Start
nshd_66_pq
NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
M.R.C. Unit,
London School of Economics
STRICTLY CONFIDENTIAL
1966 SURVEY
intro i

Ref. No.

Generic text
intro ii

Name and 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 everything you tell us is kept strictly confidential. We never mention anyone by name in any reports that we write.
When you have answered the questions, post the form to us in the special envelope - you don't need to stick a stamp on.
PERSONAL INFORMATION
1 i

Is this your correct name and permanent address? NEW NAME: (if married)

(If it is not correct, please write the new or corrected address here. If you are a girl and are now married, please put your married name.)

Generic text
1 ii

Is this your correct name and permanent address? NEW ADDRESS:

(If it is not correct, please write the new or corrected address here. If you are a girl and are now married, please put your married name.)

Generic text
2

Are you now married?

1
Yes
0
No
If Yes to question 2
qc_2 == 1
2 i

date of marriage

Generic date
(If married)
qc_2 == 1
3 a

Have you any children?

1
Yes
0
No
(if "yes")
qc_3_a == 1
_children < 4 _children < 4
3 a(i)

NAME

(We have put in the ones we know about)

Generic text
3 a(ii)

SEX

(We have put in the ones we know about)

Generic text
3 a(iii)

DATE OF BIRTH

(We have put in the ones we know about)

Date of birth
3 b

Are you (or your wife) expecting a baby?

1
Yes
0
No
GENERAL HEALTH
4 a

The last accident we have recorded for you was .... We have no accidents recorded for you for a long time. Have you had any accident since then/since you left school in which you were burnt or scalded, you broke a bone, you were badly cut or bruised, or injured by a chemical?

1
Yes
0
No
(If "yes" please give the following details about each accident, starting with the earliest)
qc_4_a == 1
_accident < 4 _accident < 4
4 b(i)

What sort of injury?

(i.e.burn,cut,broken bone etc.)

Generic text
4 b(ii)

What part was hurt?

Generic text
4 b(iii)

When did it happen?

Generic text
4 b(iv)

Where was it treated?

Generic text
4 b(v)

Who by?

Generic text
4 b(vi)

What sort of scar or trouble does it still give you?

Generic text
4 b(vii)

How did the accident happen?

Generic text
4 b(viii)

Where did it happen?

Generic text
5 a

The last hospital admission we have recorded for you was ... We have no hospital admissions recorded for you for a long time. Have you been in hospital as an inpatient since then/since you left school?

1
Yes
0
No
(If "yes")
qc_5_a == 1
5 b(i)

What hospital was it?

Generic text
5 b(ii)

When did you go in?

Generic text
5 b(iii)

What were you in hospital for?

Generic text
5 b(iv)

How long were you in hospital?

Generic text
5 b(v)

What was the doctor's name who looked after you?

Generic text
6

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

1
Yes
0
No
(If "yes")
qc_6 == 1
6 i

What hospital/clinic was it?

Generic text
6 ii

When did you go first?

Generic text
6 iii

Why did you go?

Generic text
7

Apart from what you have just put in questions 4, 5 and 6, have you consulted a doctor since this time last year?

1
Yes
0
No
(If "yes")
qc_7 == 1
_reason < 6 && _reason < 6 &&
7 i

REASON FOR VISITS

(Use one line for a series of visits in connection with the same complaint)

Generic text
7 ii

NUMBER OF VISITS At Doctor's surgery

How many
7 iii

NUMBER OF VISITS At your home

How many
8

Have you been off work or indoors through accident or illness since this time last year?

1
Yes
0
No
(If "yes")
qc_8 == 1
_illness < 4 _illness < 4
8 i

APPROXIMATE DATE

Generic date
8 ii

NATURE OF ACCIDENT, ILLNESS

Generic text
8 iii

TIME OFF WORK

Generic text
COUGHS AND CHEST TROUBLE
9 a

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

1
Yes
0
No
9 b

Do you usually cough 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
9 c

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

1
Yes
0
No
10 a

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

1
Yes
0
No
10 b

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 10(a) or (b)
qc_10_a == 1 || qc_10_b == 1
10 c

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

1
Yes
0
No
11

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
12

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
13 a

Does your chest ever sound wheezy or whistling?

1
Yes
0
No
(If "yes")
qc_13_a == 1
13 b

Do you get this most days (or nights)?

1
Yes
0
No
14 a

Does the weather affect your chest?

1
Yes
0
No
(If "yes")
qc_14_a == 1
14 b

Does foggy weather make you (more) breathless?

1
Yes
0
No
15

Do colds usually go to your chest?

1
Yes
0
No
16 i

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

1
Yes
0
No
16 ii

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

1
Yes
0
No
16 iii

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
17 a

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

1
Yes
0
No
(If "yes")
qc_17_a == 1
17 b

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

1
One illness
2
Two illnesses or more
18 a

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

1
Yes
0
No
18 b

In the winter, is your bedroom heated at night?

1
Yes
0
No
OTHER INFORMATION
19 i

How tall are you (without shoes)? ... feet ... inches

Feet
Inches in foot
19 ii

How much do you weigh in indoor clothing? .... stones .... pounds

Stones
Pounds in stone
20

Is your father now living?

1
Yes
0
No
If No to question 20
qc_20 == 0
20 i

When did he die?

Date of death
21

Is your mother now living?

1
Yes
0
No
If No to question 21
qc_21 == 0
21 i

When did she die?

Date of death
EMPLOYMENT
22 a

Are you now ...

1
working?
2
a housewife?
3
a full-time student?
4
not working (from choice)?
5
unemployed?
*
other, namely
Other
22 b
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 a full-time student, please give the name of the college and the course, if the information in red is not correct.
Job Number Type of job (i.e. what do YOU do?) 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric text
1
2
3
4
5
If you are working now,
qc_22_a == 1
23

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

Long text
24

Have you been taking any part-time day or evening classes, a correspondence course, or studying at home since last September? (ring more than one if necessary)

0
No
1
Yes, college
2
Yes, correspondence
3
Yes, at home
(If "yes")
qc_24 >= 1 && qc_24 <= 3
_course < 4 _course < 4
24 i

Name of COLLEGE or of CORRESPONDENCE COURSE

Generic text
24 ii

Name of COURSE or SUBJECTS STUDIED

Generic text
24 iii

Day, Evening, Home or Correspondence?

Generic text
24 iv

WHAT EXAMS HAVE YOU PASSED?

Generic text
SMOKING
A lot has been said and written recently about smoking. To help settle some of the arguments we have been asked if we would help by providing some facts and figures about the number of people who smoke, and how much they smoke.
If we can find out the facts about the 5,000 men and women in this survey, then we can state confidently what is true for twenty-year-old people in Britain. The actual questions here are exactly the same as those used in several large international studies of smoking habits.
As you see, it is very important that our information should be correct, so we hope you will try to be as accurate as possible. If you don't know an answer exactly, please answer it as nearly as you can.
25 a

Do you smoke CIGARETTES now?

1
Yes, regularly
2
Occasionally (usually less than one a day)
0
No
If No to question 25a (go to Q.26)
qc_25_a == 0
Else
25 b

Do you inhale?

1
Yes
0
No
25 c

If you now smoke cigarettes, what kind do you smoke -

1
Manufactured, with filters?
2
Manufactured, without filters?
3
Hand rolled?
25 d

How many manufactured cigarettes do you usually smoke per day? No. per day

How many
25 e

About how many ounces of tobacco do you use per week for rolling your own cigarettes? Oz. per week

Ounces
25 f

What is the maximum number of cigarettes that you have smoked per day for as long as a year? Total number of manufactured and hand-rolled cigarettes (counting 1 oz. of tobacco as 25 cigarettes) No. per day

How many
25 g

How many cigarettes did you smoke per day a year ago? No. per day

How many
25 h

How old were you when you began to smoke cigarettes? Age

Age
(After answering this question go to Q.27)
If you do NOT smoke cigarettes now,
qc_25_a == 0
26 a

did you EVER smoke them?

1
Yes, regularly
2
Occasionally (usually less than one cigarette per day)
0
No, never
If you used to smoke regularly,
qc_26_a == 1
26 b

what is the maximum number of cigarettes you ever smoked per day, for as long as a year? Total number of manufactured and hand-rolled cigarettes (counting 1 oz. of tobacco as 25 cigarettes) No. of cigarettes per day

How many
26 c

Did you inhale?

1
Yes
0
No
26 d

How old were you when you began to smoke cigarettes?

