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ncds_biomed
NCDS BIOMEDICAL SURVEY: CAPI QUESTIONNAIRE
Foreword
The interview was carried out by the research nurse as a computer-assisted personal interview (CAPI). The survey instrument was written as a computer program using BLAISE software. This is the documentation of the program. It shows the wording of questions, instructions to the nurse, routing (i.e. the rules which dictated the questions asked) and - at the end of the document - checks built into the program to ensure that data was entered correctly. The last include 'soft' checks, to remind nurses of procedures or signal improbable values, and 'hard' checks, which excluded values outside a pre-determined range or unacceptable combinations of response codes.
This is a record of the interview, rather than a guide to the archived data set. Variables derived as part of the CAPI program are included where these are essential parts of the output (e.g. summary variables based on several measurements) or are necessary to the routing of the questionnaire. Other variables in the data set, including variables produced as part of the editing process, are not shown.
THE QUESTIONNAIRE
Introduction and consents

SERIAL NUMBER. JUST PRESS .

Serial Number

Before we start the medical measurements, I would like to check that you have read the information which was sent to you in advance. There will be an opportunity later on to ask any questions about the blood and saliva samples, but in the meantime, do you have any questions at this stage about any of the other measurements?

1
No questions asked
2
Questions asked

Are you willing for me to test or measure your...

1
Vision?
2
Blood pressure?
3
Hearing?
4
Height and sitting height?
5
Weight?
6
Waist and hips?
7
Lung function?
8
(None)

And are you willing for me to ask you some questions related to mental health?

1
Yes
2
No
IF Consent given to tests or measures of Vision or Blood pressure or Hearing or Height and sitting height or Weight or Waist and hips or Lung function OR consent to questions about mental health = Yes
qc_WILL1 == 1 || qc_WILL1 == 2 || qc_WILL1 == 4 || qc_WILL1 == 5 || qc_WILL1 == 6 || qc_WILL1 == 7 || qc_CIDIWILL == 1

Before we start, I need to ask you to sign this form. It shows which measurements you have said you are willing for me to carry out. Please remember that if at any time you change your mind about any measurement you only need to tell me. I will also make a note of your decisions on this copy (NURSE: SHOW COHORT MEMBER COPY OF CONSENT BOOKLET) and then at the end of the interview I will leave this for you to keep for future reference. NURSE: ASK COHORT MEMBER TO READ, SIGN AND DATE COSENT FORM 1.

1
Press <1> and <Enter> to continue

NURSE: READ, SIGN AND DATE THE BOTTOM SECTION OF CONSENT FORM 1

1
Press <1> and <Enter> to continue

NURSE: TAKE OUT THERMOMETER AND PLACE IT ON SUITABLE SURFACE

1
Continue
End of Introduction and consents module
Near and distance vision
IF consent for vision tests not given
qc_WILL1 != 1

Earlier on you said that you didn't want your vision tested. Can you tell me why you said that or have you changed your mind since then?

1
Now willing to have test
2
Scared of equipment
3
Worried about the outcome
4
Other reason (specify at next question)
IF why consent for vision tests not given = Now willing to have test
qc_NOTWILLV == 1

NURSE: GET COHORT MEMBER TO CHANGE CONSENT FORM-MEASUREMENTS AND INITIAL THE CHANGE.

1
Press <1> and <Enter> to continue
IF why consent for vision tests not given = Other reason
qc_NOTWILLV == 4

NURSE: TYPE IN REASON WHY NO MEASUREMENT TO BE TAKEN

Long text
IF why consent for vision tests not given = Scared of equipment, Worried about outcome, Other reason
qc_NOTWILLV == 2 || qc_NOTWILLV == 3 || qc_NOTWILLV == 4

NURSE: NO VISION TESTS TO BE TAKEN. PRESS '1' TO CONTINUE

1
Continue
IF consent to have vision tested
qc_WILL1 == 1 || qc_NOTWILLV == 1

The first of these measurements will be tests of your eyesight.

1
Yes, the cohort member seems to be visually impaired
2
No, the cohort member has no obvious signs of serious visual impairment

First, I need to know, do you wear glasses, contact lenses or other visual aids at all. This applies to anything you use either for reading or close work, for everyday activities, or for specific things like driving, playing sport or watching TV?

1
Yes
2
No
IF does cohort member wear glasses or contact lenses = Yes
qc_VISAIDS == 1

Can I check what you have?

1
Distance glasses only
2
Contact lenses only
3
Distance glasses and contact lenses worn at different times
4
Bifocals or varifocals
5
Reading glasses only
6
Separate distance glasses and reading glasses
7
Reading glasses and contact lenses
8
Distance glasses, and contact lenses and reading glasses all used

First I'm going to check your near vision. IF RESPONDENT EVER WEARS GLASSES OR CONTACT LENSES, ASK: Please put on what you would normally wear for reading or close work. If you don't wear glasses specially for reading or close work, please wear your usual distance glasses or contact lenses, even if you don't always use them.

1
no optical correction worn as none prescribed
2
distance glasses only
3
contact lenses only
4
reading glasses only
5
reading glasses with contact lenses
6
bifocals or varifocals
7
distance glasses, reading glasses not available
8
contact lenses, reading glasses not available
9
no optical correction worn as none available
IF cohort member is visually impaired = No
qc_VISIMP == 2

Can you read the four words underneath the line marked N5? (AWARE-EAVES-SEA-CREAM)

1
Cohort member reads all words correctly
2
Not all words read correctly
IF cohort member can read smallest line = No
qc_VISNVIS1 == 2

ASK RESPONDENT TO READ OUT THE SMALLEST COMPLETE LINE OF WORDS THEY CAN MANAGE. CODE SIZE.

1
N36 text for posters
2
N24 display and advertise clearly
3
N18 nose-one-cause-even
4
N14 were-crone-our-summer
5
N12 name-use-means-arose
6
N10 near-can-remove-sure
7
N8 crow-verse-see-renew
8
N6 assume-once-vane-sum
9
Cannot read any line
IF cohort member is visually impaired = Yes
qc_VISIMP == 1

CODE IF COHORT MEMBER IS USING VISUAL AIDS (MAGNIFIER) AS WELL AS GLASSES AND/OR LENSES.

1
Using additional visual aid
2
Not using any additional visual aids

Can you read the four words underneath the line marked N36 near the top of the chart? (TEXT FOR POSTERS)

1
Cohort member reads all words correctly
2
Not all words read correctly
IF cohort member can read largest line = Yes
qc_NVIMP1 == 1

ASK RESPONDENT TO READ OUT THE SMALLEST COMPLETE LINE OF WORDS THEY CAN MANAGE. CODE SIZE.

1
N5 aware-eaves-sea-cream
2
N6 assume-once-vane-sum
3
N8 crow-verse-see-renew
4
N10 near-can-remove-sure
5
N12 name-use-means-arose
6
N14 were-crone-our-summer
7
N18 nose-one-cause-even
8
N24 display and advertise clearly
9
Cannot read any line

What images can you see standing out on this card? Point to each one you can see and tell me what it is. CODE ALL THAT APPLY.

1
Star
2
Moon
3
Elephant
4
Car
5
Fourth image seen but not identified
6
No images correctly identified
7
Visually impaired: cannot see card

Now I'm going to check your distance vision, that is how well you see things which are a bit further away.For this you need to wear the glasses or contact lenses you use for activities such as going out, driving or watching TV.

1
No optical correction worn as none prescribed
2
distance glasses only
3
contact lenses only
4
bifocals or varifocals
5
no optical correction worn as none available
6
No optical correction worn for distance vision
IF cohort member is visually impaired = No
qc_VISIMP == 2

TEST DISTANCE VISION, USING TESTING BOOKLET. TEST RIGHT EYE FIRST.ASK COHORT MEMBER TO COVER LEFT EYE WITH OCCLUDER. MEASURE 1.5 METRES BETWEEN EYE AND TESTING BOOKLET, AND MARK DISTANCE. CODE '1' TO CONTINUE.

1
Continue

Can you read the letters on this page?

1
Cohort member reads all letters correctly
2
Not all letters read correctly
IF cohort member can read letters on 6/3 page (right eye) = No
qc_VISDVAR2 == 2

CONTINUE TESTING RIGHT EYE UNTIL COHORT MEMBER CAN READ A COMPLETE LINE OF LETTERS. CODE SIZE OF LINE COMPLETED.

1
6/3.75
2
6/5
3
6/6
4
6/7.5
5
6/9.5
6
6/12
7
6/15
8
6/19
9
6/24
10
6/30
11
6/38
12
Cannot read any line

TEST RIGHT EYE USING PINHOLE. (KEEP GLASSES ON.) ASK COHORT MEMBER TO HOLD OCCLUDER OVER NOSE, COVERING LEFT EYE AND LOOKING THROUGH THE PINHOLE WITH RIGHT EYE. CODE '1' TO CONTINUE.

1
Continue

Can you read the letters on this page?

1
Cohort member reads all letters correctly
2
Not all letters read correctly
IF cohort member can read letters on 6/3 page through pinhole (right eye) = No
qc_VISDVAR5 == 2

CONTINUE TESTING RIGHT EYE UNTIL COHORT MEMBER CAN READ A COMPLETE LINE OF LETTERS. CODE SIZE.

1
6/3.75
2
6/5
3
6/6
4
6/7.5
5
6/9.5
6
6/12
7
6/15
8
6/19
9
6/24
10
6/30
11
6/38
12
Cannot read any line

TEST LEFT EYE. ASK COHORT MEMBER TO COVER RIGHT EYE WITH OCCLUDER. CODE '1' TO CONTINUE.

1
Continue

Can you read the letters on this page?

1
Cohort member reads all letters correctly
2
Not all letters read correctly
IF cohort member can read letters on 6/3 page (left eye) = No
qc_VISDVAL2 == 2

CONTINUE TESTING LEFT EYE UNTIL COHORT MEMBER CAN READ A COMPLETE LINE OF LETTERS. CODE SIZE.

1
6/3.75
2
6/5
3
6/6
4
6/7.5
5
6/9.5
6
6/12
7
6/15
8
6/19
9
6/24
10
6/30
11
6/38
12
Cannot read any line

TEST LEFT EYE USING PINHOLE. (KEEP GLASSES ON.) ASK COHORT MEMBER TO HOLD OCCLUDER OVER NOSE, COVERING RIGHT EYE AND LOOKING THROUGH THE PINHOLE WITH LEFT EYE. CODE '1' TO CONTINUE.

1
Continue

Can you read the letters on this page?

1
Cohort member reads all letters correctly
2
Not all letters read correctly
IF cohort member can read letters on 6/3 page through pinhole (left eye) = No
qc_VISDVAL5 == 2

CONTINUE TESTING LEFT EYE UNTIL COHORT MEMBER CAN READ A COMPLETE LINE OF LETTERS. CODE SIZE.

1
6/3.75
2
6/5
3
6/6
4
6/7.5
5
6/9.5
6
6/12
7
6/15
8
6/19
9
6/24
10
6/30
11
6/38
12
Cannot read any line
IF cohort member is visually impaired = Yes
qc_VISIMP == 1

CODE IF COHORT MEMBER IS USING VISUAL AIDS FOR DISTANCE VISION TESTS AS WELL AS GLASSES AND/OR LENSES.

1
Using additional visual aid
2
Not using any additional visual aids

TEST DISTANCE VISION, USING TESTING BOOKLET. TEST RIGHT EYE FIRST. ASK COHORT MEMBER TO COVER LEFT EYE WITH OCCLUDER. MEASURE 1.5 METRES BETWEEN EYE AND TESTING BOOKLET. CODE '1' TO CONTINUE.

1
Continue

Can you read the letters on this page?

1
Cohort member reads all letters correctly
2
Not all letters read correctly
IF cohort member can read letters on 6/38 page (right eye) = Yes
qc_VIMPR2 == 1

CONTINUE TESTING RIGHT EYE TO FIND SMALLEST COMPLETE LINE OF LETTERS THAT RESPONDENT CAN READ. CODE SIZE OF SMALLEST LINE COMPLETED.

1
6/30
2
6/24
3
6/19
4
6/15
5
6/12
6
6/9.5
7
6/7.5
8
6/6
9
6/5
10
6/3.75
11
6/3
IF smallest line cohort member can read is between 6/30 and 6/3.75 (right eye)
qc_VIMPR3 != 11

TEST RIGHT EYE USING PINHOLE. ASK COHORT MEMBER TO LOOK THROUGH PINHOLE CARD, AND COVER LEFT EYE. MEASURE 1.5 METRES BETWEEN EYE AND TESTING BOOKLET. CODE '1' TO CONTINUE.

1
Continue

Can you read the letters on this page?

1
Cohort member reads all letters correctly
2
Not all letters read correctly
IF cohort member can read letters on page through pinhole (right eye) = Yes
qc_VIMPR5 == 1

CONTINUE TESTING RIGHT EYE WITH PINHOLE TO FIND SMALLEST COMPLETE LINE OF LETTERS THAT RESPONDENT CAN READ.CODE SIZE OF SMALLEST LINE COMPLETED.

1
6/30
2
6/24
3
6/19
4
6/15
5
6/12
6
6/9.5
7
6/7.5
8
6/6
9
6/5
10
6/3.75
11
6/3
IF cohort member can read letters on 6/38 page (right eye) = No
qc_VIMPR2 == 2

I'm going to hold up some fingers and ask you to count how many you can see. HOLD UP THREE FINGERS, THEN FIVE FINGERS THEN ONE FINGER. EACH TIME ASK: How many fingers am I holding up? CODE.

1
All three times counted correctly
2
Some but not all three counted correctly
3
None counted correctly
IF how many times did cohort member count fingers correctly (right eye) = None
qc_VIMPR7 == 3

Can you see light with your right eye?

1
Yes
2
No

NOW TEST THE LEFT EYE. ASK COHORT MEMBER TO COVER RIGHT EYE WITH OCCLUDER. MEASURE 1.5 METRES BETWEEN EYE AND TESTING BOOKLET. CODE '1' TO CONTINUE.

1
Continue

Can you read the letters on this page?

1
Cohort member reads all letters correctly
2
Not all letters read correctly
IF cohort member can read letters on 6/38 page (left eye) = Yes
qc_VIMPL2 == 1

CONTINUE TESTING LEFT EYE TO FIND SMALLEST COMPLETE LINE OF LETTERS THAT RESPONDENT CAN READ. CODE SIZE OF SMALLEST LINE COMPLETED.

1
6/30
2
6/24
3
6/19
4
6/15
5
6/12
6
6/9.5
7
6/7.5
8
6/6
9
6/5
10
6/3.75
11
6/3
IF smallest line cohort member can read is between 6/30 and 6/3.75 (left eye)
qc_VIMPL3 != 11

TEST LEFT EYE USING PINHOLE. ASK COHORT MEMBER TO LOOK THROUGH PINHOLE CARD, AND COVER RIGHT EYE. MEASURE 1.5 METRES BETWEEN EYE AND TESTING BOOKLET. CODE '1' TO CONTINUE.

1
Continue

Can you read the letters on this page?

1
Cohort member reads all letters correctly
2
Not all letters read correctly
IF cohort member can read letters on page through pinhole (left eye) = Yes
qc_VIMPL5 == 1

CONTINUE TESTING LEFT EYE WITH PINHOLE TO FIND SMALLEST COMPLETE LINE OF LETTERS THAT RESPONDENT CAN READ.CODE SIZE OF SMALLEST LINE COMPLETED.

1
6/30
2
6/24
3
6/19
4
6/15
5
6/12
6
6/9.5
7
6/7.5
8
6/6
9
6/5
10
6/3.75
11
6/3
IF cohort member can read letters on 6/38 page (left eye) = No
qc_VIMPL2 == 2

I'm going to hold up some fingers and ask you to count how many you can see. HOLD UP THREE FINGERS, THEN FIVE FINGERS, THEN ONE FINGER. EACH TIME ASK: How many fingers am I holding up? CODE.

1
All three times counted correctly
2
Some but not all three counted correctly
3
None counted correctly
IF how many times did cohort member count fingers correctly (left eye) = None
qc_VIMPL7 == 3

Can you see light with your left eye?

1
Yes
2
No
IF glasses worn for near vision tests = Distance glasses only or Bifocals or varifocals OR glasses worn for distance vision tests = Distance glasses only or Bifocals or varifocals
qc_NVWEAR == 2 || qc_NVWEAR == 6 || qc_DVWEAR == 2 || qc_DVWEAR == 4

May I quickly look at your distance glasses?

1
Cohort member agrees
2
Cohort member refuses
IF glasses worn for near vision tests = Contact lenses only or Reading glasses with contact lenses OR glasses worn for distance vision tests = Contact lenses
qc_NVWEAR == 3 || qc_NVWEAR == 5 || qc_DVWEAR == 3

Do you have spare glasses that you can use for distance work. Can I have a look at them?

1
Cohort member agrees
2
Cohort member refuses
3
Cohort member does not have spare glasses
IF look at distance glasses = Agree OR look at spare glasses = Agree
qc_VCROSS1 == 1 || qc_HASSPARE == 1

HOLD GLASSES FACING YOU, WITH EAR PIECES POINTING TOWARDS +. LOOK AT + THROUGH WEARER'S RIGHT LENS - THE LENS TO YOUR LEFT. (IF BIFOCALS OR VARIFOCALS LOOK THROUGH TOP HALF OF LENS.) DOES + LOOK BIGGER, SMALLER OR THE SAME? IT DOES NOT MATTER IF IT IS DISTORTED

1
Bigger
2
Smaller
3
The same
4
Can't tell

LOOK AT + THROUGH WEARER'S LEFT LENS - THE LENS TO YOUR RIGHT. LOOK AT THE CROSS IN THE RECORD FORM. DOES IT LOOK BIGGER, SMALLER OR THE SAME?

1
Bigger
2
Smaller
3
The same
4
Can't tell

RETURN GLASSES. COHORT MEMBER MAY PUT THEM BACK ON CODE '1'TO CONTINUE.

1
Continue
End of Near and distance vision module
Blood pressure
IF consent for blood pressure tests not given
qc_WILL1 != 2

Earlier on you said that you didn't want your blood pressure tested. Can you tell me why you said that or have you changed your mind since then?

1
Now willing to have test
2
Scared of equipment
3
Worried about the outcome
4
Other reason (specify at next question)
IF why consent for blood pressure tests not given = Now willing to have test
qc_NOTWILBP == 1

NURSE: GET COHORT MEMBER TO CHANGE CONSENT FORM-MEASUREMENTS AND INITIAL THE CHANGE.

1
Press <1> and <Enter> to continue
IF why consent for blood pressure tests not given = Other reason
qc_NOTWILBP == 4

NURSE: TYPE IN REASON WHY NO MEASUREMENT TO BE TAKEN

Long text
IF why consent for blood pressure tests not given = Scared of equipment, Worried about outcome, Other reason
qc_NOTWILBP == 2 || qc_NOTWILBP == 3 || qc_NOTWILBP == 4

NURSE: NO BLOOD PRESSURE TESTS TO BE TAKEN. PRESS '1' TO CONTINUE

1
Continue
IF consent to have blood pressure tested
qc_WILL1 == 2 || qc_NOTWILBP == 1

NURSE: NOW FOLLOWS THE Blood Pressure MODULE. Now I would like to measure your blood pressure. Before we start there are just one or two questions I need to ask you.

1
Press <1> and <Enter> to continue

May I just check, have you eaten, smoked, drunk alcohol or done any vigorous exercise in the last 30 minutes?

1
Eaten
2
Smoked
3
Drunk alcohol
4
Done vigorous exercise
5
(None of these)
IF cohort member's sex = Female
qc_PSEX == 2

Can I check, are you pregnant at the moment?

1
Yes
2
No
IF cohort member pregnant = Yes
qc_PREGNTJ == 1

NURSE: COHORT MEMBER IS PREGNANT. NO BLOOD PRESSURE/WEIGHT/WAIST AND HIP CIRCUMFERENCES/LUNG FUNCTION MEASUREMENTS TO BE TAKEN

1
ENTER '1' TO CONTINUE
IF consent to have blood pressure AND not pregnant
qc_WILL1 == 2 || qc_NOTWILBP = 1

NURSE: RECORD THE AMBIENT AIR TEMPERATURE. ENTER THE TEMPERATURE IN CENTIGRADE.

0 to 40

NURSE: PLEASE RECORD THE OMRON SERIAL NUMBER.

1 to 80

SELECT LARGE CUFF IF ARM CIRCUMFERENCE IS 32CM OR MORE. RECORD CUFF SIZE CHOSEN.

1
Standard (22-32 cm)
2
Extra large (32-42 cm)
IF no blood pressure readings taken

NURSE: ENTER REASON FOR NOT RECORDING ANY FULL BP READINGS.

1
Blood pressure measurement attempted but not obtained
2
Blood pressure measurement not attempted
3
Blood pressure measurement refused
_bpmeasurement < 4 &&

NURSE: ENTER THE ^Order SYSTOLIC READING (MMHG).

1 - 999

NURSE: ENTER THE ^Order DIASTOLIC READING (MMHG).

1 - 999

NURSE: ENTER THE ^Order PULSE READING (BPM).

1 - 999
IF pregnant = Pregnant

CM IS PREGNANT - NO BLOOD PRESSURE TO BE TAKEN PRESS '1' TO CONTINUE

1
Continue
IF not pregnant AND three blood pressure measures not recorded OR why no blood pressure measures taken = Attempted but not obtained, Not attempted, Refused OR why consent for blood pressure tests not given = Scared of equipment, Worried about outcome, Other reason
qc_YNoBP => 1 && qc_YNoBP <= 3 || qc_NOTWILBP => 2 && qc_NOTWILBP <= 4

NURSE: RECORD WHY MEASUREMENT REFUSED/NOT OBTAINED/NOT ATTEMPTED

1
Problems with PC
2
Cohort member upset/anxious/nervous
3
Error reading
4
Other reason(s) (specify at next question)
5
Problems with Cuff fitting/painful
6
Problems with Omron readings (zeros, no readings)
IF Reason why measurement not obtained = Other reason
qc_NATTBPD == 4

NURSE: ENTER FULL DETAILS OF OTHER REASON(S) FOR NOT OBTAINING/ATTEMPTING THREE BP READINGS.

Generic text
IF how many blood pressure measurements = One, Two, Three

NURSE: OFFER BLOOD PRESSURE RESULTS TO COHORT MEMBER. [ALL THREE READINGS FOR SYSTOLIC BP, DIASTOLIC BP, PULSE SHOWN ON SCREEN] ENTER THESE ON [COHORT MEMBER'S NAME]'S MEASUREMENT RECORD CARD(COMPLETE NEW RECORD CARD IF REQUIRED). [INSTRUCTION TO NURSE TO TICK BOX ON MEASUREMENT RECORD CARD AND GIVE APPROPRIATE FEEDBACK - SEE BOX BELOW]

1
Press &lt;1&gt; and &lt;Enter&gt; to continue
INSTRUCTIONS FOR NURSE FEEDBACK IN BPOFFER IN ORDER OF PRIORITY
IF SECOND OR THIRD SYSTOLIC BP MEASURE>179 OR SECOND OR THIRD DIASTOLIC BP MEASURE>114
"Tick the considerably raised box and read out 'Your blood pressure is a bit high today. Blood pressure can vary from day to day and throughout the day so that one high reading does not necessarily mean that you suffer from high blood pressure. You are strongly advised to visit your GP within 5 days to see whether this is a once-off finding or not.'"
IF SECOND OR THIRD SYSTOLIC BP MEASURE BETWEEN 160 AND 179 OR SECOND OR THIRD DIASTOLIC BP MEASURE BETWEEN 100 AND 114
"Tick the moderately raised box and read out 'Your blood pressure is a bit high today. Blood pressure can vary from day to day and throughout the day so that one high reading does not necessarily mean that you suffer from high blood pressure. You are advised to visit your GP within 2-3 weeks to see whether this is a once-off finding or not.'"
IF SECOND OR THIRD SYSTOLIC BP MEASURE BETWEEN 140 AND 159 OR SECOND OR THIRD DIASTOLIC BP MEASURE BETWEEN 85 AND 99
"Tick the mildly raised box and read out 'Your blood pressure is a bit high today. Blood pressure can vary from day to day and throughout the day so that one high reading does not necessarily mean that you suffer from high blood pressure. You are advised to visit your GP within 3 months to see whether this is a once-off finding or not.'"
IF BOTH SECOND AND THIRD SYSTOLIC BP MEASURE BELOW 140 AND BOTH SECOND AND THIRD DIASTOLIC BP MEASURE BELOW 85
"Tick the normal box and read out 'Your blood pressure is normal.'"
End of Blood pressure module
Prescribed medicines and self-completion booklet

Are you taking or using any medicines, pills, syrups, ointments, puffers or injections prescribed for you by a doctor or nurse?

1
Yes
2
No
IF taking or using any medicines = Yes
qc_MEDCNJD == 1

Could I take down the names of the medicines, including pills, syrups, ointments, puffers or injections, prescribed for you by a doctor?

1
ENTER '1' TO CONTINUE
_medicines_taken < 23 &&
IF take the names of the medicines = 1 OR any more drugs to enter = Yes
qc_MEDINTRO == 1 || qc_MedBIC == 1

NURSE: ENTER NAME OF DRUG NO. [].ASK IF YOU CAN SEE THE CONTAINERS FOR ALL PRESCRIBED MEDICINES CURRENTLY BEING TAKEN. IF ASPIRIN, RECORD DOSAGE AS WELL AS NAME.

Generic text

Have you taken/used [name of medicine] in the last 7 days?

1
Yes
2
No

NURSE CHECK: Any more drugs to enter?

1
Yes
2
No

[ENTERED BY NURSE POST-INTERVIEW] British National Formulary (BNF) code of drug.

Generic text

From time to time throughout the interview there will be moments when I have to get things out or put them away. In these spare moments it would be helpful if you would agree to answer the questions in this booklet.

1
agreed to do self-completion booklet
2
refused to do self-completion booklet
End of Prescribed medicines and self-completion booklet module
Hearing
IF consent for hearing tests not given
qc_WILL1 != 3

Earlier on you said that you didn't want your hearing tested. Can you tell me why you said that or have you changed your mind since then?

1
Now willing to have test
2
Scared of equipment
3
Worried about the outcome
4
Other reason (specify at next question)
IF why consent for hearing tests not given = Now willing to have test
qc_NOTWILLH == 1

NURSE: GET COHORT MEMBER TO CHANGE CONSENT FORM-MEASUREMENTS AND INITIAL THE CHANGE.

1
Press &lt;1&gt; and &lt;Enter&gt; to continue
IF why consent for hearing tests not given = Other reason
qc_NOTWILLH == 4

NURSE: TYPE IN REASON WHY NO MEASUREMENT TO BE TAKEN

Long text
IF why consent for hearing tests not given = Scared of equipment, Worried about outcome, Other reason
qc_NOTWILLH == 2 || qc_NOTWILLH == 3 || qc_NOTWILLH == 4

NURSE: NO HEARING TESTS TO BE TAKEN. PRESS '1' TO CONTINUE

1
Continue
IF consent to have hearing tested
qc_WILL1 == 3 || qc_NOTWILLH == 1

NOW FOLLOWS THE AUDIOMETRY MODULE.CHECK BATTERY AND BOTH EARCUPS. SET AUDIOMETER TO 30dB AT 1kHz. NURSE: CONDUCT CHECK USING YOUR OWN EARS.

1
Audiometer working
2
Audiometer not working
IF audiometer check = Audiometer not working
qc_AUDCHK == 2

NURSE: CHECK THAT THE LEADS ARE ATTACHEED CORRECTLY AND FIRMLY. IF STILL NOT WORKING, PHONE OFFICE FOR A REPLACEMENT BEFORE NEXT INTERVIEW

1
Audiometer working
2
Audiometer not working

ENTER SERIAL NUMBER OF AUDIOMETER.

SERIAL NUMBER OF AUDIOMETER

Can I check, nowadays, do you usually wear a hearing aid? IF YES: Do you wear it all or most of the time or just some of the time?

1
Yes, all/most of the time
2
Yes, some of the time
3
No
IF does cohort member wear hearing aid = All of the time, Some of the time
qc_HEARAID == 1 || qc_HEARAID == 2

Are you wearing a hearing aid at the moment?

1
Yes
2
No

Nowadays, do you ever get noises in your head or ears which usually last longer than five minutes at a time, known as tinnitus?

1
No never
2
Some of the time
3
All of the time
IF does cohort member have tinnitus = Some of the time, All of the time
qc_TINNANY == 2 || qc_TINNANY == 3

At the moment are you hearing any noises in your head or ears?

1
Yes
2
No

Would you say that your hearing is better in your left ear or your right ear, or is there no difference as far as you can say?

1
Left
2
Right
3
No difference/don't know

I am going to test your hearing by measuring the faintest sounds you can hear. I will play you two different tones in each ear, and with each tone, I will play it at different levels of loudness and softness. As soon as you hear a sound, raise your finger. Keep it raised as long as you can hear the sound, no matter which ear you hear it in. Put your finger down when you cannot hear the sound. It is important that you keep as quiet as possible, in order to hear the quietest tones. Even if the sound is very faint, and no matter which ear it is in, raise your finger. It will help if you breathe quietly through your mouth. No matter how faint the sound you hear, raise your finger when you think you can hear it and lower your finger when you can't hear the sound any longer.

1
Continue

TEST LEAD EAR FIRST IE [LEFT/RIGHT] EAR.CODE WHICH EAR TESTED FIRST.

1
Left
2
Right
IF audiometer check = Audiometer working OR audiometer second check = Audiometer working
qc_AUDCHK == 1 || qc_CHKLEAD == 1
DO FOR BOTH EARS
_audiometry < 3 &&

NURSE:CODE [FIRST/SECOND] EAR AT 1 KHZ. ENTER VALUE BETWEEN -10 AND 100

KHZ

NURSE:CODE FIRST/SECOND] EAR AT 4 KHZ. ENTER VALUE BETWEEN -10 AND 100

KHZ

CODE WHETHER ALL MEASUREMENTS COMPLETED.

1
All measurements completed
2
Some measurements completed, not all
3
No measures completed
IF how many measurements completed = Some measurements completed, No measures completed
qc_AUDALL == 2 || qc_AUDALL == 3

REASONS WHY NOT ALL MEASUREMENTS COMPLETED.

1
Cohort member uncomfortable
2
Too much background noise
3
Cohort member did not sit still
4
Other
IF why not all measurements completed = Other
qc_AUDNALL == 4

WRITE IN REASON

Generic text

CODE LEVEL OF BACKGROUND NOISE.

1
Background noise at acceptable level for test
2
Background noise distracting
IF why consent for hearing tests not given = Scared of equipment, Worried about outcome, Other reason
qc_NOTWILLH == 2 || qc_NOTWILLH == 3 || qc_NOTWILLH == 4

CODE WHY TEST NOT ATTEMPTED.

1
Equipment not working
2
Cohort member has ear infection
3
Too much noise/distraction
4
Other
IF reason why test not attempted = Other
qc_AUDNOT == 4

WRITE IN REASON

Generic text
IF consent to have hearing tested
qc_WILL1 == 3 || qc_NOTWILLH == 1

Thank you. That is the end of the hearing tests. While I am putting away this equipment and preparing for the next set of measurements please continue with the paper questionnaire

1
Continue
End of Hearing module
Height and sitting height
IF consent for height measurement not given
qc_WILL1 != 4

Earlier on you said that you didn't want your height tested. Can you tell me why you said that or have you changed your mind since then?

1
Now willing to have test
2
Height already known/measured before
3
Other reason (specify at next question)
IF why consent for height measurement not given = Now willing to have test
qc_NOTWILHT == 1

NURSE: GET COHORT MEMBER TO CHANGE CONSENT FORM-MEASUREMENTS AND INITIAL THE CHANGE.

1
Press &lt;1&gt; and &lt;Enter&gt; to continue
IF why consent for height measurement not given = Other reason
qc_NOTWILHT == 3

NURSE: TYPE IN REASON WHY NO MEASUREMENT TO BE TAKEN

Long text
IF why consent for height measurement not given = Height already known, Other reason
qc_NOTWILHT == 2 || qc_NOTWILHT == 3

NURSE: NO HEIGHT TESTS TO BE TAKEN. PRESS '1' TO CONTINUE

1
Continue
IF consent to have height measured
qc_WILL1 == 4 || qc_NOTWILHT == 1

PREAMBLE: I would now like to measure your height. MEASURE HEIGHT AND CODE.

1
Height measured
2
Height refused
3
Height attempted, not obtained
4
Height not attempted
IF measure cohort member's height = Height measured
qc_RESPHTS == 1

ENTER HEIGHT. RECORD TO THE NEAREST CM.MM eg 169.2

float 0-1000

NURSE: CODE ONE ONLY:

1
No problems experienced, reliable height measurement obtained
2
Problems experienced - measurement likely to be: Reliable
3
Problems experienced - measurement likely to be: Unreliable
IF whether height measurement reliable = Measurement likely to be unreliable
qc_RELHITE == 3

WHAT CAUSED THE HEIGHT MEASUREMENT TO BE UNRELIABLE?

1
Hairstyle or wig
2
Turban or other religious headgear
3
Cohort member wore shoes
4
Cohort member could not stretch up
5
Other
IF why height measurement unreliable = Other
qc_HINREL == 5

PLEASE SPECIFY WHAT CAUSED UNRELIABLE HEIGHT MEASUREMENT.

Generic text

NURSE: RECORD HEIGHT ON MEASUREMENT RECORD CARD HEIGHT: [height recorded in centimetres and feet and inches]

1
Continue
Else
IF measure cohort member's height = Height refused
qc_RESPHTS == 2

GIVE REASONS FOR REFUSAL.

1
Height already known/measured before
2
Other
Else
IF measure cohort member's height = Height attempted not obtained, Height not attempted
qc_RESPHTS == 3 || qc_RESPHTS == 4

CODE REASON FOR NOT OBTAINING HEIGHT.

1
Cohort member ill/cannot stand upright/unsteady on feet
2
Stadiometer faulty/not available
3
Other
IF measure cohort member's height = Height refused, Height attempted not obtained, Height not attempted OR why consent for height measurement not given = Height already known, Other reason
qc_RESPHTS == 2 || qc_RESPHTS == 3 || qc_RESPHTS == 4 || qc_NOTWILHT == 2 || qc_NOTWILHT == 3

INTERVIEWER: ASK COHORT MEMBER FOR AN ESTIMATED HEIGHT. WILL IT BE GIVEN IN METRES OR IN FEET AND INCHES? IF COHORT MEMBER DOESN'T KNOW HEIGHT USE <CTRL+K>, IF COHORT MEMBER ISN'T WILLING TO GIVE HEIGHT USE <CTRL+R>.

1
Metres
2
Feet and inches
IF estimated height = Metres
qc_EHTCH == 1

PLEASE RECORD ESTIMATED HEIGHT IN METRES.

0 to 10
Else
IF estimated height = Feet and inches
qc_EHTCH == 2

PLEASE RECORD ESTIMATED HEIGHT. ENTER FEET.

Height in feet

PLEASE RECORD ESTIMATED HEIGHT. ENTER INCHES.

Height in inches
IF consent to have height measured
qc_WILL1 == 4 || qc_NOTWILHT == 1

Now I would like to measure your height when sitting.

1
Sitting height measured
2
Sitting height refused
3
Sitting height attempted, not obtained
4
Sitting height not attempted
IF measure cohort member's sitting height = Sitting height measured
qc_SITHTS == 1

ENTER SITTING HEIGHT. RECORD TO THE NEAREST CM.MM eg 68.4

float 0-1000

IS THE SITTING HEIGHT MEASUREMENT LIKELY TO BE RELIABLE OR UNRELIABLE?

1
No problems, reliable measure
2
Problems, measure may be unreliable
IF whether height measurement reliable = May be unreliable
qc_SHREL == 2

WHAT CAUSED THE SITTING HEIGHT TO BE UNRELIABLE?

1
Hairstyle or wig
2
Turban or other religious headgear
3
Soft/uneven chair
4
Cohort member could not stretch up
5
Other
IF measure cohort member's sitting height = Sitting height attempted not obtained, Sitting height not attempted
qc_SITHTS == 3 || qc_SITHTS == 4

GIVE REASONS WHY SITTING HEIGHT NOT [ATTEMPTED/OBTAINED].

1
Cohort member ill/cannot stand upright/unsteady on feet
2
Stadiometer faulty/no suitable place to set up
3
Other

NURSE: ENTER SERIAL NUMBER OF STADIOMETER

Serial Number (1 to 99)
End of Height and sitting height module
Weight
IF consent for weight measurement not given AND not pregnant
qc_WILL1 != 5

Earlier on you said that you didn't want your weight tested. Can you tell me why you said that or have you changed your mind since then?

1
Now willing to have test
2
Cannot see point/Weight already known/Doctor has measurement
3
Too busy/Taken long enough
4
Cohort member too ill/frail/tired/shy
5
Refused (no reason given)
6
Other reason (specify at next question)
IF why consent for weight measurement not given = Now willing to have test
qc_NOTWILLW == 1

NURSE: GET COHORT MEMBER TO CHANGE CONSENT FORM-MEASUREMENTS AND INITIAL THE CHANGE.

1
Press &lt;1&gt; and &lt;Enter&gt; to continue
IF why consent for weight measurement not given = Other reason
qc_NOTWILLW == 6

NURSE: TYPE IN REASON WHY NO MEASUREMENT TO BE TAKEN

Long text
IF why consent for weight measurement not given = Cannot see point, Too busy, Cohort member too ill, Refused - no reason, Other reason
qc_NOTWILLW == 2 || qc_NOTWILLW == 3 || qc_NOTWILLW == 4 || qc_NOTWILLW == 5 || qc_NOTWILLW == 6

NURSE: NO WEIGHT TESTS TO BE TAKEN. PRESS '1' TO CONTINUE

1
Continue
IF consent to have weight measured
qc_WILL1 == 5 || qc_NOTWILLW == 1
IF not pregnant

PREAMBLE: I would now like to measure your weight. MEASURE WEIGHT AND CODE.

1
Weight obtained
2
Weight refused
3
Weight attempted, not obtained
4
Weight not attempted
IF measure cohort member's weight = Weight obtained
qc_RESPWTS == 1

RECORD WEIGHT TO THE NEAREST Kg eg 58.7

float 0-1000

SCALES PLACED ON?

1
Uneven floor
2
Carpet
3
Neither

INTERVIEWER CODE ONE ONLY.

1
No problems experienced, reliable weight measurement obtained
2
Problems experienced - measurement likely to be: Reliable
3
Problems experienced - measurement likely to be: Unreliable

NURSE: RECORD WEIGHT ON MEASUREMENT RECORD CARD WEIGHT: [weight recorded in kilograms and stones and pounds] IF WEIGHT LOOKS WRONG, GO BACK TO 'XWeight' AND REWEIGH.

1
Continue
IF measure cohort member's weight = Weight refused, Weight attempted not obtained, Weight not attempted OR why consent for weight measurement not given = Cannot see point, Too busy, Cohort member too ill, Refused - no reason, Other reason OR pregnant
qc_RESPWTS => 2 && qc_RESPWTS <= 4 || qc_NOTWILLW => 2 && qc_NOTWILLW <= 6
IF measure cohort member's weight = Weight refused
qc_RESPWTS == 2

GIVE REASONS FOR REFUSAL.

1
Cannot see point/Weight already known/Doctor has measurement
2
Too busy/Taken long enough
3
Cohort member too ill/frail/tired/shy
4
Refused (no reason given)
5
Other reason
Else
IF measure cohort member's weight = Weight attempted not obtained, Weight not attempted AND not pregnant
qc_RESPWTS == 3 || qc_RESPWTS == 4

CODE REASON FOR NOT OBTAINING WEIGHT.

1
Cannot see point/Weight already known/Doctor has measurement
2
Too busy/Taken long enough
3
Cohort member too ill/frail/tired/shy
4
Refused (no reason given)
5
Other reason

NURSE: ASK COHORT MEMBER FOR AN ESTIMATED WEIGHT. [IF PREGNANT: ESTIMATED WEIGHT SHOULD BE IMMEDIATELY PRIOR TO THIS PREGNANCY] WILL IT BE GIVEN IN KILOGRAMS OR IN STONES AND POUNDS? IF COHORT MEMBER DOESN'T KNOW WEIGHT USE <CTRL+K>, IF COHORT MEMBER ISN'T WILLING TO GIVE WEIGHT USE <CTRL+R>.

1
Kilograms
2
Stones and pounds
IF estimated weight = Kilograms
qc_EWTCH == 1

PLEASE RECORD ESTIMATED WEIGHT IN KILOGRAMS.

Weight in kilograms
Else
IF estimated weight = Stones and pounds
qc_EWTCH == 2

PLEASE RECORD ESTIMATED WEIGHT. ENTER STONES.

Weight in stones

PLEASE RECORD ESTIMATED WEIGHT. ENTER POUNDS.

