Start
nshd_50
STRICTLY CONFIDENTIAL
SECOND FOLLOW-UP SURVEY
ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS POPULATION INVESTIGATION COMMITTEE
INSTITUTE OF CHILD HEALTH
i

Mother's Name

Generic text
ii

Address

Generic text
iii

If she has moved what is her present address?

Generic text
iv

In what M. & C.W. Authority is it?

Generic text
IF SHE HAS MOVED TO ANOTHER M. & C.W. AUTHORITY RETURN THIS FORM AT ONCE TO WHOEVER HAS BEEN DELEGATED BY YOUR MEDICAL OFFICER OF HEALTH TO RECEIVE IT.
Approach to the Mother.
Remind her that at in 1946 and 1948 she gave us most valuable information about herself and her child. We new want to find out what progress her child has made during the last two years. All information she gives will, of course, be ABSOLUTELY CONFIDENTIAL.
How to fill in this form.
This inquiry refers throughout to the CHILD BORN IN MARCH, 1946.
The questions are printed in heavy type and the mother's answers in light type. Instructions to the interviewer are in italics.
Some questions are pre-coded and should be answered by putting a ring with a soft per.cil round the code number or letter oppcsite the mother's answer. If her answer does not fit any alternative, write it below the question itself. If the mother refuses or is unable to amwer any question ring 'X ' or 'XX' for "no answer". If a question does not apply to this child ring 'Y' or 'YY' for "does not apply". EVERY QUESTION SHOULD BE ANSWERED. Before leaving the mother please check through the questionnaire to make sure that this has been done.
If this child has died, please try to obtain all the details you can about his health up to the date of his death. However, use your own judgment in leaving out any questions that might cause embarrassment.
Before you interview this mother read through the questionnaire and answer as many questions as possible from your records and those of the Infant Welfare Center. Check with the mother when you interview her all the answers you have obtained from the records.
If a mother refuses to be interviewed, try to find out her reasons and write them in the space provided. Then fill in as much as you can from the records and RETURN THE FORM WITH THE OTHERS YOU HAVE COMPLETED.
When you have completed your interviews, hand the questionnaires to whoever has been delegated by your Medical Officer of Health to receive them.
(Ring with a soft pencil the code number opposite the mother's answer)
v

Christian Names of child BORN IN MARCH 1946

Generic text
vi

National Registation No

Generic text
1

If mother not interviewed because she was ill, refused, etc., give reasons

Generic text
If this child has died,
2 a

please state:- Age at death ... years ... months.

Age
Months
YY
Question does not apply
XX
No answer
2 b

please state: Cause of death (as given on death certificate)

Generic text
(For all living Children)
3

Where is this child now living?

1
At home
2
With relatives
3
Adopted
4
Residential nursery
5
Ill in hospital
6
Elsewhere, namely
X
No answer
Other
I. ACCIDENTS
4
Has this child ever had an accident in which he was BURNT or SCALDED, BROKE A BONE, or was BADLY CUT or BRUISED?

(Only record accidents treated in hospital (in-patients and out-patients), nursing home or by Doctor or District Nurse).

-

1 - Yes

2 - No

X - No Answer
Burns or Scalds
Broken Bones
Bad Cuts or Bruises
(If " Yes,"
qc_4 == 1
4 i
please give the following details about each accident in turn, starting with the earliest and ending with the most recent. Any accidents recorded in the 1948 survey are entered in red. Please check this information and fill in any gaps).
Type of injury (enter as BURN, SCALD, BROKEN BONE, CUT, BRUISE, or combination of these) Part or Parts injured Age when injured (in years and months) Treatment: Hosp. I.P., Hosp. O.P., Nursing Home, Doctor, Nurse Name and Address of Hospital, Nursing Home, Doctor or Nurse giving treatment (If in-patient) Length of stay in Hospital or N. Home (in days)
How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many
First Accident 1
Subsequent Accidents 2
Subsequent Accidents 3
Subsequent Accidents 4
4 ii
please give the following details about each accident in turn, starting with the earliest and ending with the most recent. Any accidents recorded in the 1948 survey are entered in red. Please check this information and fill in any gaps).
Details of how each ACCIDENT OCCURRED (if burnt by fire, say whether electric, gas, open fire or stove) Details of remaining Scarring, Disability or Deformity
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
First Accident 1
Subsequent Accidents 2
Subsequent Accidents 3
Subsequent Accidents 4
II. INFECTIOUS DISEASES
5 i

Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Whooping Cough

1
Yes
2
No
X
No Answer
5 ii

Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Measles

1
Yes
2
No
X
No Answer
5 iii

Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Mumps

1
Yes
2
No
X
No Answer
(If " Yes,"
qc_5_i == 1 || qc_5_ii == 1 || qc_5_iii == 1
5 i(a)
please give the following details)
Age at onset (in years and months) Treatment:- Hospital I.P. Hospital O.P. Nursing Home, Doctor, Other.
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
WHOOPING COUGH
MEASLES
MUMPS
III. DISCHARGE FROM EARS
6

Has this child ever had discharge of pus from his ears?

