Start
sws_2_bio
EARLY PREGNANCY QUESTIONNAIRE

Name: (Forename, Surname)

Generic text

Address:

Generic text

Postcode:

Generic text

Date of birth:

Date of birth

Interviewer:

Generic text

Date of interview:

Generic date

We would like to send details of your ultrasound scan report to your GP to assist in your care during pregnancy. Are you happy for us to do this?

0
No
1
Yes
If yes:
qc_intro_vii == 1

May I just confirm your GP's name and address: GP's name:

Generic text

May I just confirm your GP's name and address: Surgery Address:

Generic text
1: ACTIVITY AND EXERCISE
Can I firstly ask you about your activity and exercise patterns over the last three months? As before, we would like you to divide up a "typical" day into three types of activity. These are: (1) sleeping or lying, (2) sitting, (3) standing or walking.

Over a typical 24 hour day how many hours have you generally spent sleeping or lying with your feet up? ... hrs ... mins

Hours in day
mins
This would indicate xx hours sitting or on your feet.

Of those hours how many on a typical day have you spent sitting down? (e.g. includes sitting at work, mealtimes, driving, reading, watching TV) ... hrs ... mins

Hours in day
mins

This would mean that you have spent about xx hours a day on your feet. Does this sound about right? ... hrs ... mins

Hours in day
mins

Out of these xx hours spent on your feet, about how much of the time were you actively on the move (rather than standing fairly still)?

1
Very little 10%
2
Some 30%
3
About half 50%
4
Most 70%
5
Almost all 90%
During the past three months, how often have you done the following kinds of exercise or activities?
FFQ categories 1-7 >x1 and on average about how long did each period of activity last? ... hrs and on average about how long did each period of activity last? ... mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1hrsmins>x1hrsmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs>x1mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

mins>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1hrsmins>x1hrsmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs>x1mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

mins>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1hrsmins>x1hrsmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs>x1mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

mins>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1hrsmins>x1hrsmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs>x1mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

mins>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs
strenuous exercise which made your heart beat rapidly AND left you breathless e.g. jogging, vigorous swimming or cycling, aerobics.
moderate exercise which left you exhausted but not breathless, e.g. brisk walking, dancing, easy swimming or cycling, badminton, sailing.
gentle exercise which left you tired but not exhausted, e.g.walking, heavy housework (including washing windows and polishing), gardening, DIY, golf.

Which of the following best describes your walking speed at present?

1
Very slow
2
Stroll at an easy pace
3
Normal speed
4
Fairly brisk
5
Fast
2: DIETARY QUESTIONS
Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
White bread

When you ate bread/toast/sandwiches, how many slices/rolls did you eat at a typical meal?

How many F
Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Brown and wholemeal bread/rolls

How many slices/rolls did you eat at a typical meal?

How many F
Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Crackers and cheese biscuits
Wholemeal and rye crackers
'Bran' breakfast cereals
Other breakfast cereals
Added bran to foods
Cakes and gateaux
Buns
Pastries
Biscuits-chocolate, digestive and ginger
Other biscuits
Fruit puddings
Milk based puddings and sauces
Other puddings
Yogurt and fruit fools
Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Potatoes - boiled and jacket

When you ate these how many potatoes did you eat at a typical meal?

How many F
Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Roast potatoes and chips

When you ate these how many potatoes did you eat at a typical meal?

How many F
Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Yorkshire puddings and savoury pancakes
Brown and white rice
Pasta and dumplings
Tinned vegetables
Peas and green beans
Carrots
Parsnips, swede and turnip
Sweetcorn and mixed veg
Beans and pulses
Tomatoes
Spinach
Broccoli, Brussels sprouts and spring greens
Cabbage and cauliflower
Peppers and watercress
Onion
Green salad
Side salads in dressing
Courgettes, marrow and leeks
Mushrooms
Vegetable dishes
Vegetarian foods
Tinned fruit not including grapefruit, prunes, figs or blackcurrants
Cooked fruit not including blackcurrants
Dried fruit
Fresh apples and pears
Fresh oranges and orange juice
Grapefruit and grapefruit juice
Blackcurrants, ribena and hi-juice blackcurrant drinks
Other fruit juices (not squashes)
Diet Coke and Pepsi not including caffeine free
Coke and Pepsi
Soft drinks not including diet drinks (low calorie or low sugar)
Bananas
Fresh peaches, plums, cherries and grapes
Strawberries and raspberries
Fresh pineapple, melon, kiwi and other tropical fruits
Nuts
Bacon and gammon
Pork
Chicken and turkey
Lamb
Beef
Minced meat dishes
Meat Pies
Liver and kidney
Paté and liver sausage
Faggots and black pudding
Sausages
Ham and luncheon meat
White fish
Fish fingers and fish dishes
Oily fish
Shellfish
Boiled and poached eggs
Omelette and fried eggs
Cottage Cheese
Cheese
Pizza, quiches and cheese flans
Soup
Mayonnaise and salad cream
Pickles, chutney, tomato ketchup and brown sauce
Chocolate
Other sweets
Ice cream and chocolate desserts
Cream
Crisps and savoury snacks
Sweet spreads
Gravy granules and powders
Stock cubes and Marmite
Drinking chocolate and milk shakes not including McDonald style milkshakes
Decaffeinated coffee and tea
Tea
Coffee
Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.
FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

