Start
nshd_71_pq
STRICTLY CONFIDENTIAL
1971
NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
(Medical Research Council)

Ref. No.

Generic text

Name and Address

Generic text
(if changed)

Name

Generic text

Address

Generic text
INTRODUCTION
You probably remember how to answer the questions - if there is a space or a box printed, just write the answer in. If we give you a choice of answers put a ring round the number next to the right answer,
Of course eveything you tell us is kept strictly confidential. We never mention anyone by name in any reports that we write.
Please complete the form yourself. If you have any difficulty you should get someone to help you, but it is important that the answers should be yours.
When you have answered the questions, post the form to us in the special pre-paid envelope.
PERSONAL INFORMATION

Are you now married?

1
Yes
0
No

date of marriage

Generic date

CHILDREN

0
No children
Please give details of all children
Name Sex Date of birth Name of hospital etc. where born
Generic textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textDate of birth Generic textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textDate of birth Generic textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textDate of birth Generic textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textDate of birth
1
2
3
4
GENERAL HEALTH
ACCIDENTS

The last accident we have recorded for you was ... Have you had any accidents since then, or since we last heard from you, in which you were burnt or scalded, broke a bone, were badly cut or bruised, or injured by a chemical or foreign body?

1
Yes
0
No
(If 'Yes' please give the following details about each accident, starting with the earliest)
qc_3_a == 1

Type of injury (e.g. burn, cut, broken bone etc.)

Generic text

Part injured

Generic text

Date when it happened

Generic date

Treatment Hosp. In-patient Hosp. Out-patient Nursing home Doctor, etc.

Generic text

Details of how each accident occurred

Generic text

Where it happened (e.g. work, street, home, etc.)

Generic text
HOSPITAL ADMISSIONS

The last hospital admission we have recorded for you was ... Have you been in hospital as an in-patient since then, or since we last heard from you?

1
Yes
0
No
(If 'Yes' please give the following details about each hospital admission)
qc_4_a == 1

Name of hospital

Generic text

Date of Admission

Generic date

Reason for admission

Generic text

Length of Stay

Generic text

Name of doctor in charge

Generic text
HOSPITAL OUT PATIENT OR CLINIC ATTENDANCES

Have you attended a hospital out-patient department or clinic since this time last year?

1
Yes
0
No
If 'Yes'
qc_5_a == 1
_attendance < 3

Name of Clinic or Out-patient department

Generic text

Reason for attending

Generic text

Number of visits

How many
OTHER MEDICAL CARE

Apart from visits to a hospital or clinic have you seen a doctor since this time last year?

1
Yes
0
No
If 'yes'
qc_6_a == 1
_visit < 3

REASON FOR VISITS Use one line for a series of visits in connection with the same complaint

Generic text

NUMBER OF VISITS At doctor's surgery

How many

NUMBER OF VISITS At your home

How many
OFF WORK THROUGH ACCIDENT OR ILLNESS

Have you been off work for a week or more through accident or illness since this time last year?

1
Yes
0
No
8
Not working
If 'Yes'
qc_7_a == 1
_notworkng < 4

Approximate date

Generic date

Nature of accident, illness

Generic text

Time off work

Generic text
COUGHS AND CHEST TROUBLE

Do you usually cough first thing in the morning in the winter?

1
Yes
0
No

Do you usually cough during the day or at night in the winter?

1
Yes
0
No
If 'yes' to either question 8(a) or (b)
qc_8_a == 1 || qc_8_b == 1

Do you cough like this on most days for as much as three months each winter?

1
Yes
0
No

Do you usually bring up any phlegm (spit from the chest) first thing in the morning in the winter?

1
Yes
0
No

Do you usually bring up any phlegm (spit from the chest) during the day or at night in the winter?

1
Yes
0
No
If 'yes' to either question 9(a) or (b)
qc_9_a == 1 || qc_9_b == 1

Do you bring up phlegm (spit from the chest) on most days for as much as three months each winter?

1
Yes
0
No

In the past three years have you had a period of cough and phlegm (spit from the chest) lasting for three weeks or more?

1
Yes
0
No

Do you get short of breath walking with other people of your own age at an ordinary pace on the level?

1
Yes
0
No

Does your chest ever sound wheezy or whistling?