1
Yes
2
No
X
No answer
(If " Yes,"
qc_6 == 1
6 i

please give the following details.) Age at first attack (years and months)

Age
Months
6 ii

please give the following details.) Age when ear finally ceased discharging

Generic text
6 iii

please give the following details.) Treatment:- Hospital I.P. Hospital O.P. Nursing Home, Doctor, Other

Generic text
IV. COLDS
(i.e. running or blocked nose even if there is no other complication.)
7
Please give the following details about COLDS in your family since CHRISTMAS, 1949.
cs_q7_Y Other children aged cs_dash cs_q7

1 - Continual Colds

2 - Frequent Colds 4 or more

3 - Occasional Colds less than 4

4 - No Colds

X - No answer
This Child 1 -
This Child 2 -
This Child 3 -
Mother 1 -
Mother 2 -
Mother 3 -
Father 1 -
Father 2 -
Father 3 -
V. CIRCUMCISION
(Male children only. Code Y or YY for females)
8

Has this child been circumcised?

1
Yes
2
No
Y
Question does not apply
X
No answer
(If " Yes.")
qc_8 == 1
8 a

At what age was he circumcised? ... months

Age in months
YY
Question does not apply
XX
No answer
8 b

Were there any complications?

1
Yes
2
No
Y
Question does not apply
X
No answer
(If " Yes ")
qc_8_b == 1
8 b(i)

Please give full details of complications and treatment.

Generic text
VI. HOSPITAL AND NURSING HOME IN-PATIENT TREATMENT
(Include all illnesses, etc., even if recorded earlier in this questionnaire, i.e., accidents, infectious diseases and discharging ears.)
9

Has this child ever been an IN-PATIENT in Hospital or in a Nursing Home?

1
Yes
2
No
X
No answer
(If " Yes,"
qc_9 == 1
9 i
please give the following details about each ADMISSION.

When a single illness involves more than one admission, give separate information about each period in Hospital.)

Nature of illness Nature of Operation performed (if any) Age on admission (in years and months) Name and Address of Hospital or Nursing Home Length of stay in Hosp. or N. Home Details of any remaining disability from this illness (Put NONE if child completely recovered) Length of stay in Convalescent Home (if any)
Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text
First Admission 1
Subsequent Admissions 2
Subsequent Admissions 3
Subsequent Admissions 4
Subsequent Admissions 5
Subsequent Admissions 6
(For all children going to hospital.)
9 a

Have you noticed any differences in the behaviour of your child since he came back home? If so, please give details Yes, namely

Long text
2
No
Y
Question does not apply
X
No answer
10

Remarks on any illnesses or disabilities not recorded above.

Long text
VII. SLEEPING ARRANGEMENTS
11

Does this child sleep in a room by himself or in a room with others?

1
By himself
2
With others
X
No answer
(If " with others ")
qc_11 == 2
11 a(i)
Who sleeps in his room?

(include this child)

No.
How many
Parents
Children under 10
Males 10 or over
Females 10 or over
11 a(ii)

Who sleeps in his room?

(include this child)

Y
Question does not apply
X
No answer
11 b

Does he sleep in his own bed or with others?

1
Own bed
2
With children under 10
3
With parents
4
With others over 10
Y
Question does not apply
X
No answer
12 a

Do you take him up and 'pot' him at night before you yourself go to bed?

1
Yes always
2
Yes sometimes
3
Never
X
No answer
12 b

Is he dry by night?

1
Not wet during last 4 weeks
2
Wet occasionally
3
Wet several nights a week
4
Wet every night
X
No answer
VIII. THIS CHILD'S HABITS
13 a

Do you find any difficulty in getting him to eat?

1
Yes
2
No
X
No answer
13 b(i)

What did this child have for each meal yesterday? Breakfast

Generic text
13 b(ii)

What did this child have for each meal yesterday? Dinner

Generic text
13 b(iii)

What did this child have for each meal yesterday? Tea or high tea

Generic text
13 b(iv)

What did this child have for each meal yesterday? Last thing at night

Generic text
13 c

Do you give him food between meals?

1
Yes
2
No
X
No answer
14 a

Where does this child usually play?

1
In the house
2
In the yard or garden
3
In the street
4
In park or open space
5
Elsewhere, namely
X
No answer
14 b

With whom does he usually play?

1
By himself
2
With brothers and sisters
3
With other children
4
Other, namely
X
No answer
15

What is the longest time you have been separated from this child? ... days when he was ... months old

How many
Age in months
Y
Never separated
X
No answer
IX. WELFARE CENTRES
(These questions refer only to child born in March 1946)
16 a

When did you last take this child to a Welfare Centre?

Generic date
(Ask all mothers even if they have not taken this child to a centre.)
16 b

How long does it (or would it) take you to get to the Welfare Centre? ... minutes

How many
XX
No answer
16 c

How do you (or would you) get there?