Age
26 e

When did you stop smoking cigarettes? Year

Generic date
26 f

Why did you stop?

Generic text
27 a

Have you ever smoked CIGARS?

1
Used to smoke them but do not now
2
Now smoke occasionally (less than one per day)
3
Now smoke regularly
0
No
If you smoke cigars now,
qc_27_a == 2 || qc_27_a == 3
27 b(i)

about how many do you smoke per week? SIZE Manikin NO. PER WEEK

How many
27 b(ii)

about how many do you smoke per week? SIZE Large Cheroot NO. PER WEEK

How many
27 b(iii)

about how many do you smoke per week? SIZE Full-size Cigar NO. PER WEEK

How many
27 c

Do you inhale?

1
Yes
0
No
28 a

Have you ever smoked a PIPE?

1
Used to smoke a pipe but not now
2
Now smoke a pipe occasionally (less than once a day)
3
Now smoke regularly
0
No
If you smoke a pipe now,
qc_28_a == 2 || qc_28_a == 3
28 b

about how many ounces of tobacco do you smoke per week? Oz. per week

Ounces
28 c

Do you inhale?

1
Yes
0
No
29

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

Long text
outro i

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 - YOU DON'T NEED A STAMP AS WE WILL PAY THE POSTAGE.
THANK YOU VERY MUCH FOR ALL YOUR HELP
End

nshd_66_pq

s_intro_i
NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
s_intro_ii
M.R.C. Unit,
s_intro_iii
London School of Economics
s_intro_iv
STRICTLY CONFIDENTIAL
s_intro_v
1966 SURVEY
intro i
Ref. No.
Generic text
intro ii
Name and Address
Generic text
s_intro_vi
INTRODUCTION
s_intro_vii
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,
s_intro_viii
Of course everything you tell us is kept strictly confidential. We never mention anyone by name in any reports that we write.
s_intro_ix
When you have answered the questions, post the form to us in the special envelope - you don't need to stick a stamp on.

PERSONAL INFORMATION

1 i
Is this your correct name and permanent address? NEW NAME: (if married)
Generic text
1 ii
Is this your correct name and permanent address? NEW ADDRESS:
Generic text
2
Are you now married?
1
Yes
0
No
2 i
date of marriage
Generic date
If Yes to question 2
3 a
Have you any children?
1
Yes
0
No
(If married)

_children < 4

3 a(i)
NAME
Generic text
(If married)
(if "yes")
3 a(ii)
SEX
Generic text
(If married)
(if "yes")
3 a(iii)
DATE OF BIRTH
Date of birth
(If married)
(if "yes")
3 b
Are you (or your wife) expecting a baby?
1
Yes
0
No
(If married)

GENERAL HEALTH

4 a
The last accident we have recorded for you was .... We have no accidents recorded for you for a long time. Have you had any accident since then/since you left school in which you were burnt or scalded, you broke a bone, you were badly cut or bruised, or injured by a chemical?
1
Yes
0
No

_accident < 4

4 b(i)
What sort of injury?
Generic text
(If "yes" please give the following details about each accident, starting with the earliest)
4 b(ii)
What part was hurt?
Generic text
(If "yes" please give the following details about each accident, starting with the earliest)
4 b(iii)
When did it happen?
Generic text
(If "yes" please give the following details about each accident, starting with the earliest)
4 b(iv)
Where was it treated?
Generic text
(If "yes" please give the following details about each accident, starting with the earliest)
4 b(v)
Who by?
Generic text
(If "yes" please give the following details about each accident, starting with the earliest)
4 b(vi)
What sort of scar or trouble does it still give you?
Generic text
(If "yes" please give the following details about each accident, starting with the earliest)
4 b(vii)
How did the accident happen?
Generic text
(If "yes" please give the following details about each accident, starting with the earliest)
4 b(viii)
Where did it happen?
Generic text
(If "yes" please give the following details about each accident, starting with the earliest)
5 a
The last hospital admission we have recorded for you was ... We have no hospital admissions recorded for you for a long time. Have you been in hospital as an inpatient since then/since you left school?
1
Yes
0
No
5 b(i)
What hospital was it?
Generic text
(If "yes")
5 b(ii)
When did you go in?
Generic text
(If "yes")
5 b(iii)
What were you in hospital for?
Generic text
(If "yes")
5 b(iv)
How long were you in hospital?
Generic text
(If "yes")
5 b(v)
What was the doctor's name who looked after you?
Generic text
(If "yes")
6
Have you attended a hospital out-patient department or clinic since this time last year?
1
Yes
0
No
6 i
What hospital/clinic was it?
Generic text
(If "yes")
6 ii
When did you go first?
Generic text
(If "yes")
6 iii
Why did you go?
Generic text
(If "yes")
7
Apart from what you have just put in questions 4, 5 and 6, have you consulted a doctor since this time last year?
1
Yes
0
No

