank you very much for taking the time to answer our questions. Please hand the booklet back to the nurse. All your answers will remain confidential.
Name

NCDS Age 44 Biomedical Paper Self Completion Two