1
Walk
2
Special bus or car provided by local authority
3
'Bus or Tram
4
Other, namely
X
No answer
X. NURSERIES, ETC.
17

Has this child ever been to a

1
Day Nursery L.A.
2
Day Nursery Factory
3
Day Nursery Private
4
Nursery School L.A.
5
Nursery School Private
6
Nursery Class
7
Residential Nursery
8
Daily Minder (Registered with L.A.)
9
Other, namely
0
None of these
X
No answer
(Please give the following details about all children taken to any of these)
qc_17 >= 1 && qc_17 <= 9
_child < 4 _child < 4
17 i

TYPE OF NURSERY, ETC.

(Put code given in Question 17 above)

Generic text
17 ii

AGE OF THIS CHILD AT First attending

Age
17 iii

AGE OF THIS CHILD AT Ceasing to attend

Age
17 iv

Hours per day spent at Nursery, etc.

Hours in day
XI. THE MOTHER
18 i

Who helps you with the care of this child and with the housework? Child (regular help)

1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom'tic
6
Trained Nannie
0
Not helped at all
X
No Answer
18 ii

Who helps you with the care of this child and with the housework? Child (occasional help)

1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom'tic
6
Trained Nannie
0
Not helped at all
X
No Answer
18 iii

Who helps you with the care of this child and with the housework? Housework (regular help)

1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom'tic
6
Trained Nannie
0
Not helped at all
X
No Answer
18 iv

Who helps you with the care of this child and with the housework? Housework (occasional help)

1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom'tic
6
Trained Nannie
0
Not helped at all
X
No Answer
19

Have you been in paid work (either inside or outside the home) since the birth of this child in 1946?

1
Yes
2
No
X
No answer
(If " Yes,"
qc_19 == 1
19 i
please give the following details of each period of employment.)
Exact nature of work Approx. hrs. per week Date of taking job Date of leaving job
Hours in weekGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateHours in weekGeneric dateGeneric textGeneric dateHours in weekGeneric dateGeneric textHours in weekGeneric date Hours in weekGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateHours in weekGeneric dateGeneric textGeneric dateHours in weekGeneric dateGeneric textHours in weekGeneric date Hours in weekGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateHours in weekGeneric dateGeneric textGeneric dateHours in weekGeneric dateGeneric textHours in weekGeneric date Hours in weekGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateHours in weekGeneric dateGeneric textGeneric dateHours in weekGeneric dateGeneric textHours in weekGeneric date
1
2
3
4
20

Have you been pregnant since 1946? (i.e. AFTER the birth of this child).

1
Yes
2
No
X
No answer
(If " Yes,"
qc_20 == 1
20 i
please give the following details of each pregnancy.)
Date of delivery (month and year) Sex of child Birth weight (to nearest 1/4 lb) Result of delivery (live birth, still birth or miscarriage)
Pounds FGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric datePounds FGeneric textGeneric textGeneric datePounds FGeneric dateGeneric textPounds FGeneric text Pounds FGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric datePounds FGeneric textGeneric textGeneric datePounds FGeneric dateGeneric textPounds FGeneric text Pounds FGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric datePounds FGeneric textGeneric textGeneric datePounds FGeneric dateGeneric textPounds FGeneric text Pounds FGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric datePounds FGeneric textGeneric textGeneric datePounds FGeneric dateGeneric textPounds FGeneric text
1
2
3
4
(If now pregnant.)
20 ii

Expected date of delivery

Generic date
XII. OCCUPATION OF PRESENT HUSBAND
(i.e. not necesarily the father of this child)
(If Unemployed, ill, dead, etc., this information should relate to the last job.)
21 a

What is your husband's occupation.

Generic text
21 b

In what industry does he work?

Generic text
21 c

Does he:-

p
Earn a weekly wage?
q
Earn a monthly salary?
r
Work for himself or employ less than 10 people?
s
Employ 10 or more people?
21 d

If your husband's work regularly keeps him away from home for 24 hours or more at a time, please give details

Generic text
XIII. THE HOUSEHOLD
22
Constitution of the household (i.e., all those whom the mother looks after).
This Mother's own children, self and husband Others (including step and adopted children other relations, lodgers, domestics) TOTAL
How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many
Less than 5 years
5 years to 14 years 11 months
15 years and over
TOTAL IN HOUSEHOLD
22 a

Which grandparents, if any, live in this household?

1
Wife's mother
2
Wife's father
3
Husband's mother
4
Husband's father
5
No grandparent
X
No Answer
23 i

Rooms occupied by this household. Bedrooms

How many
23 ii

Rooms occupied by this household. Living Rooms (include Kitchen only if used as a Living Room, exclude Scullery) Own Living Rooms

How many
23 iii

Rooms occupied by this household. Living Rooms (include Kitchen only if used as a Living Room, exclude Scullery) Shared Living Rooms

How many
23 iv

Rooms occupied by this household. Total

How many
XIV. MEASUREMENTS
24

Birth weight of this child. ... lbs. ... ozs.

(This is asked to test the mother's memory. So please do not answer from you records or correct an answer you know to be wrong.)