Are there food or drinks which you have eaten or drunk once a week or more which are not on the list? Include breakfast bars such as Nutrigrain and Kellogg's

0
No
1
Yes
If Yes
qc_s2_2 == 1
Are there food or drinks which you have eaten or drunk once a week or more which are not on the list? Include breakfast bars such as Nutrigrain and Kellogg's
Name of food/drink - More than once a day

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many IGeneric text>x1>x1

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

Generic textHow many I>x1How many IGeneric text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many IGeneric text>x1>x1

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

Generic textHow many I>x1How many IGeneric text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many IGeneric text>x1>x1

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

Generic textHow many I>x1How many IGeneric text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

1
2
3
4
5
Now I would like to ask in more detail about some specific foods
Which types of milk have you used regularly in drinks and added to breakfast cereals over the last 3 months?
- Other (specify)

0 - None

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other

0 - None

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other

0 - None

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other

0 - None

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other
Milk 1
Milk 2
Milk 3
On average over the last 3 months how much of each milk have you consumed per day?
pints
How many F
Milk 1
Milk 2
Milk 3

Have you added sugar to breakfast cereals, tea & coffee, puddings etc.?

0
No
1
Yes
If No to question 2.5 go to 2.7
qc_s2_5 == 0
Else

Approximately how many teaspoons of sugar have you added each day?

How many I

When you eat meat, how much of the fat have you usually cut off (including chicken skin)?

1
all 100%
2
most 60%
3
some 30%
4
none 0%
9
not applicable
Just thinking about the past week how many servings did you eat of:
-
How many I
Vegetables and vegetable-containing dishes (excluding potatoes)?
fruit and pure fruit juices?
meat and fish and their dishes?
3: FOOD SUPPLEMENTS & DIETARY CHANGES

During the past three months have you taken any pills, tonics or tablets to supplement your diet? (e.g. vitamins, minerals, iron tablets, folic acid, fish oils etc.)

0
No
1
Yes
If yes,
qc_s3_1 == 1
please state which:
Supplement Number per day How many days in the last 90? Did you start taking this:

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

How many IDays in last 90Generic textHow many IDays in last 90Generic text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90How many IGeneric text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Generic textHow many I

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

How many IDays in last 90Generic textHow many IDays in last 90Generic text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90How many IGeneric text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Generic textHow many I

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

How many IDays in last 90Generic textHow many IDays in last 90Generic text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90How many IGeneric text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Generic textHow many I

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

How many IDays in last 90Generic textHow many IDays in last 90Generic text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90How many IGeneric text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Generic textHow many I

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90
1
2
3
4
5

We have asked you about your diet on 2 occasions. In the time between our first visit in ... (month) ... (year) and your last menstrual period in ... (month) ... (year) were there major changes in any of the following?

0
No
1
Yes
If no go to Section 4.
qc_s3_2 == 0
Else

How often you were eating meat and meat dishes?

1
more
2
same
3
less
4
stopped completely

How often you were eating fruit and vegetables?

1
more
2
same
3
less

The amount of milk and other dairy products you were consuming

1
more
2
same
3
less

The amount of alcoholic drinks you were consuming.

1
more
2
same
3
less
4
stopped completely
APPETITE AND NAUSEA DURING PREGNANCY

Have you experienced any nausea or sickness since becoming pregnant?

0
No
1
Yes
If yes,
qc_s4_1 == 1

has this been:

1
Mild (nausea only)
2
Moderate (sometimes sick)
3
Severe (regularly sick, can't retain meals)

Since you became pregnant, are you eating:

1
More
2
The same
3
Less in amount
If more,
qc_s4_2 == 1

is this

1
Because you feel more hungry
2
To prevent you feeling sick
3
Because you feel it is best for the baby
9
Not sure/other reason)
If less,
qc_s4_2 == 3

is this

1
Because you feel less hungry
2
Because of nausea/sickness
3
Don't want to put on too much weight
9
Not sure/other reason)
5: ALCOHOL CONSUMPTION
I'd like to ask you a few questions about your drinking and smoking habits.

