Now I would like to get some general information about your household. Does your household own or rent this accommodation? Please give an answer from this card.
Before the Medical Research Council can look at your records, they need to have your written consent to confirm that you have no objection to them collecting fuller information about your in-patient stay(s) in hospital. Please read and sign Consent form 3.
Now I would like to ask you about some more specific health problems or illnesses. #^ Looking at this card, please tell me which of these kinds of heart trouble you have had, if any, in the last ten years that is since you were 43 years old?
How frequently at home or at work do you use your hands in strong movements, such as squeezing water out of a towel, playing racket sports, digging the garden, or carrying heavy items such as a suitcase, briefcase, bucket or shopping bag. Please choose an answer from this card.
How frequently at home or at work do you use your arms to reach up above head, such as dusting high pictures, replacing light bulbs, reaching objects on high shelves, or gardening activities like pruning or trimming high hedges. Please choose an answer from this card.
I would now like to assess your balance and co-ordination. First, I will ask you to fold your arms and, after I count up to three, stand on your preferred leg, and raise your other foot off the floor like this (nurse demonstrate). I will ask you to hold this position for as long as you can or until I tell you to stop. Then I want you to repeat the test with your eyes closed. Would you be willing to have a go?
I would now like you to do some chair stands. First I will ask you to fold your arms and, after I count up to three, I will ask you to stand up from your chair and sit down again ten times like this (nurse demonstrate). Would you be willing to have a go?
Please use this card to tell me your total net household income. Include your own and your partner’s earned income (after deduction for income tax and national insurance), any state benefits and any other sources of income such as pensions and interest. You should also include contributions from other members of your household (such as children). Tell me which of the letters on this card represents your total net household income?
Now for something different. I want to see how well you remember a list of fifteen words. I will show you one word at a time and when I reach the end of the list you have one minute to write down as many words as you can. Please write the words in any order you like. It is best not to talk to anyone while you are doing this.
Nurse: Show the words at two second intervals using Word List [FF A/B]. Make sure the last word is shown for two seconds. Tell respondent to start. Start the stopwatch and time for one minute then tell the respondent to finish. #^ Turn booklet to page 5. Show the words again. Tell respondent to start. Start the stopwatch and time for one minute then tell the respondent to finish. #^ Turn booklet to page 7. Show the words again. Tell respondent to start. Start the stopwatch and time for one minute then tell the respondent to finish. #^
I would now like to see how quickly you can work through this list, crossing out the P's and W's. Start at the top left where the arrow is and work along the row from left to right, then go to the beginning of the next row and work from left to right again, like reading a page. Carry on this way crossing out any P's and W's with one mark of the pencil like this. (Demonstrate). Carry on until I tell you to stop. Work as quickly and as accurately as you can.
Later on I am going to give you a name and address to write on this envelope. When you have finished doing that I would like you to do the following: Turn it over, seal it, and write your initials on the back. Could you remember to do that then, without me reminding you?
Please write the following name and address on this envelope: John Brown, 42 West Street, Bedford. Please go on remembering this name and address and I will ask you about it later.
I would now like you to read slowly down this list of words, starting here (nurse point to chord). Continue down this column and onto the next. I must warn you that there are many words that you won’t recognise. In fact most people don’t know them, so just guess at these. Please begin when you are ready.
(As I mentioned earlier) I would like to measure your blood pressure. If asked The analysis of blood pressure readings will tell us a lot about the health of the population. Are you willing to have your Blood Pressure measured?