_reason < 6 &&

7 i
REASON FOR VISITS
Generic text
(If "yes")
7 ii
NUMBER OF VISITS At Doctor's surgery
How many
(If "yes")
7 iii
NUMBER OF VISITS At your home
How many
(If "yes")
8
Have you been off work or indoors through accident or illness since this time last year?
1
Yes
0
No

_illness < 4

8 i
APPROXIMATE DATE
Generic date
(If "yes")
8 ii
NATURE OF ACCIDENT, ILLNESS
Generic text
(If "yes")
8 iii
TIME OFF WORK
Generic text
(If "yes")

COUGHS AND CHEST TROUBLE

9 a
Do you usually cough first thing in the morning in the winter?
1
Yes
0
No
9 b
Do you usually cough during the day or at night in the winter?
1
Yes
0
No
9 c
Do you cough like this on most days for as much as three months each winter?
1
Yes
0
No
If "yes" to either question 9(a) or (b)
10 a
Do you usually bring up any phlegm (spit from the chest) first thing in the morning in the winter?
1
Yes
0
No
10 b
Do you usually bring up any phlegm (spit from the chest) during the day or at night in the winter?
1
Yes
0
No
10 c
Do you bring up phlegm (spit from the chest) on most days for as much as three months each winter?
1
Yes
0
No
If "yes" to either question 10(a) or (b)
11
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
12
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
13 a
Does your chest ever sound wheezy or whistling?
1
Yes
0
No
13 b
Do you get this most days (or nights)?
1
Yes
0
No
(If "yes")
14 a
Does the weather affect your chest?
1
Yes
0
No
14 b
Does foggy weather make you (more) breathless?
1
Yes
0
No
(If "yes")
15
Do colds usually go to your chest?
1
Yes
0
No
16 i
Do you usually have a stuffy nose or catarrh at the back of your nose ... in the winter?
1
Yes
0
No
16 ii
Do you usually have a stuffy nose or catarrh at the back of your nose ... in the summer?
1
Yes
0
No
16 iii
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
17 a
During the past three years have you had any chest illness e.g. bronchitis, pnuemonia, which has kept you off work or indoors for a week or more?
1
Yes
0
No
17 b
How many illnesses like this have you had in the last three years?
1
One illness
2
Two illnesses or more
(If "yes")
18 a
In the winter do you usually sleep with your bedroom windows open?
1
Yes
0
No
18 b
In the winter, is your bedroom heated at night?
1
Yes
0
No

OTHER INFORMATION

19 i
How tall are you (without shoes)? ... feet ... inches
Feet
Inches in foot
19 ii
How much do you weigh in indoor clothing? .... stones .... pounds
Stones
Pounds in stone
20
Is your father now living?
1
Yes
0
No
20 i
When did he die?
Date of death
If No to question 20
21
Is your mother now living?
1
Yes
0
No
21 i
When did she die?
Date of death
If No to question 21

EMPLOYMENT

22 a
Are you now ...
1
working?
2
a housewife?
3
a full-time student?
4
not working (from choice)?
5
unemployed?
*
other, namely
Other
22 b

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 a full-time student, please give the name of the college and the course, if the information in red is not correct.

