Start
nshd_62_cms
PUPIL'S QUESTIONNAIRE 1962
STRICTLY CONFIDENTIAL
NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
under the joint auspices of MEDICAL RESEARCH COUNCIL. NATIONAL FOUNDATION FOR EDUCATIONAL RESEARCH IN ENGLAND AND WALES. SCOTTISH COUNCIL FOR RESEARCH IN EDUCATION
M.R.C Unit, London School of Economics,
intro i

Ref. No.

Generic text
intro ii

Name

Generic text
intro iii

Address

Generic text
intro iv

School

Generic text
FOR THOSE WHOSE HOME ADDRESS HAS CHANGED.
intro v

New Address

Generic text
EXPLANATORY NOTE
You will no doubt remember completing previous forms for this study: much valuable information has been gained as a result of these. We are asking you now to complete this questionnaire, so that we may get a full picture of what you are doing at the present time.
Please answer every question: some questions have numbered answers, with these questions all that is necessary for you is to put a ring round the number of the answer that is right for you. Other questions require you to write two or three words.
Thank you very much for your co-operation both now and in the past.
SCHOOL AND FURTHER EDUCATION
1

How old do you expect to be when you leave school?

6
16
7
17
8
18
9
Older
If you are working for any particular exams at present,
2 a
state subjects and levels you hope to attain.
SUBJECTS LEVELS
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
1
2
3
4
5
6
7
8
If you are not specializing in any particular subjects,
2 b

what course are you on?

Generic text
3
How much do you like the following subjects or if you have dropped any, how much did you like them?
-

1 - Liked v.much

2 - Liked

3 - Disliked

4 - Disliked v.much
English
Modern Languages
Mathematics
Science and/or
Biology
THE UNIVERSITY
4

There are grants for University students. If the student needs it, how much do you think this money covers?

1
the whole cost plus some pocket money
2
the whole cost but allows no pocket money
3
the fees and books only
4
living expenses only
*
other, namely
Other
4 i

There are grants for University students. If the student needs it, how much do you think this money covers? ... other, namely

Other
5

Which is your nearest University?

Generic text
6

Name any other British Universities that you know of

Generic text
7

What Entrance qualifications do you think are required for a University?

Generic text
8 a

Have you ever discussed with anyone the possibility of going to a University?

1
Yes
0
No
[If 'yes']
qc_8_a == 1
8 b

With whom?

Generic text
9 a

Do you think you will have this opportunity?

1
Yes
0
No
[If 'no']
qc_9_a == 0
9 b

Why is this?

Generic text
10 a

Would you go to a University if offered a place?

1
Yes
0
No
[If 'no']
qc_10_a == 0
10 b

Why is this?

Generic text
[If 'yes']
qc_10_a == 1
10 c

Which would be your first choice of University?

Generic text
11 a
What are your brothers and sisters doing now?
Name Occupation
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
1
2
3
4
5
6
11 b

Have any of your elder brothers or sisters been to a University? Are they there now, or are they planning to go?

1
no elder brothers or sisters
2
yes, have been to a University
3
yes, are there now
4
yes, are planning to go
5
none of these
12

Are any of your particular friends in your class going to a University?

1
Yes
2
No
YOUR CHOICE OF JOB
13 a

Have you discussed your future career with anybody?

1
Yes
0
No
[If 'yes']
qc_13_a == 1
13 b

With whom?

Generic text
13 c

Your choice of job in January 1961 was

Generic text
13 c(i)

Is your choice now still the same?

1
Yes
0
No
[If 'no']
qc_13_c_i == 0
13 d

What is your present choice?

Generic text
13 e

What made you change your mind?

Generic text
14

What are most of your particular friends doing now?

(Please circle only one number)

1
at school
2
on training courses or at college
3
in apprenticeships
4
in full-time jobs (excluding apprenticeships)
WORK
15

How hard do you think you work compared with your classmates?

1
much harder than most of them
2
a bit harder than most of them
3
about as hard as most of them
4
less hard than most of them
5
much less hard than most of them
16

How quickly do you think you manage to pick things up and see the answers compared with your classmates?

