National Survey of Health and Development
1955 (Age 9)
1955 School Nurse's Interview with Mother
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STRICTLY CONFIDENTIAL
OCTOBER 1955
SCHOOL NURSE'S INTERVIEW WITH MOTHER
NATIONAL SURVEY OF THE HEALTH AND DEVELOMENT OF CHILDREN
INSTITUTE OF CHILD HEALTH (UNIVERSITY OF LONDON) SOCIETY OF MEDICAL OFFICERS OF HEALTH and POPULATION INVESTIGATION COMMITTEE At the LONDON SCHOOL OF ECONOMICS
Ref No.
Name
Address
School
IF THE FAMILY HAS MOVED TO ANOTHER AUTHORITY PLEASE ENTER THE NEW ADDRESS AND THE NAMES OF THE NEW L.E.A. AND NEW SCHOOL IN THE SPACE PROVIDED. IF THE CHILD CANNOT BE TRACED PLEASE ENTER THE LAST ADDRESS AND ANY OTHER INFORMATION THAT MIGHT HELP US TO TRACE HIM. IN EITHER CASE RETURN THE FORM TO WHOMEVER HAS BEEN DELEGATED BY THE SCHOOL MEDICAL OFFICER TO RECEIVE IT.
Approach to the Mother
Remind her that in previous years she gave us most valuable information about herself and her child. We now want to find out what progress her child has made during the last year. All information she gives will, of course, be ABSOLUTELY CONFIDENTIAL.
Purpose of this inquiry
This child was enrolled at birth in a national survey which is being made by a Joint Committee of the Institute of Child Health, the Society of Medical Officers of Health and the Population Investigation Committee. The purpose of the present examination is to bring the medical and social history up to date, to obtain further information about the school absences, and to check information previously noted.
They are drawn from all social classes and during the first nine years of their lives only 8% of the original sample have been lost. The value of this inquiry depends on information being obtained for every possible survey child. The Joint Committee are therefore most anxious that this form should be completed.
How to fill in this form.
Five thousand Mothers scattered all over the country are being interviewed, and it is therefore inportant that the many hundreds of Health Vistors and School Nurses who are seeing them should record their findings in a comparable way. For this reason, and also to reduce the amount of clerical work, this form has been framed as a series of questions, many of which can be answered by one of several printed alternatives. All that is required is to put a circle round the number opposite the printed answer that most nearly describes your findings. If no alternative fits please write the answer in the space directly under the question. Similarly, if you feel that any printed answer, though applicable, does not fully explain your findings, we should be most grateful for any further information you can give us.
In order to ensure that this information is obtained in the same way by the many people taking part in the survey, it is important that the wording and order of this form should be adhered to.
COMPLETED FORMS SHOULD BE RETURNED TO THE SCHOOL MEDICAL OFFICER AND NOT DIRECTLY TO THE JOINT COMMITTEE.
RING THE CODE NUMBER OPPOSITE THE MOTHER'S ANSWER. IF A QUESTION DOES NOT APPLY, STRIKE IT THROUGH.
Person interviewed.
If mother not interviewed because she was ill, refused, etc., please give reasons.
(For all living children)
Where is his child now living ?
1. ACCIDENTS
Last accident recorded. Type
Last accident recorded. Age when injured ... yrs.
(Since this accident, or since OCTOBER, 1954)
Has this child had an accident in which he was BURNT or SCALDED, BROKE A BONE, or was BADLY CUT or BRUISED ?
II. INFECTIOUS DISEASES
(Attacks recorded in previous surveys are given in red.)
III. ADMISSIONS TO HOSPITAL
Details of last Hospital Admission Recorded in this Survey. Illness
Details of last Hospital Admission Recorded in this Survey. Hospital
Details of last Hospital Admission Recorded in this Survey. Age
(If nothing recorded there has been no admission before OCTOBER, 1954)
Has this child been an IN-PATIENT in a HOSPITAL or NURSING HOME since OCTOBER 1954.
(When a single illness involves more than one admission give information separately for each period in hospital)
(When a single illness involves more than one admission give information separately for each period in hospital)
IV. SCHOOL CLINIC AND OUT-PATIENT DEPARTMENT ATTENDANCES
Details of last Clinic Attendance Recorded in this Survey. Name of Clinic
Details of last Clinic Attendance Recorded in this Survey. Reason for attending
Details of last Clinic Attendance Recorded in this Survey. Age
Has this child attended a School Clinic or Out-Patient Department of a Hospital since OCTOBER 1954?
V. SCHOOL ABSENCES
(Only absences of more than one week are recorded)
VI. BED WETTING
VII. GENERAL HEALTH AND BEHAVIOUR
Are you in any way worried about this child's health?
Please give your reasons for worrying
Are you in any way worried about this child's behaviour?
Please give your reasons for worrying
Are you in any way worried about this child's progress at school?
Please give your reasons for worrying.
Does this child have difficulties in his relations with his brothers and sisters ?
What are these difficulties ?
Does this child have difficulties in his relations with other children at school ?
What are these difficulties ?
VIII. THE MOTHER'S WORK
Have you been in paid work (either inside or outside the home) since OCTOBER, 1954
IX. SCHOOLNG
During the last year have you or your husband met this child's class teacher or head teacher ?
Did you discuss this child's school progress with either or both of them ?
In October 1954, you said you would like your child to go to ... School.
Do you still wish him to go there ?
Where would you now like him to go ?
(If "no" to question 17 (a))
Please give the name of the school if decided upon.
Why have you changed your mind since last year ?
Last October you had not yet chosen the school you wanted your child to attend. Have you done so now ?
- CHECK ON PAST INFORMATION This year we have asked fewer questions than in previous years because we wish to take the opportunity to inquire about special conditions that have been reported in earlier surveys, and to clear up any outstanding points. Please check carefully with the mother the details given below and supply the additional information asked for if at all possible.
INFORMATION GIVEN BY SCHOOL NURSE OR HEALTH VISITOR
(Please answer the following questions from your own knowledge. DO NOT ask the mother directly)
Please state from your OWN KNOWLEDGE whether the parents of this child are-
Are this child's shoes in a satisfactory or unsatisfactory state of repair ?
Is this child's clothing in a satisfactory or unsatisfactory state of repair ?
Please compare (c) the cleanliness of this child and (d) the cleanliness of this home with the standard of others in your care. Cleanliness of the child
Please compare (c) the cleanliness of this child and (d) the cleanliness of this home with the standard of others in your care. Cleanliness of the home
Please comment on any lack of facilities in the home (for example, shared W.C., Bathroom, etc., lack of running hot water, dampness or condensation, lack of services such as electricity, gas, water).
Please comment on any circumstances in the family that may be relevant to the child's growth and health.
Date of interview
Length of interview ... mins.
Name of School Nurse or Health Visitor
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FOR THOSE WHO HAVE MOVED
1. ACCIDENTS
II. INFECTIOUS DISEASES
III. ADMISSIONS TO HOSPITAL
IV. SCHOOL CLINIC AND OUT-PATIENT DEPARTMENT ATTENDANCES
V. SCHOOL ABSENCES
VI. BED WETTING
VII. GENERAL HEALTH AND BEHAVIOUR
VIII. THE MOTHER'S WORK
IX. SCHOOLNG
INFORMATION GIVEN BY SCHOOL NURSE OR HEALTH VISITOR
1955 School Nurse's Interview with Mother