Start
nshd_61_iwm
STRICTLY CONFIDENTIAL
JANUARY 1961
FINAL INTERVIEW WITH MOTHER
NATIONAL SURVEY OF THE HEALTH AND DEVELOPMENT OF CHILDREN
INSTITUTE OF CHILD HEALTH (UNIVERSITY OF LONDON) SOCIETY OF MEDICAL OFFICERS OF HEALTH and POPULATION INVESTIGATION COMMITTEE USHER INSTITUTE
intro i

Ref. No.

Generic text
intro ii

Name

Generic text
intro iii

Address

Long text
intro iv

School

Generic text
FOR THOSE WHO HAVE MOVED
intro v

New Address

Long text
intro vi

L.E.A.

Generic text
intro vii

School

Generic text
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.
Purpose of this inquiry
This is the last home visit in connection with the National Survey of Child Health; and its purpose is to bring the medical and social history up to date and to fill in gaps in our information about the child's progress at school and the job he / she will enter on leaving school. We are also asking about the parents' health including questions both on known illnesses and on their general well-being. This proves to be important in relation to the health and adjustment of their children. During the 15 years of this survey we have kept in touch with over 90 per cent of the parents and children. As the value of this inquiry depends on information being obtained for every possible survey child we hope that on this last occasion all forms will be completed.
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.
1 a

Person interviewed.

1
Mother
*
Other, namely
Other
If mother not interviewed because she was ill, refused, etc.,
qc_1_a == *
1 b

please give the reason.

Generic text
If this child has died, please state
2

Date of death

Generic date
(For all living children)
3

Where is the child now living?

1
At home
2
With relatives
3
Special School or Institution
4
Ill in hospital
*
Elsewhere, namely
Other
I. ACCIDENTS
4 a(i)

Last accident recorded. Type

Generic text
4 a(ii)

Last accident recorded. Age when injured ... yrs.

Age
(Since this accident, or since JANUARY 1957)
4 b

Has this child had an accident in which he was BURNT or SCALDED, BROKE A BONE, was BADLY CUT or BRUISED, or INJURED by a CHEMICAL or POISON?

1
Yes
0
No
(If "yes")
qc_4_b == 1
4 b(i)
Please give the following details about each accident starting with the earliest:
Type of injury (enter as BURN, SCALD, BROKEN BONE, CUT, POISON, etc) Part or Parts injured Age when injured (in years and months) Treatment, Hosp, I.P., Hosp. O.P., Nursing Home Own Home If treated in own home, who gave treatment (Doctor, Nurse, other) Details of any remaining scarring, disability or deformity
Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text
First Accident 1
Second 2
4 b(ii)
Please give the following details about each accident starting with the earliest:
DETAIILS of how each ACCIDENT OCCURRED (if burnt by fire, say whether electric, gas, open fire or oil stove) WHERE IT OCCURRED (Own Home, School, Street, etc)
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
First Accident 1
Second 2
II. ILLNESSES
5 a(i)

Details of last Hospital Admission Recorded in this Survey. Illness

Generic text
5 a(ii)

Details of last Hospital Admission Recorded in this Survey. Hospital

Generic text
5 a(iii)

Details of last Hospital Admission Recorded in this survey. Age

Age
(If nothing recorded there has been no admission before January 1957)
5 b

Has this child been an IN-PATIENT in a HOSPITAL or NURSING HOME since JANUARY 1957 when he was ten years and nine months old?

1
Yes
0
No
X
No answer
(If "yes")
qc_5_b == 1
5 c(i)
Please give the following details about each admission :
Nature of illness Nature of operation performed (if any) Date of Admission
Generic textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric text Generic textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric text Generic textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric text
1
2
5 c(ii)
Please give the following details about each admission:
Name and Address of Hospital or Nursing Home Length of stay in Hospital or Nursing Home Name of Doctor or Specialist in charge of Child
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
1
2
(All Mothers)
6 a

Apart from hospital admissions, have you been worried since January 1957 about any of the following: This child's GENERAL HEALTH

1
Yes worried
0
Not worried
(If worried)
qc_6_a == 1
6 a(i)

Please give details

Generic text
6 b

Apart from hospital admissions, have you been worried since January 1957 about any of the following: This child's NERVOUSNESS (including nervous habits and excessive fears)?

1
Yes worried
0
Not worried
(If worried)
qc_6_b == 1
6 b(i)

Please give details

Generic text
6 c

Apart from hospital admissions, have you been worried since January 1957 about any of the following: This child's BEHAVIOUR (including outbursts of violence, destructiveness, pilfering, wandering away or defiance of control) ?

1
Yes worried
0
Not worried
(If worried)
qc_6_c == 1
6 c(i)

Please give details

Generic text
(All Mothers)
7 a

Has this child attended Out-patients at a hospital clinic for nervous or disturbed behaviour, since January 1957?

1
Yes
0
No
(If "yes")
qc_7_a == 1
7 b

What was the name of the clinic?

Generic text
7 c

What were the symptoms?

Generic text
III. SCHOOLING
(All Mothers)
8 a

During the last year, have you or your husband met this child's class teacher or head teacher?

1
Yes, mother only
2
Yes, father only
3
Yes, both mother and father
0
No, neither
(If "yes")
qc_8_a == 1 || qc_8_a == 2 || qc_8_a == 3
8 b

What did you discuss with them?

1
Child's school progress
2
When child should leave school
3
Child's future jobs
*
Other, namely
Other
(All Mothers)
9

Since this child started at secondary school how many different schools has he/she attended? ... schools

How many
1
one only
10 a

Are you satisfied that the school this child is now attending is suited to his/her abilities?

1
Yes
0
No
(If "no")
qc_10_a == 0
10 b

In what ways is it not suited to the child's ability?

Generic text
10 c

What kind of school do you think this child should have gone to?

Generic text
(All Mothers)
11

At that age do you want this child to leave school? ... years

Age
12 a

Does your husband also want the child to leave then?

1
Yes
0
No
(If "no")
qc_12_a == 0
12 b

At what age does he want him/her to leave? ... years

Age
(All Mothers)
13 a

Do you wish this child to go to a University or Technical College for full-time study?

1
Yes, University
2
Yes, Technical College
0
No, neither
13 b

Does your husband agree with this?

1
Yes
0
No
IV. EMPLOYMENT ON LEAVING SCHOOL
14 a

With whom have you or your husband discussed the sort of job this child should do on leaving school?

(Ring more than one answer if necessary)

0
No one
1
Careers master at school
2
Class teacher or headmaster
3
Youth employment officer
*
Other, namely
Other
(If discussed)
qc_14_a == 1 || qc_14_a == 2 || qc_14_a == 3 || qc_14_a == *
14 b

What advice were you given?

Generic text
(All Mothers)
15

What job is this child actually going to take when he/she leaves school?

(Please give exact description of job, e.g. "motor mechanic" NOT "engineer")

Generic text
16

Why is he/she taking this job rather than any other?

Generic text
17

If he/she is to succeed in this job is it necessary to study full-time or part-time after leaving school?

1
Yes, full-time
2
Yes, part-time day
3
Yes, part-time night
0
No need to study
18 a

What sort of job do you yourself think this child is best fitted for (even if it is not the one he/she is going to take up?)

(Please give exact description of job)

Generic text
18 b

Why do you think this is the right sort of job?

Generic text
18 c

Does your husband agree this is the right job?

1
Yes
0
No
If "no"
qc_18_c == 0
18 d

What job does he think this child should do?

Generic text
(All Mothers)
19 a

Would you advise your children against taking a job that required full-time or part-time study after leaving school?

1
Advise against full-time study
2
Advise against part-time study
0
Would not advise against either
(If "advise against")
qc_19_a == 1 || qc_19_a == 2
19 b

Would you advise against it even if this further study cost you nothing?

1
Yes
0
No
Y
Does not apply
(All Mothers)
20

Would you advise your children against taking any of the following types of job:

(Ring more than one answer if necessary)

1
A routine office job
2
An unskilled manual job
3
A domestic job
4
An outdoor job
5
A dirty job
6
A job behind a counter
0
Would not advise against any of these
21
What jobs are this child's OLDER brothers and sisters now doing?
Name Age Exact Description of Present Occupation
Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text
1
2
3
21 i

What jobs are this child's OLDER brothers and sisters now doing?

0
No older brothers or sisters
22 a

How do your children's opportunities on leaving school compare with your own and your husband's at the same age?

0
Much better
1
Better
2
The same
3
Worse
4
Much worse
(If "better")
qc_22_a == 0 || qc_22_a == 1
22 b

In what ways are they better?

Generic text
(If "worse")
qc_22_a == 3 || qc_22_a == 4
22 c

In what ways are they worse?

Generic text
(PLEASE SHOW THE MOTHER THE FOLLOWING QUESTION AND FILL IT IN WITH HER)
23
Below there are six things which are important in choosing a job. Put (1) against the thing you think is MOST important,(2) against the second MOST important and so on. Make sure that each has a number.

(Please give your own views - there is no right order)

-

1 - 1

2 - 2

3 - 3

4 - 4

5 - 5

6 - 6
Security
Good pay
Interesting work
Being able to take pride in one's work
Being one's own boss
Good prospects
NOW CONTINUE TO ASK THE MOTHER QUESTIONS AS BEFORE
V. PARENTS' HEALTH
"Husband" refers to present husband, i.e. not necessarily the father of this child
24
Do you or your husband suffer from any of the following complaints?
-

1 - Wife

2 - Husband

0 - Neither
ASTHMA, ECZEMA or HAY FEVER
CHRONIC COUGH
RHEUMATISM IN THE JOINTS
ANAEMIA
NERVES
HEART TROUBLE
KIDNEY TROUBLE
24 i

Do you or your husband suffer from any of the following complaints? OTHER, NAMELY Wife

Other
24 ii

Do you or your husband suffer from any of the following complaints? OTHER, NAMELY Husband

Other
25 i

Have you or your husband any chronic disability such as deafness, bad sight, arthritis, or any physical handicap? If so, please give details. Wife

0
No chronic disability
*
A chronic disability, namely
Generic text
25 ii

Have you or your husband any chronic disability such as deafness, bad sight, arthritis, or any physical handicap? If so, please give details. Husband

0
No chronic disability
*
A chronic disability, namely
Generic text
26 a

Have either you or your husband been an in-patient in any hospital since 1946 (since marriage if remarried since 1946)?

1
Yes, wife only
2
Yes, husband only
3
Yes, both husband and wife
0
No, neither
(If "yes")
qc_26_a == 1 || qc_26_a == 2 || qc_26_a == 3
26 b(i)
Please give the reason for admission and approximate time in hospital: Wife
Year Reason Weeks in Hospital
Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text
1
2
3
26 b(ii)
Please give the reason for admission and approximate time in hospital: Husband
Year Reason Weeks in Hospital
Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text
1
2
3
(All Mothers)
27 a

Has your husband ever been unable to get work or had to give up his work for three months or more because of illness?

1
Yes
0
No
(If "yes")
qc_27_a == 1
27 b(i)

When did he go off work?

Generic date
27 b(ii)

For how long was he off work? ... months

How many
27 b(iii)

What was the illness?

Generic text
(All Mothers)
Will you answer the following questions on your GENERAL health?
28 a

Are you inclined to be moody?

1
Yes
0
No
28 b

Do you sometimes feel happy, sometimes depressed without adequate reason?

1
Yes
0
No
28 c

Does your mind often wander when you are trying to concentrate?

1
Yes
0
No
28 d

Do you have frequent ups and downs in mood either with or without apparent cause?

1
Yes
0
No
28 e

Are you sometimes bubbling over with energy and sometimes very sluggish?

1
Yes
0
No
28 f

Are you frequently "lost in thought" even when supposed to be taking part in a conversation?

1
Yes
0
No
29 i

How would you describe the state of your own health and that of your husband's? Wife

1
Excellent
2
Good
3
Average
4
Not very good
5
Bad
29 ii

How would you describe the state of your own health and that of your husband's? Husband

1
Excellent
2
Good
3
Average
4
Not very good
5
Bad
VI. THE MOTHER'S WORK
30 a

Have you been in paid work (either inside or outside the home) since January 1957?

1
Yes
0
No
(If "yes")
qc_30_a == 1
30 b
Please give the following details of each period of employment.

(The last employment recorded in this survey is entered in red.)

Exact Nature of Work No. of days worked per week Time of leaving home Time of getting back home Date of taking job Date of leaving job
Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week
1
2
VII. HUSBAND'S WORK
31 a

What is your husband's occupation now?

Generic text
31 b

In what industry does he work?

Generic text
31 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?
If your husband's work regularly keeps him away from home for 24 hours or more at a time,
31 d

please give details.

Generic text
VIII. PREGNANCIES
(All Mothers)
32 a

Have you been pregnant since January 1957 ?

1
Yes
0
No
(If "yes")
qc_32_a == 1
32 b
Please give the following details for each pregnancy:-
Date of delivery (mth. and yr.) Sex of child Birth weight (to nearest ¼ lb.) Result of delivery (live, birth, stillbirth or miscarriage) If not surviving please give age at death
Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge
1
2
(If now pregnant)
32 b(i)

Expected date of delivery

Generic date
IX. THE HOME AND FAMILY
33 a
Parents and their children living in this household.

(Please start with the youngest and end with the oldest. INCLUDE THE PARENTS AND THIS CHILD.)

Christian Name Sex Approximate Age
Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text
1
2
3
4
5
6
7
33 b
Other members of the household (lodgers, relatives, domestics, etc)
Relationship to mother of this child (e.g. mother-in-law, sister, lodger, etc.) Sex Approximate Age
Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text
1
2
3
33 c

Total in household ... persons

How many
34
Total rooms occupied by all the members of the household listed in (a) and (b).
Bedrooms Living rooms (include kitchen only if used as a living room, exclude scullery) Own Living rooms Living rooms (include kitchen only if used as a living room, exclude scullery) Living rooms shared with other households Total
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
1
35

Where does this child do his homework ?

1
In the living room with other members of the family
2
In a separate room
*
Other, namely
Other
36 a

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

1
By himself
2
With others
(If "with others")
qc_36_a == 2
36 b

Who else sleeps in his room ? (Please give name and ages.)

Generic text
36 c

Does he sleep in own bed or with others? (If with others please give names and ages.)

0
Own bed
*
With others, namely
Other
37

Is your kitchen shared with another household?

1
Yes
0
No
Y
No kitchen
38

Is there a bathroom for your use?

1
Yes
0
No
39

How do you obtain hot water?

1
Running hot water
2
Gas or electric copper
3
Boiling kettles
*
Other, namely
Other
X. COMMENTS (BY SCHOOL NURSE OR HEALTH VISITOR)
40

Type of dwelling?

1
Whole house or bungalow
2
Self-contained flat
3
Tenement
4
Unfurnished rooms
5
Furnished rooms
*
Others, namely
Other
41

Ownership of dwelling ?

1
Council
2
Parents of the child
3
Relative
*
Other, namely
Other
42

Does this family possess any of the following?

1
Telephone
2
Car
3
Television
0
None of these
43

Please state from your OWN KNOWLEDGE whether the parents of this child are :-

1
Married and living together
2
Legally separated
3
Divorced
4
Permanently separated for other reasons
5
Widowed
*
Other, namely
Other
outro i

QUERIES FROM PREVIOUS SURVEYS

Long text
outro ii

Date of interview

Generic date
outro iii

Name of School Nurse or Health Visitor

Generic text
End

nshd_61_iwm

s_intro_i
STRICTLY CONFIDENTIAL
s_intro_ii
JANUARY 1961
s_intro_iii
FINAL INTERVIEW WITH MOTHER
s_intro_iv
NATIONAL SURVEY OF THE HEALTH AND DEVELOPMENT OF CHILDREN
s_intro_v
INSTITUTE OF CHILD HEALTH (UNIVERSITY OF LONDON) SOCIETY OF MEDICAL OFFICERS OF HEALTH and POPULATION INVESTIGATION COMMITTEE USHER INSTITUTE
intro i
Ref. No.
Generic text
intro ii
Name
Generic text
intro iii
Address
Long text
intro iv
School
Generic text

FOR THOSE WHO HAVE MOVED

intro v
New Address
Long text
intro vi
L.E.A.
Generic text
intro vii
School
Generic text
s_intro_vi
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.
s_intro_vii
Purpose of this inquiry
s_intro_viii
This is the last home visit in connection with the National Survey of Child Health; and its purpose is to bring the medical and social history up to date and to fill in gaps in our information about the child's progress at school and the job he / she will enter on leaving school. We are also asking about the parents' health including questions both on known illnesses and on their general well-being. This proves to be important in relation to the health and adjustment of their children. During the 15 years of this survey we have kept in touch with over 90 per cent of the parents and children. As the value of this inquiry depends on information being obtained for every possible survey child we hope that on this last occasion all forms will be completed.
s_intro_ix
COMPLETED FORMS SHOULD BE RETURNED TO THE SCHOOL MEDICAL OFFICER AND NOT DIRECTLY TO THE JOINT COMMITTEE.
s_intro_x
RING THE CODE NUMBER OPPOSITE THE MOTHER'S ANSWER. IF A QUESTION DOES NOT APPLY, STRIKE IT THROUGH.
1 a
Person interviewed.
1
Mother
*
Other, namely
Other
1 b
please give the reason.
Generic text
If mother not interviewed because she was ill, refused, etc.,
2
Date of death
Generic date
If this child has died, please state
3
Where is the child now living?
1
At home
2
With relatives
3
Special School or Institution
4
Ill in hospital
*
Elsewhere, namely
Other
(For all living children)

I. ACCIDENTS

4 a(i)
Last accident recorded. Type
Generic text
4 a(ii)
Last accident recorded. Age when injured ... yrs.
Age
s_q4
(Since this accident, or since JANUARY 1957)
4 b
Has this child had an accident in which he was BURNT or SCALDED, BROKE A BONE, was BADLY CUT or BRUISED, or INJURED by a CHEMICAL or POISON?
1
Yes
0
No
4 b(i)

Please give the following details about each accident starting with the earliest:

Type of injury (enter as BURN, SCALD, BROKEN BONE, CUT, POISON, etc) Part or Parts injured Age when injured (in years and months) Treatment, Hosp, I.P., Hosp. O.P., Nursing Home Own Home If treated in own home, who gave treatment (Doctor, Nurse, other) Details of any remaining scarring, disability or deformity
Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textAgeGeneric textGeneric textGeneric textGeneric text
First Accident 1
Second 2
(If "yes")
4 b(ii)

Please give the following details about each accident starting with the earliest:

DETAIILS of how each ACCIDENT OCCURRED (if burnt by fire, say whether electric, gas, open fire or oil stove) WHERE IT OCCURRED (Own Home, School, Street, etc)
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
First Accident 1
Second 2
(If "yes")

II. ILLNESSES

5 a(i)
Details of last Hospital Admission Recorded in this Survey. Illness
Generic text
5 a(ii)
Details of last Hospital Admission Recorded in this Survey. Hospital
Generic text
5 a(iii)
Details of last Hospital Admission Recorded in this survey. Age
Age
s_q5a
(If nothing recorded there has been no admission before January 1957)
5 b
Has this child been an IN-PATIENT in a HOSPITAL or NURSING HOME since JANUARY 1957 when he was ten years and nine months old?
1
Yes
0
No
X
No answer
5 c(i)

Please give the following details about each admission :

Nature of illness Nature of operation performed (if any) Date of Admission
Generic textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric text Generic textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric text Generic textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric text
1
2
(If "yes")
5 c(ii)

Please give the following details about each admission:

Name and Address of Hospital or Nursing Home Length of stay in Hospital or Nursing Home Name of Doctor or Specialist in charge of Child
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
1
2
(If "yes")
s_q6
(All Mothers)
6 a
Apart from hospital admissions, have you been worried since January 1957 about any of the following: This child's GENERAL HEALTH
1
Yes worried
0
Not worried
6 a(i)
Please give details
Generic text
(If worried)
6 b
Apart from hospital admissions, have you been worried since January 1957 about any of the following: This child's NERVOUSNESS (including nervous habits and excessive fears)?
1
Yes worried
0
Not worried
6 b(i)
Please give details
Generic text
(If worried)
6 c
Apart from hospital admissions, have you been worried since January 1957 about any of the following: This child's BEHAVIOUR (including outbursts of violence, destructiveness, pilfering, wandering away or defiance of control) ?
1
Yes worried
0
Not worried
6 c(i)
Please give details
Generic text
(If worried)
s_q7a
(All Mothers)
7 a
Has this child attended Out-patients at a hospital clinic for nervous or disturbed behaviour, since January 1957?
1
Yes
0
No
7 b
What was the name of the clinic?
Generic text
(If "yes")
7 c
What were the symptoms?
Generic text
(If "yes")

III. SCHOOLING

s_q8a
(All Mothers)
8 a
During the last year, have you or your husband met this child's class teacher or head teacher?
1
Yes, mother only
2
Yes, father only
3
Yes, both mother and father
0
No, neither
8 b
What did you discuss with them?
1
Child's school progress
2
When child should leave school
3
Child's future jobs
*
Other, namely
Other
(If "yes")
s_q9
(All Mothers)
9
Since this child started at secondary school how many different schools has he/she attended? ... schools
How many
1
one only
10 a
Are you satisfied that the school this child is now attending is suited to his/her abilities?
1
Yes
0
No
10 b
In what ways is it not suited to the child's ability?
Generic text
(If "no")
10 c
What kind of school do you think this child should have gone to?
Generic text
(If "no")
s_q11
(All Mothers)
11
At that age do you want this child to leave school? ... years
Age
12 a
Does your husband also want the child to leave then?
1
Yes
0
No
12 b
At what age does he want him/her to leave? ... years
Age
(If "no")
s_q13a
(All Mothers)
13 a
Do you wish this child to go to a University or Technical College for full-time study?
1
Yes, University
2
Yes, Technical College
0
No, neither
13 b
Does your husband agree with this?
1
Yes
0
No

IV. EMPLOYMENT ON LEAVING SCHOOL

14 a
With whom have you or your husband discussed the sort of job this child should do on leaving school?
0
No one
1
Careers master at school
2
Class teacher or headmaster
3
Youth employment officer
*
Other, namely
Other
14 b
What advice were you given?
Generic text
(If discussed)
s_q15
(All Mothers)
15
What job is this child actually going to take when he/she leaves school?
Generic text
16
Why is he/she taking this job rather than any other?
Generic text
17
If he/she is to succeed in this job is it necessary to study full-time or part-time after leaving school?
1
Yes, full-time
2
Yes, part-time day
3
Yes, part-time night
0
No need to study
18 a
What sort of job do you yourself think this child is best fitted for (even if it is not the one he/she is going to take up?)
Generic text
18 b
Why do you think this is the right sort of job?
Generic text
18 c
Does your husband agree this is the right job?
1
Yes
0
No
18 d
What job does he think this child should do?
Generic text
If "no"
s_q19a
(All Mothers)
19 a
Would you advise your children against taking a job that required full-time or part-time study after leaving school?
1
Advise against full-time study
2
Advise against part-time study
0
Would not advise against either
19 b
Would you advise against it even if this further study cost you nothing?
1
Yes
0
No
Y
Does not apply
(If "advise against")
s_q20
(All Mothers)
20
Would you advise your children against taking any of the following types of job:
1
A routine office job
2
An unskilled manual job
3
A domestic job
4
An outdoor job
5
A dirty job
6
A job behind a counter
0
Would not advise against any of these
21

What jobs are this child's OLDER brothers and sisters now doing?

Name Age Exact Description of Present Occupation
Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text
1
2
3
21 i
What jobs are this child's OLDER brothers and sisters now doing?
0
No older brothers or sisters
22 a
How do your children's opportunities on leaving school compare with your own and your husband's at the same age?
0
Much better
1
Better
2
The same
3
Worse
4
Much worse
22 b
In what ways are they better?
Generic text
(If "better")
22 c
In what ways are they worse?
Generic text
(If "worse")
s_q23_i
(PLEASE SHOW THE MOTHER THE FOLLOWING QUESTION AND FILL IT IN WITH HER)
23

Below there are six things which are important in choosing a job. Put (1) against the thing you think is MOST important,(2) against the second MOST important and so on. Make sure that each has a number.

-

1 - 1

2 - 2

3 - 3

4 - 4

5 - 5

6 - 6
Security
Good pay
Interesting work
Being able to take pride in one's work
Being one's own boss
Good prospects
s_q23_ii
NOW CONTINUE TO ASK THE MOTHER QUESTIONS AS BEFORE

V. PARENTS' HEALTH

s_parentshealth
"Husband" refers to present husband, i.e. not necessarily the father of this child
24

Do you or your husband suffer from any of the following complaints?

-

1 - Wife

2 - Husband

0 - Neither
ASTHMA, ECZEMA or HAY FEVER
CHRONIC COUGH
RHEUMATISM IN THE JOINTS
ANAEMIA
NERVES
HEART TROUBLE
KIDNEY TROUBLE
24 i
Do you or your husband suffer from any of the following complaints? OTHER, NAMELY Wife
Other
24 ii
Do you or your husband suffer from any of the following complaints? OTHER, NAMELY Husband
Other
25 i
Have you or your husband any chronic disability such as deafness, bad sight, arthritis, or any physical handicap? If so, please give details. Wife
0
No chronic disability
*
A chronic disability, namely
Generic text
25 ii
Have you or your husband any chronic disability such as deafness, bad sight, arthritis, or any physical handicap? If so, please give details. Husband
0
No chronic disability
*
A chronic disability, namely
Generic text
26 a
Have either you or your husband been an in-patient in any hospital since 1946 (since marriage if remarried since 1946)?
1
Yes, wife only
2
Yes, husband only
3
Yes, both husband and wife
0
No, neither
26 b(i)

Please give the reason for admission and approximate time in hospital: Wife

Year Reason Weeks in Hospital
Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text
1
2
3
(If "yes")
26 b(ii)

Please give the reason for admission and approximate time in hospital: Husband

Year Reason Weeks in Hospital
Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text
1
2
3
(If "yes")
s_q27a
(All Mothers)
27 a
Has your husband ever been unable to get work or had to give up his work for three months or more because of illness?
1
Yes
0
No
27 b(i)
When did he go off work?
Generic date
(If "yes")
27 b(ii)
For how long was he off work? ... months
How many
(If "yes")
27 b(iii)
What was the illness?
Generic text
(If "yes")
s_q28_i
(All Mothers)
s_q28_ii
Will you answer the following questions on your GENERAL health?
28 a
Are you inclined to be moody?
1
Yes
0
No
28 b
Do you sometimes feel happy, sometimes depressed without adequate reason?
1
Yes
0
No
28 c
Does your mind often wander when you are trying to concentrate?
1
Yes
0
No
28 d
Do you have frequent ups and downs in mood either with or without apparent cause?
1
Yes
0
No
28 e
Are you sometimes bubbling over with energy and sometimes very sluggish?
1
Yes
0
No
28 f
Are you frequently "lost in thought" even when supposed to be taking part in a conversation?
1
Yes
0
No
29 i
How would you describe the state of your own health and that of your husband's? Wife
1
Excellent
2
Good
3
Average
4
Not very good
5
Bad
29 ii
How would you describe the state of your own health and that of your husband's? Husband
1
Excellent
2
Good
3
Average
4
Not very good
5
Bad

VI. THE MOTHER'S WORK

30 a
Have you been in paid work (either inside or outside the home) since January 1957?
1
Yes
0
No
30 b

Please give the following details of each period of employment.

