Start
nshd_61_ts
STRICTLY CONFIDENTIAL
JANUARY 1961
TEACHER'S QUESTIONNAIRE*
NATIONAL SURVEY OF THE HEALTH AND DEVELOPMENT OF CHILDREN
Under the joint auspices of
Institute of Child Health (University of London); Society of Medical Officers of Health; Population Investigation Committee. National Foundation for Educational Research in England and Wales. The Scottish Council for Research in Education.
intro i

Ref. No.

Generic text
intro ii

Name

Generic text
intro iii

Address

Generic text
intro iv

School

Generic text
FOR THOSE WHO HAVE MOVED
intro v

New Address

Generic text
intro vi

L.E.A.

Generic text
intro vii

New School

Generic text
If a child has moved to another school this form should be returned to the Director of Education and not sent directly to the new school.
EXPLANATORY NOTE
This child was enrolled at birth in a national survey of the health, growth and development of children. With the help of his parents and of health visitors, school nurses and teachers, a detailed account has been obtained of his health and development during the past 15 years. The survey children come from all types of home and are attending all types of school both independent and Local Authority. Only 10 per cent have been lost and the value of this inquiry depends on our continuing to obtain information for every possible survey child.
All information given will be regarded as strictly confidential and there is no possibility that the name of any child or school will appear in any report.
THIS FORM SHOULD BE FILLED IN BY THE TEACHER WHO KNOWS THIS CHILD BEST, AND IF NECESSARY, IN CONSULTATION WITH OTHER MEMBERS OF THE STAFF
HOW TO FILL IN THIS FORM
Please put a circle round the number opposite the answer which most nearly describes your views. If you feel that further comment is called for, please do not hesitate to give it.
I. THE CLASS
1 a

Please give the following details about this child's present class:- Number of children on the roll of the class? ... children

How many
1 b

Please give the following details about this child's present class:- Sex of children in the class?

1
Boys only
2
Girls only
3
Mixed
1 c

Please give the following details about this child's present class:- What is the average age of the children in this class? ... years ... months

Age
Months
1 d

Please give the following details about this child's present class:- How many children in the class are under 14 years of age? ... children

How many
2
Of the week's timetable of this Form how many periods are devoted to:-
periods
How many
Basic subjects (English and Maths)
General subjects (History, Geography)
Science (Chemistry, Physics, Biology)
Languages (French, Latin, Greek, German, etc.)
Creative subjects (e.g. P.E. art, music)
Practical subjects (e.g. crafts, domestic science, agriculture, commerce, technical)
2 i

Of the week's timetable of this Form how many periods are devoted to:- Other subjects (namely ... ) ... periods

Other
How many
II. SCHOOL ATTENDANCE
3

Has this child been punctual in attending school during the last year?

0
Never late unless with good reason
1
Sometimes late
2
Persistently late
4

Has this child played truant during the last year?

2
Yes, frequently
1
Yes, occasionally
0
Never
5
Please give the following details of this child's school attendance during the past year.
Attendances made by this child (1/2 days) Attendances that could have been made (1/2 days)
How manyHow manyHow manyHow many How manyHow manyHow manyHow many
Spring term - 1960
Summer term - 1960
Winter term - 1960
6 a

Have you discussed this child's education with either of his/her parents during the past year?

1
Yes, both
2
Yes, mother only
3
Yes, father only
4
Neither
6 b

To what extent do this child's parents show interest in his/her progress at school?

1
Very interested
2
Average interest
3
Little or no interest
III. CHILD'S ATTITUDE TO SCHOOL WORK
7 a

Which statement in each group best describes this child?

1
A very hard worker
2
Average - works moderately well
3
A poor worker or lazy
7 b

Which statement in each group best describes this child?

1
One with high power of concentration
2
Average - concentrates moderately well
3
Little or no power of sustained concentration
7 c

Which statement in each group best describes this child?

1
Extremely neat and tidy in class work
2
Average - moderately neat and tidy
3
Very untidy in class work
7 d

Which statement in each group best describes this child?

1
Seldom or never disobedient
2
Sometimes disobedient
3
Frequently disobedient
7 e

Which statement in each group best describes this child?

1
Seldom or never difficult to discipline
2
Sometimes difficult to discipline
3
Frequently difficult to discipline
7 f

Which statement in each group best describes this child?