1
Yes
0
No
(If 'yes')
qc_12_a == 1

Do you get this most days (or nights)?

1
Yes
0
No

Does the weather affect your chest?

1
Yes
0
No
(If 'yes')
qc_13_a == 1

Does foggy weather make you (more) breathless?

1
Yes
0
No

Do colds usually go to your chest?

1
Yes
0
No

Do you usually have a stuffy nose or catarrh at the back of your nose? ... in the winter?

1
Yes
0
No

Do you usually have a stuffy nose or catarrh at the back of your nose? ... in the summer?

1
Yes
0
No

Do you usually have a stuffy nose or catarrh at the back of your nose? ... on most days for as much as three months each year?

1
Yes
0
No

During the past three years have you had any chest illness e.g. bronchitis, pneumonia, which has kept you off work or indoors for a week or more?

1
Yes
0
No
(If 'yes')
qc_16_a == 1

How many illnesses like this have you had in the last three years?

1
One illness
0
Two illnesses or more

In the winter do you usually sleep with you bedroom windows open?

1
Yes
0
No

In the winter, is your bedroom heated at night?

1
Yes
0
No
TOBACCO SMOKING

Are you a regular smoker, i.e. during the last month have you smoked as much as one cigarette a day (or 1 oz of tobacco)?

1
Yes
0
No
If 'No' to question 18(a) go on to 19(a)
If 'Yes' to question 18(a) carry on as follows:-
qc_18_a == 1

Do you inhale the smoke?

0
No
1
Yes, slightly
2
Yes, moderately
3
Yes, deeply

How old were you when you started smoking regularly? ... years old

Age

How many manufactured cigarettes do you usually smoke a day? ... per working day

How many

How many manufactured cigarettes do you usually smoke a day? ... at weekends

How many

How much tobacco (ozs) do you usually smoke per week in hand rolled cigarettes? ... ozs

Ounces

How much pipe tobacco (ozs) do you usually smoke per week? ... ozs

Ounces

How many cigars do you usually smoke per week? ... large

How many

How many cigars do you usually smoke per week? ... small

How many
If 'No' to question 18(a) (i.e. those who do NOT smoke regularly)
qc_18_a == 0

Have you ever smoked as much as one cigarette a day (or 1 oz of tobacco a month) for as long as a year?

1
Yes
0
No
If 'No' to Question 19(a) go on to 20.
If 'Yes' to question 19(a) carry on as follows:-
qc_19_a == 1

How old were you when you started smoking regularly? ... years old

Age

How old were you when you last gave up smoking? ... years old

Age

How many manufactured cigarettes per day were you smoking before you gave up? ... per working day

How many

How many manufactured cigarettes per day were you smoking before you gave up? ... at weekends

How many

How much tobacco (ozs) per week were you smoking in hand rolled cigarettes before you gave it up? ... ozs

Ounces

How much pipe tobacco (ozs) per week were you smoking before you gave it up? ... ozs

Ounces

How many cigars per week were you smoking before you gave up? ... large

How many

How many cigars per week were you smoking before you gave up? ... small

How many
HELP WITH FINDING A JOB

The Government runs a number of different schemes for helping people who want to change their work or who find difficulty in getting jobs because of illness or long unemployment. Have you had contact with any of the following schemes?

1
Yes
0
No
If 'Yes'
qc_20 == 1
please give details.
Month and year of first contact Name and address of the centre or unit
Generic dateGeneric textGeneric dateGeneric text Generic dateGeneric textGeneric dateGeneric text
Occupational guidance unit
Government Training centre
Industrial rehabilitation unit
Other

How did you first hear of these schemes?

Generic text

What difference has going to the centre made to the sort of work you are doing?

Long text
EMPLOYMENT

Are you now:-

1
working full time
2
working part time
3
a full-time housewife
4
a full-time student
5
Not working from choice
6
Unemployed
*
None of these, but ...
Other

Have you been out of work for a week or more since ... (That is, actually looking for work; do not include holidays or time off due to illness)

1
Yes
0
No
(If 'Yes')
qc_21_b == 1
_occasion < 3

Approximate dates

Generic text

Length of time unemployed

Generic text

Why was this?

Generic text

Did you register as unemployed?

Generic text
When we last contacted you, you were in the occupation we have written in red. Please bring the record up-to-date with the details of all the jobs you have done since, finishing with what you are doing now. If you have been promoted or changed your work within the same firm, please give the details. If you are still in the same job, please write "still there".
Type of job (i.e. what do YOU do?) Self-employed? Type of firm (i.e. what do THEY do?) Date started month, year Date left month, year Reason for leaving
Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text
1
2
3
4
5
If you are working now,
qc_21_a == 1 || qc_21_a == 2

how many hours per week do you usually work excluding overtime and meal breaks? ... hours per week

Hours in week

If you are working now please describe in detail what you do in your job, what training you have had, and what responsibilities you have.

Long text
For ALL survey members, whether working or not

What job do you expect to have when you are 35? How will it differ from the job (if any) you are doing now?

Generic text

What will you have to do to get that job? What sort of changes will you have to make, will you have to go on any special courses and so on?

Generic text
EARNINGS
If you are now working it would be most helpful to us to have some details of your earnings. Of course this information will be treated in ABSOLUTE CONFIDENCE.

What is your typical take home pay in your present job? Weekly £ ... OR Monthly £ ... or Yearly £

How many
How many 2
How many 3

What are your typical earnings before all deductions in your present job? weekly £ ... OR Monthly £ ... OR Yearly £

How many
How many 2
How many 3

If your earnings vary from one week/month to another please will you give brief details of why they vary, and approximately by how much they vary.

Long text
EDUCATION

Have you taken any examinations, diplomas, certificates or other qualifications since leaving school?

1
Yes
0
No
If 'Yes' please give details.
qc_24 == 1

Date

Generic date

Subject (i.e. name of course)

Generic text

Title of exam (exam no. if known)

Generic text

Stage if applicable

Generic text

Examining body

Generic text

If passed give marks or grade

Generic text

Name of college

Generic text

Since October 1969 have you taken any of the following - Part-time day classes Evening classes Correspondence Courses Home Study A full-time course

1
Yes
0
No
If 'Yes'
qc_25 == 1
please fill in details of what you did and what you are registered for or intend to register for this year.
Name of college or correspondence course Name of course or subjects studied including title of exams Please say whether day, evening, home correspondence or full-time study
Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text
Oct. 1969 to Sept. 1979
Oct. 1970 to Sept. 1971

Has anything important happened to you in the last year that we have not asked about? Please comment freely on anything you wish to tell us about.

Long text

Today's date

Generic date
PLEASE CHECK THAT YOU HAVE ANSWERED ALL THE QUESTIONS
Please post the form directly to us in the special envelope
THANK YOU VERY MUCH FOR ALL YOUR HELP
End

nshd_71_pq

STRICTLY CONFIDENTIAL
NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
(Medical Research Council)
Ref. No.
Generic text
Name and Address
Generic text
Name
Generic text
Address
Generic text
INTRODUCTION
You probably remember how to answer the questions - if there is a space or a box printed, just write the answer in. If we give you a choice of answers put a ring round the number next to the right answer,
Of course eveything you tell us is kept strictly confidential. We never mention anyone by name in any reports that we write.
Please complete the form yourself. If you have any difficulty you should get someone to help you, but it is important that the answers should be yours.
When you have answered the questions, post the form to us in the special pre-paid envelope.

PERSONAL INFORMATION

Are you now married?
1
Yes
0
No
date of marriage
Generic date
CHILDREN
0
No children

Please give details of all children

Name Sex Date of birth Name of hospital etc. where born
Generic textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textDate of birth Generic textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textDate of birth Generic textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textDate of birth Generic textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textDate of birthGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textDate of birth
1
2
3
4

GENERAL HEALTH

ACCIDENTS

The last accident we have recorded for you was ... Have you had any accidents since then, or since we last heard from you, in which you were burnt or scalded, broke a bone, were badly cut or bruised, or injured by a chemical or foreign body?
1
Yes
0
No

Type of injury (e.g. burn, cut, broken bone etc.)
Generic text
Part injured
Generic text
Date when it happened
Generic date
Treatment Hosp. In-patient Hosp. Out-patient Nursing home Doctor, etc.
Generic text
Details of how each accident occurred
Generic text
Where it happened (e.g. work, street, home, etc.)
Generic text

