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SWQ33 TO 7HOSE WHO HAvE NOT HAO A STERILISATION OPERATION<br />

TO PREVENT PREGNANCY<br />

If YOUam pregnant now, rhg ........................... .................. *%<br />

If you ma not pregnant now or am unsure, ring ............... 98%<br />

Refvsed .................................................................................. 1%<br />

SWQ34ANY Which of the folbwing method(s)of prevantlngpmgtmncy,if any,<br />

wem you (oryour paftner)usiogwhan you became preqmant?<br />

If no method ussd at all, ting .......... .... .................... .......<br />

Refused ...............................................................................<br />

SWQ34 If Ucing one or more methods, ring all the<br />

mmtbers that ap@y<br />

Whdrawal .... . . . ..<br />

Sheath/mndom<br />

Sai%pwtodirhylhmmethod<br />

Ca@di’aphmgm .... . . . . ... .<br />

Contmcopdvesfxmge<br />

Pilt minip#l(pmge8temnooiy)<br />

Plk combinedpill(includingmuiti-phasicpill)<br />

PM notsure if minior combined<br />

Pleaca writethe brandname below<br />

lUD1.wiWntra.ut.sdnadevirn<br />

FoarnWgoWspfay8/posswles(spennicides) . .......<br />

Goingwitlwulsaxual ihfercoumeto avoid pregnancy..,..,..<br />

Injdbns ... .... .. ... . . ....<br />

Anothermethod<br />

Please write it8 name below............ ........... ..................<br />

Refused . .. ... . . .. .. ..... .. ... ... .<br />

SWQ3S Please put a ring around the number, opposite the ztatemmt which<br />

app~kd to YOUat the mm YOUbOcanMpmgtmm.<br />

SWQ3SMET Whiih methoddldyou usa mosto!lem?<br />

[2]<br />

[1]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[01<br />

[0]<br />

[0]<br />

[1]<br />

We only uses one method ................... . ......... . . [0]<br />

V/a used momthan one mettwd at a time [0]<br />

Sometimesw used one mettmd,sometinmsanother [0]<br />

Refused . ... . ... .... . .... ........ [1]<br />

Pleasalook at tha list ●t SWG34 for the numlw of the method<br />

and Wto that numbar in the bx .............. .. ... ... ................... .......... .. [0]<br />

Refund ......................................................................... ................... . ....... [1]<br />

SWQ37LNG How !anghad this method(Dambinatlo”of methods)ken me<br />

one you usuallyused, thatisthe one you u8ed mostoflen?<br />

Ring the number which applies to you<br />

Lessthan 3 months [0]<br />

At least3 months,Iessthan 6 months [0]<br />

At least 6 months,Iessthan 1 year [0]<br />

At least 1 year, Iessthan 2 years [0]<br />

A3least2 yeafa [0]<br />

Refused [1]<br />

6<br />

I n = 167 1<br />

— Go to SWQ34ANY<br />

— Go to StW&!<br />

— Go to SV#XMA NY<br />

~<br />

— Go to SWQ39SAB<br />

— Go to SW334<br />

~<br />

—Go to SW035<br />

I n=l I<br />

— Go to SW337LNG<br />

— Go to SW4X36MET<br />

_ G-3to SM37LNG<br />

— Go to swrx36<br />

— Return10TMto<br />

Interviewer<br />

— Go to SkWXS<br />

Ldl


SWQ38 VWlchof the followingmethod(s)of preventingpregnarcy, If any,<br />

dId you (oryour partner)uwaltj usa mmmdhtely Wore that7<br />

If you had no saxual ralationsh,p. nng [0]<br />

11no nmthod u-d at all. nng [0]<br />

If pu were pregnant. nng [0]<br />

If usually using one or mom methods, nng all th~<br />

numbers that apply<br />

Wtidmvml [0]<br />

Shenth/mndom [0]<br />

Safa pcnodAhythmmethod [0]<br />

Cap/dbphmgm [0]<br />

C0ntmc8ptwesponge [0]<br />

PIN mm PSII(pmg*slemn only) [0!<br />

PIN .wmbmd pdl(Includingmunl-phancpill) [0]<br />

Pill notsura tfmm or combnnd<br />

Pleasa write the brand name below [0]<br />

ltJO/coMtim4mlna dwmrn [0]<br />

Foamwgeb/spmys/p8sanas (q!errmc!dcs) [0]<br />

Goingwrthotis8xual lmtercwumato avotdpragnaw [0]<br />

Injecfbns [01<br />

Anothermathod<br />

Plaaaa w!ite its nammbelow [0]<br />

Rohmad [1]<br />

TO THOSE WISOOID NOT USE A METHOO AT THE TIME OF<br />

BECOMING PREGNANT<br />

Hem Ia a lid of rcmmnswhy paopb do not uaa any mathodhr<br />

pmvenllngprugnancf Winch reasonappbedto you?<br />

SWQ3SBAB Wanfad to hsve a baby [0]<br />

SW39MEN Unlikdy to .wncar#abe.ausa of menopauss [0]<br />

SWQ391NF Unlikelyto .wncewe bacauaa powbtf mfwtlb [0]<br />

SWfXOUNS Don’tIlkecantracaptbn andlor find rinthods<br />

unsdisfactow [1]<br />

SWQS9REL Agamslbachmg of Churcl.hllgmus balieh [0]<br />

SWQ3SOTH Anothermsm<br />

Plmw write your muon below . . . . . - . [1]<br />

Rntimd [1]<br />

SW040 [ntha Ibsf2 yams have you (oryour partnar) used any of the methods<br />

of preventingpmgnancj I#stedat SWQ41?<br />

Yes [2]<br />

No [01<br />

Rofuaod [1]<br />

9<br />

_ Relum formto<br />

lntetvmw*r<br />

— Go to SWQ39<br />

—Gotosmwo<br />

— Go to SWQ41<br />

— Ralum formto<br />

Irsarvlewar<br />

- Ga to SW41<br />

28’2


sWQ41 If you (or your partner) used one or mom!methods in the last 2 years,<br />

ring all the numbers that apply.<br />

Wlthdfswal<br />

SheaWcondom ... . . . ... ... . . .<br />

Safe perbdlrhythmmetiwd<br />

Ca#dia~fsgm<br />

Contm+tive sponge<br />

Pllt minipill(pmgestemnoniy) . . . ..<br />

Pill:combinedpill(includingmuiii.phaYcpill)<br />

PiU not sureif miniorcombined<br />

Please wrtte the brand name below ...- .........—_...__<br />

lUD/cOillntra-utwlcadevicm<br />

Fosnm/geWspmys@ssaries(spennicides)<br />

GoingwithoutsexualItiemnuma to avoid pregnancy<br />

ll@tiis<br />

Anothermethod<br />

Please wtife its name below ......................... ....... .............<br />

Refumd<br />

SWQ42 TO THOSE WHO ARE NOT PREGNANT ANO HAVE NOT BEEN<br />

STERfUSED TO PREVENT PREGNANCY<br />

Have you had any otheropemtiin whidI preventsyougetting<br />

pregnant(again)?<br />

[0]<br />

[2]<br />

[0]<br />

[01<br />

[0]<br />

[1]<br />

[0]<br />

[01<br />

[0]<br />

[01<br />

[0]<br />

[01<br />

[01<br />

[3]<br />

Yes . .... ... . .... . .... .. . .... .... .. 0%<br />

No . . .... . . ... . .. .... ... . 99%<br />

Relumd 1%<br />

In what month and year was the operatfon?<br />

sWQ42MTH SWG43YR Month Year<br />

Enter Month and Year .... ........ ................ 19...,.,<br />

10<br />

]~<br />

Total number of<br />

tktaasa method<br />

cited<br />

rReturnformto<br />

l~etvmwer<br />

— Go toSW242<br />

I n = 1s6 I<br />

— Go to SW243MTH<br />

—Gobwms<br />

— Q to SW243MTH<br />

I n=l I<br />

—Gowsm244<br />

— Go to SW045<br />

— Retomformto<br />

lntmiawar<br />

— GOtOswxs<br />

Ld3


SWQ46 kWllchof the folbwng method(s)of prevmmngpregnancy,If any,<br />

dtdyou usualtj usa mmmdbtely Mfare that?<br />

N you had no sexual relatmnshflp,nng [0]<br />

If no nmthod und at all, rtng [0]<br />

If you were prrgnan~ nng [0]<br />

If usually using on. m mom methods, nng all the<br />

numbers that apply<br />

Wthdrawal [0]<br />

Sheath/mndom [0]<br />

Safe fmmd~ythm method [0]<br />

Caplduphmgm [0]<br />

ContracapttveSpmlge [0]<br />

Pill mm PIN(progestcmnontf) [01<br />

PNI cumbmad@ll(mcludl”gnwkl-phaac pm) [0]<br />

Pill not sum If mm orwmbmed<br />

Plea- write the brand name below [0]<br />

IUD/mMntm4entw dewca [0]<br />

FoamWgcdWspmy@pacanes(spwnvmdes) [0]<br />

Goingtihout ssxual!ntercc.umnto avoadpregnancy [0]<br />

Injedlons [0]<br />

Anothermathod<br />

Plaan write Its n- below [0]<br />

Rrnhmad [1]<br />

SWQ4S TO THOSE NOT PREGNANT AND WHO HAVE NOT HAO ANY<br />

OPERAmON 7NAT PREVENTS PREGNANCY<br />

kWvchof the fallowtngmethod(s)of praventlngprqmncf, if any,<br />

am you (and yourpmtnor)umml~ uang at pmswt~<br />

If you had no SUU1 ralatlonshlp. nng . .<br />

If no method used ●t ●ll, rtng .-<br />

If usually using one or rtmm methods. rmg ●ll the<br />

numbws that ●pply<br />

hWMmwd<br />

Sheathimndom<br />

Sah pnodfrhythm method<br />

Capldl@wagm<br />

Contmcaplhe sponge<br />

PNI mm PIN(pmgastamnon~)<br />

Pill mmbmod pill(IncludingmuN.phaac PIN)<br />

PNI rwtsum ,f mnl orcwnbnwd<br />

Plensa wttta tha brand nammbelow -.<br />

lUD/coMntm4atine dnvtcn<br />

FomnsJgelsJspmy#~aunes (sPwmmdes)<br />

GOUWwdhoti ~xual tntercourssto avfndpregnancy<br />

Inpcllona<br />

Anothermethod<br />

PleaM wntg Its nam. below<br />

Rehned<br />

11<br />

70%<br />

3%<br />

2%<br />

9s<br />

o%<br />

0’%<br />

1%<br />

4%<br />

7%<br />

1%<br />

o%<br />

0%<br />

0%<br />

o%<br />

o%<br />

3?4<br />

_ Raiwmformto<br />

Interwewer<br />

— Go to SWAM<br />

Total nuntbar of<br />

tfmns ●mdhod<br />

Cried<br />

— Go taSW252<br />

— Go toSWX,l BAB<br />

— Go toSW247<br />

284


SWQ47 Please put a rtng around the number, opposite the statemant which<br />

applies to you at present<br />

SWG48MET Which mathoddid you u.m m08t otin?<br />

We only used one method [m]<br />

We used momthan one math-adat a time [2]<br />

Sometimeswe u8ad one method,wm.stlmesanother [4]<br />

Refused . . .. . . . . . . . . ... . [2]<br />

Pleasa look ●t the list at SWG46 for the number of the method<br />

and write that number in the box<br />

Pllt Combinedpiii(Includingmuti-phasicF41) [2]<br />

Withdrawal . . . .... .... ... .. [2]<br />

Refused ... . . ... . . . . ... . [2]<br />

SWQ49LNG How longhad this method(C.ambhltlonof methods)ken the<br />

one you ususliyuse, that mthe one you use mo8ttmlen?<br />

Ring the number which applies to you<br />

Less than 3 monms m<br />

At least 3 month less thsn6 months PI<br />

At least6 months,Iesathsn 1 yew ... .... .... ... m<br />

At least 1 year, Iessthan 2y0am . .... .... . .... ..<br />

At leaat2 years ........ . . ..... .. . . .. .... . [1!<br />

Rehmed ..... ........ ..... . .. .. .. .... . ... [2]<br />

Misdng ... . .... . . . . . .. . [1]<br />

SWQ50 Whkh of the followingmethod(s)of preventingpregnancy,if any,<br />

dld you USwliyw kmnadlatRIYb@fOMthSt7<br />

If you had no UXIUI rektlomhip, ring ....... ..... . ....... .<br />

If no M9thod ussd at ●ll, ting ...... ... ..... . ... ....... .... ...<br />

If yau were pregnant, ring .... ... ... .. ..... .............. .. ...<br />

if usually using one or mom methods, ring dl the<br />

numbers thmtapply<br />

Wlthdrswsl . ...... ... ... .. . .. .. . ... .......<br />

ShasWcnmdom ... . .. . . . .. . ... . . ..... .<br />

Sak Pmtodlrhyihmmethod<br />

Catidiaphragm . ... .. .... .. .... .... .....<br />

Conbsmpme sponge ... ..... ... . .... . . .<br />

Pilt miniP!41(pmgostmononly) . ... . . . . . ..<br />

Pllkcombinedpill(Includingmuitkphwsicpill)<br />

PIK not sum if minior combined<br />

Plea- wite the brandname belaw<br />

lUD/cuiUintrautatinadevica .. . . . .<br />

Foams/gels&pmy%/pc8sarias(spermicides)<br />

Goingwthoui s8xualintercourseto avoidpregnmmy<br />

Injections ... . .. . ..... . ... . .. .... .<br />

Anothermethod<br />

Please wrtta its nuns below .................................. ............<br />

Refused . ... .<br />

12<br />

[1s]<br />

[3]<br />

PI<br />

[0]<br />

[3]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[1]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[2]<br />

— Go to SkWXSLNG<br />

— Go to SW24SMET<br />

_ h to SV@4SLNG<br />

—GOtoswxo<br />

_ Returnformto<br />

Itiewiewvr<br />

— Go to sV#250<br />

I n=27 I<br />

_ Ratum formto<br />

htewiewer<br />

I<br />

— Go to SWR251BAB<br />

“L(+5


TO THOSE WHO 00 NOT USE A METHOO AT THE PRESENT<br />

TIME<br />

Here ISa IISIof reasonswhy peopb do notu= any methodfor<br />

prevantmgpregnancf Whch reasonappliesto you?<br />

SWQ61BAB Wanted to have a baby [1j<br />

SWQ61MEN Unhkelyto conwwe becaucdof menopaus8 [0]<br />

SWQ611NF Unhkelyto concawebeau- pomb~ !nfwtlle [0]<br />

SWQ61UNS Oon’tlike cantmceptlonantior findmethods<br />

unaatbhctwy [3]<br />

SWQ61REL Againstteachingof churchlrehgwusbeliefs [2]<br />

SWQ61OTH Anotherreason<br />

Please write your reason below<br />

[0]<br />

Refused [2)<br />

SWQ62 In tha lad 2 yeara have you (oryourpadnar) Usadany of the motlwds<br />

of preventingpmgnanef Ihstedat SW0537<br />

Yes<br />

No<br />

Retiud<br />

SWQ63 If you @r yourpartner)used mm or mom methodsm the last 2 years<br />

ring all tha numbers that ●pply<br />

Wthdmwml<br />

Shaathicandom<br />

Sa6sponodhhythmmethod<br />

Capldl@wagm<br />

Cottmcaptha +wng*<br />

PIN mmlpill(prngaatemnontf)<br />

Pill mmblnad F411 (Includingmust.pbuc PIN)<br />

PNI not mm If mm or cnmbmed<br />

Pleam wtltc tha bmnd nanu Mc+<br />

6%<br />

92%<br />

2%<br />

[1j<br />

[0]<br />

[0]<br />

[3]<br />

[2]<br />

lUO/mMntmubdne dwlm [1]<br />

FoamWgalWspmyWpoaanas(qermmdes)<br />

[0]<br />

GoingWShotisexualIntnrcoumato avoidpmgnnnci<br />

[0]<br />

lnj@dbns<br />

Antiher methwl<br />

[0]<br />

Plaaaa write ttmnnna balow<br />

Retuaed<br />

[0]<br />

[0]<br />

[6]<br />

I n=8 I<br />

—Go tosku252<br />

— Go to Svmss<br />

— R-turn formto<br />

Intewmwar<br />

— Go to SWG63<br />

Total number of<br />

tlm8s ●mathod<br />

Ctiad<br />

1Returnformha<br />

lnt*wlswar<br />

J<br />

13 286


&d7


CONTINUOUS HOUSEHOLO SURVEY lWlfS2<br />

‘OuuMdNm’r CImm 1<br />

Person Nwn~r<br />

Over m~ti yearn the mm and maka-up ofth. pqyubtionhav. ban ai?etind by dmngemm hrmly sm. 8rd m the @tam of mamage<br />

Changessuch as thosaatf.ci tha demandforSCIWOIS, hospdals hcwmngand w on So UmtU’UGovcmmentcan hav. Up-ta.dato<br />

Infornmnonwth whch to fomcaaa the futuredemand forpublicwrv!ccs w. woutdIlkaYOUto help us Q fillingm th!sshort.qUedlonmlm<br />

At eati quesdonthat appli.s to you. pleaaamdlcatmyouran-r as msmuct8d,ekhar ty nngmgth. ●ppmpnst. nurnb.r or w wrmng<br />

youransvor m m- spaca prowded Forexampta,●t Qtwsfmn1 on th. mat ~ga d you wara rnamndm a chuti you &ou!d tingtha<br />

numtar 1, then followthe msfndons to gob Qu.stwn Z If on the om.r handyou warn Ihmg w~h Somaonmas a COUPI*you should<br />

nng tha numlmr4, man go to Qu*attOn3<br />

N YOUhava any dlftlculty at all wih ●ny of th.s. quasbona, pleasa ask tlm tnt~awaf for help.<br />

5N3325<br />

1 288


DWQI ~nldng of your (mast Mant) Man!ag.( didyou get marriedi“<br />

church,at a mgisbyoftca. orware yuummpiyIklng togetheras<br />

a MI@?<br />

m<br />

I<br />

In church . .... .. ................. .... ...... . . ... ..... . [12]<br />

At a regbt!y omrn ..... . .......... ......<br />

Bothchurchand m@y ofkd<br />

. . .. . .... .. ... P]<br />

[0]<br />

Go to okVa2<br />

Ltvingtogetheras ●COUF4C............................................ [0] —<br />

F<br />

Go to DkW23<br />

DWQ2 TO TNOSE MARRfED WYfHA RELtGIOUS CEREMONY OR AT A<br />

REGISTRY OFFICE<br />

How many times have you tan Ihgaltymamied?<br />

Mean<br />

Enter the total ntiw of Umcs .. . .... . . .. ... . .._ 1.0 — Go to DVXXMTH<br />

IJWQ3 TO THoSE WNO WERE UVING Willi<br />

NOT LSGAfLY MARRJED<br />

SOMEONE AS A COUPLS BUT<br />

Hava you ever bean bgdty marriad?<br />

I<br />

owQ4nM TO THOSE WHO HAVE SEEN LEGALLY MARRM30IN THE PAST<br />

How many tlmea hava youbean Ikgallymafiad?<br />

Mean<br />

Enter the total nunbsr of tbnas ...___. ..___.. _- 0.0<br />

Whatwas the data of yourmustmeantmanage? I ~<br />

DWQSMTH 0W06YR MOnth Year<br />

Enter Month ●nd Year..... .. .. . . . .. 19......<br />

Owas As you know,some ceuphs lie togetherwithoutactua!+ygating m<br />

maw eRhw bacauaa mq cannotget marriedforsame maaon<br />

or becau!wUmy pmter notto get reamed.<br />

Am you curmntiylivingwdhsam-rw as a rnupb?<br />

I<br />

k<br />

1-<br />

~<br />

m<br />

Go ta 0W05MTH<br />

GLIta DW6<br />

2 Ld!3


TO THOSE CURRENTLY LIVING W7iH SOME oNE AS A COUPLE BUT<br />

NOT LEGALLY fAARRJED II n=O<br />

Man .4d you and yaw pwtm.r smrlIwmgtogaunr as a caupto? 1’<br />

DWQ7M-7H owa7YR Month Yur I<br />

Enter Month and Year -- . -----<br />

“ t--t””w’<br />

I<br />

Dwaa Has yourpattnerwar bean bgally mamnd? Im<br />

Yes [0]<br />

No [0] —G0t0Dm9<br />

Dwa9 Have you any stop,fader or adoplmdchldren of any age who Ike<br />

with you?<br />

m<br />

Y*S<br />

No<br />

[0]<br />

[14] l--<br />

— GOto DVA21OPR<br />

Ga to Dwll<br />

❑W9tOPR Enter the c+vld’sflintname<br />

OWQI 0S7 He/sha IS<br />

Pbnss ●nter the detmh of yourstapifosterhdoptadduld(ran) bcbw<br />

step<br />

Fo8tar<br />

Ado@ad<br />

OWQIOBM Data of bnth Month<br />

owatoBY Year<br />

OWQI OLM Data he/sha bqpn Nwngwth YOU Month<br />

DWQ1OLY Year<br />

1at child<br />

- --.”<br />

mg~:<br />

19<br />

19<br />

[0]<br />

[0]<br />

[0]<br />

2nd child<br />

----<br />

Rll<br />

I<br />

Xd child<br />

---<br />

ull~<br />

I<br />

4th child<br />

-----<br />

—GOtoowll<br />

1<br />

290


DwQi 1 Hava yOUever had a blby?<br />

NO=. EVW if YOUhave had a babywho ontylivedfar a tioff time, m<br />

plemw ring 1. A 8UIIbornbaby sham matbe indudad. Pleala dng 2<br />

if no Itiabom ba(rf,<br />

Yes, have had a baby .... .... ... .... .... . . .................. [11] GOfa Dkw212N0<br />

No, have never had a baby ................................................. [31 tnslnlmormon<br />

Next Page<br />

DWQ12N0 TO AU WOMEN WHO HAVE SVER HAD A OABY<br />

(A)<br />

(B)<br />

(c)<br />

Child<br />

first mm<br />

?+ecmdborn<br />

Third born<br />

Foutth km<br />

Fhth born<br />

Sixthmm<br />

Seventh bom<br />

EighfhImm<br />

Ninthbarn<br />

,Tenth mm<br />

overall<br />

How many dlildmn have you@vanbidhto aiiogethor?<br />

Enfm total nun’Awr,including any WIIOnow liva<br />

mmcwhem elm ●nd ●ny who may hava dlad, bui<br />

excluding ●ny stillborn twby .. . . .. . ... . . .. . . .._ 26 — Go to 0kw213M<br />

P!zmsamconl lha followingdetati foraam of the ch#dmnPU hava<br />

Total nmnbar of<br />

ghmnt4rthto in ths gtid bdow, (atarnngwdhma old- child)<br />

1<br />

childraa<br />

mO dsfo of birth. enwr Monm and Yew<br />

The sax - rtng1 forMale, 2 far Female<br />

Is that childlMrtqwithyou or not?<br />

DWO13M DWQ13YR<br />

(A)<br />

Data of bfrth<br />

Month Year<br />

19...........<br />

. . .... 19...........<br />

.... ..... . 19...........<br />

19...........<br />

... .... 19...........<br />

19,..........<br />

. . ... 19...........<br />

19...........<br />

19...........<br />

19...........<br />

DW012S<br />

(B)<br />

sex<br />

M F<br />

[Sl [a<br />

(41 [4]<br />

{1] [3]<br />

[a<br />

[1!<br />

[1] [0]<br />

[0] [1]<br />

[0] [1]<br />

[14] [1q<br />

4<br />

M-an<br />

DW013L<br />

(c)<br />

IS your child Ilvlng with you or not.<br />

rfng qpropnati nunbw?<br />

I<br />

m<br />

Yes No - alsawhem INOdorossad<br />

[a [a [1]<br />

M [$4 [0]<br />

[31 [1] [q<br />

[1] [a [0]<br />

[0] [1[ [0]<br />

[0] [1] [0]<br />

[1] [01 [0]<br />

— 00 toInsbud.am on Next Page


OWQ14<br />

iNS7RUCl10NS I<br />

- Ifyou am aged W or overpla.sa mtum the hrm to the mtawwwer<br />

. If you am aged 164S, and hav. war glvan bnthto a baty PIOIU go<br />

to DkW214 I<br />

- If you am ●ged 16-49, and IMva never gwen b!rthto a baby deasa go<br />

to Dma I<br />

TO 7HOSE wHO HAVE HAD A BABY<br />

Are you pregnantnow?<br />

owa16 TO 7HOSE W1’10ARE PREGNANT<br />

Yes [0]<br />

No or unwm [9]<br />

Oo Youthink ttmtYou‘Al h’- my mom CMdmn, aner the Onmyou<br />

am expading?<br />

Yes [0]<br />

Pmb8t4yyes [0]<br />

Pmmbly not [0]<br />

No [0]<br />

Dally know [0/<br />

0WQ16 IF YOU 00 NOT KNOW WWTHER YOU WILL HAVE MORE CHILOREN<br />

On thowhole do youthinkmlt. aft-r the c4111cI you am ●xpullng, you<br />

WNpmbabtf or pmbabtf notImvo any Mm Chlf6mn?<br />

PmbsMy [0]<br />

Pmbat4ynot [01<br />

0wQ17N0 How many Cim!dmndo youU!lnkYOUw41ha- Mm hayou m ●ll,<br />

Includlng the one youam qmcnng and thoaayou haw almadf<br />

who am stillalivs?<br />

Entsf total ntUtIbaf of cmldmn —-...—--—. 00<br />

0WG18AGE Howold do you think YouWINbI whanYOUhk.e yournmdW@, afbr<br />

tha one you are ●xp@cUng?<br />

I<br />

Maan<br />

M*an<br />

Enter age YOUthink you ‘+.+11 be —-. ------- 00<br />

I n-* 1<br />

— G0t0DwA215<br />

— GOto 0W19<br />

— Go to 0W#W7N0<br />

— &to 0WX3’2<br />

— G0t0DWQ16<br />

m<br />

— GOto DkWl17N0<br />

— GabJDWQ33<br />

m<br />

292


owa19 TO TWOSEwHO ARE NOT PREGNANT<br />

II n=9 I<br />

00 you think thatyou willham any momchildrenat aN? l————<br />

0WQ20 IF YOU 00 NOT KNOW WlilZillER YOU WILL HAVE MORS CHILOREN<br />

On me wholedo you thinkthatyou WINpmbabiyor pmbabty<br />

not han any mom chddmn?<br />

PmbaMy ... ...... . .. ....... .. ..... .. .. .... .... .. .... [1]<br />

Ga to DWU21 NO<br />

PmbUynti ................................................................... [1] Go to Owsz<br />

0WQ21N0 How many childrenda youthinkyou willhalvebom to you in all,<br />

including thorn you have alreadyV&am SWal~e?<br />

Mean<br />

Ent8r total n~ of ChMmll .. ----------- 1.0 (3 b 0W022AGE<br />

OWQZ?AGE How olddo you think youWI b Whm you have yourmat baOy’1 ~<br />

Mean<br />

Entw ●ga YW think you Will be .._..___—__ 0.0 — Go to DWfX!2<br />

DWQ23 TO THOSE WHO HAVE NOT HAo A LWEBORN 8AEY 1~<br />

Am you p-egnmt now? 1<br />

0WGZ4 TO THOSE wHO ARE PREGNANT<br />

1<br />

Oo YOUthink ttmtyou willhave any momtiildmn, interme one you<br />

am expedng? I<br />

0WQ25 IF YOU DO NOT KNOW WH151’HERYOU WILL HAVE MORE CHILOREN pzzl<br />

On me wholedo youminkthat.aller the&M you am axpecting,you<br />

WIIIpmbabtyor pmnabiynot have any mom chl!dmn? I<br />

Pmbatiy [q<br />

Go to 0W4X?3N0<br />

Pmbmily not [0] —G0t00m3z<br />

r<br />

6<br />

I<br />

F<br />

~<br />

~


owa26No How many CWrtrcndo you fhmkyouWINhava Mm 10ym.Im all,<br />

!ncfudlng mmone you am expubng?<br />

Entwtc4al nwnbarofchtldren ------------- 00 Go to 0WX7AGE<br />

DWOZ7AGE Howold do you think you wII h what!you have yourneai babf, ~<br />

aner tha onmyou am axpacbnfl<br />

DWG3S TO THOSE HO ARE NOT PREGNANT<br />

Enfar aga yw think you wll bc —--——-.——— 00 —GOfo DVJX2<br />

Do you think you WIIIhava any mom chddrw!at all?<br />

MM<br />

Mun<br />

Yes [0]<br />

PrOtabFfyas<br />

Plmt9uy not<br />

PI<br />

[0]<br />

No<br />

[0]<br />

Oun’tknow [1]<br />

0W029 IF YOU DO NOT KNOW WETHER YOU WILL HAVE ANY CHILDREN<br />

On me whole do YOUthinkthatyou wJIprobabtyor pmbabtf<br />

nothave my chidmn?<br />

Pmmtdy [1]<br />

PmbatXynot [0]<br />

❑WG30N0 How many chklmn do youthutkyouWINhavo km h you m 9117<br />

Moan<br />

Entu total numbar of children . -.—_______ 13<br />

0WQ31AGE How old da you think youwll ix whanYOUhave yourfirmb@7 ~<br />

Enter agc you thankyou WI b. —--- ------<br />

M*an<br />

1-<br />

m<br />

fa D~30N0<br />

GOm 0W3Z<br />

1=Go<br />

—Gat00mz6<br />

I n.t 1<br />

— GOto 0WQ32N0<br />

— Go M 0W3Z<br />

L<br />

Go 100WJ31 AGE<br />

“ t--”tOO-<br />

0WQ32 We have aabd you ●bouthow manyChItimnyou thinkyouvnflhave<br />

The nm.xtqueatbansam shut wys of pmvmtlng pmgnancj<br />

Hav* you wer been stmnhsed- I maan ever had an oparatlon<br />

Intandadto prwenl you gemngpregnant(a~m)? I<br />

Yes [2]<br />

Go to DVAX3NHS<br />

NO<br />

[10] Go to DM3#<br />

7<br />

F<br />

294


DWQ33NHS Was tie oporatinncati out undw ttu NHS or cat?<br />

OWQ34WHE DidYOUhave tt!a opemtbn<br />

NHS ... ...... .... ... .. ....... .. ....... .. ...... ....... .. .. ......<br />

Othu .... ...... ............... . .... ...... ....... ..... ................. F!<br />

as ●hospitalkpttm, stayingovernightor longer ..... .. ..<br />

aS a hos@hloutpatient.. ........ .. .... ... . ..... ......... . . .<br />

at yourmb actors surgely . . ... .... ........ ....... . ......... . ..<br />

at a Cflnk .. ....... ................. ...... ........... .. .... .............. .<br />

or wmat cdntodout sommvhem.ska ....... . .... ... ..........<br />

In what monthand year was the opamtbn?<br />

Dwa3shtTtt Owmsw Month Yaw<br />

Dwaas Was youropamtbnI* than 2 yam aga?<br />

Entar Month and Year .----------- . ..... 19..,..<br />

Y-es.......... ...... ............ ....... ....... ...... .. ....... [1]<br />

No .. .............. ........... ... ...... .. . .... ..... ...... .. . ... [1]<br />

DWQ37 WWchof the Wawing method(s)of preventingpmgmancy,if any, worn<br />

you uaimllyusingimmddbtatybeforethat?<br />

If you had no raxuat mtationship, ring _________<br />

If M mmhod uud at ●ll, ting _____________<br />

[f you wwa pregnant. ring _______________<br />

If usually wing one or mom mmhoda, ring all the ntmbam<br />

that ●pply<br />

Wfthdmwl ................... .................... .... .......... .. ...<br />

Sheathkamdom..... ..... ..... ......... . ......... ....... . ... .........<br />

Safa PwlOd%hyth method...... ...... . .. .... .......... . .......<br />

Ca@dbphlagm .................................... . ......... ............. ....<br />

ConbampthmSpring* .. ........ ....... . ........ . .... .............<br />

Pin mkdPM(pmgntwon only) ...... . ..... ........ .......<br />

Plit rnmblnedpill(I!wwing munt-phaaiopill)<br />

Pit notswu if miniorCombimd<br />

PI-U wtita tlm brandname below ___________<br />

lUO/caWx4m.utm.inadovia .. .. ... . ...... ..... .. ... .<br />

Fomm/geIa/Pys/~ssmta# (spermic!des)<br />

Goingwithati -xual intefcoursato avoidpmgnmcy<br />

Inioctians .... . ... .... ... .... .. ....... . .... ..... ... .<br />

Anotherrnetiti<br />

Plaasa WIKOits nana below . ... ..- ....._” ________<br />

8<br />

[1]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[01<br />

[0]<br />

[0]<br />

I n=3 1<br />

— GOto 0WX4W4E<br />

I n=z I<br />

— Go to 0WW3!5MTH<br />

— GOtoobwns<br />

— Ga to 0W337<br />

— Returnformto<br />

mtwvimver<br />

I II=* I<br />

— ReNm formto<br />

Imwviewar


DWQ38 TO 7HOSE WHO HAVE NOT HAO A S7ERMJSATSONOPERATION<br />

TO PREVENT PREGNANCY<br />

If you am pregnnti now,nng [0]<br />

If you am not pmgnmntnuwor armunsure,nng [10]<br />

bMIichof me followngmeutod(a)of preventingpregnam, If any, worn<br />

YOU(oryour @nnr) usingwhm you bRaMO prognantT<br />

DW03SANY Ifnorrmthod uskdatall. ting ----- . . . . . . . .<br />

0WQ3S If usually using .mw .x mom mathod% ring ●ll the nunbom<br />

that ●pply<br />

Wlthdravml<br />

ShaW!4am00m<br />

S8ti pmdmyihm method<br />

Ca@dla@wmgm<br />

CorSmmPtr4sspnngm<br />

PM mm PL!I(progestnmnontf)<br />

PM mmbmd pll (Indkllng muffl-pftamcPIII)<br />

Pill notsum i miniorcomblrnd<br />

Plea- wnt8 the bmti nmm imtow . __________<br />

lUD/coMtira+mnnc dewca<br />

Foama/gatWqxa~pcMnes (sPanmrtes)<br />

Inpatons<br />

Ancthw method<br />

PIUU wnta tts narfm bd.aw ____ --.._ .—.—<br />

owta40 Plmu puta nngaroundth~ numbar,oppo~a ma smmmardwhti<br />

appltedio you at tha Urn*you bacama pregnant<br />

0WG41 MET VVWSTmalhod dldyou US8most.anmn?<br />

[0]<br />

[01<br />

[0]<br />

[0]<br />

[0]<br />

[0;<br />

[0]<br />

[0]<br />

lo]<br />

l!<br />

[0]<br />

W* onV um~ onmmdtod [0]<br />

M ussd mom mm ona methodm ●time [0]<br />

Samattmasw uatd ona method.aorrmtlnwsutothar [01<br />

Pleaaml-k at th Ilst at 0WG3S for ttm n~ti of HI*<br />

mathod ●id vmm that nudr m ma box --—---- _<br />

0W04ZNG How bnq had mu nnmnd (cumbmahonof mmthods)hen tha one You<br />

us.mltyused, mat mfhe ormYouu-d nIoStaRmr?<br />

Ring the !tUMLWrWh!ChaPplias tO you<br />

Les9 man 3 months<br />

[0]<br />

At kast 3 months lau than6 months [0]<br />

At but 6 months,Iasathan 1 year [01<br />

At least 1 yaw, leg than 2 yearn [0]<br />

At lead 2 YCW3 [0]<br />

[0]<br />

Cmcl<br />

— Go ta 0W39ANY/<br />

DW039<br />

— G.3la 0W47<br />

m<br />

—’atoowxo<br />

— (2a ta 0W43LNG<br />

— Go ta 0W041 MET<br />

— Go to t3VAXZLNG<br />

— Go 100WM3<br />

_ ReturnformM<br />

Inmwmvmr<br />

9 296


0WQ43 Which of the tilbtig mdwd(s) of prewntlng pmgnmcy, if any, did<br />

you (or yourpalner) usmw u- Itm’mdhkly bdom that?<br />

If you had no SOXIUImladonship, ring . . . . . . . .<br />

If no ImathOdUwd ●t all, ring .. . . . . . . . . . . .<br />

If you WGMpmglunt ring .. . . ..-—— ------<br />

If usually tming ona or mom methods, ring ●ll the ntmnbem<br />

that apply<br />

Wlthdmwal..........................................................................<br />