1
Seldom or never restless in class
2
Sometimes restless in class
3
Frequently restless in class
7 g

Which statement in each group best describes this child?

1
Seldom or never daydreams in class
2
Sometimes daydreams in class
3
Frequently daydreams in class
7 h

Which statement in each group best describes this child?

1
Seldom or never cribs
2
Sometimes cribs
3
Frequently cribs
7 i

Which statement in each group best describes this child?

1
Seldom or never evades the truth to keep out of trouble
2
Sometimes evades the truth to keep out of trouble
3
Frequently evades the truth to keep out of trouble
8 a

If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- Mathematics?

(Please answer this question even if you know the child is leaving early)

1
Yes
0
No
8 b

If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- English?

(Please answer this question even if you know the child is leaving early)

2
Yes
0
No
8 c

If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- A foreign language?

(Please answer this question even if you know the child is leaving early)

3
Yes
0
No
8 d

If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- A science subject?

(Please answer this question even if you know the child is leaving early)

4
Yes
0
No
8 e

If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- Other, namely

(Please answer this question even if you know the child is leaving early)

Other
9

Has this child the ability to benefit from attending a University or Technical College for whole-time study?

1
Yes, University
2
Yes, Technical College
0
Neither
IV. SCHOOL LEAVING
10

At what age will this child leave school? ... years

Age
0
End of this term
For those leaving school at 15
qc_10 == '15'
11 a

Has this child got a job to go to when he/she leaves school?

1
Yes
0
No
(For children with a job)
qc_11_a == 1
11 b

What job is it?

Generic text
11 c

Is this child's ability equal to this job or above or below it?

1
Equal to job
2
Above job
3
Below job
(For children with no job to go to)
qc_11_a == 0
11 d

What steps are being taken to find a job for this child?

Generic text
12 a

Has this child's career been discussed with him/her at school?

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

Who discussed this child's career with him/her?

Generic text
V. BEHAVIOUR
(All Children)
13 a

Which statement in each group best describes this child?

1
Liable to get unduly rough during playtime
2
Takes a normal part in rough games
3
Rather frightened of rough games
13 b

Which statement in each group best describes this child?

1
Avoids attention, hates being in the limelight
2
Does not unduly avoid or seek attention
3
Shows off; seeks attention
13 c

Which statement in each group best describes this child?

1
A dare-devil
2
As cautious as the average child
3
Extremely fearful
13 d

Which statement in each group best describes this child?

1
Over-competitive with other children
2
Normally competitive
3
Diffident about competing with other children
13 e

Which statement in each group best describes this child?

1
Unusually happy and contented child
2
Generally cheerful and in good humour
3
Usually gloomy and sad
13 f

Which statement in each group best describes this child?

1
A quarrelsome and aggressive child
2
Average - not particularly quarrelsome
3
A timid child
13 g

Which statement in each group best describes this child?

1
Makes friends extremely easily
2
Takes usual amount of time to make friends
3
Does not seem able to make friends
13 h

Which statement in each group best describes this child?

1
Extremely energetic, never tired
2
Normally energetic
3
Always tired and "washed out"
13 i

Which statement in each group best describes this child?

1
Not at all anxious, apprehensive or fearful
2
Somewhat anxious, apprehensive or fearful
3
Very anxious, apprehensive or fearful
14

How does this child react to criticism or punishment?

1
Tends to become unduly resentful
2
Tends to become unduly miserable or worried
0
Normal attitude to criticism and punishment
15
Taking this child's behaviour and relationships with other children as a whole, would you say he/she is -
-

0 - Not at all

1 - Somewhat

2 - Very
Sensitive or highly strung
Shy or withdrawn
Agressive
15 i

Taking this child's behaviour and relationships with other children as a whole, would you say he/she is - Other, namely

Other
1
Somewhat
2
Very
VI. HABITS
16 a-f
Has this child frequently shown any of the following habits or mannerisms?
-

1 - Yes

0 - No
Nail biting
Nose picking
Thumb or finger sucking
Picking sores
Stammering
Nervous twitches or grimaces
outro i

Teacher's Name (Mr, Mrs, Miss)

Generic text
outro ii

How well do you know this child?

