Start
nshd_69_pq
1969/70
STRICTLY CONFIDENTIAL
NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
(Medical Research Council)
M.R.C. Unit, London School of Economics,
intro i

Ref. No.

Generic text
intro ii

Name and Address

Generic text
(if changed)
intro iii

Name

Generic text
intro iv

Address

Generic text
Will you please bring this information on marriage and children up-to-date
intro v

Date of marriage

Generic date
If engaged,
intro vi

date of marriage, if fixed

Generic date
For Girls
intro vii

If engaged, what will be your surname after marriage?

Generic text
intro viii
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
intro ix

Are you (or your wife) expecting a baby?

1
Yes
0
No
(If 'Yes')
qc_intro_ix == 1
intro x

What is the expected date of birth?

Date of birth
How to complete this form
Please complete this form yourself. If you have any difficulty you should get someone to help you, but it is important that the answers should be yours.
Either write your answer in the box or space provided or put a circle round the number which is correct
If you wish to add any comments, please do so below the questions. We enclose a special envelope for the return of this form; it does not need a stamp.
HOUSING
1

Where are you living?

1
At home with your parents
2
With your in-laws
3
In lodgings/hostel (some meals provided)
4
In furnished flat/rooms (no meals provided)
5
In unfurnished house/flat you rent
6
In a house/flat you are buying
If none of these,
qc_1 != 1 && qc_1 != 2 && qc_1 != 3 && qc_1 != 4 && qc_1 != 5 && qc_1 != 6
1 i

please give details

Generic text
GENERAL HEALTH
2 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"
qc_2_a == 1
2 b
please give the following details about each accident, starting with the earliest)
What sort of injury? (i.e. burn,cut,broken bone etc.) What part was hurt? When did it happen? Where was it treated? Who by? What sort of scar or trouble does it still give you? How did the accident happen? Where did it happen?
Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric 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textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text
ACCIDENT 1
ACCIDENT 2
3 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 in-patient since then/since you left school?

1
Yes
0
No
(If 'Yes')
qc_3_a == 1
3 b(i)

What hospital was it?

Generic text
3 b(ii)

When did you go in?

Generic text
3 b(iii)

What were you in hospital for?

Generic text
3 b(iv)

How long were you in hospital?

Generic text
3 b(v)

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

Generic text
4

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

1
Yes
0
No
(If 'Yes')
qc_4 == 1
4 i

What hospital/clinic was it?

Generic text
4 ii

When did you go first?

Generic text
4 iii

Why did you go?

Generic text
5

Apart from what you have just put in questions 2, 3 and 4, have you consulted a doctor since this time last year?

1
Yes
0
No
(If 'Yes')
qc_5 == 1
_visit < 3 _visit < 3
5 i

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

Generic text
5 ii

NUMBER OF VISITS At Doctor's surgery

How many
5 iii

NUMBER OF VISITS At your home

How many
6

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

1
Yes
0
No
(If "yes")
qc_6 == 1
_offwork < 3 _offwork < 3
6 i

APPROXIMATE DATE

Generic date
6 ii

NATURE OF ACCIDENT, ILLNESS

Generic text
6 iii

TIME OFF WORK

Generic text
EMPLOYMENT
7 a

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
If Working part-time to question 7a
qc_7_a == 2
7 a(i)

how many hours a week?

Hours in week
7 b

Since your 21st birthday have you been out of work for more than a week? (That is, actually looking for work; do not include holidays or time off due to illness).

1
Yes
0
No
(If 'Yes')
qc_7_b == 1
_occasion < 3 _occasion < 3
7 c(i)

APPROXIMATE DATES

Generic text
7 c(ii)

LENGTH OF TIME UNEMPLOYED

Generic text
7 c(iii)

WHY WAS THIS?

Generic text
7 c(iv)

DID YOU REGISTER AS UNEMPLOYED?

Generic text
7 d
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." 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 No. 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 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
8

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

Long text
EDUCATION
9 a
Have you been taking any part-time day or evening classes, a correspondence course, or studying at home since September 1968? If so, please fill in details of what you did last year and of what you are registered for or intend to register for this year.
Name of COLLEGE or of CORRESPONDENCE COURSE Name of COURSE or SUBJECTS STUDIED Day, Evening, Home or Correspondence
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.-Sept. 1968/9
Oct.-Sept. 1969/70
9 b

What exams have you passed?

Generic text
9 c

What exams are you finally aiming at through part-time study?

Generic text
9 d

How will passing these exams affect your future?

Generic text
9 e

What assistance do you get from your employer to make part-time study easier?

Generic text
GENERAL
10

On recent questionnaires many of you wrote at length about yourselves and your opinions of life in general. We are still most interested to hear what is happening to you, whether this is inside or outside the special topics we have covered in this questionnaire.

Long text
outro i

TODAY'S DATE

Generic date
PLEASE CHECK THAT YOU HAVE ANSWERED ALL THE QUESTIONS THAT APPLY TO YOU.
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_69_pq

s_intro_i
1969/70
s_intro_ii
STRICTLY CONFIDENTIAL
s_intro_iii
NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
s_intro_iv
(Medical Research Council)
s_intro_v
M.R.C. Unit, London School of Economics,
intro i
Ref. No.
Generic text
intro ii
Name and Address
Generic text
intro iii
Name
Generic text
(if changed)
intro iv
Address
Generic text
(if changed)
s_intro_vi
Will you please bring this information on marriage and children up-to-date
intro v
Date of marriage
Generic date
intro vi
date of marriage, if fixed
Generic date
If engaged,
intro vii
If engaged, what will be your surname after marriage?
Generic text
If engaged,
For Girls
intro viii

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
intro ix
Are you (or your wife) expecting a baby?
1
Yes
0
No
intro x
What is the expected date of birth?
Date of birth
(If 'Yes')
s_intro_vii
How to complete this form
s_intro_viii
Please complete this form yourself. If you have any difficulty you should get someone to help you, but it is important that the answers should be yours.
s_intro_ix
Either write your answer in the box or space provided or put a circle round the number which is correct
s_intro_x
If you wish to add any comments, please do so below the questions. We enclose a special envelope for the return of this form; it does not need a stamp.

HOUSING

1
Where are you living?
1
At home with your parents
2
With your in-laws
3
In lodgings/hostel (some meals provided)
4
In furnished flat/rooms (no meals provided)
5
In unfurnished house/flat you rent
6
In a house/flat you are buying
1 i
please give details
Generic text
If none of these,

GENERAL HEALTH

2 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
2 b

please give the following details about each accident, starting with the earliest)

What sort of injury? (i.e. burn,cut,broken bone etc.) What part was hurt? When did it happen? Where was it treated? Who by? What sort of scar or trouble does it still give you? How did the accident happen? Where did it happen?
Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text
ACCIDENT 1
ACCIDENT 2
(if "yes"
3 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 in-patient since then/since you left school?
1
Yes
0
No
3 b(i)
What hospital was it?
Generic text
(If 'Yes')
3 b(ii)
When did you go in?
Generic text
(If 'Yes')
3 b(iii)
What were you in hospital for?
Generic text
(If 'Yes')
3 b(iv)
How long were you in hospital?
Generic text
(If 'Yes')
3 b(v)
What was the doctor's name who looked after you?
Generic text
(If 'Yes')
4
Have you attended a hospital out-patient department or clinic since this time last year?
1
Yes
0
No
4 i
What hospital/clinic was it?
Generic text
(If 'Yes')
4 ii
When did you go first?
Generic text
(If 'Yes')
4 iii
Why did you go?
Generic text
(If 'Yes')
5
Apart from what you have just put in questions 2, 3 and 4, have you consulted a doctor since this time last year?
1
Yes
0
No

_visit < 3

5 i
REASON FOR VISITS (Use one line for a series of visits in connection with the same complaint)
Generic text
(If 'Yes')
5 ii
NUMBER OF VISITS At Doctor's surgery
How many
(If 'Yes')
5 iii
NUMBER OF VISITS At your home
How many
(If 'Yes')
6
Have you been off work or indoors through accident or illness since this time last year?
1
Yes
0
No

_offwork < 3

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

EMPLOYMENT

7 a
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
7 a(i)
how many hours a week?
Hours in week
If Working part-time to question 7a
7 b
Since your 21st birthday have you been out of work for more than a week? (That is, actually looking for work; do not include holidays or time off due to illness).
1
Yes
0
No

_occasion < 3

7 c(i)
APPROXIMATE DATES
Generic text
(If 'Yes')
7 c(ii)
LENGTH OF TIME UNEMPLOYED
Generic text
(If 'Yes')
7 c(iii)
WHY WAS THIS?
Generic text
(If 'Yes')
7 c(iv)
DID YOU REGISTER AS UNEMPLOYED?
Generic text
(If 'Yes')
7 d

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." 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 No. 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 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
8
Please describe in detail what you do in your job, what training you have had, and what responsibilities you have.
Long text

EDUCATION

9 a

Have you been taking any part-time day or evening classes, a correspondence course, or studying at home since September 1968? If so, please fill in details of what you did last year and of what you are registered for or intend to register for this year.

Name of COLLEGE or of CORRESPONDENCE COURSE Name of COURSE or SUBJECTS STUDIED Day, Evening, Home or Correspondence
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.-Sept. 1968/9
Oct.-Sept. 1969/70
9 b
What exams have you passed?
Generic text
9 c
What exams are you finally aiming at through part-time study?
Generic text
9 d
How will passing these exams affect your future?
Generic text
9 e
What assistance do you get from your employer to make part-time study easier?
Generic text

GENERAL

10
On recent questionnaires many of you wrote at length about yourselves and your opinions of life in general. We are still most interested to hear what is happening to you, whether this is inside or outside the special topics we have covered in this questionnaire.
Long text
outro i
TODAY'S DATE
Generic date
s_outro_i
PLEASE CHECK THAT YOU HAVE ANSWERED ALL THE QUESTIONS THAT APPLY TO YOU.
s_outro_ii
PLEASE POST THE FORM DIRECTLY TO US IN THE SPECIAL ENVELOPE - YOU DON'T NEED A STAMP AS WE WILL PAY THE POSTAGE.
s_outro_iii
THANK YOU VERY MUCH FOR ALL YOUR HELP