Weight in pounds
IF consent to have weight measured AND not pregnant
qc_WILL1 == 5 || qc_NOTWILLW == 1

NURSE: ENTER SERIAL NUMBER OF SCALES

SERIAL NUMBER OF SCALES
End of Weight module
Waist and Hip Measurements
IF not pregnant
IF consent to have waist and hips measured not given
qc_WILL1 != 6

Earlier on you said that you didn't want your Waist and Hips tested. Can you tell me why you said that or have you changed your mind since then?

1
Now willing to have test
2
Scared of equipment
3
Worried about the outcome
4
Other reason (specify at next question)
IF why consent for waist and hip measurements not given = Now willing to have test
qc_NOTWILWH == 1

NURSE: GET COHORT MEMBER TO CHANGE CONSENT FORM-MEASUREMENTS AND INITIAL THE CHANGE.

1
Press &lt;1&gt; and &lt;Enter&gt; to continue
IF why consent for waist and hip measurements not given = Other reason
qc_NOTWILWH == 4

NURSE: TYPE IN REASON WHY NO MEASUREMENT TO BE TAKEN

Long text
IF why consent for waist and hip measurements not given = Scared of equipment, Worried about outcome, Other reason
qc_NOTWILWH == 2 || qc_NOTWILWH == 3 || qc_NOTWILWH == 4

NURSE: NO WAIST AND HIP TESTS TO BE TAKEN. PRESS '1' TO CONTINUE

1
Continue
IF consent to have waist and hips measured
qc_WILL1 == 6 || qc_NOTWILWH == 1

I would now like to measure your waist and hips. These measurements are very useful for assessing the distribution of weight over the body.

1
Cohort member agrees to have waist and/or hip circumference measured
2
Cohort member refuses to have waist/hip ratio measured
3
Unable to measure waist/hip ratio for reason other than refusal
IF measure waist and hips = Agree
qc_WHINTRO == 1

NURSE: MEASURE THE WAIST AND HIP CIRCUMFERENCES TO THE NEAREST MM. EG 65.6 ENTER WAIST MEASUREMENT IN CENTIMETRES (REMEMBER TO INCLUDE THE DECIMAL POINT).

float 0-1000

NURSE: MEASURE THE WAIST AND HIP CIRCUMFERENCES TO THE NEAREST MM. E.G 96.8 ENTER MEASUREMENT OF HIP CIRCUMFERENCE IN CENTIMETRES (REMEMBER TO INCLUDE THE DECIMAL POINT).

float 0-1000
IF one or both measurements not obtained
qc_WAIST = 999.9 || qc_HIP = 999.9

ENTER REASON FOR NOT GETTING BOTH MEASUREMENTS

1
Waist measurement refused
2
Waist measurement attempted, not obtained
3
Waist measurement not attempted
4
Hip measurement refused
5
Hip measurement attempted, not obtained
6
Hip measurement not attempted
IF waist measurement obtained
qc_WAIST != '999.9' && qc_WAIST != NULL

RECORD ANY PROBLEMS WITH WAIST MEASUREMENT:

1
No problems experienced, RELIABLE waist measurement
2
Problems experienced - waist measurement likely to be RELIABLE
3
Problems experienced - waist measurement likely to be SLIGHTLY UNRELIABLE
4
Problems experienced - waist measurement likely to be UNRELIABLE
IF any problems with waist measurement = Problems - measurement reliable, Problems - measurement slightly unreliable, Problems - measurement unreliable
qc_WJREL == 2 || qc_WJREL == 3 || qc_WJREL == 4

RECORD WHETHER PROBLEMS EXPERIENCED ARE LIKELY TO INCREASE OR DECREASE THE WAIST MEASUREMENT.

1
Increases measurement
2
Decreases measurement
3
Stay the same
IF hip measurement obtained
qc_HIP != '999.9' && qc_HIP != NULL

RECORD ANY PROBLEMS WITH HIP MEASUREMENT:

1
No problems experienced, RELIABLE hip measurement
2
Problems experienced - hip measurement likely to be RELIABLE
3
Problems experienced - hip measurement likely to be SLIGHTLY UNRELIABLE
4
Problems experienced - hip measurement likely to be UNRELIABLE
IF any problems with hip measurement = Problems - measurement reliable, Problems - measurement slightly unreliable, Problems - measurement unreliable
qc_HJREL == 2 || qc_HJREL == 3 || qc_HJREL == 4

RECORD WHETHER PROBLEMS EXPERIENCED ARE LIKELY TO INCREASE OR DECREASE THE HIP MEASUREMENT.

1
Increases measurement
2
Decreases measurement
3
Stay the same
IF summary of measurements = Both obtained, One obtained [Both, One]

OFFER TO WRITE RESULTS OF WAIST AND HIP MEASUREMENTS, WHERE APPLICABLE, ONTO COHORT MEMBER'S MEASUREMENT RECORD CARD. ENTER '1' TO CONTINUE.

1
Continue
End of Waist and hips module
Lung Function
IF not pregnant
IF consent to have lung function tested not given
qc_WILL1 != 7

Earlier on you said that you didn't want your lung function tested. Can you tell me why you said that or have you changed your mind since then?

1
Now willing to have test
2
Scared of equipment
3
Worried about the outcome
4
Other reason (specify at next question)
IF why consent for lung function tests not given = Now willing to have test
qc_NOTWILLF == 1

NURSE: GET COHORT MEMBER TO CHANGE CONSENT FORM-MEASUREMENTS AND INITIAL THE CHANGE.

1
Press &lt;1&gt; and &lt;Enter&gt; to continue
IF why consent for lung function tests not given = Other reason
qc_NOTWILLF == 4

NURSE: TYPE IN REASON WHY NO MEASUREMENT TO BE TAKEN

Long text
IF why consent for lung function tests not given = Scared of equipment, Worried about outcome, Other reason
qc_NOTWILLF == 2 || qc_NOTWILLF == 3 || qc_NOTWILLF == 4

NURSE: NO LUNG FUNCTION TESTS TO BE TAKEN. PRESS '1' TO CONTINUE

1
Continue
IF consent for lung function tests given
qc_WILL1 == 7 || qc_NOTWILLF == 1

NOW FOLLOWS THE LUNG FUNCTION MODULE. Can I check, have you had abdominal or chest surgery in the past three weeks?

1
Yes
2
No
IF surgery in past three weeks = No
qc_HASURG == 2

Have you been admitted to hospital for a heart complaint in the past six weeks?

1
Yes
2
No
IF admitted for heart condition = No
qc_HASTRO == 2

In the past three weeks, have you had any respiratory infections such as influenza, pneumonia, bronchitis or a severe cold?

1
Yes
2
No

(Can I just check), have you used an inhaler, puffer or any medication for your breathing in the last 24 hours?

1
Yes
2
No
IF used an inhaler in the last 24 hours = Yes
qc_INHALER == 1

How many hours ago did you use it?

Number of hours in a day
IF surgery in past three weeks = Yes OR admitted for heart condition = Yes
qc_HASURG == 1 || qc_HASTRO == 1

NO LUNG FUNCTION TEST TO BE DONE. ENTER '1' TO CONTINUE.

1
Continue
Else
IF surgery in past three weeks = No AND not admitted for heart condition = Yes
qc_HASURG == 2 && qc_HASTRO != 1

ENTER THE TWO-DIGIT SPIROMETER SERIAL NUMBER.

Serial Number (1 to 99)

EXPLAIN THE PROCEDURE AND DEMONSTRATE THE TEST. RECORD THE RESULTS OF UP TO FIVE BLOWS BY THE COHORT MEMBER IN THE BOXES BELOW.RECORD EACH BLOW AS IT IS CARRIED OUT.FOR EACH BLOW, ENTER ALL THREE MEASURES AND CODE WHETHER TECHNIQUE WAS SATISFACTORY. ENTER '1' TO CONTINUE.

1
Continue
_spirometry < 6 &&
IF first FVC reading not coded as no readings to be taken AND Flag for no LF readings = No AND three technically acceptable blows = No
qc_FVC != 9.95

IF NO READING OBTAINED ENTER '0'. IF YOU ARE NOT GOING TO OBTAIN ANY READINGS AT ALL ENTER 9.95.

0 to 10
IF FVC reading not coded as no readings to be taken
qc_FVC < 9.95

IF NO READING OBTAINED ENTER '0'.

0 to 10

IF NO READING OBTAINED ENTER '0'.

PF

TURN THE SPIROMETER OFF THEN ON AGAIN TO TAKE THE NEXT READING PRESS ENTER TO CONTINUE.

1
Continue

WAS THE TECHNIQUE SATISFACTORY?

1
Yes
2
No
IF Flag for no LF readings = Yes

ENTER REASON FOR NOT TAKING ANY LF READINGS.

1
Lung function measurement attempted, not obtained
2
Lung function measurement not attempted
3
Lung function measurement refused
IF reason for not taking any lung function readings = no response
qc_YNOLF == NULL

NURSE: MEASUREMENTS TAKEN WHILE COHORT MEMBER WAS STANDING OR SITTING?

1
Standing
2
Sitting

NURSE CHECK: CODE ONE ONLY.

1
First 3 technically satisfactory blows obtained
2
3 technically satisfactory blows obtained from more than 3 blows
3
Some blows, but less than 3 technically satisfactory blows obtained
4
Attempted, but no technically satisfactory blows obtained
5
All blows refused
6
None attempted
IF summary of LF response = Some blows, but less than 3 technically satisfactory
qc_LFRESP == 3

NURSE: GIVE REASONS WHY LESS THAN 5 BLOWS OBTAINED.

1
Refused to continue
2
Breathlessness
3
Coughing fit
4
Equipment failure
5
Other (SPECIFY AT NEXT QUESTION)
IF why less than 5 blows obtained = Other
qc_PROBLF == 5

NURSE: GIVE DETAILS OF WHY LESS THAN 5 BLOWS OBTAINED.

Generic text
IF why consent for lung function tests not given = Scared of equipment, Worried about outcome, Other reason OR summary of LF response = Attempted, but no technically satisfactory blows, All blows refused, None attempted OR reason for not taking any lung function readings = Lung function measurement attempted, Lung function measurement not attempted, Lung function measurement refused
qc_NOTWILLF => 2 && qc_NOTWILLF <= 4 || qc_LFRESP => 4 && qc_LFRESP <= 6 || qc_YNoLF != NULL

GIVE REASON WHY LUNG FUNCTION MEASUREMENTS WERE NOT ATTEMPTED/REFUSED. CODE ONE ONLY.

1
Temperature of house too cold
2
Temperature of house too hot
3
Equipment failure
4
Breathlessness
5
Unwell
6
Other reason why measurements not attempted/refused (SPECIFY AT NEXT QUESTION)
IF why LF measurements were not attempted or refused = Other
qc_NOATTLF == 6

NURSE: GIVE DETAILS OF WHY LUNG FUNCTION MEASUREMENTS WERE NOT ATTEMPTED/REFUSED.

Generic text
IF summary of LF response = First 3 technically satisfactory blows, 3 technically satisfactory blows obtained from more than 3 blows, Some blows, but less than 3 technically satisfactory
qc_LFRESP == 1 || qc_LFRESP == 2 || qc_LFRESP == 3

LUNG FUNCTION MEASURED.OFFER LUNG FUNCTION RESULTS TO COHORT MEMBER. ENTER THEIR HIGHEST FVC AND HIGHEST FEV AND HIGHEST PF READINGS ON MRC. HIGHEST READINGS LISTED BELOW. [HIGHEST FVC, FEV, PF SHOWN ON SCREEN] ENTER '1' TO CONTINUE.

1
Continue
End of Lung function module
Vision measures using autorefractor
IF consent to have vision tested
qc_WILL1 == 1 || qc_NOTWILLV == 1

ARE YOU CARRYING AUTOREFRACTOR?

1
Yes
2
No
IF nurse carrying autorefractor = Yes
qc_VISREFA1 == 1
IF glasses worn for near vision tests = Contact lenses only or Reading glasses with contact lenses OR glasses worn for distance vision tests = Contact lenses
qc_NVWEAR == 3 || qc_NVWEAR == 5 || qc_DVWEAR == 3

ASK COHORT MEMBER TO REMOVE CONTACT LENSES OR GLASSES.

1
Continue

INTRODUCE AUTO REFRACTOR. IT MEASURES THE SIZE AND SHAPE OF THE EYE USING INFRA-RED LIGHT.IT IS NOT DANGEROUS AND IT DOESN'T HURT. THE MEASUREMENT SHOULD BE TAKEN WITHOUT GLASSES OR CONTACT LENSES. CODE '1' TO CONTINUE.

1
Continue

TAKE A READING FROM THE RIGHT EYE FIRST. THEN TAKE A READING FROM THE LEFT EYE. PRINT OUT THE RESULTS. MAKE SURE THE QUALITY SCORE IS 8 OR HIGHER. IF QUALITY SCORE IS 7 OR LOWER, CHECK YOUR POSITION, LIGHT LEVELS AND THAT THE SUBJECTS IS NOT BLINKING AND THEN REPEAT UP TO 3 TIMES. PRINT OUT RESULTS. ENTER SUMMARY (BOTTOM ROW) SCORES FOR EACH EYE INTO CAPI. CODE '1' TO CONTINUE.

1
Continue

RIGHT EYE, FIRST SCORE (SPH). ENTER PLUS OR MINUS, WITH SCORE.

SPH

RIGHT EYE, SECOND SCORE (CYL). ENTER PLUS OR MINUS, WITH SCORE.

CYL

RIGHT EYE, THIRD SCORE (AX).

AX

RIGHT EYE, QUALITY SCORE..

0 TO 99

LEFT EYE, FIRST SCORE (SPH). ENTER PLUS OR MINUS, WITH SCORE.