Job Number Type of job (i.e. what do YOU do?) 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric 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 dateGeneric textGeneric dateGeneric textGeneric textGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric text
1
2
3
4
5
23
please describe in detail what you do in your job, what training you have had, and what responsibilities you have.
Long text
If you are working now,
24
Have you been taking any part-time day or evening classes, a correspondence course, or studying at home since last September? (ring more than one if necessary)
0
No
1
Yes, college
2
Yes, correspondence
3
Yes, at home

_course < 4

24 i
Name of COLLEGE or of CORRESPONDENCE COURSE
Generic text
(If "yes")
24 ii
Name of COURSE or SUBJECTS STUDIED
Generic text
(If "yes")
24 iii
Day, Evening, Home or Correspondence?
Generic text
(If "yes")
24 iv
WHAT EXAMS HAVE YOU PASSED?
Generic text
(If "yes")

SMOKING

s_smoking_i
A lot has been said and written recently about smoking. To help settle some of the arguments we have been asked if we would help by providing some facts and figures about the number of people who smoke, and how much they smoke.
s_smoking_ii
If we can find out the facts about the 5,000 men and women in this survey, then we can state confidently what is true for twenty-year-old people in Britain. The actual questions here are exactly the same as those used in several large international studies of smoking habits.
s_smoking_iii
As you see, it is very important that our information should be correct, so we hope you will try to be as accurate as possible. If you don't know an answer exactly, please answer it as nearly as you can.
25 a
Do you smoke CIGARETTES now?
1
Yes, regularly
2
Occasionally (usually less than one a day)
0
No
25 b
Do you inhale?
1
Yes
0
No
25 c
If you now smoke cigarettes, what kind do you smoke -
1
Manufactured, with filters?
2
Manufactured, without filters?
3
Hand rolled?
25 d
How many manufactured cigarettes do you usually smoke per day? No. per day
How many
25 e
About how many ounces of tobacco do you use per week for rolling your own cigarettes? Oz. per week
Ounces
25 f
What is the maximum number of cigarettes that you have smoked per day for as long as a year? Total number of manufactured and hand-rolled cigarettes (counting 1 oz. of tobacco as 25 cigarettes) No. per day
How many
25 g
How many cigarettes did you smoke per day a year ago? No. per day
How many
25 h
How old were you when you began to smoke cigarettes? Age
Age
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(After answering this question go to Q.27)
26 a
did you EVER smoke them?
1
Yes, regularly
2
Occasionally (usually less than one cigarette per day)
0
No, never
If you do NOT smoke cigarettes now,
26 b
what is the maximum number of cigarettes you ever smoked per day, for as long as a year? Total number of manufactured and hand-rolled cigarettes (counting 1 oz. of tobacco as 25 cigarettes) No. of cigarettes per day
How many
If you do NOT smoke cigarettes now,
If you used to smoke regularly,
26 c
Did you inhale?
1
Yes
0
No
If you do NOT smoke cigarettes now,
If you used to smoke regularly,
26 d
How old were you when you began to smoke cigarettes?
Age
If you do NOT smoke cigarettes now,
If you used to smoke regularly,
26 e
When did you stop smoking cigarettes? Year
Generic date
If you do NOT smoke cigarettes now,
If you used to smoke regularly,
26 f
Why did you stop?
Generic text
If you do NOT smoke cigarettes now,
If you used to smoke regularly,
27 a
Have you ever smoked CIGARS?
1
Used to smoke them but do not now
2
Now smoke occasionally (less than one per day)
3
Now smoke regularly
0
No
27 b(i)
about how many do you smoke per week? SIZE Manikin NO. PER WEEK
How many
If you smoke cigars now,
27 b(ii)
about how many do you smoke per week? SIZE Large Cheroot NO. PER WEEK
How many
If you smoke cigars now,
27 b(iii)
about how many do you smoke per week? SIZE Full-size Cigar NO. PER WEEK
How many
If you smoke cigars now,
27 c
Do you inhale?
1
Yes
0
No
If you smoke cigars now,
28 a
Have you ever smoked a PIPE?
1
Used to smoke a pipe but not now
2
Now smoke a pipe occasionally (less than once a day)
3
Now smoke regularly
0
No
28 b
about how many ounces of tobacco do you smoke per week? Oz. per week
Ounces
If you smoke a pipe now,
28 c
Do you inhale?
1
Yes
0
No
If you smoke a pipe now,
29
Has anything important happened to you in the last year that we haven't asked about? Please comment freely on anything you wish to tell us about.
Long text
outro i
TODAY'S DATE:
Generic date
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PLEASE CHECK THAT YOU HAVE ANSWERED ALL THE QUESTIONS
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PLEASE POST THE FORM DIRECTLY TO US IN THE SPECIAL ENVELOPE - YOU DON'T NEED A STAMP AS WE WILL PAY THE POSTAGE.
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THANK YOU VERY MUCH FOR ALL YOUR HELP