HOSPITAL ADMISSIONS

The last hospital admission we have recorded for you was ... Have you been in hospital as an in-patient since then, or since we last heard from you?
1
Yes
0
No

Name of hospital
Generic text
Date of Admission
Generic date
Reason for admission
Generic text
Length of Stay
Generic text
Name of doctor in charge
Generic text

HOSPITAL OUT PATIENT OR CLINIC ATTENDANCES

Have you attended a hospital out-patient department or clinic since this time last year?
1
Yes
0
No

_attendance < 3

Name of Clinic or Out-patient department
Generic text
Reason for attending
Generic text
Number of visits
How many

OTHER MEDICAL CARE

Apart from visits to a hospital or clinic have you seen a doctor since this time last year?
1
Yes
0
No

_visit < 3

REASON FOR VISITS Use one line for a series of visits in connection with the same complaint
Generic text
NUMBER OF VISITS At doctor's surgery
How many
NUMBER OF VISITS At your home
How many

OFF WORK THROUGH ACCIDENT OR ILLNESS

Have you been off work for a week or more through accident or illness since this time last year?
1
Yes
0
No
8
Not working

_notworkng < 4

Approximate date
Generic date
Nature of accident, illness
Generic text
Time off work
Generic text

COUGHS AND CHEST TROUBLE

Do you usually cough first thing in the morning in the winter?
1
Yes
0
No
Do you usually cough during the day or at night in the winter?
1
Yes
0
No
Do you cough like this on most days for as much as three months each winter?
1
Yes
0
No
Do you usually bring up any phlegm (spit from the chest) first thing in the morning in the winter?
1
Yes
0
No
Do you usually bring up any phlegm (spit from the chest) during the day or at night in the winter?
1
Yes
0
No
Do you bring up phlegm (spit from the chest) on most days for as much as three months each winter?
1
Yes
0
No
In the past three years have you had a period of cough and phlegm (spit from the chest) lasting for three weeks or more?
1
Yes
0
No
Do you get short of breath walking with other people of your own age at an ordinary pace on the level?
1
Yes
0
No
Does your chest ever sound wheezy or whistling?
1
Yes
0
No
Do you get this most days (or nights)?
1
Yes
0
No
Does the weather affect your chest?
1
Yes
0
No
Does foggy weather make you (more) breathless?
1
Yes
0
No
Do colds usually go to your chest?
1
Yes
0
No
Do you usually have a stuffy nose or catarrh at the back of your nose? ... in the winter?
1
Yes
0
No
Do you usually have a stuffy nose or catarrh at the back of your nose? ... in the summer?
1
Yes
0
No
Do you usually have a stuffy nose or catarrh at the back of your nose? ... on most days for as much as three months each year?
1
Yes
0
No
During the past three years have you had any chest illness e.g. bronchitis, pneumonia, which has kept you off work or indoors for a week or more?
1
Yes
0
No
How many illnesses like this have you had in the last three years?
1
One illness
0
Two illnesses or more
In the winter do you usually sleep with you bedroom windows open?
1
Yes
0
No
In the winter, is your bedroom heated at night?
1
Yes
0
No

TOBACCO SMOKING

Are you a regular smoker, i.e. during the last month have you smoked as much as one cigarette a day (or 1 oz of tobacco)?
1
Yes
0
No
If 'No' to question 18(a) go on to 19(a)
Do you inhale the smoke?
0
No
1
Yes, slightly
2
Yes, moderately
3
Yes, deeply
How old were you when you started smoking regularly? ... years old
Age
How many manufactured cigarettes do you usually smoke a day? ... per working day
How many
How many manufactured cigarettes do you usually smoke a day? ... at weekends
How many
How much tobacco (ozs) do you usually smoke per week in hand rolled cigarettes? ... ozs
Ounces
How much pipe tobacco (ozs) do you usually smoke per week? ... ozs
Ounces
How many cigars do you usually smoke per week? ... large
How many
How many cigars do you usually smoke per week? ... small
How many
Have you ever smoked as much as one cigarette a day (or 1 oz of tobacco a month) for as long as a year?
1
Yes
0
No
If 'No' to Question 19(a) go on to 20.
How old were you when you started smoking regularly? ... years old
Age
How old were you when you last gave up smoking? ... years old
Age
How many manufactured cigarettes per day were you smoking before you gave up? ... per working day
How many
How many manufactured cigarettes per day were you smoking before you gave up? ... at weekends
How many
How much tobacco (ozs) per week were you smoking in hand rolled cigarettes before you gave it up? ... ozs
Ounces
How much pipe tobacco (ozs) per week were you smoking before you gave it up? ... ozs
Ounces
How many cigars per week were you smoking before you gave up? ... large
How many
How many cigars per week were you smoking before you gave up? ... small
How many