1
much more quickly than most of them
2
more quickly than most of them
3
about as quickly as most of them
4
less quickly than most of them
5
much less quickly than most of them
HOMEWORK, PREPARATION AND PART-TIME JOBS
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
17

At what time do you start your homework on an average weekday evening?

Generic text
18

At what time do you finish your homework on an average weekday evening?

Generic text
19

How long do you spend on your homework on an average Saturday and Sunday, taken together?

Generic text
20 a

Do you nowadays receive any regular help or coaching (excluding evening classes) with your homework from your parents or any other person?

1
Yes
0
No
[If 'yes']
qc_20_a == 1
20 b

Who gives it?

Generic text
20 c

In what subjects is this help given?

Generic text
21

Do you have your own desk or table at home (i.e. yours only) at which to work?

1
Yes
0
No
22

Where do you do your homework?

1
in your own room by yourself
2
in a room by yourself, away from the family
3
in a room at home with others who are studying
4
in a room at home with others who are not studying
22 i

Where do you do your homework? ... elsewhere, namely

Other
23 a

Do you attend any evening classes?

1
Yes
0
No
[If 'yes']
qc_23_a == 1
23 b

What subjects are these classes in?

Generic text
23 c

Are you hoping to pass any examination or examinations with the help of these classes?

1
Yes
0
No
[If 'yes']
qc_23_c == 1
23 d

What examination or examinations?

Generic text
24

Have you ever had a part-time job (e.g. paper rounds, Saturday shop serving, etc.,) for longer than three months?

1
Yes
0
No
25 a

Do you have a part-time job at present?

1
Yes
0
No
[If 'yes']
qc_25_a == 1
25 b

What is it?

Generic text
25 c

How many hours a week does it occupy? ... hrs.

Hours in Week
25 d

Why do you do it?

Generic text
FOR THOSE AT BOARDING SCHOOL (those at day school please skip to question 28)
26

How many hours homework or private study do you do in an average weekday? ... hrs

Hours in Week
27

How many hours homework or private study do you do in an average weekend? ... hrs

Hours in Week
HOLIDAYS
FOR ALL PUPILS (i.e. day or boarding school)
28 a

Did you do any studying last holidays?

1
Yes
0
No
[If 'yes']
qc_28_a == 1
28 b

How many hours per week on an average was it? ... hrs

Hours in Week
29 a

Did you take any full-time holiday job last summer for two weeks or longer?

1
Yes
0
No
[If 'yes']
qc_29_a == 1
29 b

What was it?

Generic text
29 c

Why did you do it?

Generic text
LEISURE INTERESTS
30

What are your main hobbies?

Generic text
31 a

Do you belong to any voluntary school clubs or organisations?

1
Yes
0
No
[If 'yes']
qc_31_a == 1
31 b
Please name club or clubs, give the number of times you have attended each in the last month and the number of times you could have attended.
CLUBS Attendances in last month Number that could have been made
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many
1
2
3
4
5
6
32 a

Do you belong to any Church clubs?

1
Yes
0
No
[If 'yes']
qc_32_a == 1
32 b
Please name club or clubs, give the number of times you have attended each in the last month and the number of times you could have attended.
CLUBS Attendances in last month Number that could have been made
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many
1
2
3
4
5
6
33 a

Do you belong to any other club or clubs?

1
Yes
0
No
[If 'yes']
qc_33_a == 1
33 a(i)
Please name club or clubs, give the number of times you have attended each in the last month and the number of times you could have attended.
CLUBS Attendances in last month Number that could have been made
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many
1
2
3
4
5
6
34 a

Do you play games apart from compulsory ones at school?

1
Yes
0
No
[If 'yes']
qc_34_a == 1
34 b

How are these organised?

1
by a club
2
by the school
3
informally
35

What books, if any, have you read in the last four weeks apart from school set books?

Generic text
36

Where did these books come from?

(If necessary circle more than one number)

1
school library
2
other library
3
home
4
borrowed from friends
5
bought yourself
*
other, namely
Other
37

What magazines, if any, do you read fairly regularly?

Generic text
38

What daily papers, if any, do you read fairly regularly?