SPH

LEFT EYE, SECOND SCORE (CYL). ENTER PLUS OR MINUS, WITH SCORE.

CYL

LEFT EYE, THIRD SCORE (AX).

AX

LEFT EYE, QUALITY SCORE..

0 TO 99

ATTACH PRINT OUT WITH BARCODE LABEL TO INSIDE FRONT COVER OF OFFICE CONSENT BOOKLET

1
Refractometer slip completed/obtained
2
Refractometer slip not completed/obtained

RECORD SERIAL NUMBER OF AUTOREFRACTOR.

0 TO 99
IF cohort member asked to remove contact lenses
qc_VREMOVE == 1

COHORT MEMBER CAN PUT IN CONTACT LENSES OR PUT ON GLASSES AGAIN.CODE '1' TO CONTINUE.

1
Continue
End of Vision measures using autorefractor module
Blood samples, including consents

CONSENT TO BLOOD SAMPLING If you agree I would now like to take a sample of your blood. As explained in the information sheet, this is an important part of the study, because the blood can be analysed in a number of ways. Some tests will be performed in the lab as soon as they receive the sample. Other tests may be done in future on portions of blood which have been stored frozen for many years. There is currently interest in genetic tests which use the DNA contained in white blood cells, and you were sent a separate leaflet explaining this. Do you have any questions about the blood collection or the storage of blood or DNA for medical research purposes?

1
Question/s asked
2
No question/s asked

We need your written permission to collect a blood sample, to store portions of it for future research, to use the DNA, and to store the white blood cells so that in future they can be used as a renewable source of DNA. You can choose whether to give your signed consent for each of these four things.

1
Collect blood
2
Store blood
3
Extract DNA
4
Cell cultures
8
No consents given
IF consent given for blood samples to be taken
qc_BLCONS2 == 1

NURSE: NOW FOLLOWS THE BLOOD SAMPLE MODULE.

1
Press &lt;1&gt; and &lt;Enter&gt; to continue

May I just check, do you have a clotting or bleeding disorder or are you currently on anti-coagulant drugs such as Warfarin? NB ASPIRIN THERAPY IS NOT A CONTRAINDICATION FOR BLOOD SAMPLE.

1
Yes
2
No
IF does cohort member have clotting disorder = No
qc_CLOTB == 2

May I just check, have you had a fit (including epileptic fit, convulsion, convulsion associated with high fever) in the last THREE years?

1
Yes
2
No
IF has cohort member had a fit = No
qc_FIT == 2

How long ago did you have anything to eat or drink, excluding water - please include snacks and cups of tea, coffee, alcohol or soft drinks?

1
Less than half an hour ago
2
Between half an hour and an hour ago,
3
1 hour but less than 2 hours ago,
4
2 hours but less than 4 hours ago,
5
4 hours but less than 8 hours ago,
6
More than 8 hours ago?
7
(Can't remember)
IF consent not given for blood samples to be taken
qc_BLCONS2 == 8

RECORD WHY BLOOD SAMPLE REFUSED.

1
Previous difficulties with venepuncture
2
Dislike/fear of needles
3
Cohort member recently had blood test/health check
4
Refused because of current illness
5
Worried about HIV or AIDS
6
Other
IF consent not given for blood samples to be taken AND does cohort member have clotting disorder = No AND has cohort member had a fit = No
qc_BLCONS2 == 8 && qc_CLOTB == 2 && qc_FIT == 2

TAKE BLOOD SAMPLES: FILL FOUR TUBES IN THIS ORDER: * tube 1: RED (EDTA) - DO NOT PRE-EVACUATE TUBE * tube 2: GREEN (citrate) - DO PRE-EVACUATE TUBE * tube 3: WHITE (Plain/serum) - DO PRE-EVACUATE TUBE * tube 4: YELLOW (CPDA) - DO PRE-EVACUATE TUBE Enter '1' to continue.

1
Continue

CODE IF RED EDTA TUBE FILLED OR PARTLY FILLED

1
Yes - completely filled
2
Partly filled
3
No

CODE IF GREEN CITRATE TUBE FILLED OR PARTLY FILLED

1
Yes - completely filled
2
Partly filled
3
No

CODE IF WHITE SERUM TUBE FILLED OR PARTLY FILLED

1
Yes - completely filled
2
Partly filled
3
No

CODE IF YELLOW CPDA TUBE FILLED OR PARTLY FILLED

1
Yes - completely filled
2
Partly filled
3
No
IF blood sample outcome = Blood sample obtained

RECORD WHICH ARM BLOOD TAKEN FROM:

1
Right
2
Left
3
Both

RECORD ANY PROBLEMS IN TAKING BLOOD SAMPLE.

1
No problem
2
Incomplete sample
3
Collapsing/poor veins
4
Second attempt necessary
5
Some blood obtained, but cohort member felt faint/fainted
6
Unable to use tourniquet
7
Other (SPECIFY AT NEXT QUESTION)
IF blood sample outcome = No blood sample obtained

CODE REASON(S) NO BLOOD OBTAINED.

1
No suitable or no palpable vein/collapsed veins
2
Cohort member was too anxious/nervous
3
Cohort member felt faint/fainted
4
Other
IF whether red EDTA tube filled = Yes, completely filled, Partially filled OR whether green citrate tube filled= Yes, completely filled, Partially filled OR whether white serum tube filled = Yes, completely filled, Partially filled OR whether yellow CPDA tube filled = Yes, completely filled, Partially filled
qc_SAMPF1 == 1 || qc_SAMPF1 == 2 || qc_SAMPF2 == 1 || qc_SAMPF2 == 2 || qc_SAMPF3 == 1 || qc_SAMPF3 == 2 || qc_SAMPF4 == 1 || qc_SAMPF4 == 2

NURSE: WHILE THE COHORT MEMBER IS COMPLETING THE CASI (NEXT SECTION): - ATTACH A SERIAL NUMBER BAR CODE LABEL TO EACH TUBE - WRITE YOUR NURSE NUMBER AND THE DATE AND TIME OF COLLECTION ON EACH TUBE COMPLETE THE BLOOD SAMPLE DESPATCH NOTES PRESS '1'TO CONTINUE

1
Continue
End of Blood samples, including consents module
CASI self-completion questionnaire: AUDIT and questions about drinking; questions about childhood experiences

READ OUT TO ALL: The next set of questions will probably be easier if you read them and answer them yourself, using the computer. The computer is very easy to use. The questions are quite personal and, this way, your answers will be completely confidential and I won't see them. When you have finished, the whole section will get automatically locked up inside the computer so that I can't look back at it.

1
Continue

NURSE CODE:

1
Respondent accepted CASI
2
CASI to be asked face to face by nurse
3
Respondent refused CASI (CODE REASON AT NEXT QUESTION)
IF whether cohort member accepts CASI = Respondent accepted CASI, CASI to be asked face-to-face
qc_SCACCEPT == 1 || qc_SCACCEPT == 2

It is very important to the study that you answer honestly and accurately so please take your time. [First, let us do a couple of practice questions together to show you how it works. HAND COMPUTER TO RESPONDENT AND EXPLAIN HOW [HE/SHE] SHOULD COMPLETE THE PRACTICE QUESTIONS.]

1
Continue
IF whether cohort member accepts CASI = Respondent accepted CASI
qc_SCACCEPT == 1

Have you ever used a computer before?

1
Yes
2
No

Have you used a typewriter at all?

1
Yes, a lot
2
Yes, a little
3
No

Which of these things have you done in the last seven days?

1
Watched television
2
Listened to music
3
Read a book
4
Read a magazine
5
Bought something other than food in a shop, supermarket or warehouse
6
Played sports or exercised (indoors or outside)
7
Been to a theatre or cinema
8
Been to a pub, club or restaurant
9
Been to a concert or other performance of live music
10
Watched a sports event (in person, not on TV)
11
Visited a museum or art gallery
12
Visited a theme park or other type of visitor attraction

THAT IS THE END OF THE PRACTICE QUESTIONS. NOW PLEASE ANSWER THE NEXT SET OF QUESTIONS BY YOURSELF.

1
Press &lt;1&gt; and &lt;Enter&gt; to continue
IF whether cohort member accepts CASI = Respondent refused CASI
qc_SCACCEPT == 3

NURSE: ENTER REASON WHY CM HAS REFUSED THE CASI MODULE

Long text
IF whether cohort member accepts CASI = Respondent accepted CASI, CASI to be asked face-to-face
qc_SCACCEPT == 1 || qc_SCACCEPT == 2

How often do you have a drink containing alcohol?

1
Not in the last 12 months
2
Once a month or less
3
Two to four times a month
4
Two or three times a week
5
Four or more times a week
IF how often do you have a drink = Not in the last 12 months
qc_DRINKFQ == 1

Have you ever drunk alcohol?

1
Yes
2
No
IF how often do you have a drink = Once a month or less, Two to four times a month, Two or three times a week, Four or more times a week
qc_DRINKFQ == 2 || qc_DRINKFQ == 3 || qc_DRINKFQ == 4 || qc_DRINKFQ == 5

How many standard drinks do you have on a typical day, when you are drinking? A standard drink means half a pint of normal strength beer, or a small glass of wine or a single pub measure of spirits.

1
One or two
2
Three or four
3
Five or six
4
Seven to nine
5
Ten or more

How often do you have six or more standard drinks on one occasion?

1
Never
2
Monthly or less
3
Monthly
4
Weekly
5
Daily or almost daily

How often during the last year have you found that you were not able to stop drinking once you had started?

1
Never
2
Monthly or less
3
Monthly
4
Weekly
5
Daily or almost daily

How often during the last year have you failed to do what was normally expected from you because of drinking?

1
Never
2
Monthly or less
3
Monthly
4
Weekly
5
Daily or almost daily

How often during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session?

1
Never
2
Monthly or less
3
Monthly
4
Weekly
5
Daily or almost daily

How often during the last year have you had a feeling of guilt or regret after drinking?

1
Never
2
Monthly or less
3
Monthly
4
Weekly
5
Daily or almost daily

How often during the last year have you been unable to remember what happened the night before because you had been drinking?

1
Never
2
Monthly or less
3
Monthly
4
Weekly
5
Daily or almost daily
IF how often do you have a drink = Once a month or less, Two to four times a month, Two or three times a week, Four or more times a week OR have you ever drunk alcohol = Yes
qc_DRINKFQ == 2 || qc_DRINKFQ == 3 || qc_DRINKFQ == 4 || qc_DRINKFQ == 5 || qc_DRINKANY == 1

Have you or has someone else been injured as a result of your drinking?

1
No
2
Yes, but not in the last year
3
Yes, during the last year

Has a relative, friend, doctor or other health worker been concerned about your drinking or suggested that you cut down?

1
No
2
Yes, but not in the last year
3
Yes, during the last year

Think back to when your regular drinking was at its highest level. The next two questions are about the time when you were drinking at your highest level over a period of three months or longer. During the time your drinking was at its highest level, how often did you have a drink containing alcohol?

1
Monthly or less
2
Two to four times a month
3
Two or three times a week
4
Four or more times a week

During the time your drinking was at its highest level, how many standard drinks did you have on a typical day?

1
One or two
2
Three or four
3
Five or six
4
Seven to nine
5
Ten or more
IF how often do you have a drink = Not in the last 12 months AND have you ever drunk alcohol = No
qc_DRINKFQ == 1 && qc_DRINKANY == 2

Please indicate your reasons for not drinking. You can choose as many as apply. If more than one answer applies, type the first number then press the SPACE bar then type the next number then press the space bar again etc. When you have entered all the numbers that apply, press the ENTER key.

1
I do not like the taste or smell
2
Alcohol damages people's health
3
I do not like the effect alcohol has on me.
4
I have seen the bad influence alcohol has on other people
5
One of my parents had or has a drink problem
6
My friends do not drink
7
I drive and alcohol is dangerous for driving
8
I look after my weight and alcohol has a high calorie value
9
I am an active person and alcohol harms physical fitness
10
I am afraid of becoming dependent on alcohol
11
My family disapproves of drinking
12
Alcoholic drinks cost a lot of money
13
Alcohol could affect my work or studies
14
My religion disapproves of alcohol use
15
Other
IF reasons for not drinking = Other
qc_DRINKNOT == 15

Please could you say briefly what other reason you have for not drinking.

Long text
IF how often do you have a drink = Once a month or less AND drinking at its highest level = Monthly or less
qc_DRINKFQ == 2 && qc_DRHIGH == 1

Please indicate if any of the following have influenced your drinking. You can choose as many as apply. If more than one answer applies, type the first number then press the SPACE bar then type the next number then press the space bar again etc. When you have entered all the numbers that apply, press the ENTER key.

1
I do not like the taste or smell
2
Alcohol damages people's health
3
I do not like the effect alcohol has on me.
4
I have seen the bad influence alcohol has on other people
5
One of my parents had or has a drink problem
6
My friends do not drink
7
I drive and alcohol is dangerous for driving
8
I look after my weight and alcohol has a high calorie value
9
I am an active person and alcohol harms physical fitness
10
I am afraid of becoming dependent on alcohol
11
My family disapproves of drinking
12
Alcoholic drinks cost a lot of money
13
Alcohol could affect my work or studies
14
My religion disapproves of alcohol use
15
Other
IF influences on drinking =- Other
qc_DRLEVEL == 15

Please could you say briefly what other things influenced your drinking.

Long text
IF have you ever drunk alcohol = Yes AND drinking at its highest level = Monthly or less, Two to four times a month, Two or three times a week, Four or more times a week
qc_DRINKANY == 1 && {qc_DRHIGH == 1 || qc_DRHIGH == 2 || qc_DRHIGH == 3 || qc_DRHIGH == 4}

Why did you give up drinking alcohol? You can choose as many as apply. If more than one answer applies, type the first number then press the SPACE bar then type the next number then press the space bar again etc. When you have entered all the numbers that apply, press the ENTER key.