HELP WITH FINDING A JOB

The Government runs a number of different schemes for helping people who want to change their work or who find difficulty in getting jobs because of illness or long unemployment. Have you had contact with any of the following schemes?
1
Yes
0
No

please give details.

Month and year of first contact Name and address of the centre or unit
Generic dateGeneric textGeneric dateGeneric text Generic dateGeneric textGeneric dateGeneric text
Occupational guidance unit
Government Training centre
Industrial rehabilitation unit
Other
How did you first hear of these schemes?
Generic text
What difference has going to the centre made to the sort of work you are doing?
Long text

EMPLOYMENT

Are you now:-
1
working full time
2
working part time
3
a full-time housewife
4
a full-time student
5
Not working from choice
6
Unemployed
*
None of these, but ...
Other
Have you been out of work for a week or more since ... (That is, actually looking for work; do not include holidays or time off due to illness)
1
Yes
0
No

_occasion < 3

Approximate dates
Generic text
Length of time unemployed
Generic text
Why was this?
Generic text
Did you register as unemployed?
Generic text

When we last contacted you, you were in the occupation we have written in red. Please bring the record up-to-date with the details of all the jobs you have done since, finishing with what you are doing now. If you have been promoted or changed your work within the same firm, please give the details. If you are still in the same job, please write "still there".

Type of job (i.e. what do YOU do?) Self-employed? Type of firm (i.e. what do THEY do?) Date started month, year Date left month, year Reason for leaving
Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric dateGeneric textGeneric textGeneric text
1
2
3
4
5
how many hours per week do you usually work excluding overtime and meal breaks? ... hours per week
Hours in week
If you are working now please describe in detail what you do in your job, what training you have had, and what responsibilities you have.
Long text
For ALL survey members, whether working or not
What job do you expect to have when you are 35? How will it differ from the job (if any) you are doing now?
Generic text
What will you have to do to get that job? What sort of changes will you have to make, will you have to go on any special courses and so on?
Generic text

EARNINGS

If you are now working it would be most helpful to us to have some details of your earnings. Of course this information will be treated in ABSOLUTE CONFIDENCE.
What is your typical take home pay in your present job? Weekly £ ... OR Monthly £ ... or Yearly £
How many
How many 2
How many 3
What are your typical earnings before all deductions in your present job? weekly £ ... OR Monthly £ ... OR Yearly £
How many
How many 2
How many 3
If your earnings vary from one week/month to another please will you give brief details of why they vary, and approximately by how much they vary.
Long text

EDUCATION

Have you taken any examinations, diplomas, certificates or other qualifications since leaving school?
1
Yes
0
No

Date
Generic date
Subject (i.e. name of course)
Generic text
Title of exam (exam no. if known)
Generic text
Stage if applicable
Generic text
Examining body
Generic text
If passed give marks or grade
Generic text
Name of college
Generic text
Since October 1969 have you taken any of the following - Part-time day classes Evening classes Correspondence Courses Home Study A full-time course
1
Yes
0
No

please fill in details of what you did and what you are registered for or intend to register for this year.

Name of college or correspondence course Name of course or subjects studied including title of exams Please say whether day, evening, home correspondence or full-time study
Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text
Oct. 1969 to Sept. 1979
Oct. 1970 to Sept. 1971
Has anything important happened to you in the last year that we have not asked about? Please comment freely on anything you wish to tell us about.
Long text
Today's date
Generic date
PLEASE CHECK THAT YOU HAVE ANSWERED ALL THE QUESTIONS
Please post the form directly to us in the special envelope
THANK YOU VERY MUCH FOR ALL YOUR HELP
Name

1971 Postal Questionnaire