Shnthlccmdom ..................................................................<br />

Sati poriori%hyth method................................................<br />

Ca#dbphmgm . ............ ......................... ....... .................<br />

cOntmG@W SpOngc... ......... ......... . ....... ....................<br />

Pit minipill(pmgoatamnoniy) .......... . . ....... ..... . ....<br />

Pm cambinadpill(irmiudingmuiii.pha@cpill) ...................<br />

Pllkrnt aura if minior combined .......... .............. . ....<br />

PI-- Wti NM brand nams blow ..-----—.<br />

luo/c9Wntm.mwlM *via ......... ... . ............. ...............<br />

Foams/gal#sF4ws!mMtiea (awmioid-) . ....................<br />

0oin9 withoutSOmmliri+ardoumsto avoidpmgtmrwy<br />

Ipns ............... ..................... . ........ ........................<br />

Anothw method<br />

Pleasa write its nana Maw --- . . ..————.._...<br />

TO THOSE wHO OID NOT USE A MEINOO AT YHE TIME OF BECOMING<br />

PREGNANT<br />

Hem is a Ilstof masonawhy psopledo not uas any mernodforpreventing<br />

pregnancy. Wltkh maaon lw~d to you?<br />

0WQ44SAS wanted to haw a baby ........................................ ............. [0]<br />

DWGUMEN unlikelyto concstie beau= of menOp.3ua9...................... [0]<br />

0wY441NF unlikelyto Conwive becaurn posaibFfrnfeftw ...... . .......... [0]<br />

0WQ44UNS Omit Iika cmdmc@lc.n atior Ilnd rrwthoda<br />

Unatlfactov .......... .. ..... ......... .................................... [0]<br />

0WQ44REL Ag8ind tmchings of Chutimligoua belhf .. ...................... [0]<br />

Owauow AnetlwJImm<br />

Plaasa Wlih yOIUmason below ... . . . . . . . . [0]<br />

0WQ4S Inthelast2Yom havayou (oryour pd~er) !$zedany of the matimds<br />

of preventingpregnancyIhted at 0WQ49 on me nexl page?<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[01<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

Yes ... ... .... . . .... .... ..... . . ..... . ... ....`... .. .... [0]<br />

No .....................................................................................<br />

[0]<br />

10<br />

— Ratom formto<br />

lntwviwmr<br />

—G0t00vm4s<br />

— eatOowMO<br />

— Returnmm! M<br />

m+mvmwar


0WQ46 If you (or yourpwtnw) umd one or mom mcUIds m ths hat 2 yoaw<br />

ring ●ll tho ntiws thm apply<br />

WIUIdrawal w]<br />

SheaUdcondom [0]<br />

Safa pem~tiythm method [0]<br />

Ca@dmphmgm [0]<br />

cOramCqxNospmg* [0]<br />

PIN mm PIN(pmgastamnonty) [0]<br />

PIN cambmadF4J(Indudlngmulil.phsmcPIII) [0]<br />

PIN nots.uraIf minior mmbmad [0]<br />

Plus W* U!, brandIIMM him .-—.. --—--<br />

lUO/cu#bltim4mlna dmvla [0]<br />

Fomns/gelwsPy#P-IIn (~mm,dd~a) [0]<br />

Goingwdmd rnk’uallntamOuN m avosdpregnancy<br />

[0]<br />

Inpctmns<br />

Anothermethod<br />

[0]<br />

Plaan wttta its na’m below .-. -.__—---- [01<br />

owQ47 TO TNOSE WIO ARE NOT PREGNANT ANO HAVE NOT BEEN<br />

STERILISEO TO PREVENT PREGNANCY<br />

Have youhad my 00w oprationwiuci7pmvcmtayougetthg Pmgnmt<br />

(again)?<br />

Yes [0]<br />

No<br />

[10]<br />

(n whatmonmand yew WS tlw apemtbn?<br />

❑WQ4SMTH 0WG46TR MUIUI Year<br />

owa4s Ws you opmthn Iesatlmn2 yearnago?<br />

Entw Month ●nd Yam ------------ 19<br />

Yes [0]<br />

No [0]<br />

11<br />

1Ratum formto<br />

Iramvlawmr<br />

I<br />

n-lo<br />

— GOto 0W4SMlH<br />

— Go to OW351<br />

I n=O I<br />

—G0t00va4a<br />

— Got00vA2so<br />

— Rdum farm to<br />

Intarw-r<br />

298


DWQ50 WIIkh of the fallowingmdhod(s) of preventingpmgnaccy,f any, did<br />

YOUUSIMY U= hmnmdiddY b9foM mao<br />

If WU had no SUIUI relmlfc+whlp,ttng .--—_-<br />

If no nmthod usad at ●u, ring .. . . . . . . . . . . .<br />

If you W8N pt’qrmnt. ring ..---,...- . . ..————<br />

N usually using 0n9 al mom M@md5,tings lfthontnnbws<br />

ftmt apply<br />

Wlthdmwal ........................... .. ......... . ....... ..... ..............<br />

Shdhlcomlom .............. .. ......... ........ ................ ... . .....<br />

Sati pmid~m mathnd. .......... . ...............................<br />

C@dbphmgm .. . ............... ............ .............. ............<br />

Ca4mapmc 8p0ngc ... ........... .. ....... ....................... ....<br />

Plk mid pill(pfogmbmn only) ..... ....... .......... ......... ......<br />

Pin cambimd PU(Includingmulfl.phadcPtil) .. ...............<br />

PW notsum if rnlrdor cambkmd<br />

Plea- wdta the bmnd nmm mow -----------<br />

luo/mi4Lntm.uhrlm ** ......... ..... ............. ................<br />

FomTWgaWWyUpaanwtaa (qww@id9s) . ....................<br />

Goingwithout$oxtmlitiercauma to avoidpmgtmmf ........<br />

Inlcctbns .. ........ ............................................... ................<br />

Anottwrmethod<br />

PlomssWti iti O- balow..----—----<br />

Owasl TO TNOSE NOT PREQNANT ANO WHO HAVE NOT NAO ANY<br />

OPERATfON TNAT PNEVf!NTS PRSONANCY<br />

Vvhkh of OMhMowingmah0d9 of preventingpmgnaw ifany, am you<br />

(atI0 yourFOmmr)uuliy uing at pmaont?<br />

If ymuhad no sexual mfatfanship, ring . .. . . . . .<br />

If no Ilmth4d used ●t ●l! ring .,-----------------<br />

If usually using OM or mom nwthoda ring ●ll tha nmbma<br />

that ●flflly<br />

Wmdrawml..........................................................................<br />

Shdhfmtiom ..................................................................<br />

Sah pmtod?thyth mathod ......... .......... .................... ....<br />

C.3pldiw+mgm ...................................................................<br />

Contmc@#* 8p0q* .........................................................<br />

Pm miniPN(prowstuon onty) ...... ......... ......................<br />

Pllt combinedF41(Inciwdingmult!-pharncpiU)<br />

Pllt notsum ifminiw combined<br />

PINU wtita tfm bmnd nama Lwtow.... . . . . . . . .<br />

Iuokdorttra.utelim davica ................................................<br />

FaanWgds(apmyWwssmies (sPermicides) .... .. ...........<br />

Go~ ~tiui sexualimO~u* to avoidpregnancy . . . .<br />

lnjactmns.............................................................................<br />

Anolhermathod<br />

Pleasa write its nama below .......... . . ... . . . . .<br />

12<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

P]<br />

[01<br />

[0}<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[01<br />

[0]<br />

[0]<br />

P]<br />

[2}<br />

[1]<br />

[31<br />

[2]<br />

[1]<br />

[0]<br />

[0]<br />

PI<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[01<br />

[0]<br />

— Returnformto<br />

h$mviewer<br />

Total ntmnbmof<br />

ti8annth0d<br />

Cimd<br />

I n=t4 I<br />

— GOtom.msr<br />

— Go to D~SiAS<br />

— Go to DlWJ52


DWQ62 Plan put ●nng around tlw nunlmr, c.ppmdam. staimnntwh!ch<br />

appllu to ymu●t pmmlt<br />

DWQS3MET WWSI mdhmt didyou urn mosfoIlen7<br />

W onlyu-d ono method [4]<br />

VA umd mom than one meumd at a time [0]<br />

SomedmasW* uwd one meftwd, samdilmesanammr P.]<br />

PINU look at fha Ilst ●t 13WQS19forma numr of me<br />

mcth.ai and vadwOut nutir in On box<br />

SheWWamdom P]<br />

Dwa64LNQ How longhad thmmemod(Cambmatmnof mathods)hmI the one you<br />

usual~ UW, mat mtha On* you us.amostolhn?<br />

LassUun 3 monms [01<br />

Atkae43 months,I*s than 6 months [0]<br />

At laast6 months,Iesa than 1 year [0]<br />

At bad i ymr, km than 2 Yearn<br />

At lead 2 yearn El<br />

Dwa66 Whkh of tha followngmctlmd(s)of pravwtblg pregnancy,If any, dld<br />

you (or yourpwbw) usuallyu= mwnndlatalybdam fim~<br />

If ymuhad no suual mlationaht% ring .-__. _._._.<br />

If no mathod und ●t ●ll, ring . . . . . . . . . . . .<br />

If wu W- ptmgnant.nng .---—-— -.....-.-.<br />

If usually ualng OIU or mom mathod~ ring all ma nwnbmm<br />

that ●pply<br />

~drawd<br />

Sheathl.wndom<br />

SafmPmmMhyihm mathod<br />

Ca@dlmphmgm<br />

ColtmaplW* -pony<br />

Pill mm PIII(pmgatimn ontf)<br />

Pill ambmcd ptll(Inchnlng mul!-phmo Pill)<br />

Pill notsum If mmlor combmod<br />

PIMsa wntmthe brand nanm balm _...__. _______<br />

lUOlcaUlmmutnnrwdavla<br />

Faamwgawspmywm-nos (sponmcdas)<br />

GOIWvntlmti -xual lntercou~ to avoidPfD9Mlh7f<br />

Inpahns<br />

AnothMmethod<br />

PlemadWnti lta nntle below --- —— ----<br />

[1]<br />

[0]<br />

[0]<br />

[01<br />

[1]<br />

[01<br />

[0]<br />

[0]<br />

[0]<br />

PI<br />

[0]<br />

[0]<br />

[01<br />

[1]<br />

[0]<br />

[0]<br />

— GO10DWJS4LNG<br />

— Go to D~S3MET<br />

— Ga to 0AQS4LNG<br />

I n-a I<br />

—GOtuowxs<br />

— Rdum formto<br />

InfeMMr<br />

— Rafum formto<br />

lmnwlrwer<br />

13 300


TO THOSE WliO 00 NOT USE A MEl1100 AT TNE PRESEN7 TfME<br />

Hem is a I& of mwms My pwpio do not urn any nwlfnfdfar pwetihg<br />

pWIUllCy. Whti mm aW!4Dd10YOU?<br />

Dwmsm WWltld b hWO8 baby ......... ......... ...... . .... . ............... [0]<br />

DW966 MEN Unlikdyto conmiw bdcausaof menopaum . [0]<br />

DbW661NP Unlikelyto cOncaiv*bccaurn poasibr intitiib .... ... ... ... [1]<br />

Dwa6mJNs Don’tlib cdraceplbn andor findmetlwds<br />

Ullsaofactorf.. .... . ............ ................. .................. ........ [1]<br />

owa66REL Agah!dttaatiif!gs of chu@/InUgou8 balbf [0]<br />

Dwa560TH Andhcr muon<br />

Plaan writs your masoa bcdow-------------- [0]<br />

0WQ67 In the last2 yams haw you (oryour pmtner)usedany of the mcth0d8 B<br />

of preventingprugnanefIisWdbelowat 0WQ5W<br />

Owass If you (oryourpamfm) wcd ormor n-mmnwthadsin lb last2 yaws,<br />

ring all tfw n~ that apply<br />

Wlthdfmnl ................ ............... ...... ...................... ..........<br />

Slfdhlmdom .. .............. .. ....... . ..... .... ....... ............<br />

Sara pwindirhyihmmethod .... ......................... ..... ..........<br />

Cwfdhphmgm ........................... .......... .... ......................<br />

Confmwpmo SpOngo.........................................................<br />

Pfft mini*I (pfagastwmnonly) . ........................................<br />

Pit mmbinrd *ii (Ifwfudlngmuls-phadcpill)........... .........<br />

Plit cat sum KfrAnior combirnd<br />

[1]<br />

M<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

Plaaw Wti UM brmd tlMW Mow ...------—<br />

‘0] I I<br />

Iuokawfm.umd M dcvim ... ................ ..... .................... g~<br />

FomrWgddskwayWprnrlaa (SLWllliCidOS)<br />

Gehg ‘#itIwti suxualinfemoumato avoidpmgnmwy .... [0]<br />

Wctlons ............................<br />

Armtharmethod<br />

........ ....... . ........... ......... .... PI<br />

PIaau WIitOits naa balow ...-------— [0]<br />

14<br />

P<br />

I n=2 I<br />

1- Goto 0WX7<br />

Total ntnbar of<br />

thlms ●MOmOd<br />

Cimd<br />

I n=3 I<br />

— ReturnWrrI m<br />

Iltmvieww<br />

ddl


CONllNUOUS HOUSEHOLO SURVEY lWfiS2<br />

““””’”’” N~~r ~ ❑<br />

Person Nmmbsf 1-1-1<br />

OVerrecantyearnthe sue and makeup of ma popubtionhave baon afi.sed ty changm m fare@sue and m the patternof manmge<br />

Changessuchas th~ ●tie mmdemand forXJWOIS,hospdals,haumngad w an SOmat the Govemmantcan hava up-todln<br />

umbrmatinwth whlti to fomcaatdem.nd br pubhcswwces, ‘m wouldIlka YOUto help us Q fillingm ths shortquadonnalm<br />

At aach quOsGonbat applEs to you, pbaaa Itilcata y.a”ranswar as msbmcted,efiherQ nnglngUIOappmpnatanumberor by<br />

wntlngyouranmvarm the spmw prwldad<br />

For ●x8mph If you am mamad, you shouldfollmvLhamtme+mn d tha Mtom of tib page and answr Question1 at tfu top of Um<br />

nal pmga If you warn mannd m a chuti, a regmbyOI?IM,or both,you shoulddngGn appmprmtanumberand than go on to<br />

Quaatmn2<br />

If on the otherhand YOUam not mamcd, you shouldstartat auastlon 3 on the next psgo, and man go onto Ouatibn 4<br />

If you ha- any difIlcuity at all wfih any of thasmquastlons, pbua ●sk tha mtarbi~u for help<br />

If you am mamad pleaamstart ●t Q1<br />

If YW are not mamod pl*ue start at Q<br />

1<br />

.5d’33a5<br />

302


Mwm Thinidngof yourpmsmt man?agg,dldyouget nmnmd in dmnzh,<br />

at a mgisby.affka, or armYOUsimpiylivingtogemeras a rnupia?<br />

~<br />

I<br />

In church........................................................................ 89%<br />

At a m@tvotllca ...... ..... . ..... . ..... ...... .... 8%<br />

0“ to M~2<br />

Bathchuti andmgiat!y OMM ........ ... .. .. . .. o%<br />

Livk’Gtogdimfasa couple . .... . . . . ........... 3% Ga to MWX3MTH<br />

k<br />

Mwo2 TO THOSE MARNEO WITH A RELIGIOUS CEREMONY OR AT<br />

A REGISTRY OFFfCE<br />

How many times have you been Ihgallymanied?<br />

Mean<br />

Enter fha told nunbcr including your pmsmt<br />

matiga .. .. . . . . . ... .. . . ....... . . . .. . . . . 1,0<br />

TO THOSE CURRENTLY LWING WITH SOMEONE AS A COUFLE<br />

BUT NOT LSGAUY MARRtEO I<br />

W7wndid you and yourpartner-II livingtogetheras a COUF4W<br />

Mwalhmi MW03YR “mlth Yew<br />

1-<br />

~<br />

Ga to MV@7MTH<br />

Entw Month and Yew ... ...... . . ...........<br />

‘g t- ‘bMw&T<br />

MWQ4FT Has yourpa!tnorever tm6f!!egaNymaniad? I<br />

MWQSSELF Have you yuuraelfever booniegaliyreamed?<br />

MWOSTIM TO THOSE WHO HAVE SEEN LEGALLY MARRIEO IN THE PAST ~<br />

How many times have youbean Ikgallyreamed?<br />

Enter numbu of times .. ..... ... ...... . . .. . .._<br />

What was ma data of YOUIpmaenumostremmtmamaga?<br />

MWQ7MTH MW07YR Month Year<br />

Mmn<br />

Enter Month and Year ..... ........... ......... ... 19.....<br />

2<br />

I<br />

I<br />

I<br />

I<br />

10 1- -“”wmm<br />

I<br />

t--<br />

~<br />

Go to “MEND


MWQSKID Havmyou any s@, hstm or adnwd dmdren for any agmwho<br />

Iwawth you?<br />

Yes 1%<br />

Go to MWK)9PER<br />

No<br />

99% Ga to MW210<br />

k<br />

PLEASE ENTER THE DETAILS OF YOUR SIEP/FOSIER/ADOPlE12 I Total nmnber of<br />

CHILO(REN) BELOW<br />

children<br />

MWQ9PER Enter the chIM’silrstname<br />

MWQSSTE HW91MIS<br />

MwasBTR<br />

tAWQSLf#f<br />

Data Ofbwth<br />

Data hwahatagsn Irvingtih you<br />

slap<br />

Fostar<br />

Adapted<br />

Yaw<br />

MonLh<br />

Year<br />

Isl child<br />

19<br />

[a<br />

[q<br />

[0]<br />

19<br />

Znd child<br />

. ------<br />

+<br />

1<br />

-<br />

3rd chtld<br />

-— ---<br />

~<br />

~<br />

I I<br />

19 19 IQ<br />

4th chdd<br />

.. . . . . .<br />

19 ! 19 19<br />

mlo H-v. you aver had a baby? D<br />

NOTE. Ev@nII you have had a baty who only Iwad fora shorl<br />

time, phasa nng1 A stlllbombnty shouldnot b tndudad<br />

Plm” nng 2 If m Iwabombaby<br />

—GOtOMwalo<br />

Yes. h,”- had ●baby 84s<br />

Go 10M~ll NO<br />

No, havo nevarhad a b-by 16% Insoudl.am on<br />

nmt pmga<br />

k<br />

MWQ


(A)<br />

(s)<br />

(c)<br />

1<br />

I<br />

Child<br />

Firstbom<br />

Second born<br />

I<br />

Imitd bem<br />

Fourthborn<br />

Fifthborn<br />

Stdh born<br />

Seventh born<br />

Eighth barn<br />

Ninth bam<br />

P~emll<br />

Plearn remrd me follmv.iqdafaib foreach .afme childrenyou hava<br />

gNon Mth to in me gtid bolnw (sfatiw wlh me oldesttiiid)<br />

#WQ12M MQ12YF<br />

(AI<br />

Da@ of bitih<br />

M.mfh Year<br />

.... ... .. 19........<br />

TfM data of bi!th - mnfarMonth and Year Total ntmnbwof<br />

Thas8x-ftng lfOr Ma19,2fOr Fm’@a childmo<br />

Is fhaf child living with you or not?<br />

hfwalzs<br />

(0)<br />

sax<br />

M F Missing<br />

se% 4*% 1%<br />

42% 5TS 1%<br />

P4 [241 [0]<br />

[11] [16] [1]<br />

M [4] [01<br />

[2] [3] [0]<br />

[1] [1] [0]<br />

[t] [0] [0]<br />

[01 [1] [0]<br />

[1] [q [0]<br />

SI% 4s% 1%<br />

lNSTRUCTfONS<br />

Yes<br />

- if you am aged ~ or ovef ptaa8eMum the formto tie intewioww.<br />

. Ifyou am agad tS4S, and have ever givenbirthto a baQ pbasa go<br />

to Qwdlan MkW213below.<br />

hTWQ12L<br />

(c)<br />

Is your child living with YOUOr nOfrmg<br />

appr0pna29 ntunlmr?<br />

dS&&9 decN&ud<br />

Mfssing<br />

79% 18% 2% 1%<br />

6s% 13% 1% 1?4<br />

p2] [q [0] [0]<br />

ml [4] [1] [0]<br />

m [a [0] [01<br />

[4] [1] [0] [0]<br />

[2] [0] [0] [0]<br />

[1] [0] [0] [0]<br />

[1] [0] [0] [0]<br />

[1] W1 [0] [0]<br />

83% 15% 1% 1%<br />

—GII to tnsbwtiotn bobw<br />

1 I<br />

. If you am aged 1S4S, and havo neverhad a baby plea8ago to<br />

QuestionMVWX22. I I<br />

I 1<br />

I<br />

M-VJQ13 TO TNOSE WfiO HAVE HAD A EASY<br />

Armyou pfmgnantn0w7<br />

4<br />

m


MWQ14 TO TNOSE WWOARE PREGNANT<br />

Ltayou mhk mat youW hsva ●ny mom cim!dren,afmr me ona You<br />

am ●xpacbng?<br />

Yns<br />

Pmt9biy yes<br />

Prohbly not<br />

No<br />

Don’tknow<br />

Mwws IF YOU 00 NOT KNOW wliEIHER YOU WILL HAUE MORE CHODREN<br />

On me whO10do youthinkthat, afiorthe add YOUam ●xpedng, you<br />

WINpmb-btf or pmbabtI not have ●ny mom dmldmn?<br />

[0]<br />

[0]<br />

[0]<br />

[21<br />

[0]<br />

Pmt9t4y [0]<br />

Pmtably not [0]<br />

MWO16N0 HOWmany chtdmn do you mmkYOUwll imva bornto you m all,<br />

mltilng Ummu youam ●xpoclingand Uua88you imve ak8adj<br />

who ●rmsOll●lke?<br />

Entw total numbw of childmm . . . ..—.-. . . . . . 00<br />

Mwa17AGE How old da you mmkyouwtllbowtmnyau have yournexl baby, aller<br />

tha arm YOUam expodng?<br />

h?wQ18 TO THOSE WWOARE NOT PREGNANT<br />

Entu aga you think YOUMl be —----— ------- M<br />

00 you minkthat youWINhave any mom dnldren at all?<br />

Y*S 5%<br />

ProLublyyU 4%<br />

Pmtat4y not 13%<br />

No 84%<br />

Don’tknow 14%<br />

Mwols IF YOU 00 NOT KNOW WETHER YOU WILL HAVE hWRE CHILOREN<br />

On me wholado youthinktit YOUWIIIPfc.bnbtior pmbabtf<br />

nd tuva any mom chddmn?<br />

Pmbsl#y [2]<br />

PmMbly not<br />

[13]<br />

5<br />

J<br />

~ Go to MW231<br />

—Goto MW215<br />

— Go to MkW216N0<br />

— Go to MLW231<br />

— Go to M~l 7AGE<br />

I n -107 I<br />

— Go to MW2.ONO<br />

1<br />

Go to MkW231<br />

1-<br />

— Gato MW219<br />

I n=16 I<br />

— G-aw MM2GN0<br />

— Ga tn M~31<br />

306


MWQ20N0 How many ctwdmndo youminkyou willhave bornto YOUinall,<br />

indudlng thoaa yuu have alreadywho am smtaltue?<br />

Mean<br />

Entar total nunAwr of chitdren . .. .. ... . . .. .. ... . . . 2.4<br />

Mwa2mm How okt do you think youwillba when you have yournexi baby? ~<br />

Mean<br />

Enter aga you think you will be .. ... . .. . .. . . . . . . 30 —G0t0Mw231<br />

MwGs2 TO THoSE WHO HAVE NOT HAD A IJVEEORN EABY<br />

t-<br />

~<br />

Ga to MW21AGE<br />

Am you pregnantnow?<br />

Yes .... ..... ........ . .... ... ..... ...... ............ .... ..... ... .. [f]<br />

I<br />

1= Gat0wAm23<br />

No or unum .. ........ . .... . . ............. ...... ...... .. . [211 Go to MVd22T<br />

MWQ33 TO THOSE WHO ARE PREGNANT<br />

00 you think that you willhave any mom dWdmn, aner ma one you<br />

am expdhlg?<br />

Yes . ....... ........ ...... . ..... . . ..... ... ... . ... . .... . . ..... [01 —Goto~NO<br />

Probablyyes ............. . ...... ............... ... ... . .... . . ...... [t]<br />

Pmbabiynot .. ... .... ... ..... . . ............ . .... ............. [0] .30 b W31<br />

No ......................... ........ ....... . . .... . ...... ........... [0]<br />

Oon,tknow . ...... .... . ....................... ....... . ... ..... ..... [01 gQto MWG24<br />

L<br />

Mwo24 IF YOU 00 NOT KNOW wWETW2RYOU WILL HAVE MORECHNDREN m<br />

On me wIw19doYOUthinkthat, anarth@childyou am expecnng,you<br />

WINpmbabiyor probablynottmvaany mam chlktmn?<br />

PrObatJy........ .... .......... ..... . ...... ........ ........ ......... . [0]<br />

Ga to ~BNO<br />

Pmbat4ynot.. .... . .... ... ............. .. ..... .... ... .... [0] —G0t0MkW131<br />

r<br />

m25N0 How many @ildmn do youthinkyou willhave bom to YOU<br />

in all, inctuding thoone youam alreadyexpactmg?<br />

Ent6r total .- of children .. . . . . . . . . . . .. . Zo<br />

MW036AGE How OUda you think youwillW whenyou have your m<br />

next baby, aitor me ona youam expecti!q?<br />

Mean<br />

Enter aga you mink you will be ... . ..... ........... . .. .. . . ‘1<br />

6<br />

t-<br />

H<br />

Ga to MW26AGE<br />

ddl’


Mwa27 TO THOSE WHO ARE NOT PREGNANT<br />

Do you think that youw,IIhav* ●ny dv!dmn at all<br />

Ycs<br />

Pmtmt4yyes<br />

Probablynot<br />

No<br />

00n’t know<br />

[.s]<br />

[5]<br />

PI<br />

[4]<br />

[1]<br />

I<br />

~<br />

M MWXSNO<br />

Ga to MV#231<br />

1=Go<br />

r--GOto MwQ28<br />

hwoza IF YOU DO NOT KNOW WHETHER YOU WILL HAVE ANY CHILOREN<br />

~<br />

I<br />

On the wtwla do YOUthinkthat you WINpmbab~ or probablynot<br />

havo ●ny .AWdt’an?<br />

I<br />

Probably [1]<br />

Go to MWX9N0<br />

Pmtably not<br />

[0] Gob MW231<br />

F<br />

MWQZ9N0 Howmany ciw!drendo you thinkyou WINhave bom tu you m all?<br />

Maan<br />

Enter ttil nwnbar of chldm __________ 23<br />

MWQ30AGE Howold do you Omnkyou WIIIb8 when you havo your,lti ba@7<br />

Maan<br />

Enter agc you think YOUWill be -.—-—— --- 30<br />

Uwoll V& hsva mlmd you abati tmw many cimblmnYJUthinkyouWIN<br />

have Tna ma quntiom ●m abaul wys of pmvendngpmgnancl<br />

Hsva you or you!huatandfpmmw ●ver been tinllssd - I maan W@r<br />

had an oporathn tntandcd to pmvmt you gatdngprwgmnt(Ogaln)?<br />

I<br />

— GOto MkuXWAGE<br />

— GOto MWQ31<br />

Yes 25%<br />

Go to MW232<br />

No 74% Ga to MWQ3<br />

F<br />

MWQ32 Wm &YOUwho wna stenlbed or yourhuslmndiparhcr who had a<br />

v.nuunry?<br />

Youmalf<br />

Hutim!tipatier<br />

SOth<br />

Was the Opmtwn Cnmadout underthe NHS Orrwr7<br />

MWQ331NH MWQ33PNH own<br />

Opsmtion<br />

NHS<br />

Other<br />

M18Mw<br />

[18]<br />

m<br />

[1]<br />

[21]<br />

[12]<br />

[01<br />

b<br />

I<br />

r n=33 I<br />

:~~” m m<br />

opmatlon<br />

[1ol<br />

[2]<br />

[0]<br />

1-<br />

Go to M~321NH<br />

Ga to MWX41Wli<br />

7 308


W241WH MWQ34PWH<br />

Oldyoumldhe hava the apmtbrv<br />

A9 ●hosptil inpatiant,staying<br />

overnightor bnger ............ .. .....<br />

Asa ho~til oui$,tint<br />

Atyotulhh doctm%auqery<br />

At a dho .............. ....... ......... ........<br />

Or was ii cwiiad out aomwhem<br />

ok . ... .. ................................ .. . ..<br />

Refurnd . ......... .. .... . . ........ .<br />

Mining ................... .. ....... . ..........<br />

Wlwt mmm and year was tha opwation?<br />

own Husbmd’sl<br />

O-*<br />

Pmtl19ts<br />

operation<br />

$; PI<br />

[.9]<br />

[0] [1]<br />

[0] WI<br />

[0] [0]<br />

[0] [1)<br />

[1] [0]<br />

MV4Q361MH f#WQS6PMH MWQS61YR MWQ36PYR Own Husband’al<br />

Opm-aticil pm’tnal-s<br />

Opwath<br />

Entarmonth .. ............. ...... .. . .<br />

Enteryear ........................... . ....<br />

*36 ‘Ms dtiwr youror yourhtimi’dpartrws opwatbn lass<br />

than 2 y.3ama@?<br />

Yas ..... . ......... .................. .. . ......... ....... ... ................<br />

No ...... ................................... . . ... .... ....... .. ...... .... [q<br />

%fusod ........................... ........ ......... ................. ..... [1]<br />

MY’4Q37 VWkh of ttw falhwdngmathod(s)of pmwnting ptngnancy,if any,<br />

were YOUand your husbandIMIMUyusingInm’mdiataly bcfomthat?<br />

If ymuhad no SUIMI rahtianship, ring .._-..__<br />

If m IrNthOd U18d ●t all, Ilng ._.._— ______<br />

If YOUwm p+mgnmt,ting ___________<br />

If Udtlg ma a mom mathods, Iing all the<br />

ntmhra that ●pply<br />

wfthdmwal ................................ . . . . .. ...... . ..... ......<br />

Sh~ttVomdom .................................................................<br />

Safa pefbdhhythmmdlmd ... .. ... ... ...... .. ..... ........<br />

Ca#dlaphmgm ..<br />

Calltrarapdvosponge........ . ...................... ... ....... .<br />

Pllk minipill(progostamnoniy) ... ...... . .... ................. .<br />

Pllt cambinmdF41(includingmulti-ptmsicpill) .. ...... .......<br />

PIN notsum t minior Cemt.kmd<br />

Pleau WtiO the brand m b@OW..--.----—<br />

IuokaWt-Ul-m ** .... ..... .. ...... .... ........<br />

FoamdgcWswaya/p,rnriaa (apmmicides)<br />

Goingwithaulswiual intafmu= to avoid pregnancy .<br />

Injeclians .. .... ........... .... . .... .. . . ....<br />

Anothermethod<br />

Refuasd ... .. ...... . ...... . .... .... ........<br />

Plea- W* ib. - IMOw ..—.-———— ______<br />

8<br />

[0]<br />

[0]<br />

[1]<br />

[0]<br />

[1]<br />

[01<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[1]<br />

[q<br />

‘Goto MWSE<br />

I n=33 1<br />

—G0t0Mwx7<br />

— Returnformto<br />

Intew!mwer<br />

—Goto MW2s7<br />

I n=3 (<br />

—Return formto<br />

Intafviewar<br />

—Goto MWS9<br />

JtJ9


a!<br />

o<br />

4<br />

m


Mwau Wflcll of thd followingmethod(s)of pmv.ntlng pregnancy,if any,<br />

did YKJUuumlty uw irmmdiataly botim tfmtY<br />

MwQ4bsA0<br />

kwQ44MEN<br />

MWQ44fNF<br />

hfWQ4UJNS<br />

Mwa44REL<br />

Mwa440TN<br />

If you hadno SUuai mfaUnrIshiB ring __.——.._ . . . .<br />

if no nWhOd Uud ●t d, ffng ----------ff<br />

pu W@fapregnant, rfng ._.—-.—---<br />

If using am of mom ma4h0ds, ring ●ll the<br />

n~ that ●pply<br />

Wffhdmwal................ ........................ .. ... .......................<br />

Sh8alhlcmdom .................................................................<br />

Sati @mt@thm method. ....... ...... ....... ........ ......... .<br />

capldia@nxgnl..................................................................<br />

Contmcapftveaponga ...... ........................ ............ ........<br />

Pit rrdnlpill(pmgtin oniy) .. .. ..................... ... . .....<br />

Pllt cambhad PIN(includingmum.phasicpall) . .......... ....<br />

PIN notsum Kndnlor combirnd . ........... ....... .... ...<br />

Plaass writ- U19bmnd m blow ..... ---------<br />

Iummwntm.ufwlm ** ...............................................<br />

Foa~eldspmywpo,ndas (spwmicidas) .......... . ........<br />

G@19Wi+tWUf sexualIntemoumato avoid pmgnmcy .,,.,...<br />

l~ns ............................................................................<br />

Anothermdhod<br />

Plcaw writs its nanw balow ...--— --------<br />

TO TNOSI?WNO WERE NOT USING A MSTNOO OF PREVENllNG<br />

PREGNANOY AT TNl?lfME OF EECOMINQ PREGNANT<br />

Hem m8 IM of maaorn whypeoF4edo notusa a methcdforpmvwklng<br />

pmgnwmy. kWIidI of the m190n9 W@iad to you and yourhuabmWpWtnar<br />

at tfw tinmynu teams pregnant?<br />

[0]<br />

ml<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

P]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

Whnf,d to haw ●baby ............ ........ ................................... [1]<br />

Utmkatyto canaiua b0au9a of menopausa.. ....... ............ [0]<br />

UnlikNyto cancdw bscausa pwd~ infadils. ..... .............. [0]<br />

Do notmmconimcamon mM/or findmethodunsatisfactw. ... [0]<br />

~airmf taachi~s of cnum+wmliiiausbolid .. ....... ......... ........ [0]<br />

Anotherma9an ............... ......... ................... ...... . ................. [0]<br />

Pleau wtfto your mason below ... . . . . . . . . . . .<br />

MwQ4s In the bst 2 years have you (oryour husbmdlpwtner) usualany of<br />

tlw methcdsof pfevertingpmgfmw listedbelowat MW2407<br />

Yes ............................`............................................................<br />

No ..........................................................................................<br />