Pounds I
Ounces in pound
PLEASE MAKE ARRANGEMENTS FOR THE MOTHER TO BRING THIS CHILD TO BE WEIGHED EITHER AT THE INFANT WELFARE CENTRE OR WHEREVER ELSE SCALES MAY BE AVAILABLE.
25 a

Present weight (WITHOUT CLOTHES). ... lbs.

(Give to nearest QUARTER POUND.)

Pounds F
25 a(i)

Clothes worn, if any

Generic text
25 b

Present standing height (WITHOUT SHOES) ... feet ... inches

(Give to NEAREST INCH).

Feet
Inches in foot
XV. HEALTH VISITOR'S COMMENTS
WILL HEALTH VISITORS PLEASE FILL IN THIS SECTION FROM THEIR OWN KNOWLEDGE OF THE FAMILY. WE HOPE THAT THE ANSWERS TO THESE QUESTIONS WILL ENABLE US TO SEPARATE THE VERY GOOD AND THE INEFFICIENT MOTHERS FROM THE LARGE GROUP OF "AVERAGE" MOTHERS. SO, IN QUESTIONS 26 (c) (f) & (g) WHICH ASK FOR ASSESSMENTS, THIS MOTHER SHOULD BE COMPARED WITH ALL THE OTHERS IN YOUR CARE AND PUT AS "AVERAGE" (IN RESPECT OF 'CARE,' 'CLEANLINESS' ETC.) UNLESS SHE IS AMONG THE BEST OR AMONG THE WORST MOTHERS YOU HAVE TO DEAL WITH.
CARE OF CHILD AND HOME
26 a

Do you know this family as well as or less well than the majority of other families in your care?

1
As well as the others
2
Less well than the others
X
No answer
26 b

Have you found this Mother willing or unwilling to accept your advice and help?

1
Average
2
Very willing
3
Unwilling
X
No answer
26 c

How does the Mother's management and understanding of this child compare with the standard among other mothers in your care?

(This question refers to mother's sympathy and understanding, NOT to cleanliness of child or home)

1
Average
2
Among the best
3
Among the worst
X
No answer
26 d

Is this child's clothing in a satisfactory or unsatisfactory state of repair?

1
Satisfactory
2
Unsatisfactory
X
No answer
26 e

Are this child's shoes of satisfactory or unsatisfactory size and type.

1
Satisfactory
2
Unsatisfactory
X
No answer
26 f

Please compare (f) the cleanliness of this child and (g) the cleanliness of this home with the standard of others in your care. Cleanliness of child

1
Average
2
Among the most clean
3
Among the least clean
X
No Answer
26 g

Please compare (f) the cleanliness of this child and (g) the cleanliness of this home with the standard of others in your care. Cleanliness of home

1
Average
2
Among the most clean
3
Among the least clean
X
No Answer
27

Please give details of any special lack of facilities in this dwelling which makes it difficult for this Mother to bring up her child or manage her home.

Generic text
28

Please state from your own knowledge whether the parents of this child are

1
Living together
2
Legally separated
3
Otherwise separated
4
Divorced
5
Widowed
6
Other, namely
X
No answer
INFANT WELFARE SERVICES
29 a

Does this Local Authority have a Toddlers' clinic to which this child could be taken?

1
Yes
2
No
X
No answer
29 b(i)

How many times has this child been to a Toddlers' clinic or welfare centre in 1948 and 1949? 1948 ... times

(If never taken put " 0 ".)

How many
29 b(ii)

How many times has this child been to a Toddlers' clinic or welfare centre in 1948 and 1949? 1949 ... times

(If never taken put " 0 ".)

How many
29 c
Please give number of visits paid by Health Visitors to this child in 1946, 1947, 1948 and 1949.

(Put " 0 " if no visits.)

Number of Visits 1946 Number of Visits 1947 Number of Visits 1948 Number of Visits 1949
How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many
By Health Visitor making this interview
By other Health Visitors
THE DWELLING
30 a

Type of dwelling?

1
Whole house
2
Self-contained flat
3
Part of house (all amenities but no front door)
4
Unfurnished rooms
5
Furnished rooms
6
Other, namely
X
No answer
(If flat or part of house)
qc_30_a == 2 || qc_30_a == 3
30 b

On which floor is this dwelling? ... floor

Generic text
Y
Question does not apply
X
No answer
31 a

Ownership of dwelling

1
Owner occupier
2
Private landlord
3
Council
4
Other, namely
X
No answer
31 b

Approximate age of dwelling

1
Built before 1919
2
Built 1919-1939
3
Built since 1939
X
No Answer
32

Please give your assessment of the state of repair of the dwelling

1
Average
2
Very good
3
Bad
X
No Answer
33

Is there a yard or garden attached to this dwelling where this child can play?

1
Yes
2
No
X
No answer
33 i

PLEASE COMMENT FREELY ON THE STATE OF REPAIR OF THE DWELLING:-

Long text
vii

Date of interview

Generic date
viii

Time taken

Time taken
End

nshd_50

s_intro_i
STRICTLY CONFIDENTIAL
s_intro_ii
SECOND FOLLOW-UP SURVEY
s_intro_iii
ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS POPULATION INVESTIGATION COMMITTEE
s_intro_iv
INSTITUTE OF CHILD HEALTH
i
Mother's Name
Generic text
ii
Address
Generic text
iii
If she has moved what is her present address?
Generic text
iv
In what M. & C.W. Authority is it?
Generic text
s_intro_v
IF SHE HAS MOVED TO ANOTHER M. & C.W. AUTHORITY RETURN THIS FORM AT ONCE TO WHOEVER HAS BEEN DELEGATED BY YOUR MEDICAL OFFICER OF HEALTH TO RECEIVE IT.
s_intro_vi
Approach to the Mother.
s_intro_vii
Remind her that at in 1946 and 1948 she gave us most valuable information about herself and her child. We new want to find out what progress her child has made during the last two years. All information she gives will, of course, be ABSOLUTELY CONFIDENTIAL.
s_intro_viii
How to fill in this form.
s_intro_ix
This inquiry refers throughout to the CHILD BORN IN MARCH, 1946.
s_intro_x
The questions are printed in heavy type and the mother's answers in light type. Instructions to the interviewer are in italics.
s_intro_xi
Some questions are pre-coded and should be answered by putting a ring with a soft per.cil round the code number or letter oppcsite the mother's answer. If her answer does not fit any alternative, write it below the question itself. If the mother refuses or is unable to amwer any question ring 'X ' or 'XX' for "no answer". If a question does not apply to this child ring 'Y' or 'YY' for "does not apply". EVERY QUESTION SHOULD BE ANSWERED. Before leaving the mother please check through the questionnaire to make sure that this has been done.
s_intro_xii
If this child has died, please try to obtain all the details you can about his health up to the date of his death. However, use your own judgment in leaving out any questions that might cause embarrassment.
s_intro_xiii
Before you interview this mother read through the questionnaire and answer as many questions as possible from your records and those of the Infant Welfare Center. Check with the mother when you interview her all the answers you have obtained from the records.
s_intro_xiv
If a mother refuses to be interviewed, try to find out her reasons and write them in the space provided. Then fill in as much as you can from the records and RETURN THE FORM WITH THE OTHERS YOU HAVE COMPLETED.
s_intro_xv
When you have completed your interviews, hand the questionnaires to whoever has been delegated by your Medical Officer of Health to receive them.
s_intro_xvi
(Ring with a soft pencil the code number opposite the mother's answer)
v
Christian Names of child BORN IN MARCH 1946
Generic text
vi
National Registation No
Generic text
1
If mother not interviewed because she was ill, refused, etc., give reasons
Generic text
2 a
please state:- Age at death ... years ... months.
Age
Months
YY
Question does not apply
XX
No answer
If this child has died,
2 b
please state: Cause of death (as given on death certificate)
Generic text
If this child has died,
3
Where is this child now living?
1
At home
2
With relatives
3
Adopted
4
Residential nursery
5
Ill in hospital
6
Elsewhere, namely
X
No answer
Other
(For all living Children)

I. ACCIDENTS

4

Has this child ever had an accident in which he was BURNT or SCALDED, BROKE A BONE, or was BADLY CUT or BRUISED?

-

1 - Yes

2 - No

X - No Answer
Burns or Scalds
Broken Bones
Bad Cuts or Bruises
4 i

please give the following details about each accident in turn, starting with the earliest and ending with the most recent. Any accidents recorded in the 1948 survey are entered in red. Please check this information and fill in any gaps).

Type of injury (enter as BURN, SCALD, BROKEN BONE, CUT, BRUISE, or combination of these) Part or Parts injured Age when injured (in years and months) Treatment: Hosp. I.P., Hosp. O.P., Nursing Home, Doctor, Nurse Name and Address of Hospital, Nursing Home, Doctor or Nurse giving treatment (If in-patient) Length of stay in Hospital or N. Home (in days)
How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many How manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow manyHow manyGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textHow many
First Accident 1
Subsequent Accidents 2
Subsequent Accidents 3
Subsequent Accidents 4
(If " Yes,"
4 ii

please give the following details about each accident in turn, starting with the earliest and ending with the most recent. Any accidents recorded in the 1948 survey are entered in red. Please check this information and fill in any gaps).

Details of how each ACCIDENT OCCURRED (if burnt by fire, say whether electric, gas, open fire or stove) Details of remaining Scarring, Disability or Deformity
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
First Accident 1
Subsequent Accidents 2
Subsequent Accidents 3
Subsequent Accidents 4
(If " Yes,"

II. INFECTIOUS DISEASES

5 i
Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Whooping Cough
1
Yes
2
No
X
No Answer
5 ii
Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Measles
1
Yes
2
No
X
No Answer
5 iii
Has this child ever had WHOOPING COUGH, MEASLES or MUMPS? Mumps
1
Yes
2
No
X
No Answer
5 i(a)

please give the following details)

Age at onset (in years and months) Treatment:- Hospital I.P. Hospital O.P. Nursing Home, Doctor, Other.
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
WHOOPING COUGH
MEASLES
MUMPS
(If " Yes,"