Exact Nature of Work No. of days worked per week Time of leaving home Time of getting back home Date of taking job Date of leaving job
Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week Days in weekGeneric textGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textGeneric TimeGeneric dateDays in weekGeneric TimeGeneric dateGeneric dateGeneric dateGeneric TimeGeneric TimeDays in weekGeneric textGeneric TimeGeneric textGeneric TimeGeneric dateGeneric dateDays in weekDays in weekGeneric dateGeneric textGeneric TimeGeneric TimeGeneric dateGeneric TimeGeneric TimeGeneric dateGeneric dateGeneric textDays in week
1
2
(If "yes")

VII. HUSBAND'S WORK

31 a
What is your husband's occupation now?
Generic text
31 b
In what industry does he work?
Generic text
31 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?
31 d
please give details.
Generic text
If your husband's work regularly keeps him away from home for 24 hours or more at a time,

VIII. PREGNANCIES

s_q32a
(All Mothers)
32 a
Have you been pregnant since January 1957 ?
1
Yes
0
No
32 b

Please give the following details for each pregnancy:-

Date of delivery (mth. and yr.) Sex of child Birth weight (to nearest ¼ lb.) Result of delivery (live, birth, stillbirth or miscarriage) If not surviving please give age at death
Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge Generic textlbsGeneric dateAgeGeneric textGeneric textGeneric textAgeGeneric datelbsGeneric textlbsAgeGeneric textGeneric dateGeneric datelbsGeneric textGeneric textAgeGeneric textGeneric textlbsGeneric dateAge
1
2
(If "yes")
32 b(i)
Expected date of delivery
Generic date
(If "yes")
(If now pregnant)

IX. THE HOME AND FAMILY

33 a

Parents and their children living in this household.

Christian Name Sex Approximate Age
Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text
1
2
3
4
5
6
7
33 b

Other members of the household (lodgers, relatives, domestics, etc)

Relationship to mother of this child (e.g. mother-in-law, sister, lodger, etc.) Sex Approximate Age
Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text Generic textAgeGeneric textGeneric textAgeGeneric textAgeGeneric textGeneric text
1
2
3
33 c
Total in household ... persons
How many
34

Total rooms occupied by all the members of the household listed in (a) and (b).

Bedrooms Living rooms (include kitchen only if used as a living room, exclude scullery) Own Living rooms Living rooms (include kitchen only if used as a living room, exclude scullery) Living rooms shared with other households Total
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
1
35
Where does this child do his homework ?
1
In the living room with other members of the family
2
In a separate room
*
Other, namely
Other
36 a
Does this child sleep in a room by himself or in a room with others?
1
By himself
2
With others
36 b
Who else sleeps in his room ? (Please give name and ages.)
Generic text
(If "with others")
36 c
Does he sleep in own bed or with others? (If with others please give names and ages.)
0
Own bed
*
With others, namely
Other
(If "with others")
37
Is your kitchen shared with another household?
1
Yes
0
No
Y
No kitchen
38
Is there a bathroom for your use?
1
Yes
0
No
39
How do you obtain hot water?
1
Running hot water
2
Gas or electric copper
3
Boiling kettles
*
Other, namely
Other

X. COMMENTS (BY SCHOOL NURSE OR HEALTH VISITOR)

40
Type of dwelling?
1
Whole house or bungalow
2
Self-contained flat
3
Tenement
4
Unfurnished rooms
5
Furnished rooms
*
Others, namely
Other
41
Ownership of dwelling ?
1
Council
2
Parents of the child
3
Relative
*
Other, namely
Other
42
Does this family possess any of the following?
1
Telephone
2
Car
3
Television
0
None of these
43
Please state from your OWN KNOWLEDGE whether the parents of this child are :-
1
Married and living together
2
Legally separated
3
Divorced
4
Permanently separated for other reasons
5
Widowed
*
Other, namely
Other
outro i
QUERIES FROM PREVIOUS SURVEYS
Long text
outro ii
Date of interview
Generic date
outro iii
Name of School Nurse or Health Visitor
Generic text
Name

1961 Final Interview with Mother