Generic text
39

What Sunday newspapers, if any, do you read fairly regularly?

Generic text
GENERAL HEALTH
40 a

The last hospital admission recorded for you was

Generic text
40 a(i)

Have you been a hospital in-patient since then?

1
Yes
0
No
[If 'yes' please give]
qc_40_a_i == 1
40 b

Name of hospital

Generic text
40 c

Date of admission

Generic text
40 d

The nature of the illness or operation

Generic text
40 e

The length of your stay in the hospital

Generic text
40 f

The name of the Doctor in charge of you in hospital.

Generic text
41 a

Since January 1961 have you attended hospital as an out-patient?

1
Yes
0
No
[If 'yes' please give]
qc_41_a == 1
41 b

Name of hospital

Generic text
41 c

Date of first attendance

Generic text
41 d

Reason for attendance

Generic text
42 a

Since January 1961 have you attended a clinic?

1
Yes
0
No
[If 'yes' please give]
qc_42_a == 1
42 b

Name of clinic

Generic text
42 c

Date of first attendance

Generic text
42 d

Reason for attendance

Generic text
43 a

Do you have trouble with your sleep?

1
Yes
0
No
[If 'yes']
qc_43_a == 1
43 b

What sort of trouble do you have?

(if necessary circle more than one of the numbers)

1
difficulty in getting off to sleep
2
waking up during the night and not being able to get off to sleep again quickly
3
unpleasant dreams or nightmares
4
waking too early in the morning and staying awake
5
sleeping all right but still feeling tired in the morning
*
other, namely
Other
44

The last accident we have recorded for you was ... when you were ... years old.

Generic text
Age
44 a

Since this accident or since January 1961 have you had an accident when you were BURNT or SCALDED, BROKE A BONE, were BADLY CUT or BRUISED, or INJURED by a CHEMICAL.

1
Yes
0
No
[If 'yes']
qc_44_a == 1
44 b(i)
Please give the following details about each accident starting with the earliest:-
Type of injury (enter as BURN, SCALD, BROKEN BONE, CUT, etc.) Part or parts injured Age when injured (in years and months) Treatment Hos.I.P, Hos.O.P, Nursing Home, Own Home If treated in own home, who gave treatment? (Doctor, Nurse, other) Details of remaining scarring, disability or deformity
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 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 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 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 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 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 text
First Accident 1
Second 2
44 b(ii)
Please give the following details about each accident starting with the earliest:-
DETAILS of how each ACCIDENT OCCURED (if burnt by fire say whether electric, gas, open fire, or oil stove) Where it occured (own home, school, street, etc.,)
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
First Accident 1
Second 2
45
Now here are some questions about the way you behave and feel, and act, after each question there is 'yes' a '?' and a 'no'. Try and decide, whether 'yes' or 'no' is how you usually feel and then circle the 'yes' or the 'no'. If you find it quite impossible to decide, then circle the '?'. However don't use the question-mark unless you feel you have to. Work quickly and don't spend too much time on any question, we want your first reaction.
-

1 - Yes

2 - ?

3 - No
Are you happiest when you get involved in some project that calls for rapid action?
Do you sometimes feel happy, sometimes depressed, without any apparent reason?
Does your mind often wander while you are trying to concentrate?
Do you usually take the initiative in making new friends?
Are you inclined to be quick and sure in your actions?
Are you frequently 'lost in thought' even when supposed to be taking part in a conversation?
Are you sometimes bubbling over with energy and sometimes very sluggish?
Would you rate yourself as a lively individual?
Would you be very unhappy if you were prevented from making numerous social contracts?
Are you inclined to be moody?
Do you have frequent ups and downs in mood, either with or without apparent cause?
Do you prefer action to planning for action?
Don't leave any questions out. There are no right or wrong answers - this isn't a test of intelligence, it is simply to give us an idea of how you feel and behave.
PLEASE CHECK THAT YOU HAVE ANSWERED EVERY QUESTION THAT APPLIES TO YOU.
outro i

HOW LONG DID THIS QUESTIONNAIRE TAKE YOU TO FILL IN?

Time taken
End

nshd_62_cms

s_intro_i
PUPIL'S QUESTIONNAIRE 1962
s_intro_ii
STRICTLY CONFIDENTIAL
s_intro_iii
NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
s_intro_iv
under the joint auspices of MEDICAL RESEARCH COUNCIL. NATIONAL FOUNDATION FOR EDUCATIONAL RESEARCH IN ENGLAND AND WALES. SCOTTISH COUNCIL FOR RESEARCH IN EDUCATION
s_intro_v
M.R.C Unit, London School of Economics,
intro i
Ref. No.
Generic text
intro ii
Name
Generic text
intro iii
Address
Generic text
intro iv
School
Generic text

FOR THOSE WHOSE HOME ADDRESS HAS CHANGED.

intro v
New Address
Generic text
s_intro_vi
EXPLANATORY NOTE
s_intro_vii
You will no doubt remember completing previous forms for this study: much valuable information has been gained as a result of these. We are asking you now to complete this questionnaire, so that we may get a full picture of what you are doing at the present time.
s_intro_viii
Please answer every question: some questions have numbered answers, with these questions all that is necessary for you is to put a ring round the number of the answer that is right for you. Other questions require you to write two or three words.
s_intro_ix
Thank you very much for your co-operation both now and in the past.

SCHOOL AND FURTHER EDUCATION

1
How old do you expect to be when you leave school?
6
16
7
17
8
18
9
Older
2 a

state subjects and levels you hope to attain.

SUBJECTS LEVELS
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
1
2
3
4
5
6
7
8
If you are working for any particular exams at present,
2 b
what course are you on?
Generic text
If you are not specializing in any particular subjects,
3

How much do you like the following subjects or if you have dropped any, how much did you like them?

-

1 - Liked v.much

2 - Liked

3 - Disliked

4 - Disliked v.much
English
Modern Languages
Mathematics
Science and/or
Biology

THE UNIVERSITY

4
There are grants for University students. If the student needs it, how much do you think this money covers?
1
the whole cost plus some pocket money
2
the whole cost but allows no pocket money
3
the fees and books only
4
living expenses only
*
other, namely
Other
4 i
There are grants for University students. If the student needs it, how much do you think this money covers? ... other, namely
Other
5
Which is your nearest University?
Generic text
6
Name any other British Universities that you know of
Generic text
7
What Entrance qualifications do you think are required for a University?
Generic text
8 a
Have you ever discussed with anyone the possibility of going to a University?
1
Yes
0
No
8 b
With whom?
Generic text
[If 'yes']
9 a
Do you think you will have this opportunity?
1
Yes
0
No
9 b
Why is this?
Generic text
[If 'no']
10 a
Would you go to a University if offered a place?
1
Yes
0
No
10 b
Why is this?
Generic text
[If 'no']
10 c
Which would be your first choice of University?
Generic text
[If 'yes']
11 a

What are your brothers and sisters doing now?

Name Occupation
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
1
2
3
4
5
6
11 b
Have any of your elder brothers or sisters been to a University? Are they there now, or are they planning to go?
1
no elder brothers or sisters
2
yes, have been to a University
3
yes, are there now
4
yes, are planning to go
5
none of these
12
Are any of your particular friends in your class going to a University?
1
Yes
2
No

YOUR CHOICE OF JOB

13 a
Have you discussed your future career with anybody?
1
Yes
0
No
13 b
With whom?
Generic text
[If 'yes']
13 c
Your choice of job in January 1961 was
Generic text
13 c(i)
Is your choice now still the same?
1
Yes
0
No
13 d
What is your present choice?
Generic text
[If 'no']
13 e
What made you change your mind?
Generic text
[If 'no']
14
What are most of your particular friends doing now?
1
at school
2
on training courses or at college
3
in apprenticeships
4
in full-time jobs (excluding apprenticeships)

WORK

15
How hard do you think you work compared with your classmates?
1
much harder than most of them
2
a bit harder than most of them
3
about as hard as most of them
4
less hard than most of them
5
much less hard than most of them
16
How quickly do you think you manage to pick things up and see the answers compared with your classmates?
1
much more quickly than most of them
2
more quickly than most of them
3
about as quickly as most of them
4
less quickly than most of them
5
much less quickly than most of them

HOMEWORK, PREPARATION AND PART-TIME JOBS

17
At what time do you start your homework on an average weekday evening?
Generic text
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
18
At what time do you finish your homework on an average weekday evening?
Generic text
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
19
How long do you spend on your homework on an average Saturday and Sunday, taken together?
Generic text
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
20 a
Do you nowadays receive any regular help or coaching (excluding evening classes) with your homework from your parents or any other person?
1
Yes
0
No
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
20 b
Who gives it?
Generic text
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
[If 'yes']
20 c
In what subjects is this help given?
Generic text
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
[If 'yes']
21
Do you have your own desk or table at home (i.e. yours only) at which to work?
1
Yes
0
No
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
22
Where do you do your homework?
1
in your own room by yourself
2
in a room by yourself, away from the family
3
in a room at home with others who are studying
4
in a room at home with others who are not studying
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
22 i
Where do you do your homework? ... elsewhere, namely
Other
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
23 a
Do you attend any evening classes?
1
Yes
0
No
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
23 b
What subjects are these classes in?
Generic text
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
[If 'yes']
23 c
Are you hoping to pass any examination or examinations with the help of these classes?
1
Yes
0
No
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
[If 'yes']
23 d
What examination or examinations?
Generic text
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
[If 'yes']
[If 'yes']
24
Have you ever had a part-time job (e.g. paper rounds, Saturday shop serving, etc.,) for longer than three months?
1
Yes
0
No
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
25 a
Do you have a part-time job at present?
1
Yes
0
No
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
25 b
What is it?
Generic text
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
[If 'yes']
25 c
How many hours a week does it occupy? ... hrs.
Hours in Week
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
[If 'yes']
25 d
Why do you do it?
Generic text
FOR THOSE AT DAY SCHOOL (those at Boarding school please skip to question 26)
[If 'yes']
26
How many hours homework or private study do you do in an average weekday? ... hrs
Hours in Week
FOR THOSE AT BOARDING SCHOOL (those at day school please skip to question 28)
27
How many hours homework or private study do you do in an average weekend? ... hrs
Hours in Week
FOR THOSE AT BOARDING SCHOOL (those at day school please skip to question 28)

HOLIDAYS

s_HOLIDAYS_i
FOR ALL PUPILS (i.e. day or boarding school)
28 a
Did you do any studying last holidays?
1
Yes
0
No
28 b
How many hours per week on an average was it? ... hrs
Hours in Week
[If 'yes']
29 a
Did you take any full-time holiday job last summer for two weeks or longer?
1
Yes
0
No
29 b
What was it?
Generic text
[If 'yes']
29 c
Why did you do it?
Generic text
[If 'yes']

LEISURE INTERESTS

30
What are your main hobbies?
Generic text
31 a
Do you belong to any voluntary school clubs or organisations?
1
Yes
0
No
31 b

Please name club or clubs, give the number of times you have attended each in the last month and the number of times you could have attended.

CLUBS Attendances in last month Number that could have been made
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many
1
2
3
4
5
6
[If 'yes']
32 a
Do you belong to any Church clubs?
1
Yes
0
No
32 b

Please name club or clubs, give the number of times you have attended each in the last month and the number of times you could have attended.

CLUBS Attendances in last month Number that could have been made
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many
1
2
3
4
5
6
[If 'yes']
33 a
Do you belong to any other club or clubs?
1
Yes
0
No
33 a(i)

Please name club or clubs, give the number of times you have attended each in the last month and the number of times you could have attended.

CLUBS Attendances in last month Number that could have been made
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many
1
2
3
4
5
6
[If 'yes']
34 a
Do you play games apart from compulsory ones at school?
1
Yes
0
No
34 b
How are these organised?
1
by a club
2
by the school
3
informally
[If 'yes']
35
What books, if any, have you read in the last four weeks apart from school set books?
Generic text
36
Where did these books come from?
1
school library
2
other library
3
home
4
borrowed from friends
5
bought yourself
*
other, namely
Other
37
What magazines, if any, do you read fairly regularly?
Generic text
38
What daily papers, if any, do you read fairly regularly?
Generic text
39
What Sunday newspapers, if any, do you read fairly regularly?
Generic text

GENERAL HEALTH

40 a
The last hospital admission recorded for you was
Generic text
40 a(i)
Have you been a hospital in-patient since then?
1
Yes
0
No
40 b
Name of hospital
Generic text
[If 'yes' please give]
40 c
Date of admission
Generic text
[If 'yes' please give]
40 d
The nature of the illness or operation
Generic text
[If 'yes' please give]
40 e
The length of your stay in the hospital
Generic text
[If 'yes' please give]
40 f
The name of the Doctor in charge of you in hospital.
Generic text
[If 'yes' please give]
41 a
Since January 1961 have you attended hospital as an out-patient?
1
Yes
0
No
41 b
Name of hospital
Generic text
[If 'yes' please give]
41 c
Date of first attendance
Generic text
[If 'yes' please give]
41 d
Reason for attendance
Generic text
[If 'yes' please give]
42 a
Since January 1961 have you attended a clinic?
1
Yes
0
No
42 b
Name of clinic
Generic text
[If 'yes' please give]
42 c
Date of first attendance
Generic text
[If 'yes' please give]
42 d
Reason for attendance
Generic text
[If 'yes' please give]
43 a
Do you have trouble with your sleep?
1
Yes
0
No
43 b
What sort of trouble do you have?
1
difficulty in getting off to sleep
2
waking up during the night and not being able to get off to sleep again quickly
3
unpleasant dreams or nightmares
4
waking too early in the morning and staying awake
5
sleeping all right but still feeling tired in the morning
*
other, namely
Other
[If 'yes']
44
The last accident we have recorded for you was ... when you were ... years old.
Generic text
Age
44 a
Since this accident or since January 1961 have you had an accident when you were BURNT or SCALDED, BROKE A BONE, were BADLY CUT or BRUISED, or INJURED by a CHEMICAL.
1
Yes
0
No
44 b(i)

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

Type of injury (enter as BURN, SCALD, BROKEN BONE, CUT, etc.) Part or parts injured Age when injured (in years and months) Treatment Hos.I.P, Hos.O.P, Nursing Home, Own Home If treated in own home, who gave treatment? (Doctor, Nurse, other) Details of remaining scarring, disability or deformity
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First Accident 1
Second 2
[If 'yes']
44 b(ii)

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

DETAILS of how each ACCIDENT OCCURED (if burnt by fire say whether electric, gas, open fire, or oil stove) Where it occured (own home, school, street, etc.,)
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
First Accident 1
Second 2
[If 'yes']
45

Now here are some questions about the way you behave and feel, and act, after each question there is 'yes' a '?' and a 'no'. Try and decide, whether 'yes' or 'no' is how you usually feel and then circle the 'yes' or the 'no'. If you find it quite impossible to decide, then circle the '?'. However don't use the question-mark unless you feel you have to. Work quickly and don't spend too much time on any question, we want your first reaction.

-

1 - Yes

2 - ?

3 - No
Are you happiest when you get involved in some project that calls for rapid action?
Do you sometimes feel happy, sometimes depressed, without any apparent reason?
Does your mind often wander while you are trying to concentrate?
Do you usually take the initiative in making new friends?
Are you inclined to be quick and sure in your actions?
Are you frequently 'lost in thought' even when supposed to be taking part in a conversation?
Are you sometimes bubbling over with energy and sometimes very sluggish?
Would you rate yourself as a lively individual?
Would you be very unhappy if you were prevented from making numerous social contracts?
Are you inclined to be moody?
Do you have frequent ups and downs in mood, either with or without apparent cause?
Do you prefer action to planning for action?
s_q45
Don't leave any questions out. There are no right or wrong answers - this isn't a test of intelligence, it is simply to give us an idea of how you feel and behave.
s_outro_i
PLEASE CHECK THAT YOU HAVE ANSWERED EVERY QUESTION THAT APPLIES TO YOU.
outro i
HOW LONG DID THIS QUESTIONNAIRE TAKE YOU TO FILL IN?
Time taken
Name

1962 Pupil’s Questionnaire