1
I had problems with drink-driving
2
I was spending too much money on alcohol
3
Alcohol was damaging my health
4
I was too dependent on alcohol
5
My family or friends disapproved of my drinking
6
Drinking was damaging my relationships with other people.
7
I was overweight and needed to cut down on drinking
8
Drinking was interfering too much with my work or studies
9
I gave up for religious reasons
10
I saw the bad influence alcohol has on other people
11
One of my parents had or has a drink problem
12
I did not like the taste or smell
13
Alcohol damages people's health
14
I did not like the effect alcohol has on me.
15
(Women only) I gave up drinking when I became pregnant
16
Other
IF why gave up drinking = Other
qc_DRSTOP1 == 16

Please could you say briefly what other reason caused you to give up alcohol.

Long text
IF how often do you have a drink = Once a month or less AND drinking at its highest level = Two to four times a month, Two or three times a week, Four or more times a week
qc_DRINKFQ == 2 && {qc_DRHIGH == 2 || qc_DRHIGH == 3 || qc_DRHIGH == 4}

Why did you cut down on your drinking? You can choose as many as apply. If more than one answer applies, type the first number then press the SPACE bar then type the next number then press the space bar again etc. When you have entered all the numbers that apply, press the ENTER key.

1
I had problems with drink-driving
2
I was spending too much money on alcohol
3
Alcohol was damaging my health
4
I was too dependent on alcohol
5
My family or friends disapproved of my drinking
6
Drinking was damaging my relationships with other people.
7
I was overweight and needed to cut out drinking
8
Drinking was interfering too much with my work or studies
9
I cut down for religious reasons
10
I saw the bad influence alcohol has on other people
11
One of my parents had or has a drink problem
12
I did not like the taste or smell
13
Alcohol damages people's health
14
I did not like the effect alcohol has on me.
15
(Women only) I cut down my drinking when I became pregnant
16
Other
IF why cut down drinking = Other
qc_DRCUT == 16

Please you say briefly what other reason caused you to cut down on alcohol.

Long text

The next few questions are about your childhood. Thinking about your childhood, up to the age of 16, how affectionate was your father (or father-figure) towards you?

1
A lot
2
Somewhat
3
A little
4
Not at all
5
I had no father figure
6
Can't say
IF NOT how affectionate was your father = No father figure
qc_CHAD1 != 5

Did your father (or father figure) suffer from nervous or emotional trouble or depression?

1
Yes
2
No

Did your father (or father figure) have trouble with drinking or other drug use?

1
Yes
2
No

Thinking about your childhood, up to the age of 16, how affectionate was your mother (or mother-figure) towards you?

1
A lot
2
Somewhat
3
A little
4
Not at all
5
I had no mother figure
6
Can't say
IF NOT how affectionate was your mother = No mother figure
qc_CHAD4 != 5

Did your mother (or mother figure) suffer from nervous or emotional trouble or depression?

1
Yes
2
No

Did your mother (or mother figure) have trouble with drinking or other drug use?

1
Yes
2
No

How much conflict and tension was there in your household while you were growing up?

1
A lot
2
Some
3
A little
4
None

The following are statements about your childhood. For each, please say whether the statement applies to you. Firstly, I had a happy childhood

1
Yes
2
No
3
Can't say

My parents (or parent-figures) did their best for me

1
Yes
2
No
3
Can't say

I was neglected

1
Yes
2
No
3
Can't say

I had a strict, authoritarian or regimented upbringing

1
Yes
2
No
3
Can't say

I grew up in poverty or financial hardship

1
Yes
2
No
3
Can't say

I was verbally abused by a parent (or parent-figure)

1
Yes
2
No
3
Can't say

I suffered humiliation, ridicule, bullying or mental cruelty from a parent (or parent-figure)

1
Yes
2
No
3
Can't say

I witnessed physical or sexual abuse of others in my family

1
Yes
2
No
3
Can't say

I was physically abused by a parent - punched, kicked or hit or beaten with an object, or needed medical treatment

1
Yes
2
No
3
Can't say

I received too much physical punishment - hitting, smacking etc

1
Yes
2
No
3
Can't say

I was sexually abused by a parent (or parent-figure)

1
Yes
2
No
3
Can't say

I suffered another type of mistreatment

1
Yes
2
No
3
Can't say
IF suffered another type of mistreatment = Yes
qc_CHAD9L == 1

In what other way were you mistreated by your parents (or parent-figures)?

Generic text

Still thinking about your childhood, would you say you had a normal upbringing?

1
Yes
2
No
3
Can't say

That was the last question for you to answer on the computer yourself. We hope that you were able to answer the questions without too much trouble. Now that you have reached the end, thinking back, are there any answers you would like to change, or is there anything you would like to add to any of the answers you have given?

1
I would like to change one (or more) answers
2
I would like to add some information
3
No changes
IF that was the last question = I would like to change
qc_SATIS == 1

Please ask the nurse for assistance about how you may go back to a question in order to change your answer. The nurse will NOT have to look at the computer screen or be told any of your answers in order to help. When you come back to this screen, type 1 and press to continue.

1
Continue
IF that was the last question = I would like to add something
qc_SATIS == 2

Please type anything you would like to add, or ask the nurse for some paper to write your comments.

Long text

Thank you very much for answering these questions. Please now type 1 and press .

1
Continue
IF thank you very much = Continue
qc_ENDCASI1 == 1

Please now type 1 and press again (This will lock-up your answers.) Then hand the computer back to the nurse.

1
Continue

NURSE CODE:

1
CASI section only partially completed (SPECIFY REASON AT NEXT QUESTION)
2
CASI section completed with no help/advice asked for during completion
3
CASI section completed with some help/advice during completion
IF CASI outcome = Only partially completed
qc_RESULTSC == 1

TYPE IN REASON FOR PARTIAL/NON-COMPLETION.

Generic text
End of CASI self-completion questionnaire: AUDIT and questions about drinking; questions about childhood experiences
Clinical Interview Schedule - Revised (CIS-R)
IF consent to questions about mental health = Yes
qc_CIDIWILL == 1

NURSE: THE NEXT SECTION IS THE CIS-R INTERVIEW. MAKE SURE THE CM CAN ANSWER THESE QUESTIONS IN CONFIDENCE. PLEASE EXPLAIN THAT THESE QUESTIONS ARE CONFIDENTIAL, AND ASK ANYONE ELSE IN THE ROOM TO LEAVE FOR A FEW MINUTES. MAKE SURE THAT THE INTERVIEW CANNOT BE OVERHEARD.

1
Press &lt;1&gt; and &lt;Enter&gt; to continue

Now I would like to ask you some questions about your general health. Have you noticed a marked loss in your appetite in the past month?

1
Yes
2
No

Have you lost any weight in the past month?

1
Yes
2
No/don't know
IF lost any weight = Yes
qc_APPET2 == 1

Were you trying to lose weight or on a diet?

1
Yes
2
No
IF trying to lose weight = No
qc_APPET3 == 2

Did you lose half a stone or more, or did you lose less than this? ( NOTE: HALF A STONE = 7 POUNDS = 3.25 KILOS)

1
Lost half a stone or more
2
Lost less than half a stone
IF lost any weight = No/don't know
qc_APPET2 == 2

Have you noticed a marked increase in your appetite over the past month?

1
Yes
2
No

Have you gained weight in the past month?

1
Yes
2
No/don't know

The following questions are about how you think and feel about things. Have you noticed that you've been getting tired in the past month?

1
Yes
2
No
IF getting tired in the past month = No
qc_FATIGA == 2

During the past month, have you felt you've been lacking in energy?

1
Yes
2
No
IF getting tired in the past month = Yes OR lacking in energy = Yes
qc_FATIGA == 1 || qc_FATIGB == 1

Do you know why you have been [getting tired/lacking in energy]?

1
Yes
2
No
IF know why cohort member has been tired or lacking in energy = Yes
qc_FATIGC == 1

What is the main reason? CODE ONE ONLY

1
Problems with sleep
2
Medication
3
Physical illness
4
Working too hard (inc. housework, looking after baby)
5
Stress, worry or other psychological reason
6
Physical exercise
97
Other (SPECIFY)
IF main reason tired or lacking in energy = Other
qc_FATIGD == 97

Please specify other MAIN reason

Long text
IF NOT main reason tired or lacking in energy = Physical exercise
qc_FATIGD != 6

In the past seven days, including last [day of interview] on how many days have you felt [tired or lacking in energy]?

1
4 days or more
2
1 to 3 days
3
None
IF on how many days felt tired or lacking in energy = 4 days or more, 1 to 3 days
qc_FATIGE == 1 || qc_FATIGE == 2

Have you felt [tired/lacking in energy] for more than 3 hours in total on any day in the past week?

1
Yes
2
No

Have you felt so [tired/lacking in energy] that you've had to push yourself to get things done during the past week?

1
Yes, on at least one occasion
2
No

Have you felt [tired/lacking in energy] when doing things that you enjoy during the past week?

1
Yes, at least once
2
No
3
IF SPONTANEOUS [Does not enjoy anything]
IF Tired or lacking in energy when doing things you enjoy = No, Does not enjoy anything
qc_FATIGH == 2 || qc_FATIGH == 3

Have you in the past week felt [tired/lacking in energy] when doing things that you used to enjoy?

1
Yes
2
No
IF on how many days felt tired or lacking in energy = 4 days or more, 1 to 3 days
qc_FATIGE == 1 || qc_FATIGE == 2

How long have you been [tired/lacking in energy] in the way you have just described?

1
less than 2 weeks
2
2 weeks but less than 6 months
3
6 months but less than 1 year
4
1 year but less than 2 years
5
2 years or more

In the past month, have you had any problems in concentrating on what you are doing?

1
Yes, problems concentrating
2
No

Have you noticed any problems with forgetting things in the past month?

1
Yes
2
No
IF problems in concentrating = Yes OR problems with forgetting things = Yes
qc_FORGETA == 1 || qc_FORGETB == 1

Since last [day of week] on how many days have you noticed problems with your [concentration/memory]?

1
4 days or more
2
1 to 3 days
3
None
IF on how many days had problems with concentration or memory = 4 days or more, 1 to 3 days
qc_FORGETA == 1 && {qc_FORGETC == 1 || qc_FORGETC == 2}

In the past week could you concentrate on a TV programme, read a newspaper article or talk to someone without your mind wandering?

1
Yes
2
No/not always

In the past week, have these problems with your concentration actually stopped you from getting on with things you used to do or would like to do?

1
Yes
2
No
IF problems with forgetting things = Yes
qc_FORGETB == 1

Earlier you said you have been forgetting things, have you forgotten anything important in the past seven days?

1
Yes
2
No
IF on how many days had problems with concentration or memory = 4 days or more, 1 to 3 days OR forgotten anything important = Yes
qc_FORGETC == 1 || qc_FORGETC == 2 || qc_FORGETF == 1

How long have you been having the problems with your [concentration/memory] as you have described?

1
less than 2 weeks
2
2 weeks but less than 6 months
3
6 months but less than 1 year
4
1 year but less than 2 years
5
2 years or more

In the past month, have you been having problems with trying to get to sleep or with getting back to sleep if you woke up or were woken up?

1
Yes
2
No
IF problems with trying to get to sleep = No
qc_SLEEPA == 2

Has sleeping more than you usually do been a problem for you in the past month?

1
Yes
2
No
IF problems with trying to get to sleep = Yes OR sleeping more than usual = Yes
qc_SLEEPA == 1 || qc_SLEEPB == 1

On how many of the past seven nights did you have problems with your sleep?

1
4 nights or more
2
1 to 3 nights
3
None
IF on how many days had problems with sleep = 4 days or more, 1 to 3 days
qc_SLEEPC == 1 || qc_SLEEPC == 2

Do you know why you are having problems with your sleep?

1
Yes
2
No
IF problems with trying to get to sleep = Yes AND on how many days had problems with sleep = 4 days or more, 1 to 3 days
qc_SLEEPA == 1 && {qc_SLEEPC == 1 || qc_SLEEPC = 2}

Thinking about the night you had the least sleep in the past week, how long did you spend trying to get to sleep? (If you woke up or were woken up I want you to allow a quarter of an hour to get back to sleep)

1
Less than 1/4 hour
2
At least 1/4 hr but less than 1 hr
3
At least 1 hr but less than 3 hrs
4
3 hrs or more
IF how long spent trying to get to sleep = 3 hours or more
qc_SLEEPF == 4

In the past week, on how many nights did you spend 3 or more hours trying to get to sleep?

1
4 nights or more
2
1 to 3 nights
3
None
IF problems with trying to get to sleep = Yes AND on how many days had problems with sleep = 4 days or more, 1 to 3 days AND how long spent trying to get to sleep = At least 1/4 hour, At least 1 hour, 3 hours or more
qc_SLEEPA == 1 && {qc_SLEEPC == 1 || qc_SLEEPC == 2} && qc_SLEEPF != 1

Do you wake more than two hours earlier than you need to and then find you can't get back to sleep?

1
Yes
2
No
IF sleeping more than usual = Yes
qc_SLEEPB == 1

Thinking about the night you slept the longest in the past week, how much longer did you sleep compared with how long you normally sleep for?

1
Less than 1/4 hour
2
At least 1/4 hr but less than 1 hr
3
At least 1 hr but less than 3 hrs
4
3 hrs or more
IF how long spent trying to get to sleep = 3 hours or more
qc_SLEEPI == 4

In the past week, on how many nights did you sleep for more than 3 hours longer than you usually do?

1
4 nights or more
2
1 to 3 nights
3
None
IF problems with trying to get to sleep = Yes AND on how many days had problems with sleep = 4 days or more, 1 to 3 days AND how long spent trying to get to sleep = At least 1/4 hour, At least 1 hour, 3 hours or more
qc_SLEEPA == 1 && {qc_SLEEPC == 1 || qc_SLEEPC == 2} && qc_SLEEPF != 1

How long have you had these problems with your sleep as you have described?