1
Very well
2
Moderately well
3
Not very well
outro iii

Date

Generic date
End

nshd_61_ts

s_intro_i
STRICTLY CONFIDENTIAL
s_intro_ii
JANUARY 1961
s_intro_iii
TEACHER'S QUESTIONNAIRE*
s_intro_iv
NATIONAL SURVEY OF THE HEALTH AND DEVELOPMENT OF CHILDREN
s_intro_v
Under the joint auspices of
s_intro_vi
Institute of Child Health (University of London); Society of Medical Officers of Health; Population Investigation Committee. National Foundation for Educational Research in England and Wales. The Scottish Council for Research in Education.
intro i
Ref. No.
Generic text
intro ii
Name
Generic text
intro iii
Address
Generic text
intro iv
School
Generic text

FOR THOSE WHO HAVE MOVED

intro v
New Address
Generic text
intro vi
L.E.A.
Generic text
intro vii
New School
Generic text
s_intro_vii
If a child has moved to another school this form should be returned to the Director of Education and not sent directly to the new school.
s_intro_viii
EXPLANATORY NOTE
s_intro_ix
This child was enrolled at birth in a national survey of the health, growth and development of children. With the help of his parents and of health visitors, school nurses and teachers, a detailed account has been obtained of his health and development during the past 15 years. The survey children come from all types of home and are attending all types of school both independent and Local Authority. Only 10 per cent have been lost and the value of this inquiry depends on our continuing to obtain information for every possible survey child.
s_intro_x
All information given will be regarded as strictly confidential and there is no possibility that the name of any child or school will appear in any report.
s_intro_xi
THIS FORM SHOULD BE FILLED IN BY THE TEACHER WHO KNOWS THIS CHILD BEST, AND IF NECESSARY, IN CONSULTATION WITH OTHER MEMBERS OF THE STAFF
s_intro_xii
HOW TO FILL IN THIS FORM
s_intro_xiii
Please put a circle round the number opposite the answer which most nearly describes your views. If you feel that further comment is called for, please do not hesitate to give it.

I. THE CLASS

1 a
Please give the following details about this child's present class:- Number of children on the roll of the class? ... children
How many
1 b
Please give the following details about this child's present class:- Sex of children in the class?
1
Boys only
2
Girls only
3
Mixed
1 c
Please give the following details about this child's present class:- What is the average age of the children in this class? ... years ... months
Age
Months
1 d
Please give the following details about this child's present class:- How many children in the class are under 14 years of age? ... children
How many
2

Of the week's timetable of this Form how many periods are devoted to:-

periods
How many
Basic subjects (English and Maths)
General subjects (History, Geography)
Science (Chemistry, Physics, Biology)
Languages (French, Latin, Greek, German, etc.)
Creative subjects (e.g. P.E. art, music)
Practical subjects (e.g. crafts, domestic science, agriculture, commerce, technical)
2 i
Of the week's timetable of this Form how many periods are devoted to:- Other subjects (namely ... ) ... periods
Other
How many

II. SCHOOL ATTENDANCE

3
Has this child been punctual in attending school during the last year?
0
Never late unless with good reason
1
Sometimes late
2
Persistently late
4
Has this child played truant during the last year?
2
Yes, frequently
1
Yes, occasionally
0
Never
5

Please give the following details of this child's school attendance during the past year.

Attendances made by this child (1/2 days) Attendances that could have been made (1/2 days)
How manyHow manyHow manyHow many How manyHow manyHow manyHow many
Spring term - 1960
Summer term - 1960
Winter term - 1960
6 a
Have you discussed this child's education with either of his/her parents during the past year?
1
Yes, both
2
Yes, mother only
3
Yes, father only
4
Neither
6 b
To what extent do this child's parents show interest in his/her progress at school?
1
Very interested
2
Average interest
3
Little or no interest