III. DISCHARGE FROM EARS

6
Has this child ever had discharge of pus from his ears?
1
Yes
2
No
X
No answer
6 i
please give the following details.) Age at first attack (years and months)
Age
Months
(If " Yes,"
6 ii
please give the following details.) Age when ear finally ceased discharging
Generic text
(If " Yes,"
6 iii
please give the following details.) Treatment:- Hospital I.P. Hospital O.P. Nursing Home, Doctor, Other
Generic text
(If " Yes,"

IV. COLDS

s_colds
(i.e. running or blocked nose even if there is no other complication.)
7

Please give the following details about COLDS in your family since CHRISTMAS, 1949.

cs_q7_Y Other children aged cs_dash cs_q7

1 - Continual Colds

2 - Frequent Colds 4 or more

3 - Occasional Colds less than 4

4 - No Colds

X - No answer
This Child 1 -
This Child 2 -
This Child 3 -
Mother 1 -
Mother 2 -
Mother 3 -
Father 1 -
Father 2 -
Father 3 -

V. CIRCUMCISION

s_circumcision
(Male children only. Code Y or YY for females)
8
Has this child been circumcised?
1
Yes
2
No
Y
Question does not apply
X
No answer
8 a
At what age was he circumcised? ... months
Age in months
YY
Question does not apply
XX
No answer
(If " Yes.")
8 b
Were there any complications?
1
Yes
2
No
Y
Question does not apply
X
No answer
(If " Yes.")
8 b(i)
Please give full details of complications and treatment.
Generic text
(If " Yes.")
(If " Yes ")

VI. HOSPITAL AND NURSING HOME IN-PATIENT TREATMENT

s_hospitalandnursinghomeinpatientteatment
(Include all illnesses, etc., even if recorded earlier in this questionnaire, i.e., accidents, infectious diseases and discharging ears.)
9
Has this child ever been an IN-PATIENT in Hospital or in a Nursing Home?
1
Yes
2
No
X
No answer
9 i

please give the following details about each ADMISSION.

Nature of illness Nature of Operation performed (if any) Age on admission (in years and months) Name and Address of Hospital or Nursing Home Length of stay in Hosp. or N. Home Details of any remaining disability from this illness (Put NONE if child completely recovered) Length of stay in Convalescent Home (if any)
Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text
First Admission 1
Subsequent Admissions 2
Subsequent Admissions 3
Subsequent Admissions 4
Subsequent Admissions 5
Subsequent Admissions 6
(If " Yes,"
s_q9a
(For all children going to hospital.)
(If " Yes,"
9 a
Have you noticed any differences in the behaviour of your child since he came back home? If so, please give details Yes, namely
Long text
2
No
Y
Question does not apply
X
No answer
(If " Yes,"
10
Remarks on any illnesses or disabilities not recorded above.
Long text

VII. SLEEPING ARRANGEMENTS

11
Does this child sleep in a room by himself or in a room with others?
1
By himself
2
With others
X
No answer
11 a(i)

Who sleeps in his room?

No.
How many
Parents
Children under 10
Males 10 or over
Females 10 or over
(If " with others ")
11 a(ii)
Who sleeps in his room?
Y
Question does not apply
X
No answer
(If " with others ")
11 b
Does he sleep in his own bed or with others?
1
Own bed
2
With children under 10
3
With parents
4
With others over 10
Y
Question does not apply
X
No answer
(If " with others ")
12 a
Do you take him up and 'pot' him at night before you yourself go to bed?
1
Yes always
2
Yes sometimes
3
Never
X
No answer
12 b
Is he dry by night?
1
Not wet during last 4 weeks
2
Wet occasionally
3
Wet several nights a week
4
Wet every night
X
No answer

VIII. THIS CHILD'S HABITS

13 a
Do you find any difficulty in getting him to eat?
1
Yes
2
No
X
No answer
13 b(i)
What did this child have for each meal yesterday? Breakfast
Generic text
13 b(ii)
What did this child have for each meal yesterday? Dinner
Generic text
13 b(iii)
What did this child have for each meal yesterday? Tea or high tea
Generic text
13 b(iv)
What did this child have for each meal yesterday? Last thing at night
Generic text
13 c
Do you give him food between meals?
1
Yes
2
No
X
No answer
14 a
Where does this child usually play?
1
In the house
2
In the yard or garden
3
In the street
4
In park or open space
5
Elsewhere, namely
X
No answer
14 b
With whom does he usually play?
1
By himself
2
With brothers and sisters
3
With other children
4
Other, namely
X
No answer
15
What is the longest time you have been separated from this child? ... days when he was ... months old
How many
Age in months
Y
Never separated
X
No answer

IX. WELFARE CENTRES

s_welfarecentres_i
(These questions refer only to child born in March 1946)
16 a
When did you last take this child to a Welfare Centre?
Generic date
s_q16a
(Ask all mothers even if they have not taken this child to a centre.)
16 b
How long does it (or would it) take you to get to the Welfare Centre? ... minutes
How many
XX
No answer
16 c
How do you (or would you) get there?
1
Walk
2
Special bus or car provided by local authority
3
'Bus or Tram
4
Other, namely
X
No answer

X. NURSERIES, ETC.

17
Has this child ever been to a
1
Day Nursery L.A.
2
Day Nursery Factory
3
Day Nursery Private
4
Nursery School L.A.
5
Nursery School Private
6
Nursery Class
7
Residential Nursery
8
Daily Minder (Registered with L.A.)
9
Other, namely
0
None of these
X
No answer

_child < 4

17 i
TYPE OF NURSERY, ETC.
Generic text
(Please give the following details about all children taken to any of these)
17 ii
AGE OF THIS CHILD AT First attending
Age
(Please give the following details about all children taken to any of these)
17 iii
AGE OF THIS CHILD AT Ceasing to attend
Age
(Please give the following details about all children taken to any of these)
17 iv
Hours per day spent at Nursery, etc.
Hours in day
(Please give the following details about all children taken to any of these)

XI. THE MOTHER

18 i
Who helps you with the care of this child and with the housework? Child (regular help)
1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom'tic
6
Trained Nannie
0
Not helped at all
X
No Answer
18 ii
Who helps you with the care of this child and with the housework? Child (occasional help)
1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom'tic
6
Trained Nannie
0
Not helped at all
X
No Answer
18 iii
Who helps you with the care of this child and with the housework? Housework (regular help)
1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom'tic
6
Trained Nannie
0
Not helped at all
X
No Answer
18 iv
Who helps you with the care of this child and with the housework? Housework (occasional help)
1
Husband
2
Other children
3
Grandparents or in-laws
4
Other relations or friends
5
Daily help, char or dom'tic
6
Trained Nannie
0
Not helped at all
X
No Answer
19
Have you been in paid work (either inside or outside the home) since the birth of this child in 1946?
1
Yes
2
No
X
No answer
19 i

please give the following details of each period of employment.)

Exact nature of work Approx. hrs. per week Date of taking job Date of leaving job
Hours in weekGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateHours in weekGeneric dateGeneric textGeneric dateHours in weekGeneric dateGeneric textHours in weekGeneric date Hours in weekGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateHours in weekGeneric dateGeneric textGeneric dateHours in weekGeneric dateGeneric textHours in weekGeneric date Hours in weekGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateHours in weekGeneric dateGeneric textGeneric dateHours in weekGeneric dateGeneric textHours in weekGeneric date Hours in weekGeneric textGeneric dateGeneric dateGeneric textGeneric dateGeneric dateHours in weekGeneric dateGeneric textGeneric dateHours in weekGeneric dateGeneric textHours in weekGeneric date
1
2
3
4
(If " Yes,"
20
Have you been pregnant since 1946? (i.e. AFTER the birth of this child).
1
Yes
2
No
X
No answer
20 i

please give the following details of each pregnancy.)

Date of delivery (month and year) Sex of child Birth weight (to nearest 1/4 lb) Result of delivery (live birth, still birth or miscarriage)
Pounds FGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric datePounds FGeneric textGeneric textGeneric datePounds FGeneric dateGeneric textPounds FGeneric text Pounds FGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric datePounds FGeneric textGeneric textGeneric datePounds FGeneric dateGeneric textPounds FGeneric text Pounds FGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric datePounds FGeneric textGeneric textGeneric datePounds FGeneric dateGeneric textPounds FGeneric text Pounds FGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric datePounds FGeneric textGeneric textGeneric datePounds FGeneric dateGeneric textPounds FGeneric text
1
2
3
4
(If " Yes,"
20 ii
Expected date of delivery
Generic date
(If now pregnant.)

XII. OCCUPATION OF PRESENT HUSBAND

s_occupationofpresenthusband_i
(i.e. not necesarily the father of this child)
s_occupationofpresenthusband_ii
(If Unemployed, ill, dead, etc., this information should relate to the last job.)
21 a
What is your husband's occupation.
Generic text
21 b
In what industry does he work?
Generic text
21 c
Does he:-
p
Earn a weekly wage?
q
Earn a monthly salary?
r
Work for himself or employ less than 10 people?
s
Employ 10 or more people?
21 d
If your husband's work regularly keeps him away from home for 24 hours or more at a time, please give details
Generic text

XIII. THE HOUSEHOLD

22

Constitution of the household (i.e., all those whom the mother looks after).

This Mother's own children, self and husband Others (including step and adopted children other relations, lodgers, domestics) TOTAL
How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many
Less than 5 years
5 years to 14 years 11 months
15 years and over
TOTAL IN HOUSEHOLD
22 a
Which grandparents, if any, live in this household?
1
Wife's mother
2
Wife's father
3
Husband's mother
4
Husband's father
5
No grandparent
X
No Answer
23 i
Rooms occupied by this household. Bedrooms
How many
23 ii
Rooms occupied by this household. Living Rooms (include Kitchen only if used as a Living Room, exclude Scullery) Own Living Rooms
How many
23 iii
Rooms occupied by this household. Living Rooms (include Kitchen only if used as a Living Room, exclude Scullery) Shared Living Rooms
How many
23 iv
Rooms occupied by this household. Total
How many

XIV. MEASUREMENTS

24
Birth weight of this child. ... lbs. ... ozs.
Pounds I
Ounces in pound
s_q24
PLEASE MAKE ARRANGEMENTS FOR THE MOTHER TO BRING THIS CHILD TO BE WEIGHED EITHER AT THE INFANT WELFARE CENTRE OR WHEREVER ELSE SCALES MAY BE AVAILABLE.
25 a
Present weight (WITHOUT CLOTHES). ... lbs.
Pounds F
25 a(i)
Clothes worn, if any
Generic text
25 b
Present standing height (WITHOUT SHOES) ... feet ... inches
Feet
Inches in foot

XV. HEALTH VISITOR'S COMMENTS

s_healthvisitorscomments_i
WILL HEALTH VISITORS PLEASE FILL IN THIS SECTION FROM THEIR OWN KNOWLEDGE OF THE FAMILY. WE HOPE THAT THE ANSWERS TO THESE QUESTIONS WILL ENABLE US TO SEPARATE THE VERY GOOD AND THE INEFFICIENT MOTHERS FROM THE LARGE GROUP OF "AVERAGE" MOTHERS. SO, IN QUESTIONS 26 (c) (f) & (g) WHICH ASK FOR ASSESSMENTS, THIS MOTHER SHOULD BE COMPARED WITH ALL THE OTHERS IN YOUR CARE AND PUT AS "AVERAGE" (IN RESPECT OF 'CARE,' 'CLEANLINESS' ETC.) UNLESS SHE IS AMONG THE BEST OR AMONG THE WORST MOTHERS YOU HAVE TO DEAL WITH.

CARE OF CHILD AND HOME

26 a
Do you know this family as well as or less well than the majority of other families in your care?
1
As well as the others
2
Less well than the others
X
No answer
26 b
Have you found this Mother willing or unwilling to accept your advice and help?
1
Average
2
Very willing
3
Unwilling
X
No answer
26 c
How does the Mother's management and understanding of this child compare with the standard among other mothers in your care?
1
Average
2
Among the best
3
Among the worst
X
No answer
26 d
Is this child's clothing in a satisfactory or unsatisfactory state of repair?
1
Satisfactory
2
Unsatisfactory
X
No answer
26 e
Are this child's shoes of satisfactory or unsatisfactory size and type.
1
Satisfactory
2
Unsatisfactory
X
No answer
26 f
Please compare (f) the cleanliness of this child and (g) the cleanliness of this home with the standard of others in your care. Cleanliness of child
1
Average
2
Among the most clean
3
Among the least clean
X
No Answer
26 g
Please compare (f) the cleanliness of this child and (g) the cleanliness of this home with the standard of others in your care. Cleanliness of home
1
Average
2
Among the most clean
3
Among the least clean
X
No Answer
27
Please give details of any special lack of facilities in this dwelling which makes it difficult for this Mother to bring up her child or manage her home.
Generic text
28
Please state from your own knowledge whether the parents of this child are
1
Living together
2
Legally separated
3
Otherwise separated
4
Divorced
5
Widowed
6
Other, namely
X
No answer

INFANT WELFARE SERVICES

29 a
Does this Local Authority have a Toddlers' clinic to which this child could be taken?
1
Yes
2
No
X
No answer
29 b(i)
How many times has this child been to a Toddlers' clinic or welfare centre in 1948 and 1949? 1948 ... times
How many
29 b(ii)
How many times has this child been to a Toddlers' clinic or welfare centre in 1948 and 1949? 1949 ... times
How many
29 c

Please give number of visits paid by Health Visitors to this child in 1946, 1947, 1948 and 1949.

Number of Visits 1946 Number of Visits 1947 Number of Visits 1948 Number of Visits 1949
How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many How manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow manyHow many
By Health Visitor making this interview
By other Health Visitors

THE DWELLING

30 a
Type of dwelling?
1
Whole house
2
Self-contained flat
3
Part of house (all amenities but no front door)
4
Unfurnished rooms
5
Furnished rooms
6
Other, namely
X
No answer
30 b
On which floor is this dwelling? ... floor
Generic text
Y
Question does not apply
X
No answer
(If flat or part of house)
31 a
Ownership of dwelling
1
Owner occupier
2
Private landlord
3
Council
4
Other, namely
X
No answer
31 b
Approximate age of dwelling
1
Built before 1919
2
Built 1919-1939
3
Built since 1939
X
No Answer
32
Please give your assessment of the state of repair of the dwelling
1
Average
2
Very good
3
Bad
X
No Answer
33
Is there a yard or garden attached to this dwelling where this child can play?
1
Yes
2
No
X
No answer
33 i
PLEASE COMMENT FREELY ON THE STATE OF REPAIR OF THE DWELLING:-
Long text
vii
Date of interview
Generic date
viii
Time taken
Time taken
Name

1950 Second Follow-up Survey