Start
wchads_07_ph01px
Wirral Child Health and Development Study
We are very grateful to you for filling out this questionnaire. We will be able to learn from your experiences and those of other partners. All the information you provide is private and confidential. We will not share it with anyone unless you tell us that you or another person are in danger of significant harm. This is not a test and there are no right or wrong answers. Please be as honest as you can, so we can learn about how background, lifestyle, relationships, personality and mood influence child development over time.

Date today?

Generic date
Some background information about you....

How old are you? ... years

Age

What is your own date of birth?

Date of birth

How would you describe your own ETHNIC ORIGIN:

1
Bangladeshi
2
Black African
3
Black Caribbean
4
Chinese
5
Greek/GreekCypriot
6
Indian
7
Irish
8
Other Black
9
Pakistani
10
Turkish/Turkish Cypriot
11
White
12
Other ... per week
If you feel that the categories above do not accurately reflect your ethnic origin,
qc_s1_3 == 12

please describe your ethinic origin below:

Other

Are you currently:

1
Married
2
Single
3
Widowed
4
Divorced
5
Separated
6
Cohabiting (Living with a partner)
7
Partner living elsewhere
8
Other (please describe below)
Other

How long have you been with your current partner?

a
No partner
b
Less than 1 year
c
1-2 years
d
2-5 years
e
more than 5 years
If you are living with your partner,

how many months or years have you been doing so? ... years ... months

Years Months

What is your partner's full name?

Generic text

Do you have any other children?

1
YES
2
NO
If YES,
qc_s1_8 == 1

please say how many you have in the boxes to the right? Can you tell us if they are boys or girls and what ages they each are in the space below.. (E.g. Boy 3, Girl 6,)

How many
Generic text

If YES, do you have contact with them?

1
YES regularly, they live with me
2
YES regularly, they live with their mother
3
YES but not regularly
4
YES, letter or phone contact only
5
NO, no contact
6
Other ... per week

If YES, do you have contact with them? Please give details

Other

If YES, Do these children all have the same mother?

1
YES
2
NO
Your living arrangements

Who lives with you in your household?

Generic text
Generic text 2
Generic text 3
Generic text 4
Generic text 5
Generic text 6

What type of housing do you live in?

1
House
2
Flat
3
Bedsit
4
Maisonette
5
Work-related accommodation
6
caravan
7
hostel
8
Student residence
9
Or Other (please describe)
Other

What is your postcode?

Postcode

Is the place where you live owned or rented by you?

1
Owner occupied
2
rented from private landlord
3
rented from council or housing association
4
Accomodation provided by work - pay rent
5
Accomodation provided by work - no rent
6
guest in someone else's home
7
other (please describe)
Other

How many bedrooms do you have?

How many

How many rooms in total are there?

How many

How long have you lived there? ... years ... months

Years Months

How satisfied are you with your housing?

1
Very satisfied
2
Satisfied
3
Dissatisfied
4
Very dissatisfied
Your education and work

How old were you when you finished full-time education? ... years

Age

Have you gained 5 GCSEs / O levels at grade C or above?

1
YES
2
NO

Do you have any other academic or vocational qualifications?

a
None
b
CSEs
c
NVQs
d
GNVQs
e
'A' levels
f
HNC
g
HND
h
Further qualifications e.g., secretarial, nursing
i
Undergraduate Degree
j
Postgraduate degree
k
Other (please give details below)

Do you have any other academic or vocational qualifications? More details

Other

What was your current employment status ?

1
Full-time paid employment
2
Part time paid employment
3
Self-employed
4
Unemployed
5
On sick leave or disability
6
Full-time education or training scheme
7
Part-time education or training scheme
8
Voluntary work

In the last year, how many different employers have you worked for?

How many
IF YOU ARE EMPLOYED PLEASE CONTINUE, IF NOT PLEASE JUMP TO QUESTION 24
qc_s3_20 >= 1 && qc_s3_20 <= 3

Approximately how many hours do you work each week? ... hours

Hours in week

What is the nature of your employment?

Generic text
IF YOU ARE NOT IN PAID EMPLOYMENT NOW, please answer questions 24-26 below
qc_s3_20 >= 4 && qc_s3_20 <= 8

When did you last work? ... month ... year

Generic date

What was your last job?

Generic text

What was your reason for leaving?

Generic text
Your health and lifestyle

Have you had any problems with your health lately?

1
YES
2
NO

Are you currently taking any medication?

1
YES
2
NO
If 'YES'
qc_s4_27_b == 1

what medication are you taking?

Generic text

How many cigarettes do you smoke each day, on average?

1
None
2
Less than 10
3
Between 10 and 20
4
More than 20
If you have stopped smoking,

when did you stop?

Generic date

Do you drink alcohol?

1
YES
2
NO
If Yes,
qc_s4_29 == 1

How often do you drink alcohol?

1
Monthly or less
2
2 to 4 times monthly
3
2 to 4 times per week
4
4 or more times per week

If Yes, How often do you have 6 drinks or more on one occasion?

1
Never
2
Less than monthly
3
Monthly
4
Weekly
5
Daily or almost daily
Can you estimate how much do you drink per week below
How many
How many
pints of lager or beer?
Measures of spirits
Glasses of wine ... per week
Other ... per week

Have you taken recreational drugs in the past year (e.g., cannabis)?

1
YES
2
NO
If yes,
qc_s4_30 == 1

which drugs did you take?

Generic text
Please tell us the number of hours per week you spend on sports or exercise activities?
Hours
Hours in week
Mildly energetic (E.g., walking, woodwork, weeding, bike repair, housework)
Moderately energetic (e.g, scrubbing, chopping, dancing, leisurely swimming, mowing lawn)
Vigorous activities (e.g, running, tennis, squash, football, hard swimming, cycle racing)
Now some questions about the pregnancy

Has this pregnancy been a positive experience for you?

a
Yes, definitely
b
Yes, mostly
c
Mostly not
d
Definitely not

How often have you felt anxious about this pregnancy?

a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always

How often have you felt panicky about this pregnancy?

a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always

How often have you felt happy about this pregnancy?

a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always

How often have you felt afraid about this pregnancy?

a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always

How often have you felt relaxed about this pregnancy?

a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always

How often have you felt concerned about this pregnancy?

a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always

Have you and your partner had a test result in pregnancy that has caused you concern?

1
Yes
2
No
If yes,
qc_s5_8 == 1

which test was it

1
Pregnancy test
2
Urine test
3
Amnio/CVS
4
Genetic testing
5
Booking bloods
6
Early scan
7
Ectopic
8
Other (please give details below)
9
Chlamydia
10
Quad test
11
NT scan
Other

If Yes, how much have you been concerned by it?

1
Not at all
2
A little concerned
3
Fairly concerned
4
Very concerned
Pregnancy stress
We would like to know how stressed you think or feel your partner has been during the pregnancy so far. On the following scale 0 indicates feeling extremely relaxed and 10 indicates feeling extremely stressed.

Please circle how stressed you think SHE has felt during early pregnancy (weeks 1-12)

0
0: No stress
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10: As stressed as you can possibly imagine

Please circle how stressed you think SHE has felt so far during mid-pregnancy up to now (weeks 13-24)

0
0: No stress
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10: As stressed as you can possibly imagine
Your relationship recently . . .
When two people are in a relationship, they usually share some good and some bad times together. We would now like to ask a couple of questions about your relationship with your partner.

Please read the question and circle the response that best fits how you feel now? How satisfied are you with your marriage / relationship?

1
Extremely Dissatisfied
2
Very Dissatisfied
3
Somewhat Dissatisfied
4
Mixed
5
Somewhat Satisfied
6
Very Satisfied
7
Extremely Satisfied

Please read the question and circle the response that best fits how you feel now? How satisfied are you with wife / partner as a partner?

1
Extremely Dissatisfied
2
Very Dissatisfied
3
Somewhat Dissatisfied
4
Mixed
5
Somewhat Satisfied
6
Very Satisfied
7
Extremely Satisfied
How eventful have your lives been in the last year ?
In this study we are interested in measuring different forms of stress that might affect mothers and fathers during pregnancy. Listed below are a number of events that may have brought changes in your life and/or your partner's life. We want to ask you if any of these events have happened during this pregnancy so far? If so, please put a tick in one of the boxes to tell us how much you think it has affected your partner and then tick to say how much it has affected yourself. If one of these events occurred more than once, please rate the affect of the most serious. Many of the events listed are of a personal nature. Your answers will be held in strict confidence.
-

1 - No - not during the pregnancy

2 - Yes - and it affected her a little

3 - Yes - and it affected her a lot

4 - Yes - and it affected me a little

5 - Yes - and it affected me a lot

She was admitted to hospital
You had a serious accident or illness
She had a serious accident or illness
You were in trouble with the law
She was in trouble with the law
You were separated / divorced
She was separated / divorced
You lost your job
She lost her job
She experienced a significant drop in household income
She had a major financial problem
Her car or house was burgled
She became homeless
She found that you did not want this child
She had a serious argument with you
She had a serious argument with her family or friends
Someone was physically cruel to her
Someone was emotionally cruel to her
She attempted suicide
You attempted suicide
A friend or relative attempted suicide
She has suffered from a mental illness
A friend or relative has suffered from mental illness
A friend or relative died
One of you had an extramarital sexual affair
A friend or family member had a serious accident or illness
Your general health
The following questions ask about your health in general. For each statement, please circle the response that comes closest to how you have been feeling over the past few weeks.

Have you recently ... Been able to concentrate on whatever you are doing?

1
Better than usual
2
Same as usual
3
Less than usual
4
Much less than usual

Have you recently ... Lost much sleep over worry?

1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual

Have you recently ... Felt that you are playing a useful part in things?

1
More so than usual
2
Same as usual
3
Less useful than usual
4
Much less useful

Have you recently ... Felt capable of making decisions about things?

1
More so than usual
2
Same as usual
3
Less so than usual
4
Much less capable

Have you recently ... Felt constantly under strain?

1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual

Have you recently ... Felt you couldn't over come your difficulties?

1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual

Have you recently ... Been able to enjoy your normal day-to-day activities?

1
More so than usual
2
Same as usual
3
Less so than usual
4
Much less than usual

Have you recently ... Been able to face up to your problems?

1
More so than usual
2
Same as usual
3
Less able than usual
4
Much less able

Have you recently ... Been feeling unhappy and depressed?

1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual

Have you recently ... Been losing confidence in yourself?

1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual

Have you recently ... Been thinking of your self as a worthless person?

1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual

Have you recently ... Been feeling reasonably happy, all things considered?

1
More so than usual
2
About same as usual
3
Less so than usual
4
Much less than usual
Your mood and feelings
A number of statements which people have used to describe themselves are given below. Read each statement and then circle the most appropriate number to the right of the statement to INDICATE HOW YOU FEEL RIGHT NOW, AT THIS MOMENT. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe your present feelings best.

HOW I FEEL RIGHT NOW..? I feel calm

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel secure

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel tense

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I am strained

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel at ease

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I am upset

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I am presently worrying over possible misfortunes

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel satisfied

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel frightened

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel comfortable

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel self-confident

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel nervous

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel jittery

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel indecisive

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I am relaxed

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel content

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I am worried

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel confused

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel steady

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so

HOW I FEEL RIGHT NOW..? I feel pleasant

1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
Again, Please read each of the following statements that people have used to describe themselves, and then circle the most appropriate number to the right of the statement to INDICATE HOW YOU GENERALLY FEEL OR REACT. There are no right or wrong answers. Do not spend too much time on any one statement. Circle the answer that best describes how you generally feel or react.

HOW I GENERALLY FEEL..? I am quick tempered

1
Almost never
2
Sometimes
3
Often
4
Almost always

HOW I GENERALLY FEEL..? I have a fiery temper

1
Almost never
2
Sometimes
3
Often
4
Almost always

HOW I GENERALLY FEEL..? I am a hot headed person

1
Almost never
2
Sometimes
3
Often
4
Almost always

HOW I GENERALLY FEEL..? I get angry when I am slowed down by others' mistakes

1
Almost never
2
Sometimes
3
Often
4
Almost always

HOW I GENERALLY FEEL..? I feel annoyed when I am not given recognition for doing good work

1
Almost never
2
Sometimes
3
Often
4
Almost always

HOW I GENERALLY FEEL..? I fly off the handle

1
Almost never
2
Sometimes
3
Often
4
Almost always

HOW I GENERALLY FEEL..? When I get mad, I say nasty things

1
Almost never
2
Sometimes
3
Often
4
Almost always

HOW I GENERALLY FEEL..? It makes me furious when I am criticised in front of others

1
Almost never
2
Sometimes
3
Often
4
Almost always

HOW I GENERALLY FEEL..? When I get frustrated I feel like hitting someone

1
Almost never
2
Sometimes
3
Often
4
Almost always

HOW I GENERALLY FEEL..? I feel infuriated when I do a good job and get a poor evaluation

1
Almost never
2
Sometimes
3
Often
4
Almost always
More about how have you been feeling in the past week . . .
Please underline the answer which comes closest to how you have felt in the past week, not just how you feel today.

In the past seven days: I have been able to laugh and see the funny side of things:

1
As much as I always could
2
Not quite so much now
3
Definitely not so much now
4
Not at all

In the past seven days: I have looked forward with enjoyment to things:

1
As much as I ever did
2
Rather less than I used to
3
Definitely less than I used to
4
Hardly at all

In the past seven days: I have blamed myself unnecessarily when things went wrong:

1
Yes, most of the time
2
Yes, some of the time
3
Not very often
4
No, never

In the past seven days: I have been anxious or worried for no good reason:

1
No, not at all
2
Hardly ever
3
Yes, sometimes
4
Yes, very often

In the past seven days: I have felt scared or panicky for no very good reason:

1
Yes, quite a lot
2
Yes, sometimes
3
No, not much
4
No, not at all

In the past seven days: Things have been getting on top of me:

1
Yes, most of the time I haven't been able to cope at all
2
Yes, sometimes I haven't been coping as well as usual
3
No, most of the time I have coped quite well
4
No, I have been coping as well as ever

In the past seven days: I have been so unhappy that I have had difficulty sleeping:

1
Yes, most of the time
2
Yes, sometimes
3
Not very often
4
No, not at all

In the past seven days: I have felt sad or miserable:

1
Yes, most of the time
2
Yes, quite often
3
Not very often
4
No, not at all

In the past seven days: I have been so unhappy that I have been crying:

1
Yes, most of the time
2
Yes, quite often
3
Only occasionally
4
No, never

In the past seven days: I have thought of harming myself:

1
Yes, quite often
2
Sometimes
3
Hardly ever
4
Never
Your future baby and early fatherhood
The following questions ask about your thoughts and feelings about your future baby and early fatherhood. We are trying to learn from each different fathers' responses, so please just say how you generally feel now. There are no right or wrong answers.
Instructions: For each of the following questions we would like to know the way you generally feel.
Please make a clear tick in one of the boxes to tell us how much your feelings are nearer to the words on the left or to the words on the right. Please try to decide either way - only use the middle box if your feelings are no nearer to one end than the other.

What do you imagine your baby will be like at first?

1
FITTING EASILY INTO YOUR LIFE
2
 
3
 
4
 
5
 
6
 
7
TAKING OVER EVERYTHING YOU DO

What do you imagine your baby will be like at first?

1
A STRANGER AT FIRST
2
 
3
 
4
 
5
 
6
 
7
SOMEONE THAT YOU KNOW ALREADY

What do you imagine your baby will be like at first?

1
MOSTLY DEMANDING
2
 
3
 
4
 
5
 
6
 
7
MOSTLY NEEDY AND HELPLESS

What do you imagine your baby will be like at first?

1
ABLE TO TELL WHO YOU ARE FROM EARLY ON
2
 
3
 
4
 
5
 
6
 
7
UNABLE TO TELL YOU APART FROM OTHER PEOPLE EARLY ON

What do you imagine your baby will be like at first?

1
BORN BEING ABLE TO COMMUNICATE WITH YOU
2
 
3
 
4
 
5
 
6
 
7
BORN NEEDING HELP TO LEARN HOW TO COMMUNICATE

What do you imagine your baby will be like at first?

1
BORN KNOWING WHAT IS BEST FOR HIM/HER
2
 
3
 
4
 
5
 
6
 
7
AS A PARENT YOU KNOW WHAT'S BEST

How do you imagine yourself in the first few weeks?

1
MOSTLY A FATHER
2
 
3
 
4
 
5
 
6
 
7
MOSTLY THE SAME PERSON AS USUAL

How do you imagine yourself in the first few weeks?

1
MOSTLY TRYING TO GET THE BABY TO ADAPT TO A ROUTINE
2
 
3
 
4
 
5
 
6
 
7
MOSTLY ADAPTING TO THE BABY

How do you imagine yourself in the first few weeks?

1
MOSTLY FEELING FULFILLED
2
 
3
 
4
 
5
 
6
 
7
MOSTLY FEELING TRAPPED

How do you imagine yourself in the first few weeks?

1
VERY MUCH CHANGED BY BECOMING A FATHER
2
 
3
 
4
 
5
 
6
 
7
MOSTLY UNCHANGED

How do you imagine yourself in the first few weeks?

1
MOSTLY WAITING FOR THINGS TO GET BACK TO NORMAL
2
 
3
 
4
 
5
 
6
 
7
MOSTLY ENJOYING THE NEW WAY OF LIFE
We would very much like to thank you for your time and help.
Wirral Child Health and Development Study The Lauries Centre.
End

wchads_07_ph01px

Wirral Child Health and Development Study
We are very grateful to you for filling out this questionnaire. We will be able to learn from your experiences and those of other partners. All the information you provide is private and confidential. We will not share it with anyone unless you tell us that you or another person are in danger of significant harm. This is not a test and there are no right or wrong answers. Please be as honest as you can, so we can learn about how background, lifestyle, relationships, personality and mood influence child development over time.
Date today?
Generic date

Some background information about you....

How old are you? ... years
Age
What is your own date of birth?
Date of birth
How would you describe your own ETHNIC ORIGIN:
1
Bangladeshi
2
Black African
3
Black Caribbean
4
Chinese
5
Greek/GreekCypriot
6
Indian
7
Irish
8
Other Black
9
Pakistani
10
Turkish/Turkish Cypriot
11
White
12
Other ... per week
please describe your ethinic origin below:
Other
Are you currently:
1
Married
2
Single
3
Widowed
4
Divorced
5
Separated
6
Cohabiting (Living with a partner)
7
Partner living elsewhere
8
Other (please describe below)
Other
How long have you been with your current partner?
a
No partner
b
Less than 1 year
c
1-2 years
d
2-5 years
e
more than 5 years
how many months or years have you been doing so? ... years ... months
Years Months
What is your partner's full name?
Generic text
Do you have any other children?
1
YES
2
NO
please say how many you have in the boxes to the right? Can you tell us if they are boys or girls and what ages they each are in the space below.. (E.g. Boy 3, Girl 6,)
How many
Generic text
If YES, do you have contact with them?
1
YES regularly, they live with me
2
YES regularly, they live with their mother
3
YES but not regularly
4
YES, letter or phone contact only
5
NO, no contact
6
Other ... per week
If YES, do you have contact with them? Please give details
Other
If YES, Do these children all have the same mother?
1
YES
2
NO

Your living arrangements

Who lives with you in your household?
Generic text
Generic text 2
Generic text 3
Generic text 4
Generic text 5
Generic text 6
What type of housing do you live in?
1
House
2
Flat
3
Bedsit
4
Maisonette
5
Work-related accommodation
6
caravan
7
hostel
8
Student residence
9
Or Other (please describe)
Other
What is your postcode?
Postcode
Is the place where you live owned or rented by you?
1
Owner occupied
2
rented from private landlord
3
rented from council or housing association
4
Accomodation provided by work - pay rent
5
Accomodation provided by work - no rent
6
guest in someone else's home
7
other (please describe)
Other
How many bedrooms do you have?
How many
How many rooms in total are there?
How many
How long have you lived there? ... years ... months
Years Months
How satisfied are you with your housing?
1
Very satisfied
2
Satisfied
3
Dissatisfied
4
Very dissatisfied

Your education and work

How old were you when you finished full-time education? ... years
Age
Have you gained 5 GCSEs / O levels at grade C or above?
1
YES
2
NO
Do you have any other academic or vocational qualifications?
a
None
b
CSEs
c
NVQs
d
GNVQs
e
'A' levels
f
HNC
g
HND
h
Further qualifications e.g., secretarial, nursing
i
Undergraduate Degree
j
Postgraduate degree
k
Other (please give details below)
Do you have any other academic or vocational qualifications? More details
Other
What was your current employment status ?
1
Full-time paid employment
2
Part time paid employment
3
Self-employed
4
Unemployed
5
On sick leave or disability
6
Full-time education or training scheme
7
Part-time education or training scheme
8
Voluntary work
In the last year, how many different employers have you worked for?
How many
Approximately how many hours do you work each week? ... hours
Hours in week
What is the nature of your employment?
Generic text
When did you last work? ... month ... year
Generic date
What was your last job?
Generic text
What was your reason for leaving?
Generic text

Your health and lifestyle

Have you had any problems with your health lately?
1
YES
2
NO
Are you currently taking any medication?
1
YES
2
NO
what medication are you taking?
Generic text
How many cigarettes do you smoke each day, on average?
1
None
2
Less than 10
3
Between 10 and 20
4
More than 20
when did you stop?
Generic date
Do you drink alcohol?
1
YES
2
NO
How often do you drink alcohol?
1
Monthly or less
2
2 to 4 times monthly
3
2 to 4 times per week
4
4 or more times per week
If Yes, How often do you have 6 drinks or more on one occasion?
1
Never
2
Less than monthly
3
Monthly
4
Weekly
5
Daily or almost daily

Can you estimate how much do you drink per week below

How many
How many
pints of lager or beer?
Measures of spirits
Glasses of wine ... per week
Other ... per week
Have you taken recreational drugs in the past year (e.g., cannabis)?
1
YES
2
NO
which drugs did you take?
Generic text

Please tell us the number of hours per week you spend on sports or exercise activities?

Hours
Hours in week
Mildly energetic (E.g., walking, woodwork, weeding, bike repair, housework)
Moderately energetic (e.g, scrubbing, chopping, dancing, leisurely swimming, mowing lawn)
Vigorous activities (e.g, running, tennis, squash, football, hard swimming, cycle racing)

Now some questions about the pregnancy

Has this pregnancy been a positive experience for you?
a
Yes, definitely
b
Yes, mostly
c
Mostly not
d
Definitely not
How often have you felt anxious about this pregnancy?
a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always
How often have you felt panicky about this pregnancy?
a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always
How often have you felt happy about this pregnancy?
a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always
How often have you felt afraid about this pregnancy?
a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always
How often have you felt relaxed about this pregnancy?
a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always
How often have you felt concerned about this pregnancy?
a
Never
b
A little of the time
c
Sometimes
d
Quite a lot of the time
e
Always
Have you and your partner had a test result in pregnancy that has caused you concern?
1
Yes
2
No
which test was it
1
Pregnancy test
2
Urine test
3
Amnio/CVS
4
Genetic testing
5
Booking bloods
6
Early scan
7
Ectopic
8
Other (please give details below)
9
Chlamydia
10
Quad test
11
NT scan
Other
If Yes, how much have you been concerned by it?
1
Not at all
2
A little concerned
3
Fairly concerned
4
Very concerned

Pregnancy stress

We would like to know how stressed you think or feel your partner has been during the pregnancy so far. On the following scale 0 indicates feeling extremely relaxed and 10 indicates feeling extremely stressed.
Please circle how stressed you think SHE has felt during early pregnancy (weeks 1-12)
0
0: No stress
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10: As stressed as you can possibly imagine
Please circle how stressed you think SHE has felt so far during mid-pregnancy up to now (weeks 13-24)
0
0: No stress
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10: As stressed as you can possibly imagine

Your relationship recently . . .

When two people are in a relationship, they usually share some good and some bad times together. We would now like to ask a couple of questions about your relationship with your partner.
Please read the question and circle the response that best fits how you feel now? How satisfied are you with your marriage / relationship?
1
Extremely Dissatisfied
2
Very Dissatisfied
3
Somewhat Dissatisfied
4
Mixed
5
Somewhat Satisfied
6
Very Satisfied
7
Extremely Satisfied
Please read the question and circle the response that best fits how you feel now? How satisfied are you with wife / partner as a partner?
1
Extremely Dissatisfied
2
Very Dissatisfied
3
Somewhat Dissatisfied
4
Mixed
5
Somewhat Satisfied
6
Very Satisfied
7
Extremely Satisfied

How eventful have your lives been in the last year ?

In this study we are interested in measuring different forms of stress that might affect mothers and fathers during pregnancy. Listed below are a number of events that may have brought changes in your life and/or your partner's life. We want to ask you if any of these events have happened during this pregnancy so far? If so, please put a tick in one of the boxes to tell us how much you think it has affected your partner and then tick to say how much it has affected yourself. If one of these events occurred more than once, please rate the affect of the most serious. Many of the events listed are of a personal nature. Your answers will be held in strict confidence.

-

1 - No - not during the pregnancy

2 - Yes - and it affected her a little

3 - Yes - and it affected her a lot

4 - Yes - and it affected me a little

5 - Yes - and it affected me a lot

She was admitted to hospital
You had a serious accident or illness
She had a serious accident or illness
You were in trouble with the law
She was in trouble with the law
You were separated / divorced
She was separated / divorced
You lost your job
She lost her job
She experienced a significant drop in household income
She had a major financial problem
Her car or house was burgled
She became homeless
She found that you did not want this child
She had a serious argument with you
She had a serious argument with her family or friends
Someone was physically cruel to her
Someone was emotionally cruel to her
She attempted suicide
You attempted suicide
A friend or relative attempted suicide
She has suffered from a mental illness
A friend or relative has suffered from mental illness
A friend or relative died
One of you had an extramarital sexual affair
A friend or family member had a serious accident or illness

Your general health

The following questions ask about your health in general. For each statement, please circle the response that comes closest to how you have been feeling over the past few weeks.
Have you recently ... Been able to concentrate on whatever you are doing?
1
Better than usual
2
Same as usual
3
Less than usual
4
Much less than usual
Have you recently ... Lost much sleep over worry?
1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual
Have you recently ... Felt that you are playing a useful part in things?
1
More so than usual
2
Same as usual
3
Less useful than usual
4
Much less useful
Have you recently ... Felt capable of making decisions about things?
1
More so than usual
2
Same as usual
3
Less so than usual
4
Much less capable
Have you recently ... Felt constantly under strain?
1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual
Have you recently ... Felt you couldn't over come your difficulties?
1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual
Have you recently ... Been able to enjoy your normal day-to-day activities?
1
More so than usual
2
Same as usual
3
Less so than usual
4
Much less than usual
Have you recently ... Been able to face up to your problems?
1
More so than usual
2
Same as usual
3
Less able than usual
4
Much less able
Have you recently ... Been feeling unhappy and depressed?
1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual
Have you recently ... Been losing confidence in yourself?
1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual
Have you recently ... Been thinking of your self as a worthless person?
1
Not at all
2
No more than usual
3
Rather more than usual
4
Much more than usual
Have you recently ... Been feeling reasonably happy, all things considered?
1
More so than usual
2
About same as usual
3
Less so than usual
4
Much less than usual

Your mood and feelings

A number of statements which people have used to describe themselves are given below. Read each statement and then circle the most appropriate number to the right of the statement to INDICATE HOW YOU FEEL RIGHT NOW, AT THIS MOMENT. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe your present feelings best.
HOW I FEEL RIGHT NOW..? I feel calm
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel secure
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel tense
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I am strained
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel at ease
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I am upset
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I am presently worrying over possible misfortunes
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel satisfied
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel frightened
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel comfortable
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel self-confident
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel nervous
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel jittery
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel indecisive
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I am relaxed
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel content
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I am worried
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel confused
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel steady
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
HOW I FEEL RIGHT NOW..? I feel pleasant
1
Not at all
2
Somewhat
3
Moderately so
4
Very much so
Again, Please read each of the following statements that people have used to describe themselves, and then circle the most appropriate number to the right of the statement to INDICATE HOW YOU GENERALLY FEEL OR REACT. There are no right or wrong answers. Do not spend too much time on any one statement. Circle the answer that best describes how you generally feel or react.
HOW I GENERALLY FEEL..? I am quick tempered
1
Almost never
2
Sometimes
3
Often
4
Almost always
HOW I GENERALLY FEEL..? I have a fiery temper
1
Almost never
2
Sometimes
3
Often
4
Almost always
HOW I GENERALLY FEEL..? I am a hot headed person
1
Almost never
2
Sometimes
3
Often
4
Almost always
HOW I GENERALLY FEEL..? I get angry when I am slowed down by others' mistakes
1
Almost never
2
Sometimes
3
Often
4
Almost always
HOW I GENERALLY FEEL..? I feel annoyed when I am not given recognition for doing good work
1
Almost never
2
Sometimes
3
Often
4
Almost always
HOW I GENERALLY FEEL..? I fly off the handle
1
Almost never
2
Sometimes
3
Often
4
Almost always
HOW I GENERALLY FEEL..? When I get mad, I say nasty things
1
Almost never
2
Sometimes
3
Often
4
Almost always
HOW I GENERALLY FEEL..? It makes me furious when I am criticised in front of others
1
Almost never
2
Sometimes
3
Often
4
Almost always
HOW I GENERALLY FEEL..? When I get frustrated I feel like hitting someone
1
Almost never
2
Sometimes
3
Often
4
Almost always
HOW I GENERALLY FEEL..? I feel infuriated when I do a good job and get a poor evaluation
1
Almost never
2
Sometimes
3
Often
4
Almost always

More about how have you been feeling in the past week . . .