1
less than 2 weeks
2
2 weeks but less than 6 months
3
6 months but less than 1 year
4
1 year but less than 2 years
5
2 years or more

Many people become irritable or short tempered at times, though they may not show it. Have you felt irritable or short tempered with those around you in the past month?

1
Yes/no more than usual
2
No
IF irritable or short tempered in the last month = No
qc_IRRITA == 2

During the past month did you get short tempered or angry over things which now seem trivial when you look back on them?

1
Yes
2
No
IF irritable or short tempered in the last month = Yes OR short tempered or angry over trivial things = Yes
qc_IRRITA == 1 || qc_IRRITB == 1

Since last [day of week], on how many days have you felt [irritable or short tempered/angry]?

1
4 days or more
2
1 to 3 days
3
None
IF on how many days irritable or angry = 4 days or more, 1 to 3 days
qc_IRRITC == 1 || qc_IRRITC == 2

In total, have you felt [irritable or short tempered/angry] for more than one hour on any day in the past week?

1
Yes
2
No

During the past week, have you felt so [irritable or short tempered/angry] that you have wanted to shout at someone, even if you haven't actually shouted?

1
Yes
2
No

In the past seven days, have you had arguments, rows or quarrels or lost your temper with anyone?

1
Yes
2
No
IF had arguments, rows or quarrels = Yes
qc_IRRITG == 1

Did this happen once or more than once in the past week?

1
Once
2
More than once
IF arguments, rows or quarrels more than once = Once
qc_IRRITH == 1

Do you think this was justified?

1
Yes, justified
2
No, not justified
IF arguments, rows or quarrels more than once = More than once
qc_IRRITH == 2

Do you think this was justified on every occasion?

1
Yes
2
No, at least one was unjustified
IF on how many days irritable or angry = 4 days or more, 1 to 3 days
qc_IRRITC == 1 || qc_IRRITC == 2

How long have you been feeling [irritable or short tempered/angry] as you have described?

1
less than 2 weeks
2
2 weeks but less than 6 months
3
6 months but less than 1 year
4
1 year but less than 2 years
5
2 years or more

Almost everyone becomes sad, miserable or depressed at times. Have you had a spell of feeling sad, miserable or depressed in the past month?

1
Yes
2
No

During the past month, have you been able to enjoy or take an interest in things as much as you usually do?

1
Yes
2
No/no enjoyment or interest
IF sad, miserable or depressed in last month = Yes
qc_DEPA == 1

In the past week have you had a spell of feeling sad, miserable or depressed?

1
Yes
2
No
IF able to enjoy or take an interest = No
qc_DEPB == 2

In the past week have you been able to enjoy or take an interest in things as much as usual?

1
Yes
2
No
IF sad, miserable or depressed in last week = Yes OR able to enjoy or take an interest in last week = No
qc_DEPC == 1 || qc_DEPD == 2

Since last [day of the week] on how many days have you felt [sad, miserable or depressed / unable to enjoy or take an interest in things]?

1
4 days or more
2
2 to 3 days
3
1 day

Have you felt [sad, miserable or depressed / unable to enjoy or take an interest in things] for more than 3 hours in total (on any day in the past week)?

1
Yes
2
No

In the past week when you felt [sad, miserable or depressed / unable to enjoy or take an interest in things], did you ever become happier when something nice happened, or when you were in company?

1
Yes, at least once
2
No

How long have you been feeling [sad, miserable or depressed / unable to enjoy or take an interest in things] as you have described?

1
Less than 2 weeks
2
2 weeks but less than 6 months
3
6 months but less than 1 year
4
1 year but less than 2 years
5
2 years or more
IF DEPSUM > 0

I would now like to ask you about when you have been feeling [sad, miserable or depressed / unable to enjoy or take an interest in things]. In the past week, was this worse in the morning or in the evening, or did this make no difference?

1
in the morning
2
in the evening
3
no difference/other

Many people find that feeling sad, miserable or depressed/unable to enjoy or take an interest in things can affect their interest in sex. Over the past month, do you think your interest in sex has ...READ OUT...

1
Increased
2
Decreased
3
or has it stayed the same?
4
(Spontaneous [NOT APPLICABLE]

When you have felt [sad, miserable or depressed / unable to enjoy or take an interest in things] in the past seven days ...READ OUT... have you been so restless that you couldn't sit still?

1
Yes
2
No

Have you been doing things more slowly, for example, walking more slowly?

1
Yes
2
No

Have you been less talkative than normal?

1
Yes
2
No

Now, thinking about the past seven days have you on at least one occasion felt guilty or blamed yourself when things went wrong when it hasn't been your fault?

1
Yes, at least once
2
No

During the past week, have you been feeling you are not as good as other people?

1
Yes
2
No

Have you felt hopeless at all during the past seven days, for instance about your future?

1
Yes
2
No

In the past week, have you felt that life isn't worth living?

1
Yes
2
(IF RESPONDENT VOLUNTEERS) Yes, but not in the past week
3
No
IF felt life isn't worth living = Yes
qc_SUIC1 == 1

In the past week, have you thought of killing yourself?

1
Yes
2
(IF RESPONDENT VOLUNTEERS) Yes, but not in the past week
3
No
IF thought of suicide = Yes
qc_SUIC2 == 1

Have you talked to a doctor about these thoughts (of killing yourself)?

1
Yes
2
(IF RESPONDENT VOLUNTEERS) No, but has talked to other people
3
No
IF talked to a doctor = No talked to other people, No
qc_SUIC3 == 2 || qc_SUIC3 == 3

(You have said that you have been thinking about committing suicide) Since this is a very serious matter, it is important that you talk to a doctor about these thoughts. PRESS '1' TO CONTINUE

1
Continue

Have you been feeling anxious or nervous in the past month?

1
Yes, anxious or nervous
2
No
IF anxious or nervous in past month = No
qc_ANXA == 2

In the past month, did you ever find your muscles felt tense or that you couldn't relax?

1
Yes
2
No

Some people have phobias; they get nervous or uncomfortable about specific things or situations when there is no real danger. For instance they may get nervous when speaking or eating in front of strangers, when they are far from home or in crowded rooms, or they may have a fear of heights. Others become nervous at the sight of things like blood or spiders. In the past month have you felt anxious, nervous or tense about any specific things or situations when there was no real danger?

1
Yes
2
No
IF anxious or nervous in past month = Yes OR muscles tense or couldn't relax = Yes AND nervous when no real danger = Yes
{qc_ANXA == 1 || qc_ANXB == 1} && qc_ANXC == 1

In the past month, when you [felt anxious or nervous/tense], was this always brought on by the phobia about some specific situation or thing or did you sometimes feel generally anxious/nervous/tense?

1
Always brought on by phobia
2
Sometimes felt generally anxious
IF anxious or nervous in past month = Yes OR muscles tense or couldn't relax = Yes AND nervous when no real danger = No OR feelings brought on by specific situation = Sometimes generally anxious
{qc_ANXA == 1 || qc_ANXB == 1} && {qc_ANXC == 2 || qc_ANXD == 2}

The next questions are concerned with general anxiety/nervousness/tension only. [I will ask you about the anxiety which is brought on by the phobia about specific things or situations later] On how many of the past seven days have you felt generally anxious/nervous/tense?

1
4 days or more
2
1 to 3 days
3
None
IF on how many days anxious, nervous, tense = 4 days or more, 1 to 3 days
qc_ANXE == 1 || qc_ANXE == 2

In the past week, has your anxiety/nervousness/tension been ...READ OUT...

1
very unpleasant
2
a little unpleasant
3
or not unpleasant?

In the past week, when you've been anxious/nervous/tense, have you had any of the symptoms shown on this card? CODE ALL THAT APPLY

1
Heart racing or pounding
2
Hands sweating or shaking
3
Feeling dizzy
4
Difficulty getting your breath
5
Butterflies in stomach
6
Dry mouth
7
Nausea or feeling as though you wanted to vomit
96
None of these

Have you felt anxious/nervous/tense for more than 3 hours in total on any one of the past seven days?

1
Yes
2
No

How long have you had these feelings of general anxiety/nervousness/tension as you described?

1
less than 2 weeks
2
2 weeks but less than 6 months
3
6 months but less than 1 year
4
1 year but less than 2 years
5
2 years or more
IF nervous when no real danger = No
qc_ANXC == 2

Sometimes people avoid a specific situation or thing because they have a phobia about it. For instance, some people avoid eating in public or avoid going to busy places because it would make them feel nervous or anxious. In the past month, have you avoided any situation or thing because it would have made you feel nervous or anxious, even though there was no real danger?

1
Yes
2
No
IF nervous when no real danger = Yes
qc_ANXC == 1

Can you look at this card and tell me which of the situations or things listed made you the most anxious/nervous/tense in the past month? INTERVIEWER: CODE ONE ONLY

1
Crowds or public places, including travelling alone or being far from home
2
Enclosed spaces
3
Social situations, including eating or speaking in public, being watched or stared at
4
The sight of blood or injury
5
Any specific single cause including insects, spiders and heights
97
Other (SPECIFY)
IF situations or things that made cohort member most nervous = Other
qc_PHOBB == 97

What other situations or things?

Long text
IF avoid a specific situation or thing = Yes
qc_PHOBA == 1

Can you look at this card and tell me which of the situations or things did you avoid the most in the past month? INTERVIEWER: CODE ONE ONLY

1
Crowds or public places, including travelling alone or being far from home
2
Enclosed spaces
3
Social situations, including eating or speaking in public, being watched or stared at
4
The sight of blood or injury
5
Any specific single cause including insects, spiders and heights
97
Other (SPECIFY)
IF which situation or things avoided = Other
qc_PHOBC == 97

Please specify other

Long text
IF nervous when no real danger = Yes
qc_ANXC == 1

In the past seven days, how many times have you felt nervous or anxious about this situation or thing?

1
4 times or more
2
1 to 3 times
3
None
IF on how many days nervous or anxious about situation or thing = 4 days or more, 1 to 3 days
qc_PHOBD == 1 || qc_PHOBD == 2

In the past week, on those occasions when you felt anxious/nervous tense did you have any of the symptoms on this card? INTERVIEWER: CODE ALL THAT APPLY

1
Heart racing or pounding
2
Hands sweating or shaking
3
Feeling dizzy
4
Difficulty getting your breath
5
Butterflies in stomach
6
Dry mouth
7
Nausea or feeling as though you wanted to vomit
96
None of these
IF nervous when no real danger = Yes
qc_ANXC == 1

In the past week, have you avoided any situation or thing because it would have made you feel anxious/nervous/tense even though there was no real danger?

1
Yes
2
No
IF avoided situation or thing in past week = Yes
qc_PHOBF == 1

How many times have you avoided such situations or things in the past seven days?

1
1 to 3 times
2
4 times or more
3
None
IF on how many days nervous or anxious about situation or thing = 4 days or more, 1 to 3 days OR how many times avoided situation or thing = 1 to 3 times, 4 times or more
qc_PHOBD == 2 || qc_PHOBD == 1 || qc_PHOBG == 1 || qc_PHOBG == 2

How long have you been having these feelings about these situations/things as you have just described?

1
less than 2 weeks
2
2 weeks but less than 6 months
3
6 months but less than 1 year
4
1 year but less than 2 years
5
2 years or more
IF anxious or nervous in past month = Yes OR muscles tense or couldn't relax = Yes OR nervous when no real danger = Yes
qc_ANXA == 1 || qc_ANXB == 1 || qc_ANXC == 1

Thinking about the past month, did your anxiety or tension ever get so bad that you got in a panic, for instance make you feel that you might collapse or lose control unless you did something about it?

1
Yes
2
No
IF got in a panic = Yes
qc_PANICA == 1

How often has this happened in the past week?

1
Once
2
More than once
3
Not at all
IF how often got in a panic = Once, More than once
qc_PANICB == 1 || qc_PANICB == 2

In the past week, have these feelings of panic been ...READ OUT...

1
... a little uncomfortable or unpleasant,
2
or have they been very unpleasant or unbearable?

Did [this panic/the worst of these panics] last for longer than 10 minutes?

1
Yes
2
No

Are you relatively free of anxiety between these panics?

1
Yes
2
No

Is this panic always brought on by the same situation/thing ?

1
Yes
2
No
IF how often got in a panic = Once, More than once
qc_PANICB == 1 || qc_PANICB == 2

How long have you been having these feelings of panic as you have described?

1
less than 2 weeks
2
2 weeks but less than 6 months
3
6 months but less than 1 year
4
1 year but less than 2 years
5
2 years or more
IF CISR.OVER.TotSum >= 2

Now I would like to ask you how all of these things that you have told me about have affected you overall. In the past week, has the way you have been feeling ever actually stopped you from getting on with things you used to do or would like to do?

1
Yes
2
No
IF stopped from getting on with things = Yes
qc_OVERALLA == 1

In the past week, has the way you have been feeling stopped you doing things once or more than once?

1
Once
2
More than once
Else

Has the way you have been feeling made things more difficult even though you have got everything done?

1
Yes
2
No
End of Clinical Interview Schedule - Revised (CIS-R)
Saliva Collection

Finally, we need to collect a couple of samples of your saliva. Saliva contains a substance called cortisol, which is a measure of stress. Because cortisol levels vary during the day, we need to take samples at specific times. Would you be willing to take samples of your saliva during the next couple of days. It won't take very much time. We will give you an envelope to post the samples to us.

1
Yes
2
No
IF willing to take samples of saliva = Yes
qc_SALINTRO == 1

COMPLETE FIRST PART OF CONSENT FORM 3 - SALIVA SAMPLE. ASK COHORT MEMBER TO SIGN AND DATE THE FORM. ENTER '1' TO CONTINUE

1
Continue

SHOW COHORT MEMBER THE 'SALIVETTE' TUBES. EXPLAIN THE PROCEDURE: SWAB IN TUBE LEAVE PLASTIC ON SWAB PUT IN MOUTH AND CHEW UNTIL SOAKED (USUALLY ABOUT 1 MINUTE) RETURN SWAB TO TUBE, PUT CAP BACK ON. CODE '1' TO CONTINUE

1
Continue

SHOW RESPONDENT RED AND BLUE DOTS ON CAPS. RED DOT FOR FIRST SAMPLE - 45 MINUTES AFTER WAKING UP (BEFORE BREAKFAST). IMPORTANT, DON'T CLEAN TEETH, EAT OR DRINK ANYTHING FIRST, ESPECIALLY NO FRUIT OR FRUIT JUICES. BLUE DOT FOR SECOND SAMPLE - 3 HOURS AFTER FIRST SAMPLE. IMPORTANT, DON'T EAT OR DRINK IN THE 15 MINUTES BEFORE SAMPLE (EG BEFORE LUNCH). CODE '1' TO CONTINUE

1
Continue

GIVE COHORT MEMBER INSTRUCTION LEAFLET, RETURN FORM AND ENVELOPE. ATTACH ONE BARCODE LABEL ON BACK OF FORM AND ONE ON EACH SALIVETTE. EXPLAIN THE TWO SAMPLES TO BE TAKEN ON THE SAME DAY. WHAT TO DO IF SECOND SAMPLE MISSED OR TUBES LOST - PHONE FOR REPLACEMENTS, NUMBER ON LEAFLET. COHORT MEMBER SHOULD WRITE TIME AND DATE OF COLLECTION ON FORM. TUBES AND FORM IN ENVELOPE, POST. NO NEED FOR A STAMP. CODE '1' TO CONTINUE

1
Continue
End of Saliva collection module
Final consents and end of interview

Can I check, are you registered with a GP?

1
Yes
2
No
IF registered with GP = Yes
qc_GPREG == 1
IF any measures of vision obtained

We would like your permission to feed back some of your measurement and test results to your GP. May we send your GP your vision tests?

1
Yes
2
No
IF blood pressure measurements obtained

(We would like your permission to feed back some of your measurement and test results to your GP.) May we send your GP your Blood pressure and resting pulse rates?

1
Yes
2
No
IF any tests of hearing completed

(We would like your permission to feed back some of your measurement and test results to your GP.) May we send your GP your Hearing test results?

1
Yes
2
No
IF any measures of height, sitting height or weight obtained

(We would like your permission to feed back some of your measurement and test results to your GP.) May we send your GP your Height and weight results?

1
Yes
2
No
IF measures of waist or hip obtained

(We would like your permission to feed back some of your measurement and test results to your GP.) May we send your GP your Hip and waist results

1
Yes
2
No
IF measures of lung function obtained

(We would like your permission to feed back some of your measurement and test results to your GP.) May we send your GP your Lung function test results?

1
Yes
2
No
IF any blood samples taken

(We would like your permission to feed back some of your measurement and test results to your GP.) May we send your GP your Blood test results for blood cholesterol and glycosylated haemoglobin?

1
Yes
2
No
IF any blood samples taken

Would you like to be sent the results of your blood sample analysis?

1
Yes
2
No

NURSE CIRCLE CODES ON FRONT OF CONSENT BOOKLET. [FOR EACH CONSENT, SCREEN SHOWS WHICH CODE TO CIRCLE] IF ANY RESULTS TO GO TO GP WRITE DOWN GP'S NAME ADDRESS AND TELEPHONE NUMBER ON CONSENT BOOKLET, CHECK THE NAME BY WHICH GP KNOWS CM, AND CODE QUESTION 7.

1
PRESS 1 TO CONTINUE

Finally, there are two more things for which I need to seek your consent.

1
Consent given
2
Consent not given

READ OUT CONSENT 4b AND ASK CM TO SIGN AND DATE

1
Consent given
2
Consent not given

COLLECT LILAC SELF COMPLETION BOOKLET.

1
Complete/obtained
2
Not completed/obtained

NURSE: COLLECT YELLOW SELF-COMPLETION BOOKLET (SENT OUT BY OFFICE) AND CODE. GIVE ENVELOPE IF CM IS POSTING BOOKLET BACK TO OFFICE

1
Booklet completed and returned by nurse
2
Booklet left behind, CM will post
3
CM already returned booklet (NURSE: NOTE WHERE SENT ON ARF)
4
Refused

NURSE: THANK THE COHORT MEMBER FOR THEIR CO-OPERATION THEN PRESS <1> AND TO FINISH

1
Press &lt;1&gt; and &lt;Enter&gt; to continue
End of Final consents and end of interview module
END OF INTERVIEW
End

ncds_biomed

NCDS BIOMEDICAL SURVEY: CAPI QUESTIONNAIRE
Foreword
The interview was carried out by the research nurse as a computer-assisted personal interview (CAPI). The survey instrument was written as a computer program using BLAISE software. This is the documentation of the program. It shows the wording of questions, instructions to the nurse, routing (i.e. the rules which dictated the questions asked) and - at the end of the document - checks built into the program to ensure that data was entered correctly. The last include 'soft' checks, to remind nurses of procedures or signal improbable values, and 'hard' checks, which excluded values outside a pre-determined range or unacceptable combinations of response codes.
This is a record of the interview, rather than a guide to the archived data set. Variables derived as part of the CAPI program are included where these are essential parts of the output (e.g. summary variables based on several measurements) or are necessary to the routing of the questionnaire. Other variables in the data set, including variables produced as part of the editing process, are not shown.
THE QUESTIONNAIRE

Introduction and consents

SERIAL NUMBER. JUST PRESS <ENTER>.
Serial Number
Before we start the medical measurements, I would like to check that you have read the information which was sent to you in advance. There will be an opportunity later on to ask any questions about the blood and saliva samples, but in the meantime, do you have any questions at this stage about any of the other measurements?
1
No questions asked
2
Questions asked
Are you willing for me to test or measure your...
1
Vision?
2
Blood pressure?
3
Hearing?
4
Height and sitting height?
5
Weight?
6
Waist and hips?
7
Lung function?
8
(None)
And are you willing for me to ask you some questions related to mental health?
1
Yes
2
No
Before we start, I need to ask you to sign this form. It shows which measurements you have said you are willing for me to carry out. Please remember that if at any time you change your mind about any measurement you only need to tell me. I will also make a note of your decisions on this copy (NURSE: SHOW COHORT MEMBER COPY OF CONSENT BOOKLET) and then at the end of the interview I will leave this for you to keep for future reference. NURSE: ASK COHORT MEMBER TO READ, SIGN AND DATE COSENT FORM 1.
1
Press &lt;1&gt; and &lt;Enter&gt; to continue
NURSE: READ, SIGN AND DATE THE BOTTOM SECTION OF CONSENT FORM 1
1
Press &lt;1&gt; and &lt;Enter&gt; to continue
NURSE: TAKE OUT THERMOMETER AND PLACE IT ON SUITABLE SURFACE
1
Continue
End of Introduction and consents module

Near and distance vision

Earlier on you said that you didn't want your vision tested. Can you tell me why you said that or have you changed your mind since then?
1
Now willing to have test
2
Scared of equipment
3
Worried about the outcome
4
Other reason (specify at next question)
NURSE: GET COHORT MEMBER TO CHANGE CONSENT FORM-MEASUREMENTS AND INITIAL THE CHANGE.
1
Press &lt;1&gt; and &lt;Enter&gt; to continue
NURSE: TYPE IN REASON WHY NO MEASUREMENT TO BE TAKEN
Long text
NURSE: NO VISION TESTS TO BE TAKEN. PRESS '1' TO CONTINUE
1
Continue
The first of these measurements will be tests of your eyesight.
1
Yes, the cohort member seems to be visually impaired
2
No, the cohort member has no obvious signs of serious visual impairment
First, I need to know, do you wear glasses, contact lenses or other visual aids at all. This applies to anything you use either for reading or close work, for everyday activities, or for specific things like driving, playing sport or watching TV?
1
Yes
2
No
Can I check what you have?
1
Distance glasses only
2
Contact lenses only
3
Distance glasses and contact lenses worn at different times
4
Bifocals or varifocals
5
Reading glasses only
6
Separate distance glasses and reading glasses
7
Reading glasses and contact lenses
8
Distance glasses, and contact lenses and reading glasses all used
First I'm going to check your near vision. IF RESPONDENT EVER WEARS GLASSES OR CONTACT LENSES, ASK: Please put on what you would normally wear for reading or close work. If you don't wear glasses specially for reading or close work, please wear your usual distance glasses or contact lenses, even if you don't always use them.
1
no optical correction worn as none prescribed
2
distance glasses only
3
contact lenses only
4
reading glasses only
5
reading glasses with contact lenses
6
bifocals or varifocals
7
distance glasses, reading glasses not available
8
contact lenses, reading glasses not available
9
no optical correction worn as none available
Can you read the four words underneath the line marked N5? (AWARE-EAVES-SEA-CREAM)
1
Cohort member reads all words correctly
2
Not all words read correctly
ASK RESPONDENT TO READ OUT THE SMALLEST COMPLETE LINE OF WORDS THEY CAN MANAGE. CODE SIZE.
1
N36 text for posters
2
N24 display and advertise clearly
3
N18 nose-one-cause-even
4
N14 were-crone-our-summer
5
N12 name-use-means-arose
6
N10 near-can-remove-sure
7
N8 crow-verse-see-renew
8
N6 assume-once-vane-sum
9
Cannot read any line
CODE IF COHORT MEMBER IS USING VISUAL AIDS (MAGNIFIER) AS WELL AS GLASSES AND/OR LENSES.
1
Using additional visual aid
2
Not using any additional visual aids
Can you read the four words underneath the line marked N36 near the top of the chart? (TEXT FOR POSTERS)
1
Cohort member reads all words correctly
2
Not all words read correctly
ASK RESPONDENT TO READ OUT THE SMALLEST COMPLETE LINE OF WORDS THEY CAN MANAGE. CODE SIZE.
1
N5 aware-eaves-sea-cream
2
N6 assume-once-vane-sum
3
N8 crow-verse-see-renew
4
N10 near-can-remove-sure
5
N12 name-use-means-arose
6
N14 were-crone-our-summer
7
N18 nose-one-cause-even
8
N24 display and advertise clearly
9
Cannot read any line
What images can you see standing out on this card? Point to each one you can see and tell me what it is. CODE ALL THAT APPLY.
1
Star
2
Moon
3
Elephant
4
Car
5
Fourth image seen but not identified
6
No images correctly identified
7
Visually impaired: cannot see card
Now I'm going to check your distance vision, that is how well you see things which are a bit further away.For this you need to wear the glasses or contact lenses you use for activities such as going out, driving or watching TV.
1
No optical correction worn as none prescribed
2
distance glasses only
3
contact lenses only
4
bifocals or varifocals
5
no optical correction worn as none available
6
No optical correction worn for distance vision
TEST DISTANCE VISION, USING TESTING BOOKLET. TEST RIGHT EYE FIRST.ASK COHORT MEMBER TO COVER LEFT EYE WITH OCCLUDER. MEASURE 1.5 METRES BETWEEN EYE AND TESTING BOOKLET, AND MARK DISTANCE. CODE '1' TO CONTINUE.
1
Continue
Can you read the letters on this page?
1
Cohort member reads all letters correctly
2
Not all letters read correctly
CONTINUE TESTING RIGHT EYE UNTIL COHORT MEMBER CAN READ A COMPLETE LINE OF LETTERS. CODE SIZE OF LINE COMPLETED.
1
6/3.75
2
6/5
3
6/6
4
6/7.5
5
6/9.5
6
6/12
7
6/15
8
6/19
9
6/24
10
6/30
11
6/38
12
Cannot read any line
TEST RIGHT EYE USING PINHOLE. (KEEP GLASSES ON.) ASK COHORT MEMBER TO HOLD OCCLUDER OVER NOSE, COVERING LEFT EYE AND LOOKING THROUGH THE PINHOLE WITH RIGHT EYE. CODE '1' TO CONTINUE.
1
Continue
Can you read the letters on this page?
1
Cohort member reads all letters correctly
2
Not all letters read correctly
CONTINUE TESTING RIGHT EYE UNTIL COHORT MEMBER CAN READ A COMPLETE LINE OF LETTERS. CODE SIZE.
1
6/3.75
2
6/5
3
6/6
4
6/7.5
5
6/9.5
6
6/12
7
6/15
8
6/19
9
6/24
10
6/30
11
6/38
12
Cannot read any line
TEST LEFT EYE. ASK COHORT MEMBER TO COVER RIGHT EYE WITH OCCLUDER. CODE '1' TO CONTINUE.
1
Continue
Can you read the letters on this page?
1
Cohort member reads all letters correctly
2
Not all letters read correctly
CONTINUE TESTING LEFT EYE UNTIL COHORT MEMBER CAN READ A COMPLETE LINE OF LETTERS. CODE SIZE.
1
6/3.75
2
6/5
3
6/6
4
6/7.5
5
6/9.5
6
6/12
7
6/15
8
6/19
9
6/24
10
6/30
11
6/38
12
Cannot read any line
TEST LEFT EYE USING PINHOLE. (KEEP GLASSES ON.) ASK COHORT MEMBER TO HOLD OCCLUDER OVER NOSE, COVERING RIGHT EYE AND LOOKING THROUGH THE PINHOLE WITH LEFT EYE. CODE '1' TO CONTINUE.
1
Continue
Can you read the letters on this page?
1
Cohort member reads all letters correctly
2
Not all letters read correctly
CONTINUE TESTING LEFT EYE UNTIL COHORT MEMBER CAN READ A COMPLETE LINE OF LETTERS. CODE SIZE.