III. CHILD'S ATTITUDE TO SCHOOL WORK

7 a
Which statement in each group best describes this child?
1
A very hard worker
2
Average - works moderately well
3
A poor worker or lazy
7 b
Which statement in each group best describes this child?
1
One with high power of concentration
2
Average - concentrates moderately well
3
Little or no power of sustained concentration
7 c
Which statement in each group best describes this child?
1
Extremely neat and tidy in class work
2
Average - moderately neat and tidy
3
Very untidy in class work
7 d
Which statement in each group best describes this child?
1
Seldom or never disobedient
2
Sometimes disobedient
3
Frequently disobedient
7 e
Which statement in each group best describes this child?
1
Seldom or never difficult to discipline
2
Sometimes difficult to discipline
3
Frequently difficult to discipline
7 f
Which statement in each group best describes this child?
1
Seldom or never restless in class
2
Sometimes restless in class
3
Frequently restless in class
7 g
Which statement in each group best describes this child?
1
Seldom or never daydreams in class
2
Sometimes daydreams in class
3
Frequently daydreams in class
7 h
Which statement in each group best describes this child?
1
Seldom or never cribs
2
Sometimes cribs
3
Frequently cribs
7 i
Which statement in each group best describes this child?
1
Seldom or never evades the truth to keep out of trouble
2
Sometimes evades the truth to keep out of trouble
3
Frequently evades the truth to keep out of trouble
8 a
If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- Mathematics?
1
Yes
0
No
8 b
If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- English?
2
Yes
0
No
8 c
If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- A foreign language?
3
Yes
0
No
8 d
If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- A science subject?
4
Yes
0
No
8 e
If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- Other, namely
Other
9
Has this child the ability to benefit from attending a University or Technical College for whole-time study?
1
Yes, University
2
Yes, Technical College
0
Neither

IV. SCHOOL LEAVING

10
At what age will this child leave school? ... years
Age
0
End of this term
11 a
Has this child got a job to go to when he/she leaves school?
1
Yes
0
No
For those leaving school at 15
11 b
What job is it?
Generic text
For those leaving school at 15
(For children with a job)
11 c
Is this child's ability equal to this job or above or below it?
1
Equal to job
2
Above job
3
Below job
For those leaving school at 15
(For children with a job)
11 d
What steps are being taken to find a job for this child?
Generic text
For those leaving school at 15
(For children with no job to go to)
12 a
Has this child's career been discussed with him/her at school?
1
Yes
0
No
12 b
Who discussed this child's career with him/her?
Generic text
(If "yes")

V. BEHAVIOUR

s_Vbehaviour_i
(All Children)
13 a
Which statement in each group best describes this child?
1
Liable to get unduly rough during playtime
2
Takes a normal part in rough games
3
Rather frightened of rough games
13 b
Which statement in each group best describes this child?
1
Avoids attention, hates being in the limelight
2
Does not unduly avoid or seek attention
3
Shows off; seeks attention
13 c
Which statement in each group best describes this child?
1
A dare-devil
2
As cautious as the average child
3
Extremely fearful
13 d
Which statement in each group best describes this child?
1
Over-competitive with other children
2
Normally competitive
3
Diffident about competing with other children
13 e
Which statement in each group best describes this child?
1
Unusually happy and contented child
2
Generally cheerful and in good humour
3
Usually gloomy and sad
13 f
Which statement in each group best describes this child?
1
A quarrelsome and aggressive child
2
Average - not particularly quarrelsome
3
A timid child
13 g
Which statement in each group best describes this child?
1
Makes friends extremely easily
2
Takes usual amount of time to make friends
3
Does not seem able to make friends
13 h
Which statement in each group best describes this child?
1
Extremely energetic, never tired
2
Normally energetic
3
Always tired and "washed out"
13 i
Which statement in each group best describes this child?
1
Not at all anxious, apprehensive or fearful
2
Somewhat anxious, apprehensive or fearful
3
Very anxious, apprehensive or fearful
14
How does this child react to criticism or punishment?
1
Tends to become unduly resentful
2
Tends to become unduly miserable or worried
0
Normal attitude to criticism and punishment
15

Taking this child's behaviour and relationships with other children as a whole, would you say he/she is -

-

0 - Not at all

1 - Somewhat

2 - Very
Sensitive or highly strung
Shy or withdrawn
Agressive
15 i
Taking this child's behaviour and relationships with other children as a whole, would you say he/she is - Other, namely
Other
1
Somewhat
2
Very

VI. HABITS

16 a-f

Has this child frequently shown any of the following habits or mannerisms?

-

1 - Yes

0 - No
Nail biting
Nose picking
Thumb or finger sucking
Picking sores
Stammering
Nervous twitches or grimaces
outro i
Teacher's Name (Mr, Mrs, Miss)
Generic text
outro ii
How well do you know this child?
1
Very well
2
Moderately well
3
Not very well
outro iii
Date
Generic date
Name

1961 Teacher's Questionnaire