Do you ever drink alcohol?

0
No
1
Yes
If No to question 5.1 go to section 6
qc_s5_1 == 0
Else
During the past three months: How often have you drunk
FFQ categories 1-7 >x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Shandy or Low Alcohol Beer/Lager/Cider?

When you drank these how many pints did you normally have?

How many F
During the past three months: How often have you drunk
FFQ categories 1-7 >x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Beer/Stout/Lager/Cider/Alcopops?

When you drank these how many pints did you normally have?

How many F
During the past three months: How often have you drunk
FFQ categories 1-7 >x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Low alcohol wine?

When you drank this how many glasses did you normally have?

How many F
During the past three months: How often have you drunk
FFQ categories 1-7 >x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Wine/Sherry/Martini/Cinzano?

When you drank these how many glasses did you normally have?

How many F
During the past three months: How often have you drunk
FFQ categories 1-7 >x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Spirits/Liqueurs?

When you drank these how many measures did you normally have?

How many F
6: SMOKING

Did you smoke at the time of your last menstrual period?

0
No
1
Yes
If No to question 6.1 go to 6.3
qc_s6_1 == 0
Else

How many per day (record maximum stated)?

How many I

Are you currently smoking?

0
No
1
Yes
If No to question 6.3 go to 6.5
qc_s6_3 == 0
Else

How many per day? (code max)

How many I
Go to Section 7

Does anyone smoke regularly in the same room as you?

0
No
1
Yes
7: MEDICINES
I would like to ask you now about any medicines you may have taken.
What, if any, medicines/inhalers/pills, tablets indigestion remedies have you taken since your last menstrual period?
-
Generic text
1
2
3
4
5
6
7
8
8: PREGNANCIES AND ILLNESSES

Have you had any previous pregnancies of more than 28 weeks?

0
No
1
Yes
I would now like to ask you a few questions about any ILLNESSES you may have suffered from:
If no to 8.1, go to 8.3
qc_s8_1 == 0
Else

During your previous pregnancies were you ever treated by a doctor for: High blood pressure (treatment includes admission/bed rest/induction)

0
No
1
Yes

During your previous pregnancies were you ever treated by a doctor for: Diabetes

0
No
1
Yes

During your previous pregnancies were you ever treated by a doctor for: Anaemia

0
No
1
Yes

Were you anaemic after the birth of any of your previous babies?

0
No
1
Yes

When not pregnant have you ever been treated by a doctor for: High blood pressure (don't include pill associated high BP)

0
No
1
Yes

When not pregnant have you ever been treated by a doctor for: Diabetes

0
No
1
Yes

When not pregnant have you ever been treated by a doctor for: Anaemia

0
No
1
Yes

Either as a child or an adult, have you ever suffered from asthma?

0
No
1
Yes
If Yes
qc_s8_4 == 1

was this confirmed by a doctor?

0
No
1
Yes

Have you had wheezing or whistling in the chest in the last 12 months?

0
No
1
Yes
If No to question 8.5 go to 8.7
qc_s8_5 == 0
Else

How many attacks of wheezing have you had in the last 12 months?

0
None
1
1-3
2
4-12
3
More than 12

Did you suffer from eczema in childhood?

0
No
1
Yes

Have you had eczema affecting the creases of your elbows or knees in the last year?

0
No
1
Yes

Have you ever had a problem with sneezing, or a runny, or blocked nose when you DID NOT have a cold or 'flu?

0
No
1
Yes
If No to question 8.9 go to section 9
qc_s8_9 == 0
Else

Is the nose problem usually accompanied by itchy-watery eyes?

0
No
1
Yes

In the last 12 months, have you had a problem with sneezing, or a runny, or blocked nose when you DID NOT have a cold or the 'flu?

0
No
1
Yes
If No to question 8.11 go to section 9
qc_s8_11 == 0
Else

Have you used any medicines to treat hayfever, rhinitis or any other nasal problems, at any time in the last 12 months (including sprays, solutions, pills, capsules or tablets)?

0
No
1
Yes
9: BABY'S FATHER
Now I would like to ask some questions about the baby's natural father:

Either as a child or an adult, has he ever suffered from asthma?

0
No
1
Yes
8
Don't talk about him
If Don't talk about him to question 9.1 go to Section 11
qc_s9_1 == 8
Else
If Yes
qc_s9_1 == 1
  1. was this confirmed by a doctor?
0
No
1
Yes

Has he had wheezing or whistling in the chest in the last 12 months?

0
No
1
Yes
If No to question 9.3 go to 9.5
qc_s9_3 == 0
Else

How many attacks of wheezing has he had in the last 12 months?

0
None
1
1-3
2
4-12
3
More than 12

Did he suffer from eczema in childhood?

0
No
1
Yes

Has he had eczema affecting the creases of his elbows or knees in the last year?

0
No
1
Yes

Has he ever had a problem with sneezing, or a runny, or blocked nose when he DID NOT have a cold or 'flu?

0
No
1
Yes
If No to question 9.7 go to 9.11
qc_s9_7 == 0
Else

Is the nose problem usually accompanied by itchy-watery eyes?

0
No
1
Yes

In the last 12 months, has he had a problem with sneezing, or a runny, or blocked nose when he DID NOT have a cold or the 'flu?

0
No
1
Yes
If No to question 9.9 go to 9.11
qc_s9_9 == 0
Else

Has he used any medicines to treat hayfever, rhinitis or any other nasal problems, at any time in the last 12 months (including sprays, solutions, pills, capsules or tablets)?

0
No
1
Yes

Approximately what is his height? In feet and inches ... ft ... ins OR in centimetres ... cm

ft
ins in ft
cm

Approximately what is his current weight? In stones and pounds ... st ... lb OR in kilograms ... kg

st
lb in st I
kg

What was his birth weight? In pounds and ounces ... lbs ... oz OR in grams ... grams

lbs
oz in lbs
grams

What is his date of birth?

Date of birth
10: BABY'S FATHER'S OCCUPATION

Was the baby's father in paid employment or self-employed in the week ending last Sunday?

0
No
1
Yes
If No to question 10.1 go to 10.3
qc_s10_1 == 0
Else

Was he working full time or part time?

0
Full time (more than 30 hours)
1
Part time (30 hours or fewer)
If No to question 10.1 or Part-time (30 hours or fewer) to question 10.2
qc_s10_1 == 0 || qc_s10_2 == 1

Was he going to college full time?

0
No
1
Yes
if working part-time go to 10.6a
if not working go to 10.5
If yes,
qc_s10_3 == 1

what is he studying?

Generic text
If working part time go to 10.7
If not working go to section 11
If not working or studying
qc_s10_1 == 0 && qc_s10_3 == 0

was he

1
Unemployed ?
2
Permanently unable to work because of long term sickness or disability ?
3
looking after home or family?
4
other ? (specify)
Other
If not working or working part-time,
(qc_s10_1 == 0 || qc_s10_2 == 1) && qc_s10_3 == 0

what was his last full-time job? Job position

Generic text

what was his last full-time job?

1
Self-employed
2
manager
3
foreman
4
employee

what was his last full-time job? Industry

Generic text
Then if currently working part time go to 10.7, otherwise go to section 11
If working full-time,
qc_s10_2 == 0

what is his job ? Job position

Generic text

what is his job ?

1
Self-employed
2
manager
3
foreman
4
employee

what is his job ? Industry

Generic text
(Then go to section 11)
If working part-time now,
qc_s10_2 == 1

what is his current job? Job position

Generic text

what is his current job?

1
Self-employed
2
manager
3
foreman
4
employee

what is his current job? Industry

Generic text

If working part time, how many hours per week does he work? ... hrs ... mins

Part-time work hours
mins
11: BODY MEASUREMENTS
If not done before get consent here

Pulse (30sec)

How many I

Which hand do you write with ?

1
Right
2
Left
3
Completely ambidextrous

Weight ... kg

kg

How much did you weigh 3-4 months ago, ie. before you became pregnant? ... st ... lbs ... kg

st
lbs in st F
kg

Head circumference ... cm

cm
Mark and measure up the non-dominant arm and side of the body (measure the left if completely ambidextrous)

Waist circumference ... cm

cm

Hip circumference ... cm

cm

Mid-thigh circumference ... cm

cm

Calf circumference ... cm

cm

Mid-upper arm circumference (non-dominant side) ... cm

cm
Triceps skinfold (non-dominant side)
mm
mm
1
2
3
4
5
Biceps skinfold (non-dominant side)
mm
mm
1
2
3
4
5
Subscapular skinfold (non-dominant side)
mm
mm
1
2
4
4
5
Upper suprailiac skinfold (non-dominant side)
mm
mm
1
2
3
4
5

Skinfold calipers used

Generic text

Time (24 hr clock)

Generic time

Room temperature ... °C

Temperature

Heel ultrasound performed?

0
No
1
Yes

Intramallolar distance ... cm

cm

Soft tissue distance ... cm

cm
12. BLOOD SAMPLE

Has the woman given her consent?

0
No
1
Yes

What time did you finish your last meal or snack?

Generic time

Time blood sample taken

Generic time
FINAL CHECK FOR NURSES

Have you left the Baby's Father's Birth Details Form?

0
No
1
Yes

Have you left a food diary?

0
No
1
Yes
THANK YOU VERY MUCH
End

sws_2_bio

EARLY PREGNANCY QUESTIONNAIRE
Name: (Forename, Surname)
Generic text
Address:
Generic text
Postcode:
Generic text
Date of birth:
Date of birth
Interviewer:
Generic text
Date of interview:
Generic date
We would like to send details of your ultrasound scan report to your GP to assist in your care during pregnancy. Are you happy for us to do this?
0
No
1
Yes
May I just confirm your GP's name and address: GP's name:
Generic text
May I just confirm your GP's name and address: Surgery Address:
Generic text

1: ACTIVITY AND EXERCISE

Can I firstly ask you about your activity and exercise patterns over the last three months? As before, we would like you to divide up a "typical" day into three types of activity. These are: (1) sleeping or lying, (2) sitting, (3) standing or walking.
Over a typical 24 hour day how many hours have you generally spent sleeping or lying with your feet up? ... hrs ... mins
Hours in day
mins
This would indicate xx hours sitting or on your feet.
Of those hours how many on a typical day have you spent sitting down? (e.g. includes sitting at work, mealtimes, driving, reading, watching TV) ... hrs ... mins
Hours in day
mins
This would mean that you have spent about xx hours a day on your feet. Does this sound about right? ... hrs ... mins
Hours in day
mins
Out of these xx hours spent on your feet, about how much of the time were you actively on the move (rather than standing fairly still)?
1
Very little 10%
2
Some 30%
3
About half 50%
4
Most 70%
5
Almost all 90%

During the past three months, how often have you done the following kinds of exercise or activities?

FFQ categories 1-7 >x1 and on average about how long did each period of activity last? ... hrs and on average about how long did each period of activity last? ... mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1hrsmins>x1hrsmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs>x1mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

mins>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1hrsmins>x1hrsmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs>x1mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

mins>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1hrsmins>x1hrsmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs>x1mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

mins>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1hrsmins>x1hrsmins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs>x1mins

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

mins>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

hrs
strenuous exercise which made your heart beat rapidly AND left you breathless e.g. jogging, vigorous swimming or cycling, aerobics.
moderate exercise which left you exhausted but not breathless, e.g. brisk walking, dancing, easy swimming or cycling, badminton, sailing.
gentle exercise which left you tired but not exhausted, e.g.walking, heavy housework (including washing windows and polishing), gardening, DIY, golf.
Which of the following best describes your walking speed at present?
1
Very slow
2
Stroll at an easy pace
3
Normal speed
4
Fairly brisk
5
Fast

2: DIETARY QUESTIONS

Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
White bread
When you ate bread/toast/sandwiches, how many slices/rolls did you eat at a typical meal?
How many F

Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Brown and wholemeal bread/rolls
How many slices/rolls did you eat at a typical meal?
How many F

Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Crackers and cheese biscuits
Wholemeal and rye crackers
'Bran' breakfast cereals
Other breakfast cereals
Added bran to foods
Cakes and gateaux
Buns
Pastries
Biscuits-chocolate, digestive and ginger
Other biscuits
Fruit puddings
Milk based puddings and sauces
Other puddings
Yogurt and fruit fools

Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Potatoes - boiled and jacket
When you ate these how many potatoes did you eat at a typical meal?
How many F

Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Roast potatoes and chips
When you ate these how many potatoes did you eat at a typical meal?
How many F

Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

How many I
Yorkshire puddings and savoury pancakes
Brown and white rice
Pasta and dumplings
Tinned vegetables
Peas and green beans
Carrots
Parsnips, swede and turnip
Sweetcorn and mixed veg
Beans and pulses
Tomatoes
Spinach
Broccoli, Brussels sprouts and spring greens
Cabbage and cauliflower
Peppers and watercress
Onion
Green salad
Side salads in dressing
Courgettes, marrow and leeks
Mushrooms
Vegetable dishes
Vegetarian foods
Tinned fruit not including grapefruit, prunes, figs or blackcurrants
Cooked fruit not including blackcurrants
Dried fruit
Fresh apples and pears
Fresh oranges and orange juice
Grapefruit and grapefruit juice
Blackcurrants, ribena and hi-juice blackcurrant drinks
Other fruit juices (not squashes)
Diet Coke and Pepsi not including caffeine free
Coke and Pepsi
Soft drinks not including diet drinks (low calorie or low sugar)
Bananas
Fresh peaches, plums, cherries and grapes
Strawberries and raspberries
Fresh pineapple, melon, kiwi and other tropical fruits
Nuts
Bacon and gammon
Pork
Chicken and turkey
Lamb
Beef
Minced meat dishes
Meat Pies
Liver and kidney
Paté and liver sausage
Faggots and black pudding
Sausages
Ham and luncheon meat
White fish
Fish fingers and fish dishes
Oily fish
Shellfish
Boiled and poached eggs
Omelette and fried eggs
Cottage Cheese
Cheese
Pizza, quiches and cheese flans
Soup
Mayonnaise and salad cream
Pickles, chutney, tomato ketchup and brown sauce
Chocolate
Other sweets
Ice cream and chocolate desserts
Cream
Crisps and savoury snacks
Sweet spreads
Gravy granules and powders
Stock cubes and Marmite
Drinking chocolate and milk shakes not including McDonald style milkshakes
Decaffeinated coffee and tea
Tea
Coffee

Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

Now I am going to ask you about the foods you have eaten over the past 3 months. To do this I have a list of foods and I would like you to tell me how often you have eaten each food. As before the list may include foods you never ate or you may find foods which you eat a lot are missing. These can be added on at the end.

FREQUENCY EATEN More than once a day

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Are there food or drinks which you have eaten or drunk once a week or more which are not on the list? Include breakfast bars such as Nutrigrain and Kellogg's
0
No
1
Yes

Are there food or drinks which you have eaten or drunk once a week or more which are not on the list? Include breakfast bars such as Nutrigrain and Kellogg's

Name of food/drink - More than once a day

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many IGeneric text>x1>x1

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

Generic textHow many I>x1How many IGeneric text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many IGeneric text>x1>x1

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

Generic textHow many I>x1How many IGeneric text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

How many IGeneric text>x1>x1

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

Generic textHow many I>x1How many IGeneric text

1 - 1-2 times per week

2 - 3-6 times per week

3 - Once a day

1
2
3
4
5
Now I would like to ask in more detail about some specific foods

Which types of milk have you used regularly in drinks and added to breakfast cereals over the last 3 months?

- Other (specify)

0 - None

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other

0 - None

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other

0 - None

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other

0 - None

1 - Whole pasteurised

2 - Semi-skimmed pasteurised

3 - Skimmed pasteurised

4 - Whole UHT

5 - Semi-skimmed UHT

6 - Skimmed UHT

7 - Other

Other
Milk 1
Milk 2
Milk 3

On average over the last 3 months how much of each milk have you consumed per day?

pints
How many F
Milk 1
Milk 2
Milk 3
Have you added sugar to breakfast cereals, tea & coffee, puddings etc.?
0
No
1
Yes
Approximately how many teaspoons of sugar have you added each day?
How many I
When you eat meat, how much of the fat have you usually cut off (including chicken skin)?
1
all 100%
2
most 60%
3
some 30%
4
none 0%
9
not applicable

Just thinking about the past week how many servings did you eat of:

-
How many I
Vegetables and vegetable-containing dishes (excluding potatoes)?
fruit and pure fruit juices?
meat and fish and their dishes?

3: FOOD SUPPLEMENTS & DIETARY CHANGES

During the past three months have you taken any pills, tonics or tablets to supplement your diet? (e.g. vitamins, minerals, iron tablets, folic acid, fish oils etc.)
0
No
1
Yes

please state which:

Supplement Number per day How many days in the last 90? Did you start taking this:

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

How many IDays in last 90Generic textHow many IDays in last 90Generic text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90How many IGeneric text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Generic textHow many I

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

How many IDays in last 90Generic textHow many IDays in last 90Generic text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90How many IGeneric text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Generic textHow many I

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

How many IDays in last 90Generic textHow many IDays in last 90Generic text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90How many IGeneric text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Generic textHow many I

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

How many IDays in last 90Generic textHow many IDays in last 90Generic text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90How many IGeneric text

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Generic textHow many I

1 - Less than 1 month ago

2 - 1-2 months ago

3 - More than 2 months ago

Days in last 90
1
2
3
4
5
We have asked you about your diet on 2 occasions. In the time between our first visit in ... (month) ... (year) and your last menstrual period in ... (month) ... (year) were there major changes in any of the following?
0
No
1
Yes
How often you were eating meat and meat dishes?
1
more
2
same
3
less
4
stopped completely
How often you were eating fruit and vegetables?
1
more
2
same
3
less
The amount of milk and other dairy products you were consuming
1
more
2
same
3
less
The amount of alcoholic drinks you were consuming.
1
more
2
same
3
less
4
stopped completely

APPETITE AND NAUSEA DURING PREGNANCY

Have you experienced any nausea or sickness since becoming pregnant?
0
No
1
Yes
has this been:
1
Mild (nausea only)
2
Moderate (sometimes sick)
3
Severe (regularly sick, can't retain meals)
Since you became pregnant, are you eating:
1
More
2
The same
3
Less in amount
is this
1
Because you feel more hungry
2
To prevent you feeling sick
3
Because you feel it is best for the baby
9
Not sure/other reason)
is this
1
Because you feel less hungry
2
Because of nausea/sickness
3
Don't want to put on too much weight
9
Not sure/other reason)

5: ALCOHOL CONSUMPTION

I'd like to ask you a few questions about your drinking and smoking habits.
Do you ever drink alcohol?
0
No
1
Yes

During the past three months: How often have you drunk

FFQ categories 1-7 >x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Shandy or Low Alcohol Beer/Lager/Cider?
When you drank these how many pints did you normally have?
How many F

During the past three months: How often have you drunk

FFQ categories 1-7 >x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Beer/Stout/Lager/Cider/Alcopops?
When you drank these how many pints did you normally have?
How many F

During the past three months: How often have you drunk

FFQ categories 1-7 >x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Low alcohol wine?
When you drank this how many glasses did you normally have?
How many F

During the past three months: How often have you drunk

FFQ categories 1-7 >x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Wine/Sherry/Martini/Cinzano?
When you drank these how many glasses did you normally have?
How many F

During the past three months: How often have you drunk

FFQ categories 1-7 >x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1

1 - Never

2 - Once every 2-3 Months

3 - Once a Month

4 - Once a Fortnight

5 - 1-2 Times per Week

6 - 3-6 Times per Week

7 - Once a day

>x1
Spirits/Liqueurs?
When you drank these how many measures did you normally have?
How many F

6: SMOKING

Did you smoke at the time of your last menstrual period?
0
No
1
Yes
How many per day (record maximum stated)?
How many I
Are you currently smoking?
0
No
1
Yes
How many per day? (code max)
How many I
Go to Section 7
Does anyone smoke regularly in the same room as you?
0
No
1
Yes

7: MEDICINES

I would like to ask you now about any medicines you may have taken.

What, if any, medicines/inhalers/pills, tablets indigestion remedies have you taken since your last menstrual period?

-
Generic text
1
2
3
4
5
6
7
8

8: PREGNANCIES AND ILLNESSES

Have you had any previous pregnancies of more than 28 weeks?
0
No
1
Yes
I would now like to ask you a few questions about any ILLNESSES you may have suffered from:
During your previous pregnancies were you ever treated by a doctor for: High blood pressure (treatment includes admission/bed rest/induction)
0
No
1
Yes
During your previous pregnancies were you ever treated by a doctor for: Diabetes
0
No
1
Yes
During your previous pregnancies were you ever treated by a doctor for: Anaemia
0
No
1
Yes
Were you anaemic after the birth of any of your previous babies?
0
No
1
Yes
When not pregnant have you ever been treated by a doctor for: High blood pressure (don't include pill associated high BP)
0
No
1
Yes
When not pregnant have you ever been treated by a doctor for: Diabetes
0
No
1
Yes
When not pregnant have you ever been treated by a doctor for: Anaemia
0
No
1
Yes
Either as a child or an adult, have you ever suffered from asthma?
0
No
1
Yes
was this confirmed by a doctor?
0
No
1
Yes
Have you had wheezing or whistling in the chest in the last 12 months?
0
No
1
Yes
How many attacks of wheezing have you had in the last 12 months?
0
None
1
1-3
2
4-12
3
More than 12
Did you suffer from eczema in childhood?
0
No
1
Yes
Have you had eczema affecting the creases of your elbows or knees in the last year?
0
No
1
Yes
Have you ever had a problem with sneezing, or a runny, or blocked nose when you DID NOT have a cold or 'flu?
0
No
1
Yes
Is the nose problem usually accompanied by itchy-watery eyes?
0
No
1
Yes
In the last 12 months, have you had a problem with sneezing, or a runny, or blocked nose when you DID NOT have a cold or the 'flu?
0
No
1
Yes
Have you used any medicines to treat hayfever, rhinitis or any other nasal problems, at any time in the last 12 months (including sprays, solutions, pills, capsules or tablets)?
0
No
1
Yes

9: BABY'S FATHER

Now I would like to ask some questions about the baby's natural father:
Either as a child or an adult, has he ever suffered from asthma?
0
No
1
Yes
8
Don't talk about him
a) was this confirmed by a doctor?
0
No
1
Yes
Has he had wheezing or whistling in the chest in the last 12 months?
0
No
1
Yes
How many attacks of wheezing has he had in the last 12 months?
0
None
1
1-3
2
4-12
3
More than 12
Did he suffer from eczema in childhood?
0
No
1
Yes
Has he had eczema affecting the creases of his elbows or knees in the last year?
0
No
1
Yes
Has he ever had a problem with sneezing, or a runny, or blocked nose when he DID NOT have a cold or 'flu?
0
No
1
Yes
Is the nose problem usually accompanied by itchy-watery eyes?
0
No
1
Yes
In the last 12 months, has he had a problem with sneezing, or a runny, or blocked nose when he DID NOT have a cold or the 'flu?
0
No
1
Yes
Has he used any medicines to treat hayfever, rhinitis or any other nasal problems, at any time in the last 12 months (including sprays, solutions, pills, capsules or tablets)?
0
No
1
Yes
Approximately what is his height? In feet and inches ... ft ... ins OR in centimetres ... cm
ft
ins in ft
cm
Approximately what is his current weight? In stones and pounds ... st ... lb OR in kilograms ... kg
st
lb in st I
kg
What was his birth weight? In pounds and ounces ... lbs ... oz OR in grams ... grams
lbs
oz in lbs
grams
What is his date of birth?
Date of birth

10: BABY'S FATHER'S OCCUPATION

Was the baby's father in paid employment or self-employed in the week ending last Sunday?
0
No
1
Yes
Was he working full time or part time?
0
Full time (more than 30 hours)
1
Part time (30 hours or fewer)
Was he going to college full time?
0
No
1
Yes
if working part-time go to 10.6a
if not working go to 10.5
what is he studying?
Generic text
If working part time go to 10.7
If not working go to section 11
was he
1
Unemployed ?
2
Permanently unable to work because of long term sickness or disability ?
3
looking after home or family?
4
other ? (specify)
Other
what was his last full-time job? Job position
Generic text
what was his last full-time job?
1
Self-employed
2
manager
3
foreman
4
employee
what was his last full-time job? Industry
Generic text
Then if currently working part time go to 10.7, otherwise go to section 11
what is his job ? Job position
Generic text
what is his job ?
1
Self-employed
2
manager
3
foreman
4
employee
what is his job ? Industry
Generic text
(Then go to section 11)
what is his current job? Job position
Generic text
what is his current job?
1
Self-employed
2
manager
3
foreman
4
employee
what is his current job? Industry
Generic text
If working part time, how many hours per week does he work? ... hrs ... mins
Part-time work hours
mins

11: BODY MEASUREMENTS

If not done before get consent here
Pulse (30sec)
How many I
Which hand do you write with ?
1
Right
2
Left
3
Completely ambidextrous
Weight ... kg
kg
How much did you weigh 3-4 months ago, ie. before you became pregnant? ... st ... lbs ... kg
st
lbs in st F
kg
Head circumference ... cm
cm
Mark and measure up the non-dominant arm and side of the body (measure the left if completely ambidextrous)
Waist circumference ... cm
cm
Hip circumference ... cm
cm
Mid-thigh circumference ... cm
cm
Calf circumference ... cm
cm
Mid-upper arm circumference (non-dominant side) ... cm
cm

Triceps skinfold (non-dominant side)

mm
mm
1
2
3
4
5

Biceps skinfold (non-dominant side)

mm
mm
1
2
3
4
5

Subscapular skinfold (non-dominant side)

mm
mm
1
2
4
4
5

Upper suprailiac skinfold (non-dominant side)

mm
mm
1
2
3
4
5
Skinfold calipers used
Generic text
Time (24 hr clock)
Generic time
Room temperature ... °C
Temperature
Heel ultrasound performed?
0
No
1
Yes
Intramallolar distance ... cm
cm
Soft tissue distance ... cm
cm

12. BLOOD SAMPLE

Has the woman given her consent?
0
No
1
Yes
What time did you finish your last meal or snack?
Generic time
Time blood sample taken
Generic time

FINAL CHECK FOR NURSES

Have you left the Baby's Father's Birth Details Form?
0
No
1
Yes
Have you left a food diary?
0
No
1
Yes
THANK YOU VERY MUCH
Name

Early Pregnancy Questionnaire