Please underline the answer which comes closest to how you have felt in the past week, not just how you feel today.
In the past seven days: I have been able to laugh and see the funny side of things:
1
As much as I always could
2
Not quite so much now
3
Definitely not so much now
4
Not at all
In the past seven days: I have looked forward with enjoyment to things:
1
As much as I ever did
2
Rather less than I used to
3
Definitely less than I used to
4
Hardly at all
In the past seven days: I have blamed myself unnecessarily when things went wrong:
1
Yes, most of the time
2
Yes, some of the time
3
Not very often
4
No, never
In the past seven days: I have been anxious or worried for no good reason:
1
No, not at all
2
Hardly ever
3
Yes, sometimes
4
Yes, very often
In the past seven days: I have felt scared or panicky for no very good reason:
1
Yes, quite a lot
2
Yes, sometimes
3
No, not much
4
No, not at all
In the past seven days: Things have been getting on top of me:
1
Yes, most of the time I haven't been able to cope at all
2
Yes, sometimes I haven't been coping as well as usual
3
No, most of the time I have coped quite well
4
No, I have been coping as well as ever
In the past seven days: I have been so unhappy that I have had difficulty sleeping:
1
Yes, most of the time
2
Yes, sometimes
3
Not very often
4
No, not at all
In the past seven days: I have felt sad or miserable:
1
Yes, most of the time
2
Yes, quite often
3
Not very often
4
No, not at all
In the past seven days: I have been so unhappy that I have been crying:
1
Yes, most of the time
2
Yes, quite often
3
Only occasionally
4
No, never
In the past seven days: I have thought of harming myself:
1
Yes, quite often
2
Sometimes
3
Hardly ever
4
Never

Your future baby and early fatherhood

The following questions ask about your thoughts and feelings about your future baby and early fatherhood. We are trying to learn from each different fathers' responses, so please just say how you generally feel now. There are no right or wrong answers.
Instructions: For each of the following questions we would like to know the way you generally feel.
Please make a clear tick in one of the boxes to tell us how much your feelings are nearer to the words on the left or to the words on the right. Please try to decide either way - only use the middle box if your feelings are no nearer to one end than the other.
What do you imagine your baby will be like at first?
1
FITTING EASILY INTO YOUR LIFE
2
 
3
 
4
 
5
 
6
 
7
TAKING OVER EVERYTHING YOU DO
What do you imagine your baby will be like at first?
1
A STRANGER AT FIRST
2
 
3
 
4
 
5
 
6
 
7
SOMEONE THAT YOU KNOW ALREADY
What do you imagine your baby will be like at first?
1
MOSTLY DEMANDING
2
 
3
 
4
 
5
 
6
 
7
MOSTLY NEEDY AND HELPLESS
What do you imagine your baby will be like at first?
1
ABLE TO TELL WHO YOU ARE FROM EARLY ON
2
 
3
 
4
 
5
 
6
 
7
UNABLE TO TELL YOU APART FROM OTHER PEOPLE EARLY ON
What do you imagine your baby will be like at first?
1
BORN BEING ABLE TO COMMUNICATE WITH YOU
2
 
3
 
4
 
5
 
6
 
7
BORN NEEDING HELP TO LEARN HOW TO COMMUNICATE
What do you imagine your baby will be like at first?
1
BORN KNOWING WHAT IS BEST FOR HIM/HER
2
 
3
 
4
 
5
 
6
 
7
AS A PARENT YOU KNOW WHAT'S BEST
How do you imagine yourself in the first few weeks?
1
MOSTLY A FATHER
2
 
3
 
4
 
5
 
6
 
7
MOSTLY THE SAME PERSON AS USUAL
How do you imagine yourself in the first few weeks?
1
MOSTLY TRYING TO GET THE BABY TO ADAPT TO A ROUTINE
2
 
3
 
4
 
5
 
6
 
7
MOSTLY ADAPTING TO THE BABY
How do you imagine yourself in the first few weeks?
1
MOSTLY FEELING FULFILLED
2
 
3
 
4
 
5
 
6
 
7
MOSTLY FEELING TRAPPED
How do you imagine yourself in the first few weeks?
1
VERY MUCH CHANGED BY BECOMING A FATHER
2
 
3
 
4
 
5
 
6
 
7
MOSTLY UNCHANGED
How do you imagine yourself in the first few weeks?
1
MOSTLY WAITING FOR THINGS TO GET BACK TO NORMAL
2
 
3
 
4
 
5
 
6
 
7
MOSTLY ENJOYING THE NEW WAY OF LIFE
We would very much like to thank you for your time and help.
Wirral Child Health and Development Study The Lauries Centre.
Name

Wirral Child Health and Development Study - Phase 01 Partner Questionnaire - 20 wk scan