10<br />

[0]<br />

[0]<br />

[1]<br />

— Returnfonmto<br />

Intexvlevmr<br />

—Goto MW24S<br />

‘Goto MkW4d<br />

— Returnformto<br />

lntmviaww


Mwa4s If you (or yourhusbm!dlparm.,) mad mm .X mom methodsIn U19Ibst<br />

2 yams. nng all ttu numbm ttmtopp~<br />

WtMt’awml [0]<br />

Sh- Wmndom [0]<br />

Sa18pamw~hm mdlmd [0]<br />

Capldhphmgm [0]<br />

contnmptNa spHtg* [0]<br />

Pill mm PN(pmgastamnonlf) [0]<br />

PIN combuwi F41(Irtckdlngmuffl.pttmc PIU) [0]<br />

Pill notsum f mlmor combuwd<br />

Plea- titm the brand nmm bdc=w .—.-—__—---- [0]<br />

NJO/mUiWa-ddm devua [0]<br />

FoarmJgoWwwm-noa (spanwdes) [0]<br />

GOlriEWhoti SSUI lntwcoum [0 avoid p~IUflCY [0]<br />

Ilqedmns [0]<br />

Anotlmrmethod<br />

Plrnu wnta h nmna bdow -------- . ..—.-. [0]<br />

-7 TO THOSE WHO ARE NOT PREGNANT ANO HAVE NOT SEEN<br />

sTERIusED TO PREVENT PREQNANCY<br />

Have you ar yourhutimllpbtar had ●y Otir 0p8raU0nwhich<br />

pmvmntaPU gettingWgnant (sgmn)?<br />

Y*S [3]<br />

No [s3]<br />

MW04S Was fl YOUor your hukmdlmdnar who had ●n apamtbn whti<br />

prwonti you gatthg pregnant(lgam)?<br />

Yournlf PI<br />

HusbanrUptmr [0]<br />

soul [0]<br />

In what moti and ymarma UM opwaimn?<br />

MWMSIMH w94sPMH ~lYR ~PYR own Husbsnd’s/<br />

Opmuon parttwrs<br />

Opamt&l<br />

Entm month<br />

Enteryew<br />

Mwa60 MS ●aw you or yourhusbmtidpsfiots opmtion la=<br />

than 2 yammam?<br />

Y*S [1]<br />

No [2]<br />

11<br />

— Rdum formto<br />

Intafwavml<br />

— Ga to MW24S<br />

— Go to MWX2<br />

I n=3 I<br />

‘Go to MWW91MH<br />

— Go b MW250<br />

— Go bMWQ5i<br />

— R*tum farmto<br />

Inhrvmww<br />

312


MWQ61 WIIich of ttw foibwingmethod(s)of ptwenting pmgf’mncy,ifany,<br />

did wu usuallyuu hwnadlmtdy bofomthaW<br />

NPU had no saxual mlmtbnahip, ring —_..__.-<br />

If no mcthad Wad ●t W, Ifng .. . . . . . . . . . .<br />

If you Ww pngnmt. ring ------------<br />

If using OM w mom mcth0d8, ring all fhc<br />

n~ that apply<br />

‘Amhdmvml.........................................................................<br />

6hnUVcOnd0m .................................................................<br />

.Safapmiadlhytim m8thad . ..<br />

Cq#dfaphmgm ..................................................................<br />

cOrdmc@lve sponge ............ .................. ......... ..........<br />

Pllt mlnlFM(pmgastwononly) ............... .... ........ .........<br />

P& cmmbind pin(mcbding muiti-phmicPW)<br />

PIK notaum if mid orCOmbmd .. ....... .... ...... . ..............<br />

Plasm Wlfh the bmnd - bOiW .. . . ---------<br />

luo/milik!lr8+torim davica ................... ............. ...........<br />

Fc.srn@_yaifmsu~ (qwmWdes) . . .<br />

&ii tihoul 90XUOIhtmTWIK4 kl avoid PM911WlCY<br />

1~ . .......................................... ..............................<br />

AlWi19r nwuwd<br />

Phso Writsits n- b,low ------------<br />

MWQ62 TO TNOSE WHO ARS NOT PNSGNANT ANO WHO HAVE NOT HAD<br />

ANY OPERA- THAT PRSVENTS PREOfdANCY<br />

WIWI of tha failowingmatkmd8of pmvmtlng pregnancyifmy,<br />

am yuu, and youriIwt9nd/pwlnw usually USi18gat prasmtt7<br />

If you had no saxual relationship, ring . . . . . .<br />

If m nmthod Und ●t all, Iing .— . . ..--. . ..-.. -----<br />

Nwingomarrnc+anmthc.ch,ringalltha<br />

n~ that ●pply<br />

W?4tWrawal .........................................................................<br />

Stmamfmmdom.................................................................<br />

Safo psdwMyttm mathod .......................... ......... ... .....<br />

C@tifhagm ..................................................................<br />

Colltmcspthwapange ........ .................... . ... ...................<br />

Plk mid P4N(ping-n oniy) .. ..... ...... ..... ...............<br />

PIN rnmbinedF411 (Includingmultl.plurncPtil) .. ...<br />

Pin not- if rrirdor combined............. .... ...................<br />

Pleaw wdta ma bmnd nm’m Lwlow.. . . . . . . .<br />

Iuolcdblmm.utcdm &via .................. . ................ .......<br />

Fon~oiww@Pornti@9 (8PcnMcidas)<br />

GoinEwithoutamamlimerccwsc to avoidPmgmncy<br />

Inja.dbns ............................................................................<br />

AWthW ftWLhOd<br />

Pleaaa W* its nama below ..... .... . . . . . . . . . .<br />

MlarinE ..................................................................................<br />

[01<br />

[0]<br />

PI<br />

[0]<br />

lo]<br />

[1]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0]<br />

[0)<br />

1%<br />

la%<br />

5%<br />

35%<br />

5%<br />

0%<br />

o%<br />

8?4<br />

13s<br />

3%<br />

8%<br />

0%<br />

0?4<br />

0%<br />

o%<br />

4?4<br />

- Ralum formto<br />

lntewiewr<br />

Tafal n-r of<br />

thnassnmmnd<br />

Citad<br />

I n = 106 I<br />

— G0t0Ms6<br />

— GOto WST6AB<br />

1-Gat0MvAx3<br />

12 A13


70 THOSE WHO DO NOT USE A METHOD AT THE PRSSENT TIME<br />

Hem am some masons tir cd u~g a method. Which‘@y fa you and<br />

your huaiw!d/pwlner?<br />

~67EAB W4ntsd to have a bOby. ........... .... ........ ...... ... .. ...... ... . [6}<br />

MWQ67 MEN<br />

Unlkely to concewebwausa of menopauaa. . ............ . .... m<br />

Mwa671NF<br />

Unllkalyto concaivabecause~~bla infwflle<br />

[2]<br />

MWQ67UNS<br />

Oo not i+keOXXracapt!onandlorfindmethodundatbfacfoty.... [q<br />

MWQS7RSL<br />

MWQ670TH<br />

Againsltaachicqsof ohurchhmliqrnusM&f ..... ......................<br />

An&har meson........................................................................<br />

P1<br />

[1]<br />

Mining .... ..... ......... ........ ... .... ... . ... . ................. ..... [1]<br />

Plea- WIit9 yOtlrma- below ....___-. ______<br />

Mwass In the ha 2 yams have you (oryourhuz&nd/parirmr) u$adany of<br />

the methodsof preventingpmgnancf Ii@@dMOW at MwQ597<br />

Yes . ... ... ..... .... ........ . . . ... ... .... .. .... ...... .... [q<br />

NO . ... .... ... ................ .......... ... ....... ....................... [1s]<br />

Missirq ........ . . . . ..... ........... .. ..................... ............... [1]<br />

Mwoss If you (or yourhuabmdlpwimr) usedone or morenmthodsin the<br />

last 2 years, ring W the numbaf that apply.<br />

Wnhdrawl ....... ......... . ......... ... ........ .... .................... [4]<br />

Sheawcandom .................................................................<br />

Safa pmiodlrhythmmethad<br />

PI<br />

[D]<br />

C@4iaphngm .................................................................. [q<br />

03nttampfive sponge . . . [0]<br />

pin miniml (progwbmn only) .. ........ ........ . . . ......... P]<br />

Pin combinedpill(Includingmum.phaaicpill)... .. .. ........<br />

Pllk nQtsum if miniorCambimd<br />

[q<br />

Pfnsa writo the bmnd nmw below ___________ [0]<br />

lUO/c&Uintm-IJfwinadovica .............. ............................... [01<br />

Fowns/geW8piay#~mmias (spennicidea) ..................... [0]<br />

Goktgwithnulsexualintwcoumato avoidpmgrmwy ....... [0]<br />

Iwbns ....... .................. ............. ......... ....................... [0]<br />

AnOfhwmethod<br />

Plaau WlitOita name below _____________ [0]<br />

Miaiw ... .... ..... .......... .. ... .... . ....... ... . . ....... [4]<br />

14<br />

1Ga toMWXW<br />

P?cl<br />

‘Goto MW05S<br />

— Returnformto<br />

Intmvlewer<br />

‘Goto MkW.XS<br />

Total msnbor of<br />

UIIN8 ●IINthOd<br />

Cwd<br />

. n=ll I<br />

I I<br />

_ Retom formto<br />

Intwviewer


“PP]UOuf-641(b)<br />

SG<br />

CONTINUOUS HOUSEHOLD SURVEY<br />

CODING INSTRUCTIONS<br />

1991-92<br />

sh33a.5<br />

i


9<br />

14<br />

c!<br />

:<br />

-4<br />

fj<br />

u v9●<br />

:


CONTINUOUS HOUSEHOLD SURVEY<br />

i<br />

Dotmmc UTE POUNDAGE -’<br />

FIELD 00-6<br />

VALUES 122.4 - 168.13<br />

------------------------------------------------------- ----------------------<br />

DISTRICT COUNCIL DOMESTIC RATE<br />

1 A2RIL 1991 ONWARDS<br />

-----------------------------------------------------------------------------<br />

1. Antrim 127.9<br />

------------------------------------------------------------- ----------------<br />

2. Ards 147.6<br />

-----------------------------------------------------------------------------<br />

3. mmagh 125.4<br />

--------------------------- -------------------------------- ------------------<br />

4. Ballymena 122.4<br />

----- ----- -------------------------------------------------------------------<br />

5. Ballymoney 131.2<br />

------------------------------------------ -----------------------------------<br />

6. Banbr~dge 131.2<br />

---------------------------------------------- ------------------------ -------<br />

7. Belfast 168.1<br />

--------- --------------------------------------------------------------------<br />

8. Carrickfergus 147.9<br />

-----------------------------------------------------------------------------<br />

9. Castlereagh 123.4<br />

--------------------- ---------------------------------------------------------<br />

10. Colerame 132.4<br />

------------------------------ --------------------------- --------------------<br />

11. Cookstown 127.4<br />

-----------------------------------------------------------------------------<br />

12. Craigavon 147.5<br />

-----------------------------------------------------------------------------<br />

13. Down 144.9<br />

--------------------------- ---------------------------------------- ----------<br />

14. Dungannon 123.7<br />

------- ----------------------------------------------------------------------<br />

15. Fermanagh 132.9<br />

------- ---------------- ---------- ------ ------------------------ -------- ------<br />

16 Lame 146.4<br />

--- --------------------------------------------------------------------------<br />

17. Limavady 129.9<br />

-----------------------------------------------------------------------------<br />

18. L~sburn 129.2<br />

-------------------------------------- -------------------- -------------------<br />

19. Londonderry 161.9<br />

-----------------------------------------------------------------------------<br />

20. Magherafelt 124.4<br />

----------------- ------- ---------------------------------------------- -------<br />

21. Moyle 151.0<br />

-----------------------------------------------------------------------------<br />

22. Newry and 140urne 133.5<br />

-----------------------------------------------------------------------------<br />

23. Newtownabbey 144.7<br />

-----------------------------------------------------------------------------<br />

24. North Down 146.3<br />

------ -----------------------------------------------------------------------<br />

25. Omsgh 141.3<br />

-- -------------------------------------------------------------------------<br />

26. Strabane 144.2<br />

-----------------------------------------------------------------------------<br />

3


CONTINUOUS HOUS?iEOLD SURVEY<br />

Q~ INSTRUCTIONS<br />

mEX CODE<br />

DATE CODE OATE DATE<br />

April lst-AprLl 7th 01 Sept 30th-Ott 6th 27<br />

April 8th-April 14th 02 Ott 7th-Ott 13th 28<br />

April 15th-AprLl 21st 03 Ott 14th-Ott 20th 29<br />

AprLl 22nd-Aprd 28th 04 Ott 21st-Ott 27th 30<br />

Aprd 29th-klay 5th 05 Ott 28th-Nov 3rd 31<br />

May 6th-54ay 12th 06 NOV 4th-Nov 10th 32<br />

nay 13th-ilay 19th 07 NOV llth-Nov 17th 33<br />

May 20th-May 26th 08 NOV 18th-Nov 24th 34<br />

May 27th-June 2nd 09 NOV 25th-Dee 1st 35<br />

Juna 3rd-June 9th 10 Dmc 2nd-Omc 8th 36<br />

Juna 10th-Jun= 16th 11 OOC 9th-Dac 15th 37<br />

June 17th-June 23rd 12 Dec 16th-Oac 22nd 38<br />

June 24th-Jun@ 30th 13 D-c 23rd-Dot 29th 39<br />

JUIY lst-July 7th 14 o-c 30th-Jan 5th 40<br />

JUIY 8th-July 14th 15 Jan 6th-Jan 12th 41<br />

JUIY 15th-July 21St 16 Jan 13th-Jan 19th 42<br />

July 22nd-July 28th 17 Jan 20th-Jan 26th 43<br />

.7u1Y 29th-Aug 4th 18 Jan 27th-Fob 2nd 44<br />

Aug Sth+ug llth 19 F-b 3rd-Fab 9th 45<br />

Aug 12th-Aug 18th 20 F-b 10th-Fab 16th 46<br />

Aug 19th-Aug 25th 21 F-b 17th-Fab 23rd 47<br />

Aug 26th-Sapt 1st 22 Feb 24th-Mar 2nd 48<br />

Sapt 2nd-Sept 8th 23 Har 3rd-Har 9th 49<br />

Sept 9th-Sapt 15th 24 Mar 10th-14ar 16th 50<br />

Sapt 16th-Scpt 22nd 2s Mar 17th-Har 23rd 51<br />

Sept 23rd-Sept 29th 26 uar 24th-Har 30th 52<br />

. 4


EOUSEEOLD TYPE A CODE<br />

(02-3) Valuas 1-7<br />

ladultaged 16-59 ............................................ 1<br />

2adults aged 16-59 ........................................... 2<br />

Small fanuly - 1 or 2 persons agad 16 or ova<br />

and 1 or 2 parson8 agad under 16 ............. .. 3<br />

Large fanuly - 1 or mor. paraons ag-d 16 or ovar<br />

and 3 or nu.rc prsons agad under 16,<br />

or 3 or morm pmrsonm aged 16 or ova<br />

and 2 ~rsona agad under 16 . .................. 4<br />

Larga adult - 3 or moze persona aged 16 or ov-r,<br />

household with or w>thout 1 parmonm aged under 16 ........ 5<br />

2 adultm, 1 or both aged 60 or ovar ..... ...................... 6<br />

ladult agad 600r over ........... ... ........................ 7<br />

Youngest Parson<br />

aged O-4 -<br />

Youngmst P9rs0n<br />

aged 5-15 -<br />

3 or ❑ora<br />

adults -<br />

EoUSCEOLD TYPE B CODI?,<br />

(02-4) Valuma 1-7<br />

SECODE VMJJS 3, 4, 5 abova Into the following: 1 and 2<br />

as above<br />

1 or ❑ore prsonm aged 16<br />

or ovar and 1 or more prsons<br />

agmd undar 5 ......... ...................... 3<br />

1 or mora pasons agmd 16<br />

or ovmr and 1 or mora parsons<br />

aged 5-15 .................................. 4<br />

3 or more prsons ●gad 16 or<br />

over and no onm ●ged<br />

undar16 .. ...... .............. ............. 5<br />

6 and 7<br />

as above<br />

. 5


—<br />

FINAL 0uTC060?,OF EOUSSEOLD<br />

(a)<br />

(b)<br />

(c)<br />

(d)<br />

(9)<br />

NE<br />

EOUSEHOLD SCSSDULC<br />

EOUSEEOLO RESPONSE<br />

(Raqon.a [02-s] Vslues 1-5)<br />

Fully Co-operating Household .. .............................<br />

This i- whare ●varyona ova tha age of 16 in the hou=ahold<br />

havs co-operated fully to all sections of the survey.<br />

Fully co-opOratlng and PrOxy ...............................<br />

ThM la whera ●varyono whom you war- sbla to mtarvlcw<br />

co-operated full y to all #actions ●nd for those who could<br />

not be cent actmd a proxy schedul~ was camplmtmd.<br />

Psrtial mtarv~aw ... .......................................<br />

This La whara on= or mora adults rafusad to co-opsratm.<br />

Incomplete information ....... ........... ..................<br />

Is a combLnat ion of paragraph a-c abovm togathar w~th onm<br />

or mora adults refusing cartain nection or top~cs of the<br />

indlv>dual schadula.<br />

Houaahold schadula only ....................................<br />

This is whcra all adults r-fusm to co-opmrata on the Individual<br />

schadule, but household schedu la is ach~evad.<br />

If You disagreo w >th t ho raqona. at atmd by f~ald sect ion r-cord in rad on<br />

summary shiat n-t ra8ponsa plus raasonm and rafar to au~rvisor at ●nd of<br />

Satch waak.<br />

STSNDASD OF INTS2RVISNERS ‘ WOSS<br />

P19amm stata clearly on budgat report Lf you foal intommwar ham not chackod<br />

and complated schadula= giving n=ce*_~ ●vzdenc~. If interv~awar has not<br />

clearly chackcd work rafar to suparvLsor at ●nd of Batch waak.<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6


Y aa3 m 4<br />

\N<br />

4<br />

\<br />

z<br />

uco6<br />

,


DON eT SIZOW/NISS ING DATA/RXTUSAL<br />

Don’ t know = -1 Remember to ~nsmrt Iaadmg zeros ~f moro than<br />

2 boxas .<br />

Mmua s~gn should be entmrad in fust box of<br />

f~eld with the figurm ~n the laat box.<br />

●9 - 001<br />

!hssing . -2 Rammnber to lnsart zaros as explained sbova.<br />

Refusal . -3 Ramembmr to Lnsert zeroe as ●xplained above.<br />

[PPRU]-UDuf-640(a)<br />

SC<br />

0001


_—<br />

Employment Status ~ EHp<br />

—.<br />

Q1O(C)<br />

.—<br />

Undw s<br />

/ 0009-00<br />

I<br />

I<br />

I<br />

l—<br />

WINTER<br />

2<br />

_.. —<br />

2<br />

Values -3-8<br />

Code emplo~en t status of<br />

each person. See<br />

explanatory notes overleaf<br />

Vorklng full-clme .... ....1<br />

Vorkmg part-time ...... . .2<br />

Unemployed ......... ......3<br />

At schoO1/cOllege .........4<br />

(-<br />

Reured .-...........-.....5<br />

Keeping house ............-6<br />

Government scheme .... ...+~<br />

Other economically<br />

Inactive ........... . ..= ><br />

Values -3-U<br />

Coda ❑un or only ❑athod of<br />

heat ing Ln ~<br />

Cantral heating. ....... ..01<br />

open fira .......... ......02<br />

closcd fira ........ .. ...03<br />

range .............. ......04<br />

●lactric firelfan haatmr .05<br />

dmplax radimtors .. ......06<br />

paraffin heatar .... ......07<br />

suparmar type gas heater .08<br />

otha gas fua ...........09<br />

dLStriCt heating systeLu .10<br />

othar spcLf y (raf=r all<br />

c.ssae to supermsor) .....11<br />

.—<br />

. 9<br />

.—


Alcoholznm .... .........01<br />

Allergiaa/Phob~am ...... 02<br />

Appendacit~s .............03<br />

Arthr~tia/Lumbago/<br />

P.h*umati.am .... .. ... .04<br />

Asthma ................. .0S<br />

Back tzoublms and<br />

asaociatad illness-s. . ..06<br />

Blood diaordmrs ganeral /<br />

v9rtig0 . ............. .07<br />

Blood prmssura .... ...08<br />

aonas (broksn ) ..........09<br />

bronchitis ...............10<br />

Cancer (undafinad) .......11<br />

Chart problans<br />

(undaf had ) .............12<br />

Colds/flu ......... ......13<br />

Circulation (bad) ........14<br />

D*pr*9si0n/n*rvas ..... 15<br />

Diabmtmm ... ........ ....16<br />

Olmsblmd physically . . . . 17<br />

Epilapmy ........... .....la<br />

GallMaddar troubln ......19<br />

Ganmtic LllnGss/<br />

abnocmalitics ...........20<br />

Glandular troub19 ........21<br />

Gynaacological problams ..22<br />

Haenorrhoids .............23<br />

Hmdachms/migra~ne .. ....24<br />

Hmaring problems .........25<br />

N8art /stroka/CNO [Lnc<br />

rhaumatic favar) ........26<br />

Harnaa .... . ............27<br />

111 health ganmral .......2S<br />

Infactlons ganaral (not<br />

col,ds/flu) ......... ....29<br />

Kidnmy problems ..........30<br />

Llvcr complafita .........31<br />

Lhbtroubla .............32<br />

nultip19 sclarosis .......33<br />

hSCUhS dystrophy ......34<br />

Neurological illnasaam<br />

(by Psrklnaons oisaasa) ..35<br />

Oldagw ..................36<br />

wsp~ratory probloms<br />

(other than bronchitis) ..37<br />

Sight problmno ...........3E<br />

Skin problam ............39<br />

Spa*ch lm~dknt ........40<br />

Stmach problamm/dlgmativm<br />

tract ., ..................4l<br />

Thyro~d gland ............42<br />

Ulc*rm (Lntmrnal ) ........43<br />

Ulc*rati0n9/abcm maa8<br />

(axtarnal) ..............44<br />

Vsrica.e “mind ...........45<br />

Other ....................46<br />

Try to fLt into tha abova<br />

catqorias bdorm rafarrlng<br />

to cuparvisor


—<br />

Quastlonnaare R= f<br />

Qumst~on No<br />

Housahold schedule<br />

Front page<br />

H/H Identlflcatior<br />

number<br />

Household number<br />

DMtrlct Council<br />

Elactoral Ward<br />

Rate Poundage<br />

Housmhold<br />

Ident ~ty<br />

ID No<br />

H/H No<br />

DC<br />

R Poundaga<br />

HOUSEHOLD SECT ION<br />

No of<br />

aOx*s/<br />

Characters<br />

5<br />

2<br />

2<br />

2<br />

3<br />

4<br />

Cadang Instructions/Remarks<br />

This Smction - always be<br />

completed. RIIy problems<br />

should be quar~ed with F=eld<br />

Section vza your suprv~sor.<br />

Values 0000 1-49999<br />

5 d~g>ts ramembar leading<br />

zeros.<br />

Valu. s 01-o!l<br />

Enter household numb-r uszng<br />

leading zero.<br />

valu*8 01-26<br />

Th~s should always be<br />

complatad by mtarv~ewers.<br />

If m any doubt re for to<br />

auparvisor.<br />

~s 01-52<br />

Th~s should alwaya be<br />

complatad by intcrviewar.<br />

If m any doubt plaass<br />

r* far to supervisor.<br />

~ ool-99~<br />

Th~s should always b=<br />

complated by intarviawers.<br />

Howavar if the ratmabla<br />

Vah19 ap~u, tO be V9ry<br />

mmal 1 or ~ntorviewer has<br />

LndiCatid some doubt - rmfar<br />

to supnisor.<br />

valuem 2nu4-2scl<br />

:hack date of mtarvhw as<br />

rat● pxndaga changas ●vary<br />

4pril. R. far to approprxatm<br />

:oding frama and mmert<br />

:OrreCt ~ ratm<br />

?oundagm for that District<br />

:ouncil.<br />

11<br />

y:,.


Quastaonnaara Ref<br />

Quast~On No<br />

Rate Poundage<br />

(cont~nued )<br />

Codug Sh=et I No of<br />

Rmf ●mncm<br />

s0x9s/<br />

Charact_ra<br />

I<br />

Codang Instructions/Ramarks<br />

Tha column on paga 1<br />

gives tha rata poundages from<br />

1 April 1991 to 31 March 1992<br />

Grid/ Front Pago Housahold This Scctlon must always<br />

b- completmd. Check al 1<br />

Lnf Ornmt Km from Grid be fore<br />

entering any values.<br />

Intervlewar’s<br />

Authority Numhr<br />

Inter No<br />

Staxt Lng date of wkjyeaz<br />

mtarvlew<br />

Finishing data of<br />

~nt ●rv LOW<br />

Total no of H/H9<br />

at addres a<br />

Total no of<br />

parsons Ln H/H<br />

Total No of adults<br />

(16+) in H/H<br />

Total no of<br />

personm<br />

~ntarviewed<br />

I<br />

wk~ Y*U<br />

HHs 2<br />

PERS 2<br />

AOOLTS 2<br />

HUNBER 2<br />

3<br />

4<br />

4<br />

=1 ues 001-99~<br />

Insart Lntorviawar’ s<br />

author Lty numk.ar.<br />

Entar w--k from coding<br />

fraou on paga 2. Year =<br />

91/92 .<br />

Ent9r waak from coding frame<br />

on pagm 2. Year = 91/92.<br />

values .- 5<br />

Enter total numimr of<br />

houaeholda ●t addrasa .<br />

~ . .<br />

Entmr total number of paopla<br />

in household. [NE should<br />

corraqond to highoat valua<br />

of parson numb-r (include<br />

chLldran) .]<br />

yQAOs .-<br />

Entar total numb-r of people<br />

16+ in hous-hold.<br />

~ues = oo-~<br />

Enter total number of adults<br />

(16+) who co-o~rat.d •~ther<br />

fully or partially. [NE Do<br />

not ~nc luda non-contacts or<br />

indiv~duala for whom proxy<br />

schadulea ware complatad. ]<br />

12


Questionnaire Ref Coding Sheet No of<br />

Quest ion No Reference BOxas/<br />

Characters<br />

Household Type A TA 1<br />

Household Type B TB 1<br />

Response RESP 1<br />

GRID /FRONT PAGE CHILDRSN<br />

.<br />

,,<br />

“<br />

o-1 1.<br />

2-4 1<br />

s-7 1<br />

8-1o 1<br />

Coding Instructions/Remarks<br />

Values = 1-7<br />

Code as per coding frame on<br />

page 3.<br />

Values = 1-7<br />

Code as per coding frame on<br />

page 3.<br />

Values . 1-5<br />

Code response when VOU have<br />

finished- coding all”<br />

schedules relating to<br />

household.<br />

Fully co-op household. .....1<br />

Fully co-op and Proxy .....2<br />

Partial interview .........3<br />

Incomplete information ....4<br />

Household schedule only ...5<br />

See page 4<br />

NB If you disagree with<br />

response rate stated<br />

record on summary sheet<br />

in red together with<br />

explanation and refer to<br />

Su~rvisOr.<br />

This section only applies if<br />

children in household.<br />

Valuee = o-4<br />

Enter number of children in<br />

household aged O to 1<br />

(inclusive)<br />

Values = O-4<br />

Enter number of children<br />

in household aged 2 to 4<br />

(inclusive) .<br />

Values . 0-4<br />

Enter number of children in<br />

household aged 5-7<br />

(inclusive) .<br />

Values O-4<br />

Enter number of children in<br />

household aged 8 to 10<br />

[inclusive) .<br />

13


:.<br />

Qu8stzonnaare Raf Coding Shmst No of<br />

Qua8t~an No Rmf ●rmncm B0x9s/<br />

Characters<br />

Coding Instructions/R9marks<br />

GRID /FRONT PAGE 11-12 1 Values o-4<br />

Entar numhr of children ~n<br />

household ag8d 11 to 12<br />

(LncluslvO) .<br />

.<br />

.<br />

13-15 1 Va 1Uem o-4<br />

Entar number of chddran ~n<br />

household aged 13 to 15<br />

(inclu#Lva) .<br />

16-18 1 ties o-4<br />

Enter number of ch~ldren ~n<br />

housmhold aged 16 to 18<br />

(Lnclumivm) . [NB a ch~ld<br />

LS def~nad for the purp-asas<br />

of CHS am a d*pendmnt ch~ld<br />

benefit LS payable and tha<br />

child La still attending<br />

fu n-t M!* secondary<br />

education (not furthor ) ]


Questionnaire Ref<br />

Question No<br />

Q1<br />

Q2<br />

Q2<br />

Q3<br />

Coding Sheet<br />

Reference<br />

Q1<br />

Q2<br />

E<br />

Q3<br />

No of<br />

BOxOS/ Coding Instructions/Remarks<br />

Characters<br />

2<br />

2<br />

Values -3-12<br />

T.me of Buildinq<br />

Whole house detached .....01<br />

Whole bungalow detached ..02<br />

Whole house/bungalow -<br />

semi-detached ..........03<br />

Terraced house or terraced<br />

bungalow ...............04<br />

Purpose-built flat or<br />

maisonette .............05<br />

Part of house/converted<br />

flat or maisonettejrooms<br />

in house ... ............o6<br />

Owelling with business<br />

premises ...............07<br />

Rural cottage ............08<br />

Split level ..............09<br />

Prefab ...................10<br />

Caravan ..................11<br />

Other specify (refer to<br />

supervisor ) ............12<br />

Values -3-06<br />

Ac?e of Accommodation<br />

before 1919 ..............01<br />

between 1919 and 1939 ....02<br />

between 1940 and 1944 . ...03<br />

between 1945 and 1964 . ...04<br />

1965 or later . . . . . . . . . ...05<br />

Don, t know . . . . . . . . . . . . . . .-1<br />

(N/A caravan, mobile home<br />

etc ) ...................o6<br />

I<br />

1 Values -3-1<br />

If the informant or<br />

interviewer have estimated<br />

the age of House then there<br />

should be ‘E’ opposite code.<br />

I<br />

It is an est”lmate code . ...1<br />

I f not code . . . . . . . . . . . . . . . 0<br />

2 Values -3-98<br />

HOW many years has Head of<br />

Household been at address?<br />

IEnter number recorded -<br />

less than lyear .........Ol<br />

I<br />

since birth ..............98<br />

;<br />

A5


Quastionnaara R-f tiding Shaat No of<br />

Questaon No R-f ●ranca Box88f<br />

Characters<br />

Q4(A)<br />

Q4(A)<br />

Q4(A)<br />

I 1<br />

I<br />

I<br />

Bcdnn<br />

LLvnn<br />

IBt hrm<br />

I<br />

I<br />

2<br />

2<br />

I2<br />

Q4(A) Kitch 2<br />

Q4(A) Ot ha 2<br />

Q4(B) Q4B 2<br />

Q5A Q5A 2<br />

Q5A(I) Q5A(L) 2<br />

Codang InstrUctiona/nemarks<br />

-s .- U2<br />

Number of bedrooms<br />

~as --<br />

1<br />

Number of lLving room.<br />

~ea -- 05<br />

Numb-r of bathrooms<br />

Values -- 03.<br />

Number of kitchens<br />

~ues -3-09<br />

Number of othar rooms<br />

~ues -- 32<br />

Total numbar of rooms<br />

[Alwaya ●nsura that the<br />

total number of rooms<br />

corrasp-and with tha total<br />

of roouu mant~oned, check<br />

intarvl-wa’s totals]<br />

~*s -- 08<br />

Ownad outright ...........01<br />

B-mg bought on a !martcJaqef<br />

loan ............... ...02<br />

co-ownarsh~p .............03<br />

Rant-d from Housing<br />

Exacut iv- ............ .04<br />

Rant-d fram Housing Assoc. 05<br />

Rantad prLvataly .........06<br />

Squatt Lng ... .............07<br />

Rant Frem .... ........ ....08<br />

Rent colleC ted by<br />

eha landlord .. ....... ...01<br />

an agent ......... .. .02<br />

[AII agRnt LS a th~rd party<br />

pa~d co collect rmnt from<br />

tenants. ]<br />

16


Questionnaire Ref 1 Coding Sheet No of<br />

Question No<br />

Reference<br />

SOxesj<br />

Characters<br />

I<br />

I<br />

Q5(B) Q5B<br />

I<br />

2<br />

I I<br />

I<br />

I<br />

I<br />

I<br />

Coding Instructions/ Remarks<br />

Values -3-02<br />

Sheltered Accommodation<br />

Yes . . . . . . . . . . . . . . . . . . . ...01<br />

No .......................02<br />

Q5C Q5C 2 Values -3-02<br />

Furnished ................01<br />

Unfurnished/pa.ctly<br />

furnished ..............02<br />

Q5D Q5D<br />

Q6 / Q6 12<br />

cHECK A<br />

I<br />

2<br />

I<br />

Values -3-02<br />

Are business Dremises<br />

included<br />

Yes ......................01<br />

NO .......................02<br />

Values -3-Q~<br />

I<br />

Does accommodation ao with<br />

~<br />

Yes ......................01<br />

No .......................02<br />

CHK A 2 Values -3-03<br />

Buying with mortgage floan<br />

(inc. co-owners ) .........01<br />

Cwned outright ...........02<br />

Renters/rent free. ........03<br />

Q7 Q7 2 Values -3-09<br />

Who provided the mortgage/<br />

loan<br />

building society .........01<br />

NI Housing Executive .....02<br />

Insurance Company ........03<br />

Bank .....................04<br />

Solicitor ................05<br />

Relative .................06<br />

an employer ..............07<br />

private individual .......08<br />

other specify (refer such<br />

cases) ................09<br />

, -.


Qa<br />

CHECK 8<br />

Q9<br />

Q1O<br />

CHK B<br />

Q9<br />

Q1O<br />

No of<br />

B0xa8/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

Cod~ng Instruct zons/ Ramarks<br />

Values -3-02<br />

tie you r9c.sLvlng Hous Lng<br />

B0nef~t7<br />

r-s ................. ......01<br />

No ........................02<br />

V41”C19 -3-02<br />

Anyone aged 16 or ovmr, apart<br />

from HOH/sgouse Ln the<br />

hou,ehold?<br />

Y9S ......................01<br />

No ............. ..........02<br />

Values -3-02<br />

Anyone ●1s0 racaiving<br />

Houa Lng Ban-f it?<br />

Yms ......................01<br />

No .......................02<br />

Valu*s -3-01<br />

00 you havm any form of CH<br />

(Lnc ●lactric storaga<br />

haatcrs ).<br />

No .......................01<br />

ran - Full ...............02<br />

ram - Partial ............03<br />

OK .......................-1<br />

(sac Lntm7vi*wmrs<br />

mstructiona )<br />

18


Quaat,onnaxra Ref Codang Sheet No of<br />

Quastlon No Rmferencm Box*s/ Codang Instructions/Ramarks<br />

— Characters /’--<br />

Q1OA Q1OA 2 Values -3-02<br />

Q1OA( L ) amount Q1OAL ant 5<br />

3=E 2=P<br />

Central heat ~ng part of a<br />

d~strLct/comrunal heat~ng<br />

system.<br />

Yes ................... 01<br />

No .. ... . ..... . . 02<br />

yalue -3-70000<br />

Enter amount pa~d<br />

Q1OA( L ) period PER 2 v~ -3-08<br />

Enter ~rmd code from<br />

coding franm on paga 5.<br />

Q1O(B) Q1OB1 2 values -3-o&<br />

Othar mathodn of heat~ng<br />

(apart from CH )<br />

Q1O(B) Q1OB2 2 -s --1<br />

0p9n fire?<br />

Yas ......... .............01<br />

NO ..................... .00<br />

Closad f~re?<br />

Yes ......... ..... ......01<br />

No .......................00<br />

Q1O(B) Q1OB3 2 ~es<br />

Rang,?<br />

--<br />

1<br />

Yes ......................01<br />

No .......................00<br />

Q1O(B) Q1OB4 2 ~es --<br />

Elactrac Fu9/Fan Haatar~<br />

Yes ......................01<br />

No ...... . ... ..........00<br />

Q1O(B) Q1OB5 2 Valuas --<br />

1<br />

D ~mplex RadMtors?<br />

Yes ... .... ........... .01<br />

No ....... .... ...........00<br />

\<br />

\<br />

19


QumstaonnaLr9 Ref Cod~ng Sho*t No of<br />

Questaon No R-f ●rmnca Boxms/ cod~ng Instructlon8/ Ramarks<br />

characters<br />

I I I<br />

Q1O(B) Q1OB6 2 Values -3-oa<br />

Paraffin Heatar?<br />

Q1O(B) Q1OB7<br />

Q1O(B) Q1OE8<br />

Q1O(B) Q1OB9<br />

Q1O(E) Q1OB1O<br />

I<br />

Q1O(C) WINTER<br />

Q1O(C) SUXNER<br />

I<br />

I<br />

I<br />

I I I<br />

II<br />

‘2<br />

2<br />

2<br />

2<br />

Y*U . . . . . . . . . . . . . . . . . . . ...01<br />

No . . . . . . . . . . . . . . . . . . . . . 00<br />

-s --<br />

L<br />

SupCrS*r Type Can Hoater~<br />

Ye, . .. .................01<br />

No . ............ ....... 00<br />

*OS -- 01<br />

Other Gas fir=?<br />

Yes .. ................ .. 01<br />

No . ............... . .. .00<br />

Values -3-04<br />

Electr~c Storage heatmrs*<br />

r-s ........... ..........01<br />

NO ................... ...00<br />

Valuea -3-01<br />

Other specify<br />

Y*S ......... ............01<br />

NO ................... ..00<br />

2 ~os -3-U<br />

Coda mam or only method of<br />

haatmg m ~<br />

2 values -3-14<br />

Cantral heating. ....... ..01<br />

openfua .......... ......02<br />

closad fir- ........ ......o3<br />

rang= ...................04<br />

electric fira/fan haatar .05<br />

d~mplax radiators ... ....06<br />

paraffin heater ..........07<br />

suparser type gas haatar .08<br />

othargu f~ra ...... .....09<br />

d~str~ct heating system . 10<br />

othar spec Lfy (refer all<br />

camn to sup*rvmOr) . ..11<br />

code ma~n or only ❑athod of<br />

h-at Lng ~n SUIIMIO


Questionnaire Ref<br />

Question NO<br />

Q1l(A)-(G)<br />

COAL (ordinary)<br />

(GRID )<br />

Q1l(A)<br />

GRID (A)<br />

Q1l(B)<br />

GRID Cal (B)<br />

Q1l(C)<br />

GRID Col (C)<br />

Q1l(C)<br />

GRID Col (C)<br />

Q1l(D)<br />

GRID Cal (D]<br />

Q1l(E)<br />

GRID Col (E)<br />

Q1l(F)<br />

GRID Col (F)<br />

Q1l(G)<br />

GRID Col (G)<br />

Coding Sheet<br />

Reference<br />

No of<br />

Boxes/ Coding Instructions/Remarks<br />

Characters<br />

1<br />

COAL The information in the use<br />

of coal, cost and number of<br />

weeks (consumption)<br />

USE 2 Values -3-1<br />

Use fuel - enter 01<br />

WATER 2 Values -3-1<br />

Use coal to heat water -<br />

enter 01<br />

wINTER 2<br />

I<br />

Use coal for heating in<br />

winter - enter 01<br />

sU14w13R 2 Values -3-1<br />

Use of coal for heating in<br />

summer enter 01<br />

cmK<br />

QTY<br />

cost<br />

2 Values -3-1<br />

Use of coal for cooking -<br />

enter 01<br />

1<br />

2 Values -3-40<br />

Enter number of bags (50kg)<br />

If small bags refer to<br />

supervisor<br />

1 ton = 20 bags<br />

5 Values -3-40000<br />

3=E 2=P Enter cost of last purchase<br />

Wks 2 Values -3-52.<br />

Enter number of weeks last<br />

purchase will last<br />

&l<br />

r-


. .<br />

Quwtxonuaar, Rmf Coding Shaat No of<br />

Qumstaon NO Raf 9r9nc9 SOxmsf Codang Instruct~ons/Ramarks<br />

Q1l(A)-(G)<br />

COAL SMOKELESS<br />

(GRID)<br />

Q1l(A)<br />

GRID (A)<br />

Q1l(B)<br />

GRID (B )<br />

Q1l(C)<br />

WINTER<br />

GRID (C)<br />

Q1l(c)<br />

SUMNER<br />

GRID (C)<br />

Q1l(D)<br />

GRID (D)<br />

Q1l(E)<br />

GRID (E)<br />

Q1l(F)<br />

GRID (F)<br />

Q1l(0)<br />

GRID (G)<br />

Cosx<br />

Characters<br />

APPILm* tO all thosa who U*9<br />

coka or smokalmss fuel<br />

USE 2 values -3-1<br />

Us= fuel - enter 01<br />

WATER 2 ~ --<br />

WINTER<br />

SUN14ER 2<br />

Umm cokalsmokalosn fuel to<br />

heat water - ●ntar 01<br />

2 Valuae -3-1<br />

Uee cokm/smokelmsa fual to<br />

h-at Ln wintar - enter 01<br />

V.aluaa -3-1<br />

Us* cokoismokmlmnm fuel to<br />

h-at m summa-r - ●nt-r 01<br />

CWK 2 Values -3-L<br />

Us-s coka/smokmlass fuel to<br />

cook - mntar 01<br />

Qty 2 Values -- 40<br />

Want xty Enter numbar of<br />

bags (50 kg) If small bags<br />

refer to suparvleor 1 ton =<br />

20 bags<br />

cost 5<br />

3-E Z=p<br />

2<br />

~ms -- 4000Q<br />

renter cost of last purchase<br />

-s -- 52<br />

Dntmr numb-r of waaks last<br />

?urchaee WL1l last<br />

22


Questionnaire Ref<br />

Question No<br />

Q1l(A)-(G)<br />

GRID<br />

PEAT/L=S ETC<br />

Q1l(A)<br />

GRID (A)<br />

Q1l(B)<br />

GRID (B )<br />

Q1l(C)<br />

GRID (C)<br />

WINTER<br />

Q1l(C)<br />

GRID (C)<br />

SUMMER<br />

Q1l(D)<br />

GRID (D)<br />

Q1l(E)<br />

GRID (E)<br />

Q1l(F)<br />

GRID (F)<br />

Q1l(G)<br />

GRID (G)<br />

@d-<br />

Coding Sheet I No of<br />

Reference Boxes/<br />

Characters<br />

PEAT/LOGS<br />

1-<br />

USE 2<br />

WATER 2<br />

WINTER 2<br />

SUMMER 2<br />

COOK<br />

1,<br />

I<br />

I<br />

2<br />

Qty 2<br />

cost 5<br />

3=E Z=p<br />

I<br />

I<br />

I<br />

Wks 2<br />

.~@-1+ .%<br />

Coding Instructions/Remarks<br />

Applies to all who “se<br />

peat/ 10gs<br />

Values -3-1<br />

Use fuel - enter 01<br />

values -3-1<br />

Use peat/logs to heat water<br />

- enter 01<br />

Values -3-1<br />

Uses peat /logs to heat in<br />

winter - enter 01<br />

Values -3-1<br />

Uses peat flogs to heat in<br />

summer - enter 01<br />

Values -3-1<br />

Uses peat/logs to cook -<br />

enter 01<br />

values -3-Z Vi<br />

Quantity: Enter number of<br />

bags. Refer any unusual<br />

respanses to supervisor.<br />

(Eg Rented Banks etc )<br />

Values -4-35&%3 lSCeO<br />

Enter cost of last purchase<br />

Free = -4<br />

Values -3-52<br />

Enter number of weeks last<br />

purchase will last.


Quastzonnaara R-f<br />

Quastaon No<br />

Q1l(A)-(G)<br />

GRID<br />

LPG (Calor )<br />

Q1l(A)<br />

GRID (A)<br />

Q1l(B)<br />

GRID (B)<br />

Q1l(C)<br />

GRID (C)<br />

WINTER<br />

Q1l(C)<br />

GRID (C)<br />

SUWKSR<br />

Coding Shaat<br />

R-f ●rancm<br />

LPG (Calor)<br />

(Storage Tank)<br />

No of<br />

BOxu/<br />

Charzctars<br />

h<br />

Codang Instruct~ons/Rmmarks<br />

APPIIeS tO all who US~ LX<br />

( CALOR/STORAGE )<br />

USE 2 Valu es -3-<<br />

Use fuel - enter 01<br />

WATER<br />

WINTER<br />

sOlM3R<br />

2<br />

2<br />

2<br />

Value8 -3-1<br />

Us- LPG (Calor) to h-at<br />

water - ●nt9r 01<br />

Valu ●S -3-<br />

Usas LPG to heat m winter -<br />

●nter 01<br />

-es -- a<br />

Us-s LPG to h-at in winner -<br />

●nt-r 01<br />

Q1l(D) COOK 2 we -- <<br />

GRID (D) Ueea LPG for cooking -<br />

●ntar 01<br />

Q1l(E)<br />

GRID (E)<br />

Q1l(F)<br />

GRID (F)<br />

Q1l(G)<br />

GRID (G)<br />

WY<br />

coat<br />

Wkm<br />

2<br />

3-E 2=P<br />

2<br />

~ -- OOQ<br />

Entar numkr of lLtras<br />

-es -- 75000<br />

Entar cost of last purchase<br />

W*U -- 52<br />

Enter numhar of wemks last<br />

purchasa WL1l last.<br />

24


Quest ionnaire Re f<br />

Question No<br />

Q1l(A)-(G)<br />

GRID<br />

LPG Calor<br />

Cylinder<br />

Q1l(A)<br />

GRID (A)<br />

Qll(c)<br />

GRID (C)<br />

WINTER<br />

Q1l(c)<br />

GRID (C)<br />

SUMMER<br />

Q1l(E)<br />

GRID (E)<br />

Q1l(F)<br />

GRID (F)<br />

Q1l(G)<br />

GRID (G)<br />

Coding Sheet<br />

Reference<br />

LPG Cylinder<br />

Heat ing<br />

USE<br />

WINTER<br />

SUMMSR<br />

Qty<br />

cost<br />

Wks<br />

No Of<br />

Boxesf<br />

Characters<br />

2<br />

2<br />

2<br />

4<br />

5<br />

3=E Z=p<br />

2<br />

Coding Instructions/Remarks<br />

Applies to all who use<br />

bottled gas for heating<br />

Values -3-1<br />

Use fuel - enter 01<br />

Values -3-1<br />

Uses bottled gas to heat in<br />

winter - enter 01<br />

Values -3-1<br />

Uses bottled gas to heat in<br />

summer - enter 01<br />

Values -3-0104<br />

Enter quantity in pounds<br />

(one ‘super-ser o type<br />

cylinder = approx 25 lbs -<br />

largest cylinder = approx<br />

104 lbs )<br />

Values -3-~ +0~00<br />

Enter cost of last purchase<br />

Values -3-51<br />

Enter number of weeks last<br />

purchase will last<br />

f


Q.m8tL0r.ulaLrm Ref Coding Shaet No of<br />

Quastlon No Raf ●mce s0x8s/<br />

Characters<br />

011(A)-(G)<br />

GRID<br />

LPG Calor Cyllnder<br />

Q1l(A)<br />

GRID (A)<br />

Q1l(D)<br />

GRID (D)<br />

Q1l(E)<br />

GRID (E)<br />

1 1<br />

LPG Cyl Inder<br />

Cooking<br />

Coding Instructions/Remarks<br />

APPIL~S tO all who U3_<br />

bottlod gas for cook~ng<br />

USE 2 Valuee .-<br />

L<br />

Use bottled gas to cook -<br />

enter 01<br />

CWK 2 Valu ●s -3-<br />

Code as (A) sbova<br />

Chack that values are entered<br />

for both (A) and (C) Lf<br />

bottlad gas M used for<br />

cook~ng<br />

Qt y 4 Values .- 104<br />

Ent9r quantity m pounds<br />

( one ‘ super-ser o cylinder =<br />

approx 25 lb- - largact<br />

cylmdar . approx 1D4 lbs )<br />

Q1l(F)<br />

cost<br />

5<br />

v -- 4<br />

GRID (F) 3-E 2=P Enter coet of lant purchase<br />

I<br />

I<br />

I ‘e” 3 “o”<br />

Q1l(G)<br />

GRID (G)<br />

Wks 2 Values -3-52<br />

Enter numb-r of waaks last<br />

purchaaa WL1l last<br />

26


Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxes/<br />

Characters<br />

Coding Instructions/Remarks<br />

Q1l(A)-(G) Paraffin Applies to all who use<br />

GRID paraffin<br />

Paraffin<br />

Q1l(A) USE 2 Values -3-1<br />

Use fuel - enter 01<br />

Q1l(B)<br />

GRID (B)<br />

Q1l(c)<br />

GRID (C)<br />

Winter<br />

Q1l(C)<br />

GRID (C)<br />

Summer<br />

WATER<br />

WINTER<br />

SUMMER<br />

Q1l(D) CODK<br />

GRID (D)<br />

,,<br />

Q1l(E) Qty<br />

Q1l(F) cost<br />

GRID (F)<br />

Q1l(G) Wks<br />

GRID (G)<br />

I<br />

2<br />

2<br />

2<br />

Values -3-1<br />

Use paraffin to heat water<br />

enter 01<br />

Values -3-1<br />

Uses paraffin for heating in<br />

winter enter 01<br />

Values -3-1<br />

Uses paraffin for heating in<br />

summer - enter 01<br />

2 Values -3-1<br />

Uses paraffin for cooking -<br />

enter 01<br />

4 Values -3-100<br />

Quantity<br />

enter quality in litres<br />

5<br />

3=E Z=p<br />

2<br />

NB If gallons convert to<br />

litres (4.5 Litres =<br />

1 gallon)<br />

● If more than 10 gallons<br />

refer to supervisor<br />

Values -3-03000<br />

enter cost of last purchase<br />

Values -3-53.<br />

enter number of weeks last<br />

purchase will last<br />

r<br />

L?


QUestaomaar- Ref<br />

Quastaon No<br />

Q1l(A)-(G)<br />

GRID<br />

OIL<br />

Q1l(A)<br />

GRID (A)<br />

Q1l(S)<br />

GRID ( S )<br />

Q1l(C)<br />

GRID (C)<br />

WINTER<br />

Q1l(C)<br />

GRIO (C)<br />

SUMNER<br />

Q1l(0)<br />

GRIO (D)<br />

Q1l(E)<br />

GRID (E)<br />

Q1l(F)<br />

GRID (F)<br />

Q1l(G)<br />

GRID (G)<br />

t<br />

Coding Sheet<br />

R9f ●rmnce<br />

oil<br />

USE<br />

No of<br />

Boxms/<br />

Characters<br />

2<br />

.- .<br />

Codang Instructions/Ramarks<br />

.Wliea to all who use Od<br />

values -- L<br />

Usa fud - ●nter 01<br />

WATER 2 J@ues -3-L<br />

US* OL1 to haat watar -<br />

renter 01<br />

WINTER 2 -s -- 1<br />

WE-C OL1 for heating ~n<br />

wuker - ●ntmr 01<br />

SUNWER<br />

caoK 2<br />

Qty 4<br />

coat 5<br />

3=f 2=p<br />

2 value, -3-1<br />

US*9 OL1 for heating ●nsnar<br />

- ●ntar 01<br />

valu*9 -3-L<br />

us- oil for cooking -<br />

●ntar 01<br />

~ -- 270Q<br />

●ntor quantity in l~tras<br />

Lf gallon- cOnv*rt to litr*s<br />

Thare are 4.5 lltras m a<br />

gallon<br />

V.sluos -00003 -7000Q<br />

●nter cost of last purchase<br />

ifks 2<br />

-es -- 52<br />

enter number of w--ks<br />

purchase WL1l last<br />

lam<br />

28


Questionnaire Ref<br />

Question No<br />

Q1l(A)-(G)<br />

GRID<br />

Electricity<br />

Q1l(A)<br />

GRID (A)<br />

Q1l(B)<br />

GRID (B)<br />

Q1l(C)<br />

GRID (C)<br />

WINTER<br />

Q1l(C)<br />

GRID (C)<br />

SUMMER<br />

Q1l(D)<br />

GRID (D)<br />

Q1l(F)<br />

GRID (F)<br />

Q1l(G)<br />

GRID (G)<br />

Coding Sheet<br />

Reference<br />

Electricity<br />

NO of<br />

Boxes/ Coding Instructions/Remarks<br />

Characters<br />

USE 2 Values -3-1<br />

Use fuel<br />

I<br />

I<br />

Applies to all who use<br />

electricity<br />

WATER 2 Valu es -3-L<br />

Use electricity to heat<br />

water - enter 01<br />

WINTER 2 Values -3-1<br />

Uses electricity to heat in<br />

winter - enter 01<br />

SUMMER 2 Values -3-1<br />

Uses electricity to heat in<br />

summer - enter 01<br />

I I I<br />

CCQK 2 Values -3-1<br />

Uses electricity to cook -<br />

enter 01<br />

cost 5<br />

3=s Z=p<br />

Values -0003-50000<br />

enter amount stated at last<br />

(quarterly) account.<br />

Remember HP payments and<br />

arrears should be deducted<br />

Wks 2 Values -3-S2<br />

Enter number of weeks last<br />

advice covered.<br />

If informant pays<br />

electricity by any method<br />

2-7 at Qll (H) then<br />

remember to check that the<br />

guarterly advice has been<br />

entered here and that the<br />

month lyfweekly payments have<br />

been entered at Qll (I ).<br />

Therefore period in grid<br />

should usually be 13 weeks.<br />

r


, .:.<br />

. .<br />

*.<br />

QumstLonnaAra Ref I Codang Shaot I No of I<br />

guest~on No<br />

Rmf ●rancm<br />

!&xas/<br />

Characters<br />

Codang Instructions/Ramarks<br />

I<br />

I<br />

I<br />

Q1l(I) Q1lI 2<br />

Q1l(J)<br />

Q1l(J)<br />

However ~f payment LS mad.a<br />

by slot mater the advice<br />

not Lca may only be g~ven<br />

whmn tha mmtmr LS ●mpt Lad.<br />

Account ........... .......01<br />

Wmakly umtals .. ... ......02<br />

Monthly mstals .. ......03<br />

Sudgcit AjC ... .. ..... ...04<br />

Coco .....................05<br />

Slot mmtar ........... . 06<br />

DHSS Oirect Payment .. . 07<br />

Q1lJ 5 ~os -3-3000Q<br />

3=E 2=P APP1 LOS to ●l1 codod 2-7 at<br />

Q1l(H) (alact)<br />

Per 2<br />

Enter amount thay paLd last<br />

t unm by mathod stat-d at<br />

Q1l(EE).<br />

Valu.s --<br />

Entmr pmrLOd coda from<br />

coding fram on paga 5<br />

Q12 Q12 2 ~umn --<br />

2<br />

Purchased<br />

12 months?<br />

cook-r In hat<br />

I I<br />

Q12(A) Q12A 2 WU.m -3-07<br />

Yes . . . . . . . . . . . . . . . . . . . ...01<br />

No . . . . . . . . . . . . . . . . . ....02<br />

ThinkuIg about cook-r you<br />

baght , W9r* YOU: -<br />

purchasing a cooker for tho<br />

Clrst tl.ma ... ... ........01


Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxesl Coding Instructions/Remarks<br />

characters<br />

Q12(B)<br />

Q13<br />

Q13<br />

Q12B<br />

I I<br />

PHONE 2<br />

New/Rep<br />

2 Values -3-04<br />

I<br />

I<br />

2<br />

I<br />

replacing your old cooker<br />

with one of the same<br />

type ........ ............02<br />

changing from a gas/solid<br />

fueljoil to one using<br />

electricity .............03<br />

changing from a gas/solid<br />

fueljoil to one using gas<br />

and electricity .........04<br />

changing from an electric<br />

cooker to one using gasl<br />

solid fuel/oil ..........05<br />

changing from an electric<br />

cooker to one using gas<br />

and electricity .........06<br />

other ....................07<br />

Type of fuel used: -<br />

electricity ..............01<br />

gas ......................02<br />

gas and electricity ......03<br />

other ....................04<br />

Values -3-03<br />

a te Lephone<br />

Yes . . . . . . . . . . . . . . . . . . . ...01<br />

No .......................02<br />

Got in past 12 months ....03<br />

Values -3-02<br />

New ......................01<br />

Rep lacement ..............02<br />

JI<br />

~,..


0 .u<br />

K)<br />

1-<br />

I.1<br />

.<br />

N<br />

w<br />

.<br />

N<br />

N<br />

CIZ*<br />

Oom<br />

I-tin<br />

1-. .<br />

5..<br />

1-::<br />

g:.<br />

t- t.:<br />

. .<br />

1-. .<br />

N..<br />

3::<br />

0..<br />

s..<br />

n..<br />

z..<br />

● . .<br />

. .<br />

. .<br />

. . .<br />

. . .<br />

L&&<br />

Lowe<br />

mz<br />

+$<br />

w,<br />

n.<br />

m.<br />

g:<br />

(IZ*<br />

006<br />

mm<br />

r..<br />

2..<br />

. .<br />

1-. .<br />

m..<br />

● . .<br />

l-t. .<br />

i-r:<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

., .<br />

. .<br />

. .<br />

. .<br />

., .<br />

. .<br />

Lb<br />

w!-<br />

. .<br />

E:.<br />

3::<br />

0..<br />

5..<br />

I- r..<br />

z..<br />

m..<br />

. .<br />

.,.<br />

. . .<br />

. . .<br />

L&&<br />

Uuw<br />

Ziz<br />

;:<br />

m.<br />

::<br />

B.<br />

● .<br />

s.<br />

l-t.<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

L&<br />

t.l!-<br />

Z*<br />

09<br />

●<br />

,.<br />

. .<br />

,.<br />

. .<br />

,.<br />

. .<br />

. .<br />

. .<br />

. .<br />

.,<br />

. .<br />

,.<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

:s’<br />

‘&G<br />

lm


Questionnaire Ref<br />

Question No<br />

Q13<br />

Q13<br />

Q13<br />

Q13<br />

Q13<br />

Q13<br />

Coding Sheet<br />

Reference<br />

DW<br />

New/Rep<br />

TT<br />

New/Rep<br />

AUT<br />

New/ Rep<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-03<br />

a dishwasher<br />

Yes ......................01<br />

No .......................02<br />

Got in last 12 months ....03<br />

Values -3-02<br />

Dishwasher<br />

New ......................01<br />

Replacement ..............02<br />

Values -3-03<br />

a twin tub<br />

Yes ......................01<br />

No .......................02<br />

Got in last 12 months ....03<br />

Valueg -3-02<br />

Twin tub<br />

New ... ...................01<br />

Replacement ..............02<br />

Values -3-03<br />

an automatic<br />

Yes ......................01<br />

No .......................02<br />

Got in last 12 months ....03<br />

Values -3-02.<br />

Automat ic<br />

New . .....................01<br />

Replacement ..............02


(@eat umnaxrm Re f<br />

Q13<br />

Q13<br />

Q13<br />

Q13<br />

Questaon No<br />

>. L J.<br />

Codang Sheet No of<br />

Rmf ●rmnce Soxasl Coding Instructions/Remarks<br />

Characters<br />

W-D<br />

New/Rep<br />

T-D<br />

Q13 C TV<br />

Q13<br />

I 1<br />

I2<br />

INew fRep 2<br />

I<br />

New fRap<br />

Q13 c NO 2<br />

I<br />

I<br />

2<br />

2<br />

Valu es -3-03<br />

a wamhor/drier<br />

Y*S ... . .... ...... ..01<br />

No ... ...... ....... . .02<br />

Got Ln last 12 months .03<br />

v -- 0<br />

wamhtar/dr~mr<br />

I ‘“es32<br />

N-w ......................01<br />

Rmplac9mmnt ..............02<br />

Values -3-O?<br />

Tumble drier<br />

Yes .. ..... ....... .01<br />

No .......... ....... . 02<br />

Got Ln last 12 months ....03<br />

v -3-o<br />

Tumble dr~ar<br />

I ‘es 2<br />

New .......... ... ....01<br />

Replacmmant ......... . ..02<br />

2 Valuea -3-03<br />

a colour TV<br />

I I I<br />

2<br />

Yes ......................01<br />

No ...... . .... . ........02<br />

Got Ln last 12 months ....03<br />

v -- 0<br />

I-”a” Colour TV<br />

Now ........... ... ....01<br />

Replacammnt ..... ..--- .02<br />

~as -- u<br />

APPILOS Only to thoaa codad<br />

010r03at Q13-CTv<br />

Entar JM@SK of colour<br />

tmlev LsLOns


Questionnaire Ref Coding Sheet NO of<br />

Question No Reference Boxes/ Coding Instructions/ Remarks<br />

Characters<br />

(213 BW TV 2 Values -3-03<br />

Black and White ‘rv<br />

Q13<br />

I<br />

Q13 BW NO<br />

I<br />

New fRep 2<br />

Q13 VIOEO 2<br />

Q13<br />

Q13<br />

Q13<br />

New /Rep<br />

SSTTL<br />

New/Rep<br />

I<br />

Yes ........... ...........01<br />

No .......................02<br />

Got in last 12 months ....03<br />

Values -3-02<br />

Black and White ‘rv<br />

2 Values -3-12<br />

I I I<br />

2<br />

2<br />

2<br />

I<br />

New ......................01<br />

Replacement .... ..........02<br />

Applies only to those coded<br />

01 or 03 at Q13 B/w<br />

Enter ~ of black and<br />

white televisions<br />

Values -3-03<br />

a v idea recorder<br />

Yes ......................01<br />

No .......................02<br />

Got in last 12 months ....03<br />

Values -3-02<br />

Video recorder<br />

New ......................01<br />

Replacement ..............02<br />

Values -3-03<br />

an electric kettle<br />

Yes ......................01<br />

No ............. ..........02<br />

Got in last 12 months ....03<br />

Values -3-02.<br />

Eleczric kettle<br />

New ......................01<br />

Replacement ..............02<br />

~..


Q13<br />

Q13<br />

Q13<br />

Q13<br />

Q13<br />

Q13<br />

I I<br />

M- WAV<br />

New/ Rep<br />

I<br />

No of<br />

*.<br />

Boxmsf Codxng Instruction8/Ramarks<br />

Characters<br />

2<br />

2<br />

v .a<br />

micro-wave ovmn<br />

I ‘m” 30’<br />

Yen ..................... 01<br />

No ................ .......02<br />

Cot m last 12 months ....03<br />

v<br />

HLcrO-wavO Ovan<br />

I alue’ 3-02<br />

New . .....................01<br />

Replacammnt ..............02<br />

MIXER 2 Val u-s -3-03<br />

an ●lactr~c foodmixer<br />

TOAST 2<br />

I I<br />

2<br />

I<br />

Y*9 ......................01<br />

No . .. ..................02<br />

Got m laat 12 months ....03<br />

N-w ......................01<br />

Replacmmmnt ..............02<br />

Valu*s -3-03<br />

a toaster<br />

ram . ... ...... ... .....01<br />

No ................. .....02<br />

Got ua last 12 months ....03<br />

N*u ......................01<br />

Rapl.acamant .. ...... ......02<br />

Q13 VAC 2 Valuee -3-03<br />

a vacuum clean-r<br />

Yes ...... ............ ..01<br />

No .......................02<br />

Got in last 12 months ....03


Questionnaire Ref Coding Sheet<br />

Question No Reference<br />

Q13 I New/Rep<br />

Q13 I MOWER<br />

Q13 New/Rep<br />

Q13 HI-FI<br />

Q13 I New/Rep<br />

Q13 COMP<br />

Q13 NewjRep<br />

I<br />

I<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/ Remarks<br />

Values -3-02<br />

Vacuum cleaner<br />

New ......................01<br />

Replacement ..............02<br />

Values -3-03<br />

an electric grass mower<br />

Yes ......................01<br />

No .......................02<br />

Got in last 12 months ....03<br />

Values -3-02<br />

Electric grass mower<br />

New ......................01<br />

No .......................02<br />

Values -3-03<br />

a hi fi/music centre<br />

Yes ......................01<br />

No .......................02<br />

Got in Last 12 months ....03<br />

Values -3-02<br />

hi- fi[mus ic centre<br />

New ......................Ol<br />

Replacement ..............02<br />

Values -3-03<br />

a micro or persOnaL computer<br />

Yes ......................01<br />

No .......................02<br />

Got in last 12 months ....03<br />

Values -3-02<br />

MicrO/persOnaL computer<br />

New ......................01<br />

Replacement ..............02<br />

r


Q13<br />

.“<br />

Codang Shaat<br />

u-f .mncm<br />

Q13 New/ Rep 2<br />

Q13<br />

Q13<br />

Q13 Rant<br />

Q13 Rent<br />

CD<br />

SD<br />

NEW/REP<br />

DW<br />

CTv<br />

No of<br />

Ii.<br />

sOx*s/ Codang Inatnactum#/Ramarks<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

1<br />

v -3-03<br />

a compact disc (CD) player<br />

I alues<br />

Yes ...... ................01<br />

No . ................. .....02<br />

Got m last 12 months ... 03<br />

values -3-02<br />

Compact dime player<br />

New ................ .....01<br />

Replacement ....... . .....02<br />

Values -3-0~<br />

A smoke detector<br />

Yes .....................01<br />

No ......................02<br />

Got m last 12 months ...03<br />

Vs,lues --<br />

2<br />

A #mokm dmtmctor<br />

New .....................01<br />

Rmplacmmmnt .............02<br />

~es -- 02<br />

Do you rant your dlshwashar?<br />

r-a ................... ...01<br />

NO .. ............ .........02<br />

Values -- 02<br />

Do you rant any of your<br />

colour TV9?<br />

r-s ......................01<br />

No .......................02


Questionnaire Ref Coding Sheet No Of<br />

Question No Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

Q13 Rent 0/!? TV ValU@S -3-02<br />

I I I<br />

Do you rent any of your<br />

black and white TVS?<br />

Yes ......................01<br />

NO .......................02<br />

Q13 Rent VIDEO 2 Values -3-02<br />

Do you rent your video<br />

recorder?<br />

I I I<br />

Yes ......................01<br />

NO .......................02<br />

Q14 Q14 2 Values -3-02<br />

Is a car available?<br />

Q14A Q14A 2 Values -3-05<br />

Yes ............ ..........01<br />

No .......................02<br />

How many?<br />

Enter number of cars<br />

available<br />

Q15 Q15 2 Values -3-02<br />

Have you (and your fMIily )<br />

moved house within the last<br />

5 years?<br />

Yes .......................01<br />

No ........................02<br />

Q15A Q15A 2 Values -3-15<br />

How many t ties have you<br />

moved ?<br />

Q15B Q15B 2 Values -3-02<br />

Enter nutier of moves<br />

Was your move within NI or<br />

from outs ide ?<br />

Within NI .................01<br />

From outside ..............02<br />

~


. .. . - -,4.<br />

Quastaoma.ra Ref Coding Shaet No of<br />

Questzon No Raforanca BOX*SI Coding Instructmns/Ramarks<br />

Characters<br />

cHECK C CHK C 2 WL1l thera be an Lndlvldual<br />

proxy schadule for the H-ad<br />

Q16(A)<br />

Q16(A)<br />

Q16A(L)<br />

Q16(A)<br />

Q16AL<br />

2<br />

2<br />

of Household?<br />

Yes . ... ......... ...01<br />

No .... ............. . .02<br />

Only coda if tharo LS<br />

nelthar an Lnd>v~dual nor a<br />

proxy schmd.le for thm HOH<br />

Values -3-05<br />

employea .. .......... .01<br />

self-~mployad ..... ....02<br />

unmmployad .......... ....03<br />

ret ~red . . ..... ... . ..04<br />

other . . . . . . . . . . . . ..05<br />

DK . . . . . . . . . . . . . . . . . -1<br />

Values -3-99<br />

Q16A( 1>) Q16ALL 2 values -3-99<br />

Q16A(LLL) Q16ALL1<br />

2<br />

I<br />

Numb-r of hours per waek<br />

(for ●mployees )<br />

Entar numb-r<br />

Numb-r of hours per waek<br />

(for sdf-mmployad)<br />

Ent*r numbar<br />

Values 3-04<br />

Numbar of other poPle<br />

●mployad~<br />

Yes, 1-5 0mploy9*s ........01<br />

Yea , 6-24 ●Mp10y99S -- ...02<br />

Yes, 25 or more ..... .... 03<br />

No 8mployee8 ..............04


Questionnaire Ref Coding sheet No of<br />

Question No Reference Boxesf Coding Instructions/Remarks<br />

Characters<br />

Q16(B)<br />

I 1 1<br />

I<br />

Q16B Soc<br />

Q16(B) Q16B SOCR<br />

I I I<br />

/-<br />

I<br />

3<br />

I<br />

Values -3-999<br />

code the 3 figure number<br />

9iven in the SOC Manual<br />

2 Values -3-09<br />

Recode of SOC<br />

Recode the three digit value<br />

for SOC as follows<br />

100-199 ...... ...... .......01<br />

(Managers and Administrators )<br />

200-299 ...................02<br />

(Professional Occupations)<br />

300-399 ..... ...............03<br />

(Associate Professional .6<br />

Technical Occupations )<br />

400-499 ...................04<br />

(Clerical & Secretarial<br />

occupations)<br />

SOO-599 ...................0s<br />

(craft & Related Occupations)<br />

600-699 ...................06<br />

(Personal & Protective<br />

Service occupations )<br />

700-799 ...... .............07<br />

(Sales occupations)<br />

800-B99 ...... .............08<br />

(Plant & Machine Operatives)<br />

900-999 ................ ...08 ‘i<br />

(Other Occupations )<br />

-1 ........................-1<br />

-2 ........................-2<br />

-3 ........................-3<br />

{


, .. ,,<br />

Quart.onnazr- Rc f Codang Sheet No of<br />

Quast~on No R-f ●rance Boxas/ Coding Instructions/Ramarks<br />

characters<br />

Q16(B)<br />

I<br />

Q16B IND<br />

I I I<br />

I I I<br />

I I I<br />

I<br />

I<br />

2<br />

v<br />

.-<br />

I ““e= 3 la<br />

~<br />

SF<br />

AgrLcultur9, forestry,<br />

f~shing ............. ... 01<br />

Energy and water supply<br />

~ndustrzes ......... .... 02<br />

Extr.actLOn of mlneralm<br />

and Oras othar than fuals;<br />

IWInUf acturm of mmtal,<br />

mineral products and<br />

chamicals ............. ..03<br />

Metal goods, ●gnearmg<br />

and vahlcle mdustrias ...04<br />

Othar manufacturing<br />

Lndustr Laa . . . . . . . . . . . . 05<br />

Construction .......... ..06<br />

D istrxbut ion, hotals and @<<br />

catering; rapairs ........07<br />

Transport and<br />

cOntnun~catLOn ............08<br />

Banking, financa, insurance<br />

busumss, sarvices and<br />

learning ... ..............09<br />

Othar aesv~cee ...........10<br />

Insufflci*nt information<br />

given to clarify ... ....11<br />

I I I ‘ore‘ban0“- ‘ndus+rv<br />

code<br />

(a) If mc.rm than onm<br />

actlvlty M mant~onad<br />

and thm activates ara<br />

Ln saparata div Ls Lens<br />

but thora appear, to<br />

b= only onm<br />

●stabl~sbmant, code<br />

the m~Ln aCtLVLtY Of<br />

the ●ntabllshMent.<br />

42


Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

(b) If more than one<br />

establishment is<br />

indicated and the<br />

establishments are in<br />

separate divisions,<br />

then code the<br />

establishment that the<br />

informant works in.<br />

cODER CODER 2 Enter coder’s personal<br />

identification number.<br />

43<br />

{


Housahold Schedule<br />

Front Page<br />

GrLd<br />

Front page<br />

HOf H<br />

Identiflar<br />

Household Numb-r<br />

Pmrson No<br />

Sex Column<br />

Aga Column<br />

Codang Shmat<br />

Raf armncm<br />

Person 1-21<br />

H/H ID<br />

H/H No<br />

PERS<br />

FU<br />

sex<br />

Age<br />

RECORD 2<br />

No of<br />

a0x9s/<br />

Characters<br />

5<br />

2<br />

2<br />

1<br />

2<br />

2<br />

Codxng Instructions/Ramarks<br />

This saction must ba<br />

completed for &<br />

~nd~vldual Ln housahold.<br />

_ all LnfOrmat~on before<br />

coding. Ensura that they<br />

are m relatlonsh~p and age<br />

ordar.<br />

-9 00001 -4999s<br />

Entar housahold<br />

~dant Lf ~cat aon number<br />

Valu es 01-0s<br />

Entar household numb-r Using<br />

laadmg zero.<br />

Values 01-u<br />

Entar parson nun!bar<br />

Valuea 1-7<br />

Each household should be<br />

d~v~dmd up Lnto smparata<br />

fsdly un>ts. Record tha<br />

fsmily unit the Lndivldual<br />

belongs to. ~ that<br />

mtarvL*wmr has d~v~dad up<br />

houmehold corractly before<br />

start Lng to code. Footer<br />

chaldrmn form a ●mparatm<br />

fanuly un~t.<br />

- interviawara<br />

instructions for fsmly<br />

un>t daf inLtionm.<br />

Values -- Oz<br />

Male ....................01<br />

Female .............. ...02<br />

-s -3-92<br />

Enter aga of ~rson<br />

If a ch>ld LS lass than<br />

1 yaar old code 01<br />

44


Questionnaire Ref<br />

Question NO<br />

Marital Status<br />

column<br />

Relationship to<br />

Head of H/H<br />

Coding Sheet<br />

Reference<br />

Ms<br />

Rel<br />

No of<br />

BOxesj<br />

Characters<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-6<br />

Single (S) ..::::::[$~ .::::<br />

Married (M) . ...<br />

co-habiting (C) ... ....3<br />

Widowed(W) ...............4<br />

Divorced (D ) ..............5<br />

Separated(S) .............6<br />

[NB everyone, regardless of<br />

age, should have a marital<br />

status ]<br />

Values -3-9<br />

Head of Household ..........l<br />

Wife or husband ...........2<br />

Son or daughter (inc 1<br />

stepson/daughter ) ........ .3<br />

Father or mother ..........4<br />

Brother or sister .........5<br />

$randson or granddaughter .6<br />

Father-in-law/<br />

mother-in-law ............7<br />

>ther relative (eg niece,<br />

nephew, son/daughter- in- law<br />

etc) .....................B<br />

)ther non-relative (inc 1<br />

foster children ..........9<br />

iB FOSTER CHILDREN : If<br />

local authority foster<br />

child code as 9<br />

: If not<br />

local authority foster<br />

child and relationship<br />

falls into a group<br />

covered hy 2-B this<br />

should take priority<br />

over 9<br />

ADOPTED cHILDRE N:<br />

should be treated<br />

children - not as<br />

These<br />

as own<br />

code 9<br />

~.,..<br />

45


Qunstzonna~re Ref<br />

Quast~on No<br />

Current Full-time<br />

Educat aon column<br />

CO-OP Adults<br />

Coding Shmmt<br />

FE<br />

Raf 9rmnca<br />

Co-op<br />

No of<br />

soxm8J<br />

Chmractmrs<br />

2<br />

1<br />

Cedang Instruct~ons/Rmmarks<br />

Valu ●s -3-8<br />

Code Lf LS currently<br />

Lnvolved In full -t Lmq<br />

educat Len. Check Educ.atlon<br />

section of Lndivldual<br />

schadula<br />

pr UTlary ...................1<br />

secondary .................2<br />

granmmr ..................3<br />

spac Lal car= ....... .......4<br />

unlvars>ty ......... .......5<br />

poly, collegs (including<br />

teachar traLnLng) . ...... 6<br />

technLcal collago ........ 7<br />

other h~ghar education . ..8<br />

Valu, s 0-<<br />

APPIL*S to evuyona over 16<br />

Ln hou#mhold. This COIUIM<br />

L- best cod-d at ●nd of<br />

coding ●xarcisa. Code<br />

rasponse of individual as<br />

follows :<br />

(F) full rasponsa - all<br />

sectionm complmtmd ...1<br />

(P ) partml r-sponse -<br />

s0m9 sactions<br />

rafusad ..............2<br />

(R) cOmpl*ts rafusal to<br />

~nd~v>dual schadula ..3<br />

(N) non-contact but not<br />

proxy schadula ... ...4<br />

(NP ) non-contact - proxy<br />

schmdula complatad ...5<br />

Do not always acc9pt<br />

Lntsrvlabmr’ s coding. ROf ●r<br />

all casas to suprvisora<br />

where you diagrmm.<br />

ch~ld .....................0<br />

46


Questionnaire Ref<br />

Question No<br />

Standard<br />

Occupational<br />

Classification<br />

(Recode)<br />

:ading sheet<br />

Reference<br />

30CR<br />

No of<br />

SOxes/<br />

Characters<br />

2<br />

~;”<br />

Coding Instructions/Remarks<br />

Values -3-09<br />

Recode of SOC<br />

Recode the three digit value<br />

for SOC as follows<br />

100-199 ...................01<br />

(Managers & Administrators)<br />

200-299 ...................02<br />

(Professional occupations)<br />

300-399 ...................03<br />

(Associate Professional G<br />

Technical Occupations<br />

400-499 ...................04<br />

(Clerical & Secretarial<br />

Occupations )<br />

500-599 ...................05<br />

(Craft & Related Occupations)<br />

600-699 ...................06<br />

(Personal & Protective<br />

Service occupations )<br />

700-799 ...................07<br />

(Sales occupations )<br />

800-899 ...................08<br />

(Plant & Machine Operatives)<br />

900-999 . . . . . . . . . . . . . . . . ...09<br />

(Other occupations )<br />

-1 ........................-1<br />

-2 ........................-2<br />

-3 ........................-3<br />

XX should be coded with<br />

reference to the<br />

‘occupation’ code in the<br />

Employment Section<br />

Foz current occupation see<br />

Q4A in Employment Section.<br />

For last employment see<br />

Q18 in Employment SeCtiOn.<br />

For retired see Q19 in<br />

Employment SeCt iOn.<br />

Also refer to the PrOXY<br />

Schedule and Household .<br />

Schedule for Non-contacts.<br />

. 47<br />

‘L


Quastaonnaara Raf<br />

QuestIon No<br />

Employment Status<br />

standard<br />

Industrial<br />

classification<br />

Codang Sha*t<br />

Rmf ●rmncm<br />

EMP<br />

SIC<br />

No of<br />

Boxms/<br />

Characters<br />

2<br />

2<br />

Codang Instructujns/R9 marks<br />

Values .-<br />

Codm employment status of<br />

●ach person. sea<br />

●xplanatory notes overleaf<br />

WorkAng ful l-t ma .........1<br />

Working part-t arm .........2<br />

Unemployed .............. .3<br />

At school /collmgm ... ......4<br />

Retired ............. . ..5<br />

Kacping houce ....... .....6<br />

Govmrnmmnt schomc ... . ..? ‘r<br />

Other econom~cally<br />

utactlvo .. .... .... . ...8 -<br />

Values -3-1~<br />

INDUSTRIAL WSIFICATION<br />

Agr Lcultura, fore-try,<br />

f~shing .............. ...01<br />

Enmrgy and water supply<br />

LndUStZ198 ..............02<br />

ExtrectLon of minmrals and<br />

ores othmr than fumla;<br />

manufacture of metal,<br />

mineral products and<br />

cheuucaln ...............03<br />

Hetal goods, ●ngineermg<br />

and vehicla induntrlaa ..04<br />

Other manufacturing<br />

~ndustrims ..............05<br />

Construction .............06<br />

oistribut~on, hotals and *e-L~<br />

catmrmg; rmpalrs ..... ..07<br />

Transport and ,#\L( . !’cst ‘-LP’<br />

couwaunxatuan ...... .. ...08<br />

Banking, financa,<br />

Lnmurance bus inass,<br />

scrvicas and laasmg<br />

.-<br />

(,C, c~~..<br />

4<br />

....09”<br />

Othmr scrv Lees .......... 10<br />

InsufficLant information<br />

gLvan to clarify ........11<br />

More thn on. ~nduatrv code<br />

(a) If mora than ona act Lvlty<br />

LS mantionad and the<br />

act Lvlt Les are ~n<br />

separato dLvLsions but<br />

48


Questionnaire Ref<br />

Question No<br />

Posit ion in Unit<br />

Coding Sheet<br />

Reference<br />

Pos<br />

No Of<br />

Saxes/<br />

Characters<br />

1<br />

Coding Instructions/Remarks<br />

(b)<br />

there appears to be only<br />

one establishment, code<br />

the main activity of the<br />

establishment,<br />

If more than one<br />

establishment is<br />

indicated and the<br />

establishments are in<br />

separate divisions, then<br />

code the establishment<br />

that the informant works<br />

in.<br />

Values 1-3<br />

Cede poeition held in each<br />

family unit<br />

Head of Family Unit .......1<br />

Spouse ....................2<br />

Defendants ................3<br />

NB . If a child forms a<br />

separate family unit he/she<br />

is head of that unit, even<br />

if under 16 years.<br />

‘Q<br />

‘i.


SMPLOYXENT STATUS<br />

What la to be coded hare La m fact Economic Actlv~ty - Le economically<br />

actzveflnact~ve<br />

Scan omLcallv act~ve LS dof mad as follow8: -<br />

Thosa persons 16 years or over who wor~ work~ng or unmnployad in the weak before<br />

Lntarview.<br />

All others are economically lnact~ve<br />

For the purpose of coding thesm catagorien will be ●xpanded to tha following: -<br />

1-<br />

2-<br />

3-<br />

4-<br />

5-<br />

6-<br />

7s-<br />

-2 -<br />

-3 -<br />

For clarLty 1, 2 and<br />

work~ng full -tumo<br />

working part-t me<br />

unemployed<br />

at school/colleg9<br />

r-t ~rad<br />

kaapmg housa<br />

Government Schama<br />

other econoumcall y inact LVS ●g<br />

permanently un.abla<br />

miasmg<br />

r-f used<br />

3 WL1l b- explained Ln further dataLl.<br />

)<br />

~ Economically<br />

~ Activa<br />

)<br />

)<br />

) Economically<br />

) Inact LVO<br />

1 ●nd 2 Workang - parsonm agad 16 or ovsr who workad for wagam, salag or othmr<br />

form of cash paymant such as coffunlsmuan or tLps, for any numb-r of hours. It<br />

covars persons absant from work m the raferance week bccausa of holiday,<br />

~Lcknass, str~ke, or tmm~rary lay-off, provLd*d thay had ● job to raturn to<br />

wzth tho aama ●mployar. It alao Lncludas parsons attanding an educational<br />

●stabl ~shnmnt dur>ng tha spaclf ied waak, if thay w~ra pa~d by their ●mployar<br />

whLla attend~ng Lt. ( RELEASED FROM JOB FOR EDUCATION) .<br />

Persons ar* cxcl~ if they worked in a voluntary capacity, for Upenses only,<br />

or only for paymant Ln kind or Lf t hm y were workLng Ln a YTS or Government<br />

TralnLng Schemm.<br />

M Ful 1 t tie students who worked m the rcfcrenca wok arc not counted as<br />

workLng. (ALSO INC STUDENTS WORKING EVENINGS OR WEE3CENDS ).<br />

Full-tame/part-tima This L9 basad on hours worked par waak, ●xcluding Overtune.<br />

Parsons who workad 31 hours or mora yr weak are Ln full-t uma employment and<br />

thoaa who work 30 hours or lmsa par weak are ~n part-t~ma ●mploymant. An<br />

axcmpt Lon LS made for school toachus and locturmrs, who are conm~dmrmd to be Ln<br />

full-txma employment if they work 26 hours or mora pr waak.<br />

3. Unamploy*d The un~mployad cons~st of thoma who, Ln tha waak b-fore<br />

~ntervmw, wera looking for work, would hava looked for work Lf thay had not<br />

been temporarily sick, or wara waLtmg to tako up a job thay had already<br />

obtained. In th~s context temoararv smkness refars to ~llnass lasting 28 days<br />

or lass. Thasa daf>nLt~ons<br />

rcg~starcd as unmmploymd.<br />

Full-tune students who w~re<br />

an unamployad.<br />

. .<br />

of unamploynmnt apply whathar or not tha parson was<br />

unemployed dur Lng the re ferenca waek ara not counted<br />

)<br />

)<br />

)<br />

)<br />

50


All others<br />

Those persons not falling into the categories of working or unemployed as<br />

defined above are economically inactive and should be coded 4 to 8 as<br />

appropriate.<br />

Make sure the Proxy schedule and Household schedule (for absent HoH) are checked<br />

before coding missing.


— QuastLon No<br />

I<br />

Rafaranc.<br />

Q1(B) QIB 2<br />

I<br />

00%-s/<br />

Characters<br />

Codxng Inst ructzoas /Ramarks<br />

BhuddLst . ... ... . .. 21<br />

Pentecostal .... .. .. . 22<br />

Jehovah’s W~tness .. 23<br />

Church of God .. ... . 24<br />

Other ... ...... . 25<br />

Unwlll~ng to anaw.r . .. -3<br />

values -3-07<br />

DO YOU attend place of<br />

wor6h~p7<br />

UOre than once a week. . 01<br />

At Least once a week .. ..02<br />

At laast onc~ a nmnth . 03<br />

At least once a year ....04<br />

Lo9s of tan ............ .05<br />

Never .............. .. ...06<br />

Unabla to attand ...... .07<br />

00 not know .......... . -I<br />

No anmw8r/refumed ,...... .-3<br />

52


Qumst.onna.re Raf<br />

— Qu88t&0rJ No<br />

Person<br />

Idant~f~catu3n<br />

Q1<br />

Q1(A)<br />

Coding Sheat<br />

Rafarence<br />

IO No<br />

H/H No<br />

Par<br />

FU<br />

Q]<br />

QIA<br />

MISC~OUS S.CCTION<br />

No of<br />

S.oxesi<br />

characters<br />

5<br />

2<br />

2<br />

1<br />

2<br />

2<br />

tidang Instruct ~ons/R.ma rks<br />

values 00001-49999 /<br />

5 d~gLts - remember l*ad~ng<br />

zeros (chack that the /<br />

number LS the sam as that<br />

on the front page of the (.<br />

Household Schedule)<br />

values 1-5<br />

Enter household number<br />

values l-u<br />

Check prson number LS<br />

corrmct (ie Lnterviawar<br />

has recorded tha proper<br />

refermncm) . Enter p+rson<br />

number.<br />

values 1-7<br />

Entar numb-r of Fsnuly Unit<br />

Values --<br />

2<br />

What r91Lgion<br />

Yes ........... ...........01<br />

NOIIC .....................02<br />

Unwilling to answar ..... .-3<br />

Valuee -3-25<br />

Roman Catholic .......... 01<br />

Pranbytermn ......... ..02<br />

Church of Ireland ........03<br />

Mthodist .. .. ...........04<br />

Baptist ............ .. 05<br />

Free Pr-SbytOr LUI . .. ..06<br />

Brethern ...... ...........07<br />

Prot - not spcif iad ... 08<br />

Othar Protestants ........09<br />

Jewish ........ ...........10<br />

Unitarian ...... ..........11<br />

Norman ..... .. ... .. ....12<br />

Congrogatlonal . .... .. 13<br />

Plymouth Brethren .... ...14<br />

Church of Nazarana ...... 15<br />

chrlst~an .... .. . .. .. 16<br />

Church of England ..... .17<br />

HLndu .......... . ... ..18<br />

nuslLm ........ ...........19<br />

Sikh .......... ... .. .. 20<br />

53


—<br />

Quest~onnaxre Ref<br />

QumstLon No<br />

Person<br />

Ident~flcat~on<br />

Q1<br />

QIB<br />

QIC<br />

Cod>ng Sheet<br />

Rmf*rmnc9<br />

ID NO<br />

H/H No<br />

P*2<br />

FU<br />

QIA<br />

QIB<br />

QIC<br />

EDUCATION sECTION<br />

No of<br />

Boxesj<br />

Characters<br />

5<br />

2<br />

2<br />

1<br />

2<br />

2<br />

2<br />

Cadlng Instructions/Rmmarks<br />

Values 00001-49999<br />

5 d~g~ts - remember lead~ng<br />

zeros<br />

(Check that the nunimr LS<br />

the same a8 that on the<br />

front page of thm<br />

Household Schedulm)<br />

Values 1-5<br />

Entar household numbers<br />

Valu*s l-2\<br />

Ch@ck parson number LS<br />

corrmct. Enter numb-r<br />

ValuOs 1-7<br />

Enter number of Fanuly Unit<br />

Values -5-2Q<br />

How old when left ~<br />

(elementary, secondary or<br />

grarmnar)<br />

antar age<br />

still at school ..........-4<br />

navcr want to school .... .-5<br />

Values --<br />

2<br />

TO THOSE NOT AT SCHOOL<br />

Furthmr Educat mn<br />

Y9m ......................01<br />

No .......................02<br />

-U --<br />

3<br />

Ccmunenced coursa mmediataly<br />

after leaving school<br />

Yes (full-tune) . . . . . . . ...01<br />

Yes (part-time) . ... ....02<br />

No ... .. . . . . ....03<br />

54


Quastlonnaare Raf<br />

Queatxon No<br />

QID<br />

QIE<br />

Q2<br />

Cod~ng Shmet<br />

R9f*rmncm<br />

QID<br />

QIE<br />

Q2<br />

No of<br />

Boxms/<br />

Characters<br />

2<br />

2<br />

2<br />

Codxng Iustructaons/Ramarks<br />

value, -4-32<br />

Agm whan left full-time<br />

cent ~nuoua aducat Lon<br />

Entm age<br />

Still attmdmg . ..... .. -4<br />

values -4-69<br />

Aga whan finishad last<br />

COUXS- Of etudy<br />

Enter age<br />

st~ll attandmg ...... ....-4<br />

Eumher ad ucat ion Course*<br />

College or un~varisty fulltl.me<br />

........ ....... ......1<br />

s.andw~ch c0urs9 ........ ....2<br />

@alificatiOn in nursing,<br />

phy~ Iotharaphy etc ... ....3<br />

Collcga, univer8Lty parttim<br />

or on -day or block<br />

ralama . ...... ... ........4<br />

own un~vars~ty course ....5<br />

Corraspondanca course . ....6<br />

YTP coursa involving<br />

trammg at college ... ...7<br />

Othar furthar ●ducation<br />

course ................ ...s<br />

55


Questionnaire Ref<br />

Question. No<br />

Q3(A)<br />

Q3(B)<br />

Q4<br />

Q4(A)1<br />

Q4(A)2<br />

Coding Sheet<br />

Reference<br />

Q3A<br />

Q3B<br />

Q4<br />

CSE 1<br />

CSE 2-5<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-11<br />

T.me of school cucrentl.f<br />

attendinq<br />

elementary, secondary or<br />

grammar school ..........01<br />

university ... ............02<br />

nursing school/teaching<br />

hospital ................03<br />

polytechnic ..............04<br />

teacher training .........05<br />

technical college ........06<br />

commercial college .......07<br />

agricultural college .....08<br />

special school ...........09<br />

hotel and catering .......10<br />

other (refer all such<br />

cases ) ..................11<br />

NB . ‘Further Education<br />

College, should be coded as<br />

‘technical college, (code<br />

06).<br />

Values -3-11<br />

Type of school last attended<br />

Use codes as for Q3 (A)<br />

Values -3-02<br />

Passed any examinations/<br />

qualifications<br />

‘fes ......................01<br />

No .......................02<br />

Values -3-10<br />

~ of CSE Grade 1-s<br />

Enter Number<br />

Values -3-10<br />

Number of CSE grade 2-5<br />

Enter Number<br />

. J6


Quastlonnaara R-f Coding Shmt No of<br />

Qu*st~on No Ref ●ranca Boxms/ Coding Instructions/Ramarks<br />

Characters<br />

Q4(A)3<br />

I<br />

CSE DK<br />

I I I<br />

I<br />

2<br />

. .<br />

I<br />

Valu,s -3-U<br />

Number of CSE grades<br />

unknown<br />

Enter number<br />

Q4(A)4 J Cart 2 Values -- u<br />

I<br />

Q4(A)5 GCSE<br />

A-C<br />

Q4(A)6 GCSE<br />

D-G<br />

Q4(A)7 GCSE<br />

OK<br />

I I<br />

!<br />

2<br />

2<br />

2<br />

I En... ..**r<br />

Valuo m -3-1o<br />

Numb-r of GCSE grad-s A-C<br />

Enter Numkmr<br />

Values -- 10<br />

Number of GCSE grades D-G<br />

Ent@r Numb-r<br />

Qlues -3-lQ<br />

Numbar of GCSE gradas<br />

unknown<br />

Enter Number<br />

Q4(A)8 GC.?, O’ 2 Values -3-12<br />

1-6<br />

Numbo< of GCE ‘O’ Levals<br />

(Gr.sdas 1-6)<br />

Entar Number<br />

Q4(A)9 GCE’O’<br />

A-C<br />

2 Value s -3-<br />

Numbar of GCE’ O‘ lav018<br />

(Grades A-C)<br />

I I I<br />

Enter Number<br />

57


Questionnaire Ref<br />

Question No<br />

Q4(A)1O<br />

Q4(A)11<br />

Q4(A)12<br />

Q4(A)13<br />

Q4(A)14<br />

Q4(A)15<br />

Q4(A)16<br />

Coding Sheet<br />

Reference<br />

GCE’A’<br />

S Cert<br />

APPRNNT<br />

COMMER<br />

C&G<br />

ONC<br />

HNC<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-10<br />

~ of GCE OA, Levels<br />

Enter number<br />

Values -3-10<br />

Number of passes at Senior<br />

Certificate level<br />

Enter number<br />

Values -3-1<br />

A recognised trade<br />

apprenticeship completed<br />

Yes .......................1<br />

No ........................0<br />

Values -3-L<br />

Clerical and Commercial<br />

Qualifications<br />

Code as per apprenticeship<br />

Values -3-~<br />

City and Guilds Certificate<br />

Code as per apprenticeship<br />

Values -3-1<br />

Ordinary National<br />

Certificate/Diploma<br />

Code as per apprenticeship<br />

Values -3-1<br />

Higher Nat ional Certificate/<br />

Diploma<br />

Code as per apprenticeship<br />

r


Quastaomaarm R-f Cod>hg Sheet No of<br />

QUaStLon No R-f ●rance SOxms/ Coding Instruct~oms /R.marks<br />

characters<br />

Q4(A)17 NURSE 2 values -3-L<br />

Q4(A)18<br />

I I I<br />

I<br />

NOEG<br />

Q4(A)19 TEACH<br />

Q4(A)20 DIPLoNA<br />

Nursing Qualifications<br />

I 2 I ‘a’uee ‘3-1<br />

I I I<br />

1<br />

2<br />

2<br />

Code as per apprent~cesh~p<br />

NureLng dcgrea<br />

Teaching Qualifications:<br />

Include B. ad hara<br />

Code as par appranticanh~p<br />

Veluee -3-1<br />

UnLvmra~ty PoLytmchnLc<br />

D lplO~<br />

Q4(A)21 1st DEG 2 wee -- L<br />

Q4(A)22<br />

Q4(A)23<br />

I I I<br />

I I I<br />

I<br />

2nd DEG<br />

I Other<br />

I<br />

2<br />

I 2<br />

I I I<br />

I I I<br />

I<br />

l-es~<br />

v<br />

Cods as p-r appranticash~p<br />

FLrSt Dmgrmm - Un~v*rmLty/<br />

PoLyt9chnLc/CNM<br />

Coda ae per apprant~caship<br />

Valuee -3-1<br />

Fxst Degraa - University/<br />

Polytmchn~c/CNM<br />

--<br />

Other - refer to supervisor<br />

Code as per apprent Lcaship<br />

59


BA<br />

J Ed<br />

B Phil<br />

B Sc<br />

B SSC<br />

D Phil<br />

Ph D<br />

MA<br />

M Ed<br />

M Litt<br />

‘4 Phil<br />

M Sc<br />

D SC<br />

MBA<br />

M MUS<br />

M Ssc<br />

University Post-graduate<br />

Diploma/Certificate<br />

Dip Ed<br />

PGCE<br />

:ert Ed<br />

College/Polytechnic<br />

Post-graduate Diploma/<br />

Certificate<br />

Other Diploma/Certificate<br />

(non Pos t-graduate)<br />

Professional qualifications,<br />

Diplomas, Associateships<br />

Foreign qualifications<br />

MD<br />

BS<br />

MB<br />

BAO<br />

LDS<br />

BD<br />

LLB<br />

Educational Ouali ficat ions<br />

Bachelor of Arts &wQtsx Q\ & b{~<br />

Bachelor of Education<br />

Bachelor of Philosophy<br />

Bachelor of Science<br />

Bachelor of Social Science<br />

Doctor of Philosophy<br />

Doctor of Philosophy<br />

Master of Arts<br />

Master of Educarion<br />

Master of Literature<br />

Master of Philosophy<br />

Master of Science<br />

Doctor of Science<br />

Master of Business Administration<br />

Master of Music<br />

Master of Social Science<br />

tiny subject of study (except education)<br />

Diploma in Education<br />

Postgraduate Certificate in Education<br />

Certificate in Education<br />

Any subject of study (except education)<br />

Any subject of study<br />

Any subject of study<br />

Any subject of stud::<br />

Ooctor of Medicine<br />

Bachelor of Surgery )<br />

Bachelor of Medicine )<br />

Bachelor of Arts of Obstetrics )<br />

Licentiate of Dental Surgery )<br />

Bachelor of Dentistry )<br />

01<br />

02<br />

03<br />

04<br />

05<br />

06<br />

07<br />

08<br />

09<br />

10<br />

11<br />

12<br />

13<br />

14<br />

15<br />

16<br />

17<br />

18<br />

19<br />

20<br />

21<br />

,,<br />

. .<br />

.,<br />

.><br />

24<br />

25<br />

26<br />

27 “<br />

2%<br />

f-<br />

00


Qumst .onna>r. R= f<br />

..-*<br />

! Codzng Sh*@r. No of<br />

Quastlon No<br />

Raf erenca<br />

E.axes/<br />

Characters<br />

I<br />

I<br />

Q4A Educ<br />

QUalLf S<br />

Contd<br />

Q4A<br />

I<br />

Number<br />

Q4A QUW 2<br />

I<br />

2<br />

Codang Instructions/Remarks<br />

CodLng for Grid at Q4A<br />

used for cod~ng<br />

gual~fications l~stad at<br />

Codes 19-23<br />

us 19-23<br />

Teaching Qual~fication .. 19<br />

university/Polytechn~c<br />

DlplOMa .................20<br />

First D*graa - University/<br />

PolytachnLc/CNAA Degre* 21<br />

High-r Degraa - Univnrslty/<br />

Pol ytechnic/CNAA ...... .22<br />

other Qual~ficat~ons .... 23<br />

NOTE : ‘Other qual~f icat~ons”<br />

nead not Dec*ssarQ ba<br />

highar gualif ications, but<br />

may ~ncluda anything not<br />

fLtt ing into tha above<br />

Crcmgories . Rmmambar to<br />

r-cord with ‘othar-<br />

Spacify ’s’ . Scottish<br />

‘High-r Cmrtif icate’ and<br />

R-public of Irmland<br />

oLaaving Cart Lf icatas’<br />

should b- r-corded hare.<br />

V*,9 .- 3Q<br />

EA . . . . . . . . . . . . . ----- . ...01<br />

BEd .............. ... . .02<br />

BPhil .............. ...03<br />

Ssc .................. ..04<br />

BSSC .................. .05<br />

OPhil ............- .. --.06<br />

PhD .... ...... ........ .07<br />

nA ...................... 08<br />

HEd .... ....... .........09<br />

hlLLtt ........ .... . -. -10<br />

!4 Phil ...................11<br />

Usc ... ............... ..12<br />

DSC .. ......... .. ......13<br />

MBA ................ .....14<br />

Unus .. ..... ...... ....15<br />

HSSC .......... ..... .- 16<br />

Unlvars Lty Post-Graduate<br />

DLp10Ma/C.3ti LfLCat0 . 17<br />

OLp Ed ... .. ........ ..18<br />

61


Questionnaire Re f Coding Sheet No of<br />

Question No Reference i30xns/ Coding Instructions/Remarks<br />

Characters<br />

Q4A AWARD 2<br />

5 tits Ik ?<br />

PGCE .....................19<br />

Cert Ed ..................20<br />

College/Polytechnic Post-<br />

Graduate Diploma/<br />

Certificate .............21<br />

Other Diploma/Certificate<br />

(non Post-Grad”ate ) .....22<br />

Professional Qualifications,<br />

Diplomas,<br />

Associateships ..........23<br />

Foreign Qualifications ...24<br />

MD .......................25<br />

BS, MS, BAO, LDS .........26<br />

LLB ......................27<br />

!Z’@Kkk @i w .Q.@!@ : Zf<br />

w>~-~ iti”ti<br />

Universities in?<br />

NI .......................01<br />

GB .-.....................02<br />

Elsewhere ................o3<br />

Polytechnics in?<br />

NI .......................04<br />

GB .......................05<br />

Elsewhere ................06<br />

Colleges in?<br />

NI .......................07<br />

GB .......................08<br />

E 1sewhere ................09<br />

Professional bodies in?<br />

Nz. .-..% ‘1 .......................10<br />

%--. ” i’t GB .......................11<br />

E 1sewhere ................12<br />

“- Q%ika< -.1 <br />

Q4A WHESB 2 Values -3-03<br />

NI .......................01<br />

GB .......................02<br />

Elsewhere ................03<br />

r


—<br />

Qu9st~onnazre Ref<br />

Qumst,on NO<br />

Q4A<br />

Q4A<br />

Q4A<br />

Coding Sh*at<br />

R-f OrOnCa<br />

SUBJ<br />

PASS<br />

No of<br />

Boxmsf<br />

Characters<br />

2<br />

2<br />

Coding Instructions/R9marks<br />

Values -3-20<br />

Educatxm .......... . ..01<br />

Med Lcina, Dent~stryf<br />

Pharmacy, Ancillary<br />

H-alth ............... . 02<br />

Technology & EngLneermg 03<br />

Agriculture, Fore-try and<br />

Vatorinary Studl.s ..... 04<br />

Schnco ●nd Appl ~ad<br />

Scl*nca .................05<br />

Soc id, Adm~nlstrat lva<br />

and Businasa StudLea ...o6<br />

Prof ●ss ~onal and<br />

Vocational stud~as .....07<br />

Language, L~tmrature and “<br />

Ralat9d Area StudLas .. . 08<br />

Arts (other than<br />

languaga ) ............ . 09<br />

Music, Drama and Visual<br />

Art8 ....................10<br />

Law ..................... 11<br />

Theology .................12<br />

Economic Studias ..... ....13<br />

Unspscifi.ad Studias .. ....14<br />

(r-far)<br />

(For coda 23 only)<br />

~ -3-02<br />

Had to Pares Exam?<br />

Yas .................... ..01<br />

No .................... . .02<br />

Code all other qualificat LOnS<br />

Pracodas 19-23 *S for<br />

Precoda ahovs<br />

63


Q5<br />

Q5(1)<br />

Q5A<br />

Q5B<br />

Coding Sheet<br />

Refarmnce<br />

Q5 Eng<br />

1st Lang<br />

5A YfN<br />

Q5B<br />

LANGUAGE sECTION<br />

No of<br />

Boxas/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

Codxng Instruct~ons/Rmmarks<br />

Valuea -3-02<br />

Is Engllsh your fxst<br />

language?<br />

Yea .. ........ ...... ... 01<br />

NO .. . ..... .. ..... .. 02<br />

values -3-14<br />

(ApplIOs only to those codod<br />

02 at Q5) /<br />

Specify Language ‘\ \.<br />

Dan~sh ... ... ........ .. 01<br />

Dutch .... . .. . ...... .. 02<br />

French ....... .. ...... . 03<br />

Gmrman ....... . . ...... . 04<br />

Grmek . .... ......... ... 05<br />

Irmh ........ ........... 06<br />

Italian ...... ............ 07<br />

Portuguemm .... ........... 08<br />

SpanLsh .... .. ...... .... 09<br />

Othar European ... .. ... 10<br />

Arab>c ... ............... 11<br />

Chinase .. ......... ...... 12<br />

Ind~an/Pak~atan/Bangladmmhl13<br />

Othmr ........ ........... 14<br />

Valuee -- 2<br />

!tnowladge of any EC language 7<br />

Y*8 ..... ....... ........ . 01<br />

None (’x’) .............. 00<br />

Valueg -3-02<br />

Evar stud~ad ●ny of thaaa<br />

languages at school, evan if<br />

only for a short tma?<br />

Yes .............. ....... 01<br />

No ... ... . ........ .... 02<br />

64


Quastionnamm R-f<br />

Qumstxon No<br />

Q5(A)<br />

DANISH<br />

Q5(C)<br />

DmISH<br />

Q5(C) (i)<br />

DANISH<br />

Q5(D)<br />

DANISH<br />

Q5(D) (L)<br />

DANISH<br />

Q5E<br />

DANISH<br />

Codxng Sha*t<br />

R9fer8nce<br />

5A Know<br />

5C Curr<br />

5Ci ever<br />

5D Curr<br />

5Di ●vmr<br />

5E Qual<br />

No of<br />

BOX8SI<br />

Characters<br />

2<br />

I<br />

I<br />

Coding Inst ructLons/ R8marks<br />

Valuas -3-03<br />

Knowledge of Dan~sh?<br />

2 V.91U*S -3-02<br />

Yes ... ...... ... .... 01<br />

No .............. .... .. 00<br />

Current formal study of<br />

DanL9hv<br />

2 Values -3-02<br />

2<br />

I<br />

Yes . .. ..... ... .... 01<br />

No ... ................... 02<br />

Ev*r formally Studlod DanLsh7<br />

Yes . . . . . . . . . . . . . 01<br />

No . . . . . . . . . . . . . . . . . . . 02<br />

v<br />

--<br />

I ‘e” 302<br />

currant informal Study of<br />

I<br />

DanLsh?<br />

2 I value. -3-02<br />

Yen .. ..... ............ 01<br />

No ... .... ..... .. .. ... 02<br />

Evar informally stud~ad<br />

DanMh?<br />

IYes .................... D1<br />

No . . . . . . . . . . . . . . . . . . . . 02<br />

2 Va lU*S -3-05<br />

Hold any gual LfLcetaons m<br />

DanLsh~<br />

Nom ... .......... .. 01<br />

Degree . . . . . . . . . . . . . . . . . 02<br />

GCE ‘A, Level . ..........03<br />

GCE ‘O ‘ Leval/CSE ....... 04<br />

ClmrLcal/Secrmtar~ al/Othmr 05<br />

65


Questionnaire Ref<br />

Q5(A)<br />

DUTCH<br />

Q5(C)<br />

DUTCH<br />

Question No<br />

Q5(C) (i)<br />

DUTCH<br />

Q5(D)<br />

DUTCH<br />

Q5(D) (i)<br />

DUTCH<br />

Q5E<br />

DUTCH<br />

Coding Sheet<br />

Reference<br />

5A Know<br />

5c Curr<br />

5Ci ever<br />

5D Curr<br />

5D i ever<br />

5E Qual<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-01<br />

Knowledge of Dutch?<br />

r<br />

Yes ...................... 01<br />

No ....................... 00<br />

Va 1ues -3-02<br />

Current formal study of<br />

Dutch?<br />

Yes ...................... 01<br />

No ....................... 02<br />

Values -3-02<br />

Ever formally studied Dutch?<br />

Yes ...................... 01<br />

No ....................... 02<br />

Values -3-02<br />

Current informal study of<br />

Dutch?<br />

Yes ...................... 01<br />

No ....................... 02<br />

Values -3-O?<br />

Ever formally studied Dutch?<br />

Yes ...................... 01<br />

No ....................... 02<br />

Values -3-05<br />

Hold any qualifications in<br />

Outch?<br />

None ..................... 01<br />

Degree ................... D2<br />

GCE ,A< Level ............ 03<br />

GCE ‘o, Level /CSE ........ 04<br />

Cle~ical Secretarial/Other 05<br />

ti 6


Q5(A)<br />

FRENCH<br />

Q5(C)<br />

FRENCH<br />

Q5(c) (L)<br />

FRENCH<br />

Q5(D)<br />

FRENCH<br />

Q5(D) (1)<br />

FRENCH<br />

Q5E<br />

FRSNCH<br />

.- -.<br />

Coding Sheet<br />

Raferance<br />

5A Know<br />

SC Curr<br />

5CL ever<br />

SD CU!X<br />

SDL ●vmr<br />

SE qual<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Cod~ng Instruct~ons/Ramarks<br />

Valuea -3-0+<br />

Knowlodge of Frmnch?<br />

Yes ... ............... ... 01<br />

No ... .... ........ ... 00<br />

Values -3-0~<br />

Currant formal study of<br />

Franch9<br />

Yes . ... .. .... ... 01<br />

No .. ...... . ... 02<br />

values -3-02<br />

Ever formally stud>ad<br />

French-<br />

Yes .. .............. ... 01<br />

No .. ................. 02<br />

Value s -3-o<br />

Current mforml study of<br />

French?<br />

Yes . ............. ... 01<br />

No . ................. 02<br />

Wumm -3-O?,<br />

Ever formally studmd French?<br />

Yes ....... .... ... 01<br />

No . . . ......... -- 02<br />

Va 1Ues -3-05<br />

Hold any qualifications m<br />

French?<br />

None .. ......... .- 01<br />

Degr90 . ........ . . 02<br />

GCE ‘A ‘ L61v91 ....... . 03<br />

GCE ‘O’ Leval/CSE .. . . 04<br />

Cler~cal/Secretarial /0thmr05<br />

67


Questionnaire Ref<br />

Question No<br />

Q5(A)<br />

GEP.MAN<br />

Q5(C)<br />

GERMAN<br />

Q5(C) (i)<br />

GERMAN<br />

Q5(D)<br />

GERMAN<br />

Q5(D) (i)<br />

GERMAN<br />

Q5E<br />

GERMAN<br />

Coding sheet<br />

Reference<br />

5A Know<br />

SC Curr<br />

5Ci ever<br />

SD Curr<br />

5Di ever<br />

SE Qual<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-01<br />

Knowledge o f German?<br />

Yes ........ .............. 01<br />

No ....................... 00<br />

Values -3-02<br />

Current formal study of<br />

German?<br />

Yes ..................... 01<br />

No . . . . . . . . . . . . . . . . . . . . . . 02<br />

Values -3-02<br />

Ever formally studied German?<br />

Yes ..................... 01<br />

No ...................... 02<br />

Values -3-OZ<br />

Current informal study of<br />

German?<br />

Yes ..................... 01<br />

No ...................... 02<br />

Values -3-02<br />

Ever formally studied German?<br />

Yes ..................... 01<br />

No ...................... 02<br />

Values -3-05<br />

Hold any qualification in<br />

German?<br />

None .............. ...... 01<br />

Degree .................. 02<br />

GCE ‘A, Level /CSE ....... 03<br />

GCE 80~ Level/CSE ....... 04<br />

Clerical /Secretarial /0ther05<br />

r


Qu9staonnaara R-f<br />

Q5(A)<br />

GREEK<br />

Q5(C)<br />

GREEK<br />

Quastmn No<br />

Qs(c) (i)<br />

GRSEK<br />

Q5(D)<br />

GREEK<br />

Q5(D) [1)<br />

GRSEK<br />

Q5E<br />

GREEK<br />

.~<br />

Codang Shaat<br />

Raf9r0ncm<br />

5A Know<br />

SC Curr<br />

5Ci ever<br />

SD Curr<br />

5DL OVOr<br />

SE Qual<br />

No of<br />

..-.<br />

.. ,<br />

I<br />

00xesf<br />

Characters<br />

ICoding Instructions/Ramarks<br />

2<br />

2<br />

~<br />

.-<br />

I ‘“es 3 ‘i<br />

Knowl@dg@ of Gre~k~<br />

1<br />

I<br />

Yes ............ ....... 01<br />

No. . .. .. .. . ...... 00<br />

Val ues -3-02<br />

2 ydluas --<br />

2<br />

2<br />

Current formal study of<br />

Graek ?<br />

Yea .... . ... ............ 01<br />

No .. . . . . .. .... 02<br />

2<br />

Ever formally studl*d Greek?<br />

Y** ... .. .. ......... 01<br />

No. . . ... . .... ... 02<br />

v s -3-<br />

I “ue 02<br />

Current Lnformal study of<br />

I<br />

I<br />

Gramk?<br />

Yes . . . . . . . . . . . . 01<br />

No . . . . . . . . . . . . . . . . . . . . 02<br />

Values -3-0~<br />

I .v.r formally studmd Gr..k?<br />

2 Values -3-054<br />

Yas .. ...... .. ......... 01<br />

No . . . ........ ........ 02<br />

Hold any qual>f~cations Ln<br />

Gr~ak$<br />

Norm . . . . . . . . . . . . . . . . . 01<br />

Degree ...... . .... ..... 02<br />

GCE ,A, Leval .. ... . .. 03<br />

GCE CO, Leva L/CSE ....... . 04<br />

clerzcal/Secretarial/Other 05<br />

69


Questionnaire Ref<br />

Q5(A)<br />

IRISH<br />

Q5C<br />

IRISH<br />

Q5(C) (i)<br />

IRISH<br />

Q5(D)<br />

IRISH<br />

Question No<br />

Q5(D) (i)<br />

IRISH<br />

Q5E<br />

IRISH<br />

Coding Sheet<br />

Reference<br />

5A Know<br />

SC Curs<br />

5Ci ever<br />

5D Curr<br />

5Di ever<br />

SE Qual<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-01<br />

Knowledge of Irish?<br />

y- . . . . . . . . . . . . . . . . . . . . . . 01<br />

NO . . . . . . . . . . . . . . . . . . . . . . . 00<br />

Values -3-02<br />

Current formal study of<br />

Irish?<br />

Yes . . . . . . . . . . . . . . . . . . . . . . 01<br />

No ....................... 02<br />

Values -3-02<br />

Ever formally studied Irish?<br />

Yes . . . . . . . . . . . . . . . . . . . . . . 01<br />

No ....................... 02<br />

Values -3-02<br />

Current informal study of<br />

Irish?<br />

Yes ..................... 01<br />

No ...................... 02<br />

Values -3-0~<br />

Ever formally studied Irish?<br />

Yes . . . . . . . . . . . . . . . . . . . . . 01<br />

No ...................... 02<br />

Values -3-05<br />

Hold any qualifications in<br />

Irish?<br />

None . . . . . . . . . . . . . . . . . . . . 01<br />

Degree .................. 02<br />

GCE 4A o Level ........... 03<br />

GCE ‘O” Level/CSE ....... 04<br />

ClericaL/Secretarial /0ther05<br />

.<br />

ill


(p49stn7nnaara Rmf<br />

Quostzon No<br />

Q5(A)<br />

ITALIAN<br />

Q5(C)<br />

ITALIAN<br />

Q5(c) (L)<br />

ITA2,1AN<br />

Q5(D)<br />

ITALIAN<br />

Q5(D) (L)<br />

ITALIAN<br />

Q5E<br />

ITALIAN<br />

+.<br />

Codxng Shaat<br />

Ref9rmncm<br />

5A Know<br />

5C Curr<br />

5C1 ●ver<br />

SD Curr<br />

5DL aver<br />

SE Qual<br />

No of<br />

Boxes/<br />

Charsctors<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

. .<br />

I Cod*ng Instructions/R.marks<br />

Values -3-o~<br />

Knowledge of Ital~an?<br />

Yes .. . ...... . ... ... 01<br />

No ................... ... 00<br />

Current formal study of<br />

Italian?<br />

Yes . ........... .. ... ... 01<br />

No .. .............. .. .. 02<br />

Evar formally stud~ed<br />

Ital Lan?<br />

Yam ........... . ......... 01<br />

No .... .............. ... 02<br />

Current Lnformal study of<br />

Italian?<br />

Yes ........... .... ....... 01<br />

No .............. ........ 02<br />

!mluea --<br />

Every formally stud~ad<br />

Ital Lan?<br />

2<br />

r-a . . ........... ....... 01<br />

No .......................02<br />

Values -3-0s<br />

Hold any gualLfLcatAOns in<br />

Italian?<br />

Non- . ................ .. 01<br />

D*grmo . . . . . . 02<br />

GcE ‘A’ LOV~l ............ 03<br />

GCE ,0 ‘ Lwel/CSE .. .. .. 04<br />

Clar Lcal/Sacratar~al/Othar OS<br />

71


Questionnaire Ref<br />

Question No<br />

Q5(A)<br />

PORTUGUESE<br />

Q5(C)<br />

PORTUGUESE<br />

Q5(C) (i)<br />

PORTUGUESE<br />

Q5(D)<br />

PORTUGUESE<br />

Q5(D) (i)<br />

PORTUGUESE<br />

Q5E<br />

PORTUGUESE<br />

Coding Sheet<br />

ReferenCe<br />

5A Know<br />

5C Curr<br />

5Ci ever<br />

!3D Curr<br />

5Di ever<br />

5E Qual<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding InSt ructions /Remarks<br />

Values -3-01<br />

Knowledge of Portuguese?<br />

Yes ...................... 01<br />

No ....................... 00<br />

Values -3-02<br />

Current formal study of<br />

Portuguese?<br />

Yes ...................... 01<br />

No ....................... 02<br />

Values -3-02<br />

Ever formally studied<br />

Portuguese?<br />

Yes ...................... 01<br />

NO ....................... 02<br />

Values -3-02<br />

Current informal study of<br />

Portuguese?<br />

Yes ...................... 01<br />

No ....................... 02<br />

Values -3-02<br />

Ever formally studied<br />

Portuguese ?<br />

Yes ...................... 01<br />

No ....................... 02<br />

Values -3-05<br />

Hold any qualifications in<br />

Portuguese?<br />

None ..................... 01<br />

Oeqree ................... 02<br />

GCE CA- Level ..... . . . . . . 03<br />

GCE ‘0- Level/CSE . ...... 04<br />

Clerical/ Secretaria, /Other 05<br />

. .<br />

r


Quast~omaare Raf<br />

Q5(A)<br />

SPANISH<br />

Q5(C)<br />

SPANISH<br />

Q5(C) (L)<br />

SPANISH<br />

Q5(D)<br />

SPMISH<br />

Q5(D) (L)<br />

SPANISH<br />

Q5E<br />

SPANISH<br />

~y<br />

Codang Shaet<br />

Raf9renca<br />

5A Know<br />

SC Curr<br />

5CL ever<br />

5D Curr<br />

5E Qual<br />

No of<br />

Boxas/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Values .- Oa<br />

Yes . .. .......... .... .. 01<br />

No ......... ........ .. .. 00<br />

values -3-O?<br />

Currant formal ntudy of<br />

Spanish?<br />

Yes . . ... . .... .. . 01<br />

No ...... ..... ........... 02<br />

Values -3-02<br />

Ever formally stud~md<br />

Spanish?<br />

Y-s ............. ....... 01<br />

NO .. .. .............. 02<br />

Values -3-02<br />

Currmt informal study of<br />

SpanLah?<br />

Yes ......... ............ 01<br />

No ... ................... 02<br />

EvOr formally stud~ed<br />

Spanish?<br />

Yes .. ................... 01<br />

No .... ................ . 02<br />

yQuee -3-05<br />

Hold any guallflcat Lon8 Ln<br />

Spanish?<br />

None . ............... .. 01<br />

Dagree ..... ......... . 02<br />

GCE ,A ‘ LEV91 . ......... .. 03<br />

GCE ‘O’ Lavel/CSE .... .. 04<br />

Clerlcal/S0Cr9tar Lal/OthOr 05<br />

’73


Q5(F) SF List<br />

❑ANISH<br />

Q5(G)<br />

DANISH<br />

Q5(H)<br />

DANIsH<br />

Q5(I)<br />

DANISH<br />

Q5(J)<br />

DANISH<br />

QS(K)<br />

DANISH<br />

5G Conv<br />

5H Read<br />

51 Writ<br />

5J Use<br />

SK Soc<br />

No of<br />

Boxes/ Coding Instructions/Remarks<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

I<br />

I<br />

I<br />

I<br />

I<br />

I<br />

Values -3-5<br />

Understand spoken Danish.<br />

Code as per questionnaire<br />

(Grid F)<br />

Values -3-5<br />

Ability to speak Danish.<br />

Code as per questionnaire<br />

(Grid G)<br />

Values -3-5<br />

Ability to read Danish. C&e<br />

as per questionnaire<br />

(Grid H)<br />

Values -3-5<br />

Ability to write Danish. Code<br />

as per questionnaire<br />

(Grid I)<br />

Values -3-3<br />

Use Danish at home. Code<br />

as per questionnaire<br />

(Grid J)<br />

Values -3-3<br />

USO Danish socially. CODE AS<br />

PER QUESTIONNAIRE<br />

(GRID K)<br />

r


Quast~onnaar9 Ref<br />

Qumstmn No<br />

Q5(F)<br />

FRENCH<br />

Q5(G)<br />

FNXNCH<br />

Q5(H)<br />

FRENCH<br />

Q5(I)<br />

FRENCH<br />

Q5(J)<br />

FRSNCH<br />

Q5(IC)<br />

FRENCH<br />

L<br />

Cod~hg Sheat<br />

Ref eranc -<br />

SF L~st<br />

SC Conv<br />

5H Read<br />

51 Writ<br />

5X Soc<br />

No of<br />

Boxasj<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

.<br />

Codang Instructions/Rmmarks<br />

Values -- 5<br />

Understand spoken French<br />

cod- as par q.mst ~onna Lro<br />

(GrLd F)<br />

Values -3-5<br />

Rh~l~ty to spaak French. Coda<br />

as per qumst~onnaira<br />

(Grid G)<br />

Ablllty to read French. Code<br />

as per quaationnalre<br />

(Gr~d H)<br />

Valuee -3-5-<br />

Ahdlty to wrLtm French. Coda<br />

as p9r quastionna~re<br />

(Gr>d I)<br />

Va 1Uem -3-<br />

Usa French at horn.. code<br />

as pmr questionnaire<br />

(Gr~d J)<br />

Valu.a -3-3<br />

use French socially. Coda as<br />

par qumst zonnairm<br />

(Gr>d K)<br />

75


Questionnaire Ref<br />

Question No<br />

Q5(F)<br />

DUTCH<br />

Q5(G)<br />

DUTCH<br />

Q5(H)<br />

DUTCH<br />

Q5(I)<br />

DUTCH<br />

Q5(J)<br />

DUTCH<br />

Q5(K)<br />

DUTCH<br />

Coding Sheet<br />

Reference<br />

SF List<br />

5G Conv<br />

5H Read<br />

51 Writ<br />

5J Use<br />

SK Soc<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-5<br />

Understand spoken Dutch.<br />

Code as per questionnaire<br />

(Grid F)<br />

Values -3-5<br />

Ability to speak Dutch. Code<br />

as per questionnaire<br />

(Grid G)<br />

Values -3-5<br />

Ability to read Dutch. Code<br />

as per questionnaire<br />

(Grid H)<br />

Values -3-5<br />

Ability to write Dutch. Code<br />

as per questionnaire<br />

(Grid I)<br />

Values -3-3<br />

Use Dutch at home. Code<br />

as per questionnaire<br />

(Grid J)<br />

Values -3-3<br />

Use Dutch socially. Code as<br />

per quest ionnaire<br />

(Grid K)<br />

r<br />

i’6


Qucstaonnalre R= f<br />

Qu9stxon No<br />

Q5(F)<br />

GERWAN<br />

Q5(G)<br />

GERWAN<br />

Q5(H)<br />

GERMAN<br />

Q5(I)<br />

GEF.MRN<br />

Q5(J)<br />

GE3UAN<br />

Q5(K)<br />

GERMAN<br />

..<br />

Coding Sheet<br />

Rmformncm<br />

SF L>st<br />

SC Conv<br />

5H Read<br />

51 Writ<br />

SK SOC<br />

No of<br />

Boxms/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codang Instructions/Ramarks<br />

ysluea -3-5<br />

under~tand epaken German.<br />

Code as per quast~onna~rc<br />

(Grid F)<br />

Values -3-5<br />

Ab~l~ty to s~ak German Code<br />

as par quast10nnalr9<br />

(Gr>d G)<br />

Values -3-5<br />

AbLllty tO read German. Code<br />

as per quest iOnna Lra<br />

(GrLd H)<br />

Values -3-\<br />

Ablllty to writ= German. Coda<br />

as per quast~onnaira<br />

(Grid I)<br />

Va 1ue9 -3-3<br />

Uae German at homm. Code<br />

as per quast~onnaua<br />

(Grid J)<br />

values -- 3<br />

Us- German socially. Cod* as<br />

par questlonnaare<br />

(GrLd K)<br />

77


Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxesf Coding Instructions/Remarks<br />

Characters<br />

Q5(F) 5F List 2 Values -3-5<br />

GREEK<br />

Understand spoken Greek. Code<br />

as per questionnaire<br />

(Grid F)<br />

Q5(G) 5G Conv 2 Values -3-5<br />

GREEK<br />

Ability to speak Greek. code<br />

as per questionnaire<br />

(Grid G)<br />

Q5(H) 5H Read 2 Values -3-5<br />

GREEK<br />

Ability to read Greek. Cede<br />

as per questionnaire<br />

(Grid H)<br />

Q5(I) 51 Writ 2 Values -3-5<br />

GREEK<br />

Q5(J) 5J Use 2 Values -3-3<br />

GREEK<br />

Q5(K) SK SOC 2 Values -3-3<br />

GREEK<br />

Ability to write Greek. Code<br />

as per questionnaire<br />

(Grid I)<br />

Use Greek at home. Code<br />

as per questionnaire<br />

(Grid J)<br />

USe Greek socially. Code as<br />

per questionnaire<br />

(Grid K)


Q.@stzonnaara R-f<br />

Qwstaon No<br />

Q5(F)<br />

IRISH<br />

Q5(G)<br />

IRISH<br />

Q5(H)<br />

IRISH<br />

Q5(I)<br />

IRISH<br />

Q5(J)<br />

IRISH<br />

Q5(K)<br />

IRISH<br />

-?<br />

*,T. . .<br />

Cod>ng shoot No of<br />

R8f ●renca Boxms/<br />

Characters<br />

Coding Instructions/Remarkm<br />

5G Conv<br />

5H Read<br />

I<br />

I<br />

2<br />

2<br />

I Values -3-5<br />

I<br />

Understand spokan IrLsh. Code<br />

as per quest lonnaue<br />

(Grid F)<br />

Ablhty to s~ak Irish. Code<br />

as per quest ~onnaum<br />

(Grid G)<br />

values -3-5<br />

AbLllty to read Irish. Code<br />

as par quastlonnalro<br />

(GrLd H)<br />

Ab~lLty to wrlta Irish. code<br />

as par quest ionnama<br />

(Grid I)<br />

5J USe 1’ values -3-3 I<br />

us- IrLsh at home. Coda<br />

as pmr questionnaire<br />

(Gr>d J)<br />

SK SOC<br />

I<br />

2<br />

I<br />

Values -3-3<br />

US- Irish socaally. Coda as<br />

per qwat~onna~re<br />

(Grid K)<br />

79


Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

Q5(F) SF List 2 Values -3-5<br />

ITALIAN<br />

Q5(G)<br />

ITALIAN<br />

Q5(H)<br />

ITALIAN<br />

5G Conv<br />

5H Read<br />

I<br />

I 2 I ‘alues -3-5<br />

I I<br />

I<br />

2<br />

I<br />

1<br />

Understand spoken Italian.<br />

Code as per questionnaire<br />

(Grid F)<br />

Ability to speak Italian.<br />

Code as per questionnaire<br />

(Grid G)<br />

Values -3-5<br />

Q5(I) 51 Writ 2 Values -3-5<br />

ITALIAN<br />

Q5(J) 5J Use 2 Values -3-3<br />

ITALIAN<br />

Ability to read Italian. Code<br />

as per questionnaire<br />

(Grid H)<br />

Ability to write Italian.<br />

Code as per questionnaire<br />

(Grid I)<br />

Use Italian at home. Code<br />

as per questionnaire<br />

(Grid J)<br />

Q5(K) 5K SOC 2 Values -3-3<br />

ITALIAN<br />

Use Italian socially. Code as<br />

per questionnaire<br />

(Grid K)<br />

~..


i, , ‘!<br />

Quast>onna2re R-f Codxng Shaat No of<br />

QuOStXOn NO Raf ●rance Boxes/ Codang Instructions/Ramarks<br />

Characters<br />

Q5(F) SF List 2 Valu.g -3-5<br />

PORTUGUESE<br />

Understand npoken Portuguese.<br />

Coda as p*r quest~onna~ra<br />

(Grid F)<br />

Q5(G) SC Conv 2 Value , -3-5<br />

PORTUGUESE<br />

Ab>l~ty to speak Portuguese.<br />

Code as per quest~anna~re<br />

(Gr~d G)<br />

Q5(H) 5H Read 2 ~lues --<br />

PORTUGUESE<br />

Rbllity to read Portuguasa.<br />

Code as per guestLonna~re<br />

(Grzd H)<br />

Q5(I) 51 WrLt 2 v~<br />

PORTUGUESE<br />

ilbLllty to wr~te Portuguese.<br />

code as per quact~onnaua<br />

(GrLd I )<br />

Q5(J) 5J U-a 2 Values -3-3<br />

PORTUGUESE<br />

U~e Portuguese at home. Code<br />

as par qucst~onnairo<br />

(Gr>d J)<br />

Q5(K) SK SOC 2 v~ Uas -3-<br />

PORTUGUESE<br />

Us, Portuguasa socmlly. Code<br />

as p-r queet ionnau~<br />

(Grid K)<br />

81


Questionnaire Ref<br />

Question No<br />

Q5(F)<br />

SPANISH<br />

Q5(G)<br />

SPANISH<br />

Q5(H)<br />

SPANISH<br />

Q5(I)<br />

sPANISH<br />

Q5(J)<br />

SPAWISH<br />

Q5(K)<br />

SPANISH<br />

Coding Sheet<br />

Reference<br />

5F List<br />

5G Conv<br />

5H Read<br />

51 Writ<br />

5J Use<br />

SK SOC<br />

NO of<br />

BOxes/<br />

characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding InstmctiOus/Remarks<br />

Values -3-5<br />

Understand spoken Spanish.<br />

Code as per questionnaire<br />

(Grid F)<br />

Values -3-5<br />

Ability to speak Spanish.<br />

Code as per questionnaire<br />

(Grid G)<br />

Values -3-5<br />

Ability w read Spanish. Code<br />

as per questionnaire<br />

(Grid H)<br />

Values -3-5<br />

Ability to write Spanish.<br />

Code as per questionnaire<br />

(Grid I)<br />

Values -3-3<br />

Use Spanish at home. Code<br />

as per questionnaire<br />

(Grid J)<br />

Values -3-3<br />

Use Spanish socially. Code as<br />

per questionnaire<br />

(Grid K]<br />

L+2


QuastlonnaLra R@f<br />

Questaon No<br />

Q5(L)<br />

Q5(L)<br />

Q5(L)<br />

Q5(L)<br />

Q5(L)<br />

Q5(L)<br />

Q5(L)<br />

Coding Sheat<br />

Raferanc*<br />

5L None<br />

5L Dan<br />

5L Dut<br />

5L FR<br />

5L GER<br />

5L GRK<br />

5L IRI<br />

No of<br />

Boxasf<br />

characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Cod>ng Instructions/Rmmarks<br />

values -3-01<br />

Use any languages wh~la on<br />

hol~day?<br />

Yes . . .................. 01<br />

No .. . ................... 00<br />

values -3-C3J<br />

Yen . ........... .... 01<br />

No .. ... ......... . . 00<br />

Valums -3-01<br />

use Dutch wh~l- on hollday?<br />

Yes . . ......... .... . 01<br />

No ... . .... .......... . 00<br />

Values -3-01<br />

use French while on holiday?<br />

Yes .... ... .......... 01<br />

NO ......... .... .. ..... 00<br />

Values -3-01<br />

Usa Garman whila on hol~day?<br />

Yes .... ...... ...... ... 01<br />

No . .......... ....... .. 00<br />

va Lues -3-01<br />

Yes .. .... ... ---------- 01<br />

No ......... ...... .... 00<br />

values -3-OL<br />

Use IrLsh whLle on hol~day?<br />

Yes ..... ... ... .... 01<br />

No ..... ..... ...... . 00<br />

83


Questionnaire Ref<br />

Question No<br />

Q5(L)<br />

Q5(L)<br />

Q5(L)<br />

Coding Sheet<br />

Reference<br />

5L ITL<br />

5L Port<br />

5L Span<br />

No of<br />

BoXeSf<br />

Characters<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-01<br />

r<br />

Use Italian while on holiday?<br />

Yes ...................... 01<br />

N.J ....................... 00<br />

Values -3-01<br />

Use Portuguese while on<br />

holiday?<br />

Yes ...................... 01<br />

No .......................00<br />

Values -3-0~<br />

u9e Spanish while on holiday?<br />

Yes ...................... 01<br />

NO ....................... 00


Quast~onnaLra Rof<br />

Q5(Fs)<br />

Q5(M)<br />

Q5(M)<br />

Q5(M)<br />

Q5(n)<br />

Q5(k4)<br />

Quastaon No<br />

Coding Shaat<br />

R-f mrenca<br />

5U None<br />

514 Dan<br />

5M out<br />

514 FR<br />

5M GER<br />

514 GRK<br />

No of<br />

BOxas/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-0~<br />

Use any languages for<br />

bus Lnens purposes.<br />

Yes . ....... .. .... .. 01<br />

NO .................. .. 00<br />

values -3-OL<br />

Use Dan~sh for busmmss<br />

purposes?<br />

Y*S ......... .... .... 01<br />

NO . ...... . ...... . 00<br />

Values -3-o~<br />

Use Outch for busmaas<br />

purposess<br />

Y9S . ............... ... 01<br />

No .... ...... ........... 00<br />

~<br />

--<br />

Us- French<br />

purpOses Y<br />

Y-s . ...<br />

NO ..... .<br />

~<br />

--<br />

for bualnmss<br />

........ ... 01<br />

............... 00<br />

OS* German for businass<br />

purpoams?<br />

1<br />

Y*8 . .... .. ... 01<br />

NO .. . ... ...... ... 00<br />

values -3<br />

OL<br />

u~e Greek for business<br />

purpos*sa<br />

Y*S . . ..... ..... 01<br />

NO . ... . ... .. ....00<br />

85


Questionnaire Ref<br />

Q5(M)<br />

Q5(M)<br />

Q5(M)<br />

Q5(M)<br />

Question No<br />

Coding sheet<br />

Reference<br />

5M IRI<br />

5M ITL<br />

5M Port<br />

5M Span<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-01<br />

use Irish for business<br />

purposes?<br />

Yes ...................... 01<br />

No ....................... 00<br />

Values -3-01<br />

Use Italian for business<br />

purposes ?<br />

Yes ...................... 01<br />

NO ....................... 00<br />

Values -3-O&<br />

Use Portuguese for business<br />

purposes?<br />

Yes ................ ...... 01<br />

No ....................... 00<br />

Value9 -3-04<br />

Use Spanish for business<br />

purposes ?<br />

Yes ...................... 01<br />

No ....................... 00<br />

f..<br />

d6


Qu.staonnaxrm Ref<br />

Q5(N)<br />

Q5(N)<br />

Q5(N)<br />

QS(N)<br />

Q5(N)<br />

Q5(N)<br />

Question No<br />

. .<br />

Codzkg Sheat<br />

Referenc9<br />

5N None<br />

SN DarI<br />

5N Dut<br />

5N FR<br />

5N GER<br />

5N GR5(<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

!.,<br />

Cod~ng Instructions/ Remark9<br />

wee<br />

.-<br />

1<br />

Usa any languages Ln othar<br />

eltuatlons?<br />

Yee . .. ............ ... 01<br />

No .. ........ ..... . . 00<br />

-s<br />

--<br />

Yes . ........ ...... ...... 01<br />

No . ..... .. . ... 00<br />

yQuee<br />

.-<br />

Use Outch Ln other<br />

s~tuat ions-<br />

1<br />

Yes . . . ... ......... 01<br />

No .. . ..... ......... 00<br />

Velue 9-3-01<br />

use Franch in other<br />

a~tuat~ons?<br />

Yes .. . ........ . ....... 01<br />

No . ............. ...... 00<br />

Values --<br />

Usa Gamn m othar<br />

s~tuat Lonm?<br />

Yms .. ........... . ...... 01<br />

No ................. ...... 00<br />

values -3-02,<br />

Use Crook Ln othar<br />

sLtuat~0n9?<br />

Yes . .. .. . ...... 01<br />

No . ... .. ....... 00<br />

87


Questionnaire Ref<br />

Question No<br />

Q5(N)<br />

Q5(N)<br />

Q5(N)<br />

Q5(N)<br />

Coding sheet<br />

Reference<br />

5N IRI<br />

5N ITL<br />

5N Port<br />

5N Span<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-01<br />

Use Irish in<br />

situations?<br />

other<br />

Yes ......... . . . . . . . . . . . . . 01<br />

No ....................... 00<br />

Values -3-0~<br />

Use Italian in other<br />

situations?<br />

Yes ...................... ol<br />

No ....................... 00<br />

Values -3-0~<br />

Use Portuguese<br />

situations?<br />

in other<br />

Yes ........... ........... 01<br />

No ........... ............ 00<br />

Values -3-O%<br />

Use Spanish in other<br />

situations?<br />

Yes ...................... ol<br />

go ....................... 00<br />

d8


Quast>onnaLre R-f<br />

Q5(0)<br />

Q5(0)<br />

Q5(0)<br />

Q5(0)<br />

Q5(0)<br />

Q5(0)<br />

Q5(O]<br />

Qu-staon No<br />

A<br />

Cod*ng She-t<br />

Rafmrance<br />

50 Nonm<br />

50 Oan<br />

50 Dut<br />

50 FR<br />

50 GER<br />

50 GRR<br />

50 IRI<br />

No of<br />

Boxas/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

tid~ng Instructions/Ramarks<br />

~es -3-01<br />

Intarasted in further<br />

knowledge of languages?<br />

rem -.. .... .. .. .... 01<br />

No ..... ........... ..... 00<br />

Values --<br />

L<br />

Intarestad m further Danxsh?<br />

Yes .. . ...... .. ...... 01<br />

No .. .......... ....... . 00<br />

~ues -- OL<br />

Intmrast.sd in further Dutch?<br />

r-s . . .. ............ . 01<br />

No ... .... ... ..... 00<br />

Value s -3-o<br />

Intmrmstad in furthar French?<br />

Yes . ........ ..... . 01<br />

No ... ........... .. 00<br />

Values --<br />

L<br />

Int=r*st*d in furthar German?<br />

Ye, .. ... . ....... .. . 01<br />

No . ....... ....... ... 00<br />

Val U*S -3-01<br />

Intarmstad m further Gra9k?<br />

Y*S .. .. ... .. .......... 01<br />

No . ... ..... ..... ... 00<br />

Valu as -3-o<br />

Yes . . . ... 01<br />

No . . . . 00<br />

89


Questionnaire Ref<br />

Question No<br />

Q5(0)<br />

Q5(0)<br />

Q5(0)<br />

Coding Sheet<br />

Reference<br />

50 ITL<br />

50 Port<br />

50 span<br />

No of<br />

BOxeS/<br />

Characters<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-01<br />

Interested in<br />

Italian?<br />

further<br />

Yes ......... ............ 01<br />

No .......................OO<br />

Values -3-01<br />

Interested in further<br />

Portuguese?<br />

Yes ...................... 01<br />

No ....................... 00<br />

Values -3-01<br />

Interested in<br />

Spanish?<br />

further<br />

Yes ......... ............ 01<br />

No ....................... 00


,.. ---<br />

Quastuannmra Raf Cod>ng Sha=t No of<br />

Questaon No Rmfmrence Boxes/ Coding Instructions/Rmmarks<br />

Characters<br />

Q5(P)<br />

Q5(P)<br />

I 1 1<br />

I<br />

5P None<br />

I 2 I ‘a’ues -3-0’<br />

I I I<br />

I<br />

5P Oan<br />

Q5(P) 5P Dut 2<br />

Q5(P) 5P FR<br />

Q5(P) 5P GER<br />

Q5(P)<br />

Q5(P)<br />

5P GRK<br />

5P IRI<br />

I 2 I ‘a’ues ‘3-9<br />

I<br />

2<br />

I<br />

Any of 9 languagms important<br />

to have knowledge of?<br />

Y99 . . . . . . . . . . . . . . . . . . . 01<br />

No . . . . . . . . . . . . . . . . . . . . . 00<br />

Ordar of ~mportancm<br />

Code ●s par guest ionna~ra<br />

(Grid P)<br />

values -3-9<br />

order of ~mp-art.mcm<br />

Code as per questionnaire<br />

(GrLd P)<br />

Values -3-9<br />

I 2 I ‘alues ‘3-2<br />

2<br />

2<br />

Ordar of importance<br />

Coda as pmr quostionna~ra<br />

(Grid P)<br />

Ordar of Importance<br />

coda as per quastionnaue<br />

(Grid P )<br />

Ordar of Lmportancm<br />

cod- ●s pmr qummtmnnaue<br />

(Gr~d P)<br />

Val uas -3-9<br />

Order of Lmportanca<br />

Coda as per questionnaire<br />

(GrLd P)<br />

91


Questionnaire Ref Coding sheet m of<br />

Question No Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

Q5(P)<br />

Q5(P)<br />

Q5(P) I<br />

CHECK A<br />

CHECK B<br />

I<br />

I<br />

I I<br />

5P ITL<br />

5P Port<br />

5P Span<br />

CHK A<br />

cHK B<br />

I<br />

I<br />

2<br />

2<br />

1’ I<br />

2<br />

I<br />

I<br />

I<br />

I<br />

IAny I<br />

I<br />

Values -3-9<br />

order of importance<br />

code as per questionnaire<br />

(Grid P)<br />

Values -3-9<br />

Order of importance<br />

Code as per questionnaire<br />

(Grid P)<br />

Values -3-9<br />

Order of importance<br />

code as per questionnaire<br />

(Grid P)<br />

–3<br />

Values 0-02<br />

children under 16?<br />

Q6 Q6 2 Values -3-02<br />

I 1 1<br />

Yes . . . . . . . . . . . . . . . . . . . . . 01<br />

No . . . . . . . . . . . . . . . . . . . . . . 02<br />

Is informant repnsible fOr<br />

children?<br />

/._.<br />

Yes . . . . . . . . . . . . . . . . . . . . . 01<br />

No . . . . . . . . . . . . . . . . . . . . . . 02<br />

Children any knowledge of<br />

languages?<br />

Yes (at least one child) . 01<br />

No (none) ............... 02<br />

If all children less than<br />

three (x) code .......... 00<br />

Q6(A) (i) CHILD 2 Code child qs Person Number<br />

as per questionnaire<br />

[Grid QUA/]


QumstaonnaLra Rmf<br />

QuastLon No<br />

Q6(A) (1)<br />

Q6(A) (L)<br />

Q6(A) (1)<br />

(26(A)(L)<br />

Q6(A) (1)<br />

Q6(A) (L)<br />

!.<br />

Coding Sha*t<br />

Ref ●rOUC*<br />

6AL<br />

DANISH<br />

6AL<br />

DuTCH<br />

6AL<br />

FR3ZNCH<br />

6A><br />

GERMAN<br />

6AL<br />

GREEK<br />

6A1<br />

IRISH<br />

No of<br />

S.oxasl<br />

characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Cadng Instructions/Ramarks<br />

Valu es -3-o~<br />

H*/Sha any knowledga of<br />

Dan~sh?<br />

Yea . .. .. .... ...... . 01<br />

No ..... ..... ..... .. 00<br />

Ha/Sh@ any knowledgo of<br />

0utch9<br />

Yes . . . . . .... 01<br />

No . . ... ... .. 00<br />

Ha/ Sha any knowlodga of<br />

French?<br />

Yes .......... ..... ..... 01<br />

No ........ . ...... 00<br />

values -3-01<br />

He/Sha any knowladge Of<br />

German?<br />

Yes .. ................ 01<br />

No ..... .............. . 00<br />

ysluee -- 1<br />

H*/ She any knowledge of<br />

Greeka<br />

Yes . .... . .. ..... 01<br />

No . . . ... . ........ 00<br />

Valu es -3-01<br />

He/She any knowledgm of<br />

Irish><br />

Yes . ..... . . .01<br />

No. . .... ..... 00<br />

93


Questionnaire Ref<br />

Question No<br />

Q6(A) (i)<br />

Q6(A) (i)<br />

Q6(A) (i)<br />

Q6(A) (ii)<br />

Q6(A) (ii)<br />

Q6(A) (ii)<br />

Coding sheet<br />

Reference<br />

6Ai<br />

ITALIAN<br />

6Ai<br />

PORTUGUESE<br />

6Ai<br />

SPANISH<br />

6Aii<br />

DANISH<br />

6Aii<br />

DUTCH<br />

6Ai i<br />

FRSNCH<br />

No of<br />

Boxes/<br />

characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instruct ions /Remarks<br />

Values -3-01<br />

He/She any knowledge of<br />

Italian?<br />

Yes ...................... 01<br />

No ....................... 00<br />

Values -3-01<br />

He/She any knowledge of<br />

Portuguese?<br />

Yes ..................... 01<br />

No . . . . . . . . . . . . . . . . . . . . . . 00<br />

Values -3-0~<br />

He/ She any knowledge of<br />

Spanish?<br />

Yes ..................... 01<br />

No ...................... 00<br />

Values -3-03<br />

He/She use Oanish at home?<br />

Never . . . . . . . . . . . . . . . . . . 01<br />

Occasionally ........... 02<br />

Oaily .................. 03<br />

Values -3-03<br />

He/She use Dutch at home?<br />

Never . . . . . . . . . . . . . . . . . . 01<br />

Occasionally ........... 02<br />

Oaily .................. 03<br />

Values -3-03<br />

He/She use French at home?<br />

Never . . . . . . . . . . . . . . . . . . 01<br />

Occasionally ........... 02<br />

Daily .................. 03


Q6(A) (ii)<br />

Q6(A) (11)<br />

Q6(A) (U)<br />

Q6(A) (ii)<br />

Q6(A) (11)<br />

Q6(A)(L1)<br />

Coda&g shoot<br />

Rmf ●ranca<br />

6AiL<br />

GERHAN<br />

6ALL<br />

GREEK<br />

6AL L<br />

IRISH<br />

6AiL<br />

ITALIAN<br />

6ALi<br />

PORTUGUESE<br />

6ALL<br />

SPANISH<br />

No of<br />

00%8s/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codang Instructuans/Rmmarks<br />

values -3-03<br />

He/She use German at home?<br />

Never ....... . ... ... 01<br />

Occasionally .. . ... . 02<br />

Dally ........ . .. . .. 03<br />

Values -3-0~<br />

Ho/ She US- Graok at home?<br />

Never .. .. .... 01<br />

OCCaSLOnally . . . . . . . . . 02<br />

Oally ..... .. .. .... 03<br />

values -3-03<br />

He/She umo Ir>sh at home?<br />

Nav@r . . . . . . . . . . . . . . . . . 01<br />

Occamlonally .. ....... . 02<br />

oaz Ly . . . . ........ 03<br />

valu*s -3-03<br />

He/She use ItalL&n at home?<br />

Nwer. ........ ........ 01<br />

Occasmnally .... ... .... 02<br />

DaLly ..... ............ 03<br />

values -3-03<br />

Ha/Sh@ USO POrtUgUOaa at<br />

home *<br />

Navmr . . . . . . . . . . . . . . . . . . . . 01<br />

Occasionally .. ......... 02<br />

oaLly ..... .. ... .... 03<br />

H*/She usc SpanLsh at homo?<br />

Nev9r . . .. . .. . 01<br />

Occasionally .. ... ..... 02<br />

Oally .. .. .. . 03<br />

95


m<br />

z<br />

0<br />

a<br />

m<br />

.<br />

. . . . N<br />

1 1<br />

z%<br />

Om<br />

u<br />

.,<br />

. .<br />

,.<br />

. .<br />

,.<br />

. .<br />

.,<br />

,.<br />

,.<br />

. .<br />

. .<br />

. .<br />

.,<br />

,.<br />

.,<br />

,.<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

SE<br />

c).<br />

oh<br />

ar<br />

log<br />

w<br />

ml


—<br />

Quastxonnaarm Ref Cod~ng sheet No of<br />

Quast=on No Rifarance Box*s/ Cod~ng Instruct~ons/Ramarks<br />

Characters<br />

Q6(B) 6B ITL 2 Va lues -3-9<br />

Q6(B) 68 Port 2 Values -3-9<br />

Q6(B) 6B Span 2 Values -3-9<br />

[PP]UOuff-2300 Q-5-Q6<br />

M<br />

Ital~an - ardor of<br />

Lmpc.rtance. Code a- per<br />

Grid 6B<br />

Portuguese - order of<br />

Lmpotiance. Code an pmr<br />

Grid 6B<br />

Span~sh - ordar of<br />

Lmportanc.s. Coda as par<br />

Grid 6S<br />

97


Qu.st~onna.re Ref<br />

— QuastLon No<br />

Person<br />

Ident Lflcatmn<br />

Q1 (A-B)<br />

.<br />

Codxng Sheet<br />

Refarence<br />

IO No<br />

H/H No<br />

Per<br />

FU<br />

QIAB<br />

ENPLOYXENT SECTION<br />

No of<br />

soxesf<br />

Characters<br />

5<br />

2<br />

2<br />

2<br />

2<br />

Codug Instruct~ans/R8marks<br />

Values 00001 -49999<br />

S dzg~ts - remember laaduig<br />

zeros [check nundxr 1s<br />

tha ssme as front page of<br />

household schedule ]<br />

Values 01 -0s<br />

Enter houmehold number<br />

~ues 01-21<br />

Check ~rnon number is<br />

corract r enter parson<br />

number<br />

value~ 1-7 I<br />

\<br />

Enter numb-r of Family Unit .<br />

Values .-<br />

6<br />

ThLs quection m tho key<br />

q-uast~on to all of th>s<br />

●ectlOn. It LS ●xtramely<br />

unportant that tha<br />

employmnt status Lcorrect<br />

- Lf Ln any doubt<br />

or Lf you feel Lt has been<br />

wrongly cod-d rafu to<br />

supervisor.<br />

Any paid work Ln the last<br />

ldayu ..................01<br />

Not working last waak etc<br />

buthas a job ...........02<br />

wa~tmg to take up a job .03<br />

Looking for work (include<br />

all r9ceavLng UB/Sup Ban<br />

but excludm thoma On Govt/<br />

Youth Schame$ ) unmmploymd<br />

and ●a.rly ratirmd ..... .04<br />

Intending to look for work<br />

but prmanted by temoorary<br />

sLcknems/ injury ... .....05<br />

98


Questaonnur, R9f<br />

Questaon No<br />

Qlc<br />

Q2<br />

CHECK A<br />

cod~ng Sho*t<br />

Ref*KeUc*<br />

QIC<br />

Q2<br />

CHKA<br />

No of<br />

Boxas/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Ramarks<br />

None of theso . ..... ...o6<br />

(th~s Lncludos, rmt Lred,<br />

long’term s~ck, houmaw~vmm,<br />

students/school k~da, all<br />

thosa on YTP and other<br />

Government s~nsored<br />

Sch.mas<br />

valu*s -3-O?<br />

Look~ng for work fplacm on<br />

Government Tramlng schema?<br />

Yes ...... ...............01<br />

NO ....... ..............02<br />

Value~ -3-05<br />

Schmmas attendmd.<br />

Youth Tra~nlng Progracmna<br />

(YTP) ... .. .........01<br />

Act ion for Commuut y<br />

Employnmnt (ACE) ........02<br />

Ent*rprLsa UlOtar/Job<br />

Trauung ProgranMn9 ......03<br />

Ychar Govarmnent Schama<br />

(excluding Entmrprlaa<br />

Allowancm Schame) ......04<br />

None ofthasc . .. .......05<br />

~wsa -- 02<br />

HOW paLd?<br />

A wagm by an employ-r ...01<br />

A traln~ng allowance fOr<br />

Govmrr.nmnt scheme . .....02<br />

OK ... . ... .. ..........-l<br />

Valuas -3-04<br />

On a Govarnmant Schema ...01<br />

Had a lob Laat weak ... .02<br />

Unemployed ...... .. .. ....03.<br />

Nona of these .. ... ...04<br />

99


Questionnaire Ref<br />

Question No<br />

Q3(A) or (B)<br />

Q4(A)<br />

Q4(A)<br />

Coding Sheet<br />

Ref ersnce<br />

Q3 A/B<br />

Q4 SOC<br />

Q4 SOCR<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

3<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-04<br />

UNEMPLOYED : WAITING TO T-<br />

OP A JOB<br />

Yes . . . . . . . . . . . . . . . . . . . ...01<br />

No .......................02<br />

~LoYND (OTHER)<br />

Have you ever had a paid<br />

job?<br />

Yes ......................03<br />

No .......................04<br />

Values -3-999<br />

Occupation - code the 3figure<br />

number given in the<br />

SOC manual<br />

Values -3-09<br />

Recode of SOC<br />

Recode the three-digit value<br />

for 50C as follows<br />

100-199 ..................01<br />

(Managers & Administrators)<br />

200-299 ..................02<br />

(Professional Occupations)<br />

300-399 ..................03<br />

(Associate Professional &<br />

Technical Occupations )<br />

400-499 ..................04<br />

(ClericaL & Secretarial<br />

Occupations )<br />

500-599 ..................05<br />

(Craft & Related<br />

Occupations )<br />

600-699 ..................06<br />

(Personal .S Protective<br />

Service Occupations )<br />

700-799 ..................07<br />

(Sales occupations)<br />

t<br />

a m


Q.astuxmaxre Ref<br />

Questaon No<br />

Q4(A)<br />

,.,<br />

Coding Shaet<br />

Rmfarence<br />

Q4 IND<br />

No of<br />

BOxms/<br />

Characters<br />

2<br />

Cod>ng Instructions/Ramarks<br />

800-s99 ..................08<br />

(Plant & Hachina Oparatlvas )<br />

900-999 ............ ......09<br />

(Other occupations )<br />

-1 ................. .. ...-1<br />

-2 ........... ... . ... -2<br />

-3 ............... .. ..... -3<br />

Valums -- U<br />

Industrp coda from frama<br />

b-low<br />

ACJrLCUltUr-, f 0rC9try,<br />

fishing .................01<br />

Energy and watar supply<br />

industrial ..............02<br />

~ of minarals and<br />

0r9m ;<br />

~ of m~t~~~.<br />

❑ inaral producte and<br />

ch-~cals ................03<br />

natal goods, ●nginemrmg<br />

●nd vohacl* Lndustrias ...04<br />

Othar manufacturing<br />

industries ...............05<br />

Construct ion ...... .......06<br />

Distribution, hotals and<br />

catering; rmpmrm .. ......07<br />

Transport and<br />

coumum~cat Lon ............08<br />

Bank~ng, financa, Lnaurance,<br />

business sarv~cas and<br />

lcas~ng ..................09<br />

101


QuOStiOIUIaire Ref coding Sheet No of<br />

Question No Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

Q4(A) Q4 EMP<br />

Q4(B)<br />

Q4(B) (i)<br />

Q4(C)<br />

I I I<br />

I I I<br />

I I I<br />

I I I<br />

I I I<br />

I<br />

Q4B<br />

Q4Bi<br />

Q4c<br />

I<br />

2<br />

2<br />

2<br />

2<br />

[<br />

I<br />

I<br />

?’<br />

Other services ...........10<br />

Insufficient information<br />

given to classify ........11<br />

NB . If more than one<br />

act ivity is mentioned and the<br />

activities are in separate<br />

divisions but there appears<br />

to be only one estab Lishment,<br />

code the main activity of<br />

the establishment.<br />

If more than one<br />

establishment is indicated<br />

and the establishments are<br />

in separate divisions, then<br />

code the establishment that<br />

the informant works in.<br />

Values -3-02<br />

Employee .................01<br />

Self -employed ............02<br />

Values -3-03<br />

t4anaqer ..................01<br />

Foreman/Supervisor .......02<br />

Other employee ...........03<br />

Values -3-02<br />

Number of employees<br />

1-24 .....................01<br />

25+ ......................02<br />

Values -3-04<br />

Employ other people?<br />

Yes, 1-5 .................01<br />

Yes, 6-24 ................02<br />

Yes, 25+ ...... .. .........03<br />

No ............ ...........04


. . .<br />

+<br />

.<br />

Quastzonna~r= R-f Codang She-t No of<br />

Quastaon No Raf armnc= sOxM/<br />

Characters<br />

Coding Instruct~ons/Remarks<br />

CHECK B CH3C B<br />

Q5 Q5<br />

Q5(A)<br />

Q5(A)<br />

Q5 SOC<br />

Q5 SOCR<br />

2<br />

2<br />

I<br />

I I<br />

I 1<br />

I I I<br />

3<br />

~es<br />

.-<br />

2<br />

Had a job laet w-ok . . . ...01<br />

[ cod-d 2 at Check A]<br />

Unemployed ..... .. ... ..02<br />

[coded 3 at Check A]<br />

~es<br />

--<br />

2<br />

Additional k.mrk other than<br />

mam lob?<br />

Y*8 . . . . . . . . . . . . . . . . . . . . . . 01<br />

No . . . . . . . . . . . . . . . . . . . . ..02<br />

v<br />

I<br />

I ‘s 3 “2<br />

Code as pmr Q4 SOC<br />

1<br />

I<br />

I<br />

1<br />

(Using SOC coding manual)<br />

I<br />

2<br />

v<br />

.-<br />

--<br />

I ‘“”s 3 Q<br />

Rmcodm of SOC<br />

I<br />

Racodo thm thraa-dLgit value<br />

for SOC as follows<br />

100-199 ..................01<br />

(Hanagara S Administrators)<br />

200-299 ...................02<br />

(PrOf ●ss ional occupat ~ons )<br />

300-399 ...................03<br />

(Acaociata Profaaslonal &<br />

Tachnlcal OCCupatlOnS )<br />

400-499 ...................04<br />

(Clar~cal 6 Sacrctarlal<br />

Occupation j<br />

500-599 ........... ........05<br />

(Craft & R*latad 0ccupat10n9 )<br />

600-699 ...................IJ6<br />

(Personal & Protective<br />

sarv~ca Occupat ~0n9 )<br />

103


Questionnaire Ref Coding sheet<br />

Question No Ref erenca<br />

Q5(A) Q5 IND<br />

Q5(A)<br />

I<br />

IQ5 EMP<br />

Q5(B) Q5B<br />

Q5(B) (i)<br />

I<br />

Q5Bi<br />

Q5(C) Q5C<br />

No of<br />

BOxOs/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

,.<br />

700-799 ...................07<br />

(Sales Occupations)<br />

800-899 ...... .............o8<br />

(Plant & Machine Operatives)<br />

900-999 ...................09<br />

(Other occupations )<br />

-1 ................. .......-1<br />

-2 ........................-2<br />

-3 ........................-3<br />

Values -3-11<br />

Code as per Q4 IND<br />

(Using Industry coding<br />

frame )<br />

Values -3-OZ<br />

Employee .................01<br />

Self -employed ............02<br />

Values -3-03<br />

Manager ..................01<br />

Foreman/Supervisor .......02<br />

Other employee ...........03<br />

Values -3-02<br />

Numk.er of employees<br />

1-24 .....................01<br />

25+ .................. ....02<br />

Values -3-04<br />

Employ other people?<br />

Yes, 1-5 .................01<br />

Yes, 6-24 ................02<br />

Yes, 25+ ..... ............03<br />

No ................ .......04<br />

A(J4


Q6 Q6<br />

Q7[A) Q7A<br />

Q7(B) Q7B<br />

cHECK C CNKC<br />

Q8 Q8<br />

Q9 Q9<br />

I<br />

No of<br />

sox9s/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

.- .<br />

Cod>ng Instruct~ona/Ramarks<br />

Values .- 02<br />

Short tune laat waak?<br />

Yes ......................01<br />

No .................... ...02<br />

values -3-99<br />

Enta total numhr of<br />

@ hours work-d<br />

Qx’=1 udLnq<br />

overt mm<br />

mad brmaks and<br />

Valuam -3-99<br />

Enter total numb-r of w<br />

bourn work-d axclud~ng meal<br />

breaks. coda 00 if ●mployme<br />

or on a Govermrmnt schams.<br />

values --<br />

z<br />

on a govmrnwnt achmma<br />

(codod 1-4 at Q2) ...... ...01<br />

Employ* as, salf -employed. ..02<br />

Valu,s -3-04<br />

S ~gned on<br />

To clam unamploynunt<br />

banef Lt .......... ...... 01<br />

To claim Lncoma support an<br />

an unemployed pason .....02<br />

To gat cradits for National<br />

Insuranc= Contribut~ons ..03<br />

Not s~gned an ............04<br />

~os -- 02<br />

LOokMg for dlff@rcnt/<br />

add it Ional job<br />

r-s .. ...................01<br />

NO ....... ........ .... ..02<br />

105


Questionnaire Ref<br />

Question No<br />

Q1O(A) or (B)<br />

Qll<br />

Q12<br />

Coding Sheet<br />

Reference<br />

Q1O All<br />

Qll<br />

Q12<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-15<br />

Length of employment<br />

Less than 4 weeks .. ......01<br />

4 weeks - less than 3<br />

months ..................02<br />

3 months - less than 6<br />

months ............ ......03<br />

6 months - less than 12<br />

months ..................04<br />

1 year - less than 2<br />

years ...................05<br />

2 years - Less than 3<br />

years ...................o6<br />

3 years - less than 5<br />

years ............. ......07<br />

5 years - less than 10<br />

years ...................08<br />

10 years - less than 15<br />

years .............. .....09<br />

1S years - less than 20<br />

years ...................10<br />

20 years - less than 25<br />

years ...................11<br />

25 years - less than 30<br />

years ...................12<br />

30 years - less than 3S<br />

years ...................13<br />

3S years - less than 40<br />

years ...................14<br />

40 years and over ........15<br />

Values -3-04<br />

Why signed on<br />

To claim unemployment<br />

benefit .................01<br />

To claim income suppOrt ..02<br />

For NI Credits ...........03<br />

Not signed on ............04<br />

Values -3-09<br />

How long out of work?<br />

Less than l week .........01<br />

1 week, less than 1 month. 02<br />

1 month, less than 3<br />

months ..................03<br />

3 months, less than 6<br />

months ..................04


Quastuanna.ra R-f<br />

Q13<br />

Q14<br />

Q15<br />

Quastaon No<br />

Cod~iig Shamt<br />

Rmf ●rmca<br />

Q13<br />

Q14<br />

Q15<br />

No of<br />

S. Ox*s/<br />

Characters<br />

2<br />

2<br />

Codng Instructions/Remarks<br />

6 month=, lams than 1<br />

year ............. .......05<br />

1 year, less than 2<br />

yaars .............. .. 06<br />

2 yaars, less than 3<br />

years ................ ..07<br />

3 yaars, 1-ss than 5<br />

yaars ..... ..............08<br />

5 years and over ........09<br />

-e , .-<br />

6<br />

Last week warm you?<br />

Going to school or<br />

college .................01<br />

Perman*nt ly unabla to<br />

work ................ ...02<br />

Retired ....... .........03<br />

Early retirarmnt .... ....04<br />

LookLng aftmr houmf<br />

family ............ ....05<br />

Otha ...... ............ .06<br />

NB. The ‘rat>rad C and oearly<br />

retired” codas should only<br />

b- us-d for thoaa who hav*<br />

worked. Rmmpondents who say<br />

that they ara r*tirad but<br />

who hava navar work-d should<br />

b* cod-d in tha ‘other’<br />

Catuymy .<br />

Why s ignad on?<br />

To claim ummploynmnt<br />

bmmf it ... ..............01<br />

To claim incomm support ..02<br />

To g-t NI Cradits ........03<br />

Not s ~gned on ............04<br />

Valu.s -- 09<br />

Why not looking for work?<br />

on govmrnmont trammgl<br />

●mploymant ~chema ..... .01<br />

Stud-nt . . . . . . . . . . . . . . . 02<br />

Long-tmrm sick or<br />

d~sabled . . . . . . . . . . . 03<br />

107


Questionnaire Ref<br />

Question No<br />

$316<br />

Q17<br />

Q18<br />

Q18<br />

Coding Sheet<br />

Reference<br />

Q16<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

I I<br />

I<br />

Coding Instructions/Remarks<br />

Looking after family/<br />

home ....................04<br />

Ret ired ..................05<br />

Doesnst want job .........06<br />

No jobs available . . . . . ...07<br />

Not yet started looking ..08<br />

Other ....................o9<br />

Values -3-02<br />

Would you 1ike to have a<br />

job?<br />

Yes . . . . . . . . . . . . . . . . . . . ...01<br />

No .......................02<br />

Q17<br />

I<br />

2<br />

I<br />

IValues -3-01<br />

Have you ever I worked?<br />

Yes ......................01<br />

No .......................02<br />

Q18 SOC<br />

I I I<br />

I<br />

Q18 SOCR<br />

I I I<br />

I<br />

I<br />

3<br />

2<br />

I<br />

I<br />

Values -3-999<br />

Occupation - last job?<br />

Code the 3-figure number<br />

given in the SOC manual<br />

Values -3-09<br />

Recode of S042<br />

Recode the three-digit value<br />

for SOC as follows<br />

100-199 ...................01<br />

(Managers & Administrators)<br />

200-299 . . . . . . . . . . . . . . . . ...02<br />

( Professional Occupations)<br />

300-399 ...................03<br />

(Associate Professional L<br />

Technical Occupations )


Quastzonnaara R-f<br />

Questmn No<br />

Q18 Q18 IND<br />

No of<br />

sOxms/<br />

Characters<br />

I I I<br />

2<br />

coding Instructions/Ramarks<br />

400-499 .................. 04<br />

(Clerical & Sacretarlal<br />

Occupat Lens j<br />

500-599 ............. .... 05<br />

(Craft G Ralatcd OccupatLOnS )<br />

600-699 ...................06<br />

(Pmsonal & PrOt*ctivO<br />

Sarvlce Occupations)<br />

700-799 ...................07<br />

(Sal*8 occupat~ons )<br />

800-899 .. ................08<br />

(Plant & Machina o~ratives )<br />

900-999 . . . . . . . . . . . . . . . . ...09<br />

(Other occupatmna )<br />

-1 ...... .................-1<br />

-2 ........................-2<br />

-3 .............. .........-3<br />

Values -3-U,<br />

Industry coda from frsma<br />

bmlow<br />

Agr Lcultura, fOr_ltrY,<br />

fishing .................01<br />

Energy and water supply<br />

Lndustrles . . . . . . . . . . . ...02<br />

B ract LQu of mmerals and<br />

0::s J ~ of metals,<br />

mznaral products and<br />

chem~cals ................03<br />

Iiwcal goods, ●nganaaring<br />

and vehLcl* LndustrLen . 04<br />

Other manufacturing<br />

Lndustrms ..... .. . ..05<br />

constructx.n . .. .........06<br />

OLstr~bution, hotels and<br />

catar~ng; rOpa Lr3 .......07<br />

Transport and<br />

cOmununLcatmn . . . . . . . . .08<br />

109


Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

Q18<br />

Q18(B)<br />

Q18(B) (i)<br />

Q18(C)<br />

Q19<br />

I I I<br />

I I I<br />

Q18 EMP<br />

2<br />

Banking, finance, insurance,<br />

business services and<br />

leasing .................09<br />

Other services ...........10<br />

Insufficient information<br />

given to classify .......11<br />

Values -3-02<br />

I<br />

I<br />

I<br />

Employee .................01<br />

Se Lf-employed ........ .....02<br />

I<br />

I<br />

I I<br />

Q18B I 2<br />

Values<br />

I<br />

-3-03<br />

I<br />

Q18Bi<br />

Q18C 2<br />

Q19 2<br />

I<br />

2<br />

I<br />

Manager ..................01<br />

Foreman/Supervisor .......02<br />

Other employee ...........o3<br />

Values -3-02<br />

Number of employees<br />

1-24 .....................01<br />

25+ ......................02<br />

Values -3-04<br />

Employ other people?<br />

Yes, 1-5 .................01<br />

Yes, 6-24 ................02<br />

Yes, 25+ .................03<br />

NO .......................04<br />

Values -3-02<br />

Was described occupation<br />

during working life?<br />

Yes ......................01<br />

No .......................02<br />

t


Qu*stmnnaLr* R-f Cod~iig Shoat No of<br />

Qumstxon No Rmfarance Boxms/ Codang Instructions/Ramarks<br />

Characters<br />

Q19(A)<br />

I<br />

Q19 SOC<br />

I I I<br />

Q19(A) Q19 SOCR 2<br />

I I I<br />

I<br />

3<br />

I<br />

Valuas -3-999<br />

Occupation<br />

Code tha 3-fqne number<br />

given Ln tha SOC manual.<br />

Value s -3-09<br />

Rmcodm of SOC<br />

Racode the thrme-digit valua<br />

for SCC an follows<br />

100-199 ..................01<br />

(14anagars & Administrators)<br />

200-299 ..................02<br />

(Professional Occupations)<br />

300-399 ....... .. .... ...03<br />

(AssocLate Pro fOsai.Onal &<br />

Technical OccupatlOnS )<br />

400-499 ....... .- .......04<br />

(Clerical G Sacratarial<br />

Occupations )<br />

500-599 .............. ...05<br />

(Craft & Relatad occup.stLons )<br />

600-699 ...... .............06<br />

(Parsonal & PrOtactLva<br />

s9SVLCe oCCUpatLOnl )<br />

700-799 ...................07<br />

(Sale* Occupation)<br />

800-899 .... ...... .......08<br />

(Plant & Machine Operat Lvam )<br />

900-999 ...................09<br />

(Ot hsr occupat Lens)<br />

-1 . ......................-1<br />

-2 ................ .......-2<br />

-3 .... .... ....... .....-3<br />

111


Questionnaire Ref I Coding Sheet I No of I<br />

Question No<br />

Reference<br />

Boxes/<br />

Characters<br />

Coding Instructions/Remarks<br />

I<br />

I<br />

I<br />

Q19(A)<br />

I<br />

Q19 IND<br />

I<br />

2 IValues -3-11<br />

Industry code from industry<br />

I I I frame at Q18 IND.<br />

I I I<br />

I I I<br />

Agriculture, forestry,<br />

fishing ..................01<br />

Energy and water supply<br />

industries ...............02<br />

Extraction of minerals and<br />

ores: Manufacture of metals,<br />

mineral products and<br />

chemical s ...... ...........o3<br />

Metal goods, engineering<br />

and vehicle industries ...04<br />

Other manufacturing<br />

Q19(A) Q19 EMP 2 Values -3-02<br />

I I I<br />

industries . . . . . . . . . . . . ...05<br />

Construction ........ ......06<br />

Distribution, hotels and<br />

catering; repair= .. ......07<br />

Transport and<br />

communication ............08<br />

Banking, finance, insurance,<br />

business services and<br />

leasing ....... ...........09<br />

Other services ............lO<br />

Insufficient information<br />

given to classify ........11<br />

NB. See more detailed notes<br />

in Record 2 instructions.<br />

Employment status<br />

Employee .................01<br />

Self -employed ............02<br />

r<br />

.


Q19(B) Q19B<br />

Q19(B) (i.)<br />

Q19(C) Q19C<br />

Q20 Q20 PER<br />

Q20A Q20 SOC<br />

Q20(A) Q20 SOCR<br />

No of<br />

s0x9s/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

3<br />

2<br />

k* ..,<br />

Cadng Instructions/Rmmarks<br />

Values .- o~<br />

1f ●mployae: -<br />

Manager . . . . . . . . . . . . . . . ..01<br />

FOreman/Supervisor .......02<br />

Other employ-a ....... .03<br />

Numbmr Of 9IIIP1OY-8<br />

1-24 .................. ...01<br />

25+ ................. .....02<br />

Values<br />

--<br />

1f salf -amploymd: -<br />

Employ other paoplo?<br />

4<br />

ram, 1-5 .................01<br />

Yea, 6-24 ................02<br />

Y-s, 25+ ..... ............03<br />

NO .......................04<br />

yQuee 1-22,<br />

Enter parson number of<br />

raspondmnt’s fathmr ~f he<br />

La a houechold manbu<br />

-es -3-999<br />

Occupat Ion<br />

Coda tha 3-f igurm number<br />

given ~n the SOC manual<br />

Values -3-0~<br />

Racodc of SOC<br />

Recode tha thrat-digit valua<br />

for SOC as follows<br />

100-199 ................ ...01<br />

(Hanagars & Adnmustrators )<br />

113


Questionnaire Ref Coding Sheet No of<br />

Question No Reference SOxes/ Coding Instructions/Remarks<br />

Characters<br />

Q2 OA Q20 IND 2 Values -3-11<br />

I I I<br />

I I I<br />

* .i<br />

200-299 ...... .............02<br />

(Professional Occupations)<br />

300-399 ...................03<br />

(Associate Professional &<br />

Technical Occupations )<br />

400-499 ...................04<br />

(Clerical & Secretarial<br />

Occupations )<br />

500-599 ...................05<br />

(Craft & Related Occupations)<br />

600-699 ...................06<br />

(Personal G Protective<br />

Service Occupations )<br />

700-799 ...................07<br />

(Sales Occupations )<br />

800-899 ...................08<br />

(Plant & Machine 0perative9 )<br />

900-999 ...................09<br />

(Other occupations )<br />

-1 ........................-1<br />

-2 ........................-2<br />

-3 ........................-3<br />

Industry code from frame<br />

below<br />

Agriculture, forestry,<br />

fishing ..... ..............Ol<br />

Energy and water supply<br />

industries ................02<br />

Extraction of minerals and<br />

ores; Manu facture of metals,<br />

mineral products and<br />

chemical s..... ............03<br />

Metal goods, engineering and<br />

vehicle industries. .......04


—<br />

Qu8stx0nrIUr9 Raf<br />

Quwstaon No<br />

Q20A<br />

Q20(B)<br />

Q20(E) (L)<br />

Q20(C)<br />

Codzng Shaet<br />

R~feranca<br />

Q20 EMP<br />

Q20B<br />

Q20B1<br />

Q20C<br />

No of<br />

sOx*s/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

C?c.dangInstructions/Ramarks<br />

Other manufacturing<br />

Lndustrle a......... . . 05<br />

Constructmn ...... .......06<br />

Ozstr~butmn, hot-is and<br />

catering; rapalrs ... .. ..07<br />

Transport and<br />

communicat ion...... . . . . ...08<br />

Banking, fmance, Lnsurance,<br />

busmass services and<br />

leasing ...................09<br />

Othar sarvices. ..... ... 10<br />

Insufflcimnt information<br />

glvan to classify. ... .....11<br />

-es<br />

.-<br />

2<br />

Employment status<br />

Employee .................01<br />

Self -employed .............02<br />

1f ●UlplOYme :-<br />

nmugar ..................01<br />

FOraman/SupsrviaOr. .. .....02<br />

Othar ~ployeo . ...........O3<br />

Values -- 02<br />

Number of ●mployaas<br />

1-24 .....................01<br />

25+ ....... ...............02<br />

Valuas -3-04<br />

If mmlf -employed how many<br />

●mployees ?<br />

Yes, 1-5 .................01<br />

Y*9 , 6-24 ..... ............02<br />

Yes, 25+ . ................03<br />

Noeqloyees . . ........ ... .04<br />

115


.


Quest ~onnalrm Rmf<br />

— QumstLOn No<br />

PERsON<br />

IDENTIFICATION<br />

Q1<br />

Q2<br />

Q3(A)<br />

COLLECTED MONEY<br />

(LAST 12 MONTHS)<br />

Coding Sheet<br />

Rafarmnce<br />

IDNO<br />

H/H NO<br />

PER<br />

FU<br />

Q1<br />

Q2<br />

COLL (A)<br />

VOLWMY WOSN SECTION<br />

No of<br />

Boxes/<br />

Characters<br />

5<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Cc.dang Instructions/Rmmarks<br />

v~s<br />

5 d~g~tm - rammnhar load >ng<br />

zeros ( check numhar LS the<br />

same a* on front page of<br />

houamhold schedule) .<br />

Valu.s 01-0~<br />

Entar housahold numb-r.<br />

ValUeS 01-2L<br />

Check parson numbsr LS<br />

corract: ●nter par~on number.<br />

V41U*S 1-7<br />

Enter numhr of Fsnuly Unit<br />

~ues<br />

---<br />

‘\<br />

My voluntary work m last ‘.<br />

12 months?<br />

Yes ................... ..01<br />

No ...... ........ ... ....02<br />

~z<br />

--<br />

Any voluntary work lxnkod to<br />

a Church or othar ral~g~ous<br />

organimat Len?<br />

Y*S ..................... .01<br />

No ....... ... ........ .02<br />

-es<br />

-.<br />

a<br />

Colloctad money an last<br />

12 months?<br />

Yen ...... .. ....... ....01<br />

NO ..... ..... ...... .....00<br />

I<br />

116


COLLECTED MONEY<br />

(LAST 4 WEEKS)<br />

SONETHING ELSE TO<br />

SAISE MONEY<br />

(LAST 12 MONTHS)<br />

SONETHING ELSE TO<br />

SAISE HONEY<br />

(LAST 4 NEERS)<br />

VISITED PEOPLE IN<br />

INSTITUTIONS<br />

(IAST 12 MONTHS)<br />

VISITED PEOPLE IN<br />

INSTITUTIONS<br />

(LAST 4 WEEKS)<br />

TEACHING, COACHING,<br />

TRAINING<br />

(LAST 12 MONTHS)<br />

Coding Shm@c<br />

R-f erenca<br />

COLL (S)<br />

ELSE (A)<br />

ELSE (S)<br />

VISIT (A)<br />

vIsIT (S)<br />

TEACH (A)<br />

No of<br />

Boxesf<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instruct~ons/Rmmarks<br />

Values -3-o2<br />

collect-d monay in 4 waaks<br />

ending yesterday-<br />

Yes . .............. ....01<br />

No . ....... . ..... ....02<br />

somath~ng else to raLse money<br />

Ln last 12 months?<br />

Ye8 .... .. . .. .........01<br />

No ... ...................00<br />

ValUOS -3-02<br />

Somathmg else to raise money<br />

In 4 wa*ks ●riding yestmrday~<br />

Yea .. . ....... ... .01<br />

NO . ... .... ...... ... 02<br />

Values --<br />

Visitad p~Oph in<br />

~nstltut~onm Ln last<br />

12 months?<br />

1<br />

Y*S . .......... ....... .01<br />

NO .............. ......00<br />

values -3-O?<br />

Yes. . . .. ...... . . .. 01<br />

ma . . . . . . . -. . . . . . . . . ..02<br />

Values -3-O&<br />

TeachuIg, coaching, traLnlng<br />

Ln Last 12 monthse<br />

Yes . .... . ....... .O1<br />

No. . ..... . .... ......00<br />

117


Questiomaire Ref Coding Sheet<br />

Question No Reference<br />

TEACHING, COACHING, TEAcH (B)<br />

TFAINING<br />

(LAST 4 NSEKS)<br />

GIVING TALKS, TALKS (A)<br />

CANVASS ING ,<br />

LEAFLETTING<br />

I<br />

(LAST 12 MONTHS)<br />

GIVING TALKS, TALKS (B)<br />

CANVASS ING<br />

LEAFLET ING<br />

(LAST 4 WEEKS)<br />

GIVING ADVICE<br />

(LAST 12 MONTHS)<br />

GIVING AOVICE<br />

(LAST 4 NEEKS)<br />

SERVING<br />

COMHITTEE<br />

ON A<br />

(LAST 12 MONTHS)<br />

I<br />

I<br />

1<br />

I<br />

I<br />

I<br />

I<br />

I<br />

I<br />

I<br />

ADV (A)<br />

AOV (B)<br />

COMH (A)<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-02<br />

Teaching, coaching, training<br />

in 4 weeks ending yesterday?<br />

-.. .<br />

i<br />

Yes ........................01<br />

No ........................02<br />

Values -3-0~<br />

Giving talks, canvassing,<br />

Leafletting in last 12 months?<br />

Yes . ......................01<br />

No ........................00<br />

Values -3-02<br />

Giving talks, canvassing,<br />

leafletting in 4 weeks<br />

ending yesterday?<br />

Yes .. .....................01<br />

No ........ ................02<br />

Values -3-o~<br />

Giving advice in last 12<br />

months?<br />

Yes .......................01<br />

No ........................00<br />

Values -3-o2<br />

Giving advice in 4 weeks<br />

ending yesterday?<br />

Yes ........ ..............01<br />

NO .......................02<br />

Values -3-01<br />

Serving on a committee in<br />

last 12 months?<br />

Yes ......................01<br />

No .......................00<br />

il?i


Qumstaan No<br />

SERVING ON A<br />

COHMI TTEE<br />

(LAST 4 WEEKS)<br />

ORGANIZING/HELPING<br />

AT A CLUB OR GROUP<br />

(LAST 12 MONTHS)<br />

ORGANIZING/HELPING<br />

AT A CLUB OR GROUP<br />

(LAST 4 WEEKS)<br />

AOMIN/CLERICAL/<br />

SECRETARIAL<br />

(LAsT 12 MONTHS)<br />

AOHIN/CLERICAL/<br />

SECRJSTARIAL<br />

(LAST 4 WEEKS)<br />

oRGANISING/TAKING<br />

PART IN<br />

ENTERTAINNENT<br />

(LAST 12 MONTHS)<br />

Coddig Shaat<br />

Raf 9zonc*<br />

COMN (B)<br />

CLUB (A)<br />

CLUB (B)<br />

AOIIIN (A)<br />

ADMIN (B)<br />

ENTER (A)<br />

No of<br />

BOxas/<br />

characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

P-.%<br />

Codang Instructmnn/Ramarks<br />

Serving on a comrmttee In<br />

4 wemks ending yestarday?<br />

Yes ........ .. ........01<br />

No ..... ..... . . . .....02<br />

values -3-01<br />

organLsmg/halp~ng at a club<br />

or group Ln last 12 months?<br />

Yes .......... ..... .... 01<br />

No . . ...... . .... .....00<br />

Values -3-O?<br />

Organlsmg/halpmg at a club<br />

or group Ln 4 weeks ending<br />

yomtmrday?<br />

Y-* ............. .. ......01<br />

No ............. ........ 02<br />

Values -3-o\<br />

A&Ln/clerical/90crmtarLal<br />

in last 12 months?<br />

YOs ........ ... ...........01<br />

No ........... ...........00<br />

-es<br />

--<br />

2<br />

A&ln/clczical/99 cr9tar1al<br />

Ln 4 wmeks ●riding yasterday><br />

Y*S ................. ..01<br />

No ......... .. .. ..02<br />

Values --<br />

1<br />

Organ~s~ng/taking part m<br />

entarta~nment in last 12<br />

months,<br />

Yes . - .... -- ...01<br />

No .. .. ...... .. .00<br />

119<br />


Questionnaire Ref 1 Coding sheet No of<br />

Question No<br />

Reference<br />

Boxes/<br />

Characters<br />

I<br />

I<br />

ORGANISING/TAKING<br />

PART IN<br />

ENTERTAINf4SNT<br />

(LAST 4 WEEKS)<br />

GIVING OTHER KINDS<br />

OF PRACTICAL HELP<br />

(LAST 12 MONTHS)<br />

GIVING oTHER KINDS<br />

OF PRACTICAL HELP<br />

(LAST 4 WEEKS)<br />

I<br />

ENTER (S)<br />

HELP (A)<br />

HELP (B)<br />

FIRST OTHER TYPE OF OTH1 (A)<br />

VOLUNTARY WORK<br />

(LAST 12 MONTHS)<br />

I<br />

2<br />

2<br />

2<br />

I I<br />

I I I<br />

FIRST OTHER TYPE OF OTH1 (B) 2<br />

VOLUNTARY WORK<br />

(LAST 4 WEEKS)<br />

I<br />

2<br />

I<br />

I<br />

I<br />

Coding Instructions/Remarks<br />

Values -3-02<br />

Organizing/taking part in<br />

entertainment in 4 weeks<br />

ending yesterday.<br />

Yes .......................01<br />

No ........................02<br />

Values -3-01<br />

Giving other kinds of<br />

practical help in last 12<br />

months ?<br />

Yes .......................01<br />

No ........................00<br />

Values -3-02<br />

Giving other kinds of<br />

practical help in 4 weeks<br />

ending yesterday.<br />

Yes .......................01<br />

No ........................02<br />

Values -3-01<br />

First other type of<br />

voluntary work in last<br />

12 months?<br />

Yes . . . . . . . . . . . . . . . . . . . . ...01<br />

No . . . . . . . . . . . . . . . . . . . . . ...00<br />

Values -3-02<br />

First other type of<br />

voluntary work in 4 weeks<br />

ending yesterday?<br />

Yes .......................01<br />

No ........................02<br />

..


m o<br />

l-l<br />

2<br />

d<br />

(-4<br />

4<br />

C4<br />

I-4<br />

m<br />

. .<br />

m<br />

:2<br />

m“<br />

z~<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

u<br />

w:<br />

o-l<br />

,.<br />

. .<br />

40<br />

00<br />

,.<br />

,.<br />

,.<br />

. .<br />

,.<br />

.. .,<br />

..<br />

..<br />

.. ,.<br />

., .. .,<br />

..<br />

-llwm*!min<br />

000000<br />

. . . . . .<br />

. . . . . .<br />

,, ..,.<br />

. . . . . .<br />

... ,..<br />

. . . . . .<br />

. . . . . .<br />

. . . . . .<br />

. . . . . .<br />

. . . . . .<br />

. . . . .<br />

. . . . . .<br />

... , .&<br />

. . . . .<br />

. . . . .4<br />

ZZ<br />

..


—<br />

Qu=stlonnalra R-f<br />

Qumstaon No<br />

Parson<br />

Ident Lf ~cat x.n<br />

Q1<br />

QIA<br />

Codang Sha*t<br />

Reference<br />

IDNO<br />

H/H No<br />

PER<br />

FU<br />

(21<br />

QIA<br />

SPOR’TS ANU EIC1’ERTAINMENT<br />

No of<br />

BOxeS/<br />

Characters<br />

5<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codng Instructions/Rmmarks<br />

Values 00001-49999<br />

5 d~gLts - rameuber lead~ng<br />

zeros (check that the<br />

number La the sam= as that<br />

on the front page of the<br />

Household Schedula<br />

Value 9 01-05<br />

Enter household number<br />

Chack person number LS<br />

c0rr9ct<br />

Enter pereon number.<br />

Values 1-7<br />

Enter number of FamLly OnLt.<br />

Values -3-02<br />

Ttk9n part ~n any indoor f<br />

sparts or phys~cal<br />

exerc Lses Ln last<br />

12 months?<br />

Yes ............... .....01<br />

No ..... ...... .. ....02<br />

~ugg<br />

--<br />

2<br />

Yes .. .............. ... 01<br />

No . ... ... .. .. .. . 02<br />

122


Q2<br />

Q2A<br />

I I I<br />

I<br />

I<br />

Q2<br />

Q2A<br />

Q3 Q3<br />

Q3A A<br />

FILNS<br />

Q3A A<br />

PLAYS - OTHER<br />

Q3 B B<br />

FILMS<br />

I<br />

I<br />

. .. .. -<br />

No of<br />

Box-al<br />

Characters<br />

Coding Instructions/Rmmarks<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

I<br />

I<br />

I<br />

I<br />

I<br />

values -3-02<br />

Taken part Ln any outdoor<br />

qxxts or phys Lcal<br />

exerclaes ~n the last<br />

12 months.<br />

Yes .....................01<br />

NO ........... ...... .....02<br />

Values -3-OZ<br />

Taken part Ln any outdoor<br />

sports or phys~cal<br />

exercLson Ln tha 4 w-aks<br />

ending ymatarday?<br />

Yes . . . . . . . . . . . . . . . . . . ...01<br />

NO . . . . . . . . . . . . . . . . ...02<br />

Values -3-02<br />

Yes .. ...................01<br />

No .................-....02<br />

Valumm -3-o&<br />

Sae any films m the<br />

4 waaks ●riding ymat-rday?<br />

Yms . . . . . . . . . . . . . . . . . ...01<br />

v -- 0<br />

I ‘“e’ 3 a<br />

v<br />

I “ue931Q<br />

--<br />

Enter numhor of occasions on<br />

wh~ch Lnformant went to sme<br />

fLlms Ln tha 4 weaks ●iIdLIIg<br />

yastmrday .<br />

123


Questionnaire Ref<br />

Question No<br />

Q3B<br />

PLAYS - OTHER<br />

Q3C<br />

FILMS<br />

Q3C<br />

PLAYS - OTHER<br />

Q4A<br />

ART GALLERIES<br />

sTATELY HOMES -<br />

OTHER<br />

Q4B<br />

l@T GALLERIES<br />

sTATELY HOMES -<br />

OTSER<br />

Q4C<br />

=T GALLERIEs<br />

Coding Sheet<br />

Reference<br />

No of<br />

Boxes/<br />

Characters<br />

B 2 Values -3-10<br />

c 3<br />

c 3<br />

A<br />

A<br />

Coding Instructions/Remarks<br />

Code as for films above.<br />

Values -3-150<br />

Enter number of miles<br />

travelled.<br />

Values -3-150<br />

Enter number of miles<br />

travel led.<br />

2 Values -3-03.<br />

2<br />

Visit any art galleries or<br />

museums in the 4 weeks<br />

ending yesterday?<br />

Yes ......................01<br />

Values -3-01<br />

B 2 Values -3-10<br />

B 2 VaLues -3-10<br />

c 2<br />

Values -3-15Q<br />

Code as for art galleries<br />

above.<br />

Enter number of occasions<br />

on which infocmant visited<br />

art galleries etc in the<br />

4 weeks ending yesterday.<br />

Code as for art galleries<br />

above.<br />

Enter number of<br />

travel led.<br />

miles<br />

f-


Questlonnaara R.f<br />

— Quastaon No<br />

STATELY HOHSS -<br />

OTHER<br />

[PP]UOuf-2325 (H-hold Surv)<br />

Cs /<br />

%-<br />

Codlng sheet<br />

Rmf ●ranca<br />

c<br />

No of<br />

Boxas/<br />

Characters<br />

2<br />

Cod>ng Instruct>ons\Rmmarks<br />

Values -3-150<br />

Enter number of m~l.m<br />

travel led.<br />

125


Quastaonnalre Re f<br />

—. Quest~on No<br />

PERsoN<br />

IDENTIFICATION<br />

Q1<br />

Q2<br />

Cadang Sheet<br />

Rafar9nc9<br />

ID NO<br />

H/H NO<br />

PER<br />

FU<br />

Q1<br />

Q2<br />

SEALTE SECTION<br />

No of<br />

Boxms/<br />

Characters<br />

5<br />

2<br />

2<br />

1<br />

2<br />

2<br />

cod~ng Instructions/Ramarks<br />

~ues 00001-4999 9<br />

5 d~g~ts - r-ember lead~ng<br />

zaros and ●nsura that the<br />

numb-r LS the sane as<br />

that on the front page of<br />

the household ●chmdule.<br />

Values 1-5<br />

Enter household number<br />

Qluea 01-zl<br />

Enter par non numlxr,<br />

confirnung that thm<br />

LntmrvLmwer has recorded<br />

tha proper referanc* for<br />

rmmpondent.<br />

Valuee 1-7<br />

Enter number of fanmly unit<br />

values -3-03<br />

Cwar tha last 12 months has<br />

health bean -<br />

good ............. .......ok<br />

fa~rly good .......... ...Oi<br />

not good ................ .03’. ‘,<br />

~<br />

--<br />

Longatandmg illnassaa,<br />

d~sab~l~t~as?<br />

2<br />

Ye, ... ...............<br />

No ...... .............<br />

126<br />

. ..01<br />

...02<br />

/


Quastximalr. ReJf<br />

Questaon No<br />

Q2(A)<br />

C-admg Shaat<br />

Ra ferenca<br />

Q2AL<br />

No of<br />

E.oxes/<br />

Characters<br />

2<br />

.<br />

Coding In8tructlona/Ramarks<br />

Valuee -3-46<br />

Nature of 1st Lllnenm<br />

ment Lonad<br />

Alcohol ism ..... .........01<br />

Allergles/PhObLas ........02<br />

Appand~citis .............03<br />

Arthritis/Lumbago/<br />

Rhaumat iam .... ..........04<br />

Asthma .... ..............05<br />

Back troublas and<br />

●ssocnted illnassas. . . .06<br />

Blood d~sorders gan9ral/<br />

VertLgo .............. ...07<br />

Blood preseure ..... ......08<br />

Bones (brokan) ...... .....09<br />

Bronchat~s ......... ......10<br />

Cancar (undafinad) . .....11<br />

Choet probloms<br />

(undaf lned ) ....... ......12<br />

Colds/f lu ................13<br />

Circulation (bad) ... .....14<br />

0apras8L0n/nanas ........15<br />

O>abetea ...... ...........16<br />

Disabled phys~cally ......17<br />

Epil*psy ...... ...........18<br />

Gallbladder troubla ......19<br />

Ganctic LllnUS/<br />

abnormalities .......... 20<br />

Glandular troubla ........21<br />

Gynaacological problama ..22<br />

Hasmorrhoids ............ 23<br />

Headaches /m~cjraLna .......24<br />

Haaring problama .........25<br />

Heart/ stroko/CHD (Lnc<br />

rhaumat~c fwer) ..... ...26<br />

H*rn>a ... ................27<br />

111 haalth ganeral ..... .28<br />

Infections gcnaral (not<br />

colds/flu) .............29<br />

Kldnay probl-s ..........30<br />

LLvar complaLnta .........31<br />

Lh trouble .. ...... .....32<br />

Multiple sclarosls .... ...33<br />

Muscular dystrophy .......34<br />

Naurolog&cal Lllnmmees<br />

(by Parkinson OLsaase) ..35<br />

Old age .. .. ............36<br />

RespLratOry problmma<br />

(other than bronchLt LB )..37<br />

127


Questionnaire Re f<br />

Question No<br />

Q2(A)<br />

Q2(A)<br />

Q2(B)<br />

Q3<br />

Coding Sheet<br />

Reference<br />

Q2Aii<br />

22Aiii<br />

)26 2<br />

,<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Sight problems ...........38<br />

Skin problems ............39<br />

Speech impediment ........40<br />

Stomach problems/digestive<br />

tract .....-..............41<br />

Thyroid gland ............42<br />

Ulcers (internal) ........43<br />

Ulcerations jabcasses<br />

(external) ..............44<br />

Varicose veins ...........45<br />

Other ....................46<br />

Try to fit into the abOve<br />

categories before referring<br />

to supervisor<br />

Values -3-46<br />

Type of illness/disability -<br />

second<br />

Code as per first illness<br />

(2Ai)<br />

Values -3-46<br />

rype of illness/disability -<br />

third<br />

Code as per first illness<br />

(2Ai )<br />

Ialues -3-02<br />

>oes it limit<br />

~ay?<br />

you in any<br />

lAw of the illnesses)<br />

res ......................01<br />

{0 .......................02<br />

ralues -3-02<br />

:ut down activities in<br />

;WO weeks because of<br />

.llness?<br />

ast<br />

:es ................... ..01<br />

10.. . .. .. . .. .. . . . . .. .. .. ..02<br />

~..<br />

Ldtl


1<br />

Q3(A) Q3A<br />

Q3(B)<br />

Q’<br />

Q4(A)<br />

Q4(B)<br />

Last (lst)<br />

Consult<br />

Q’(B)<br />

Last (1st )<br />

consult<br />

No of<br />

. . ..<br />

Boxes/ ; Coding In9tructaons/Ramarks<br />

Characters<br />

.2<br />

I I I<br />

Q4<br />

Q4A<br />

Q4B<br />

PERS<br />

2<br />

I I<br />

1 ,<br />

I<br />

2<br />

2<br />

2<br />

2<br />

I ‘s ‘3-4’<br />

I<br />

What was tha mattgr?<br />

Values -3-14<br />

Enter numbmr of days Ln last<br />

2 waaks<br />

v s -3-o<br />

I alue<br />

Talk to a doctor W’cc in last<br />

2 weeks?<br />

ram . . . . . . . . . . . . . . . . . . ...01<br />

No ............ ...........02<br />

I (Excludm consultations on<br />

I<br />

behalf of children under<br />

16 y.ara old)<br />

value s -3-IQ<br />

Enter numb-r of tl.ms Ln laat<br />

2 woakn<br />

Values --<br />

2<br />

Whosa b-half was most recent<br />

consultation?<br />

Informant ................01<br />

other H/H membar 16+ .....02<br />

Valu ●, -3-2~<br />

Whona behalf was moat rmcant<br />

conaultat~on<br />

Entar person numbar of other<br />

K/H mmbar. 00 ~f informant<br />

129


Q.estaonnaire Ref<br />

Question No<br />

Q4(C)<br />

Last (1st )<br />

Consult<br />

Q4(D)<br />

Last (1st )<br />

Consult<br />

Q4(E)<br />

Last (lst)<br />

Consult<br />

Q4(F)<br />

Last (1st )<br />

Consult<br />

Q4(G)<br />

Last (1st )<br />

Consult<br />

Previous<br />

consultations<br />

(ie 2-6)<br />

Coding sheet<br />

Reference<br />

Q4C<br />

Q4D<br />

Q4E<br />

Q4F<br />

Q4G<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-o2<br />

Was this (most recent )<br />

consultation<br />

Under NHS ................01<br />

Private ..................02<br />

Values -3-03<br />

Was the person<br />

AGP. ....................01<br />

A specialist .............02<br />

Some other kind of doctor. 03<br />

Values -3-05<br />

Did you talk<br />

by telephone<br />

at your hcxne<br />

in surgery .<br />

to him/her<br />

. ............01<br />

.............02<br />

.............03<br />

Health Centre ............04<br />

elsewhere ................05<br />

Values -3-O?<br />

Did you receive a<br />

prescript ion?<br />

Yes ......................01<br />

No .......................02<br />

Values -3-0’4<br />

Doctor refer you to<br />

hospital?<br />

Yes ..... .................01<br />

No .......................02<br />

Consultations 2-6<br />

Code as above for further<br />

consultations<br />

la


.b<br />

No of<br />

SOxes/<br />

Characters<br />

Q5 Q5 2 Valu*s -3-0’4<br />

Q5(A) MNTH 1 2<br />

Codang Instructions/R9marks<br />

v~slt as outpatmnt?<br />

Yes .. ................. .01<br />

NO ............... . ......02<br />

values -- u<br />

Q5(B) visits 2<br />

Values -3-1o<br />

Q5 (A) NNTH 2<br />

Q5(B)<br />

Q5(A) MNTH 3 2<br />

Q5(B) Vialt, 2<br />

2 Valuma -- 12<br />

vis Lt9 2 yQJJ!es -- lQ<br />

Enter number of month for<br />

earliest v~sit<br />

Entar numhar of vlsltn for<br />

●arl last month<br />

Enter number of month for<br />

●mcond VLSLt<br />

Enter nUmh_r of vLsit9 Ln<br />

sacond month<br />

ValUQS -3-12<br />

Enter number of month for<br />

third v~s~t<br />

ValUaS -3-lQ<br />

Q6 Q6<br />

2 Values -3-02<br />

Enter number of Visits Ln<br />

thLrd month<br />

Inpat~ent during last yearz<br />

Yes .. . ....... ....... .01<br />

NO ... .......... ... 02<br />

131


Questionnaire Ref<br />

Question No<br />

Coding Sheet No of<br />

Reference Boxes/ Coding InStructiOLls/Remarks<br />

Characters<br />

Q6(A) Q6A 2 Values -3-12<br />

How many separate staya as<br />

inpatient ?<br />

Enter number<br />

Q7 Q7 2 Values -3-02<br />

QIA<br />

Q7B<br />

Q8<br />

Q8A<br />

I<br />

Wear Glasses or Contact<br />

Lenses?<br />

Yes .................. ......Ol<br />

No .........................02<br />

Q7A 2<br />

Values -3-03<br />

I I Check I do you wear?<br />

Q7B<br />

Q8<br />

Q8A<br />

2<br />

2<br />

Glasses Only ..............01<br />

Contact lenses only .......02<br />

Sometimes glasses[sometimes<br />

contact lenses ............O3<br />

Values -3-OZ<br />

Ever had a pair of glasses<br />

or contact lenses?<br />

Yes .......................01<br />

No ........................02<br />

Values -3-02<br />

Sight tested?<br />

Yes ......................01<br />

No .......................02<br />

values -3-0~<br />

Free or paid for?<br />

Free ......................01<br />

Paid for .................02<br />

DK ........................-1<br />

A A,?<br />

r


QUastaonnaara Raf<br />

Q9<br />

Q9A<br />

Q9 B<br />

Questaon No<br />

CHECK A<br />

CHECK B<br />

CHECK C<br />

Coding she-t<br />

R-f ●rmncm<br />

I<br />

●NS CON’XIWUE WITH 1 UTB sECTION 0~<br />

IF CODED 2 AZ EITEER<br />

I<br />

GO TO NEXT=<br />

Q9<br />

Q9A<br />

Q9 B<br />

CNK/A<br />

CKKIB<br />

CHK/C<br />

No of<br />

Boxms/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

: 1? cODED 1<br />

ZION<br />

I<br />

Coding Iastructaons/Remarks<br />

values -3-02<br />

St>ll got soma of your<br />

natural teath or lost them<br />

all><br />

StLll has somo natural<br />

teeth .... .. .01<br />

Has lost all natural<br />

teeth . . . .... . . . .02<br />

Valu, s -3-04<br />

In general, do you go to the<br />

dent~st for a regular<br />

check-up~<br />

Rqul.sr chack-up. ........ .01<br />

occas~onal check-up ..... .02<br />

Only when havang trouble. 03<br />

Never goes to the dant Lst. .04<br />

~ues -- 02<br />

Yea. .............. ...... ...01<br />

No ..... ........ ..... . .02<br />

OK. .. . ........ .. ... .. -1<br />

~m --<br />

2<br />

M- thar* any chlldran<br />

under 16 Ln the hou~ohold?<br />

rem ..... ....... ... .. ..01<br />

No ................. ......02<br />

-e s -3-02<br />

Is this informant the Derson<br />

raspons~ble for any<br />

chLldran?<br />

Yam ...... .......... . ..01<br />

No .... .. .. . .. . . . ..02<br />

Values -3-16<br />

En’car numLI*r of children<br />

? CSECK A AND CSECK 0.<br />

133


Questionnaire Ref<br />

Question No<br />

Q1O<br />

QIOi<br />

Qll<br />

Qll(i)<br />

Q12<br />

Q12(i)<br />

Q13<br />

Coding Sheet<br />

Reference<br />

Q1O<br />

QIOi<br />

Qll<br />

Qlli<br />

Q12<br />

Q12i<br />

Q13<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-02<br />

(Applies only if coded 1 at<br />

Check A/B)<br />

Any children have longstanding<br />

illness?<br />

Yes (any child ) ...........Ol<br />

No (none of them) ........02<br />

Values -3-10<br />

Enter number of children<br />

affected<br />

Values -3-02<br />

Children have to ..cut-down<br />

on things due to illness?<br />

Yes (any child) ..........01<br />

No (none of them) ........02<br />

Values -3-10<br />

Enter number of children<br />

affected<br />

Values -3-02<br />

Any children talk to doctor<br />

Yes (any child) ..........01<br />

No (none of them) ........02<br />

Values -3-10<br />

Enter number of children for<br />

whom contact was made<br />

Values -3-02<br />

Any children outpatients at<br />

hospital ?<br />

Yes (any child) ..........01<br />

No (none of them) ........02<br />

lJ4<br />

f“


Q13(L)<br />

Q14<br />

Q14(1)<br />

Codxng Sheat<br />

Rmf ●rmC-<br />

Q13i<br />

Q14<br />

Q14L<br />

No of<br />

E9x*s/<br />

Characters<br />

2<br />

2<br />

2<br />

Coding InstructIons/Remarks<br />

~qs .- U<br />

Enter number of childen who<br />

attended<br />

mpat iants<br />

Y-S (anv child) ........ .01<br />

No (none of tham) ........02<br />

Valuas -3-1o<br />

Enter nutiar of childran<br />

who wara Ln hospital<br />

135


CHILD HEALTH<br />

TSE FOLLOWING QUESTIONS CONCERN CHILDREN, AND APPLY ~ TO TBOSE CODED 1 AT<br />

CSECK A AND CHECK B<br />

NS RECORD INFOKNATION FOR INDIVIDUAL CHILDREN ON SEPARATE CODING SEEETS (one<br />

sheet per child)<br />

Tear out child’ s coding sheets if not used.<br />

Use additional sheets as re~ ired.<br />

Questionnaire Ref<br />

Question No<br />

PERSON<br />

IDENTIFICATION<br />

Coding Sheet<br />

Reference<br />

ID NO<br />

H/H NO<br />

Per<br />

FU<br />

cHILD<br />

No of<br />

Sexes/<br />

Characters<br />

5<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values 00001-49999<br />

ID number of person<br />

responsible for child<br />

5 digits - remember leading<br />

zeros [check number is the<br />

same as front page of<br />

household schedule ]<br />

Values 01-5<br />

Enter household number<br />

Values 01-21<br />

Check person number is<br />

correct: enter person number<br />

Values 1-7<br />

Enter number of Family Unit<br />

Values 1-16<br />

Enter child number


Quast~on No<br />

Q1O(A) (i)<br />

Codzng Shaat<br />

Raf ●ranc9<br />

Q1OAL<br />

No of<br />

sOx*s/<br />

Charactara<br />

2<br />

Codxng Instructions/R.marks<br />

Values -3-46<br />

What LS tho matter w~th<br />

ch~ld?<br />

Alcoholism .............. 01<br />

Allarg~es/Phobias ........02<br />

AppandLcit is .............03<br />

ArthrLeL8 jLumhqo]<br />

Rheumatism ..... .... .. 04<br />

Asthma ...................05<br />

Back troublas *nd<br />

asnocutad >llnaasas<br />

Blood d~sordars genara.<br />

v*rt Lgo .......... ..<br />

Blood preasura .. .. ..<br />

Bonms (brokon) .......<br />

Bronchit~s ...... ....<br />

Cancer (undafinmd) ...<br />

Chest problamm<br />

..06<br />

I<br />

.. 07<br />

.. 08<br />

...09<br />

...10<br />

...11<br />

(undafuad) ..............l2<br />

Colds /flu .................13<br />

Cuculat~om (bad) ........14<br />

Dmprmssmn/nmrvma .......15<br />

O~abatas ................ 16<br />

Disablad physically ......17<br />

EPilmPsy .................18<br />

Gallbladder troubla ......19<br />

Ganat>c illn*sa/<br />

abnormalities .... ......20<br />

Glandular troublo ........21<br />

Gynaec.alog>cal problmw ..22<br />

Haamorrhoids . . . . . . . . . . ...23<br />

Headachaa\mLgr~LI19 . . . . ...24<br />

Haarmg problams .........25<br />

H-art /stroke/CHD (Lnc<br />

rhmmat~c fwer) ... . .26<br />

Hmrn~a ............<br />

Ill haalth ganaral<br />

Infections g~n~ral<br />

colds/flu) ... ....<br />

Kldnay problams . .<br />

Llvar complaints ..<br />

L- troubla ......<br />

. . . . .27<br />

......28<br />

not<br />

......29<br />

......30<br />

......31<br />

......32<br />

14ultiplo sclaron~s .......33<br />

Muscular dyatraphy .. ....34<br />

NaurologLcal Lllnmssas<br />

(by Parkinson OMaasc )..35<br />

Old ago .. .... ..... ...-36<br />

Rmsp>ratory problamm<br />

(othar than bronchatls ) 37<br />

137


Questionnaire Ref<br />

Question No<br />

QIO(A) (ii)<br />

Q1O(B)<br />

Q1l(A) (i)<br />

Q1l(A) (ii)<br />

Q1l(B)<br />

Q12(A)<br />

Coding Sheet<br />

Reference<br />

QIOAii<br />

Q1OB<br />

QllAi<br />

QllAii<br />

Q1lB<br />

Q12A<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Sight problems ...........3I3<br />

Skin problems ............39<br />

Speech impediment ........40<br />

Stomach problems/digestive<br />

tract ...... ............41<br />

Thyroid gland .... ........42<br />

Ulcers (internal) ........43<br />

Ulcerations/abscesses<br />

(external) ..............44<br />

Varicose veins ...........45<br />

Other ....................46<br />

Values -3-46<br />

Second longstanding illness<br />

Code as above (10Ai) .<br />

Values -3-02<br />

Ooes it limit? (Any illness)<br />

Yes . ........ .............01<br />

No .......................02<br />

Values -3-46<br />

What was the matter (1 )?<br />

Code as per QIOAi<br />

Values -3-46<br />

What was the matter (2 )?<br />

Code as per QIOAi<br />

Values -3-14<br />

Enter number of days in last<br />

two weeks<br />

Values -3-10<br />

Enter number of times in<br />

last two weeks<br />

---<br />

3


.. J’,..-<br />

Qu*staon.nana R-f Codang Shaat No of<br />

Qumstaon No Raf*rmncm Boxms/ tidang Instructions/Rammrks<br />

Cbaract=rs<br />

Q12(B) Q12B 2 Values -3-o2<br />

Last (1st)<br />

consult Wls (mast recant)<br />

consultation<br />

Q12(C)<br />

Last (1st )<br />

consult<br />

Q12(D)<br />

LdSt (1st)<br />

consult<br />

Q12(E)<br />

LaSt (1st)<br />

Conmult<br />

Q12(F)<br />

Ld~t (lat )<br />

consult<br />

Q12(B)<br />

Prev (2nd)<br />

Connult<br />

Q12C 2<br />

Q12D 2 ~<br />

Q12E 2<br />

Q12F<br />

Q12B<br />

Under NNS ........... .....01<br />

Pr~vate ..................02<br />

value- -3-01<br />

2 ve&~ --<br />

I<br />

Who daalt with YOU?<br />

A GP/family doctor. . .. ...01<br />

A Spaclalist ... .... . ..02<br />

sane othmr kmd of doctor. 03<br />

Dxd you talk to himjher?<br />

by telmphonm ........ .....01<br />

at your home .............02<br />

at his/her surgary .... ...03<br />

at a hmalth cantrc .......04<br />

Orelsawhmro .............05<br />

Oid ha g>va you/chLld a<br />

prmmcrLpt ion?<br />

1<br />

2 ~ms -- 02<br />

I<br />

Y*S ......................01<br />

No ..... .., ........ ......02<br />

R-for to hospital for tests?<br />

Ye, . . . . . . . . . . . . . . . . . . ...01<br />

No . . . . . . . . . . . . . . . . . . . . . . 02<br />

Was [ most roccnt )<br />

consul tat~on<br />

Under NHS . . . . . . . . . . . . . ...01<br />

PrLvatm . . . . . . . . . . . . . ..02<br />

139


Quest ionnaire Re f<br />

Question No<br />

Q12(C)<br />

Prev (2nd)<br />

Consult<br />

Q12(D)<br />

Prev (2nd)<br />

Consult<br />

Q12(E)<br />

Prev (2nd)<br />

Consult<br />

Q12(F)<br />

Prev (2nd)<br />

Consult<br />

Consultations<br />

(3rd-6th)<br />

Q13(A)<br />

Coding Sheet<br />

Reference<br />

Q12C<br />

Q12D<br />

Q12E<br />

Q12F<br />

Mnth 1<br />

No of<br />

SOxesf<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-03<br />

Who dealt with you?<br />

A GP/family doctor. .......01<br />

A specialist .............02<br />

Some other kind of<br />

doctor ...................03<br />

Values -3-0!3<br />

Did you talk to him/her?<br />

by telephone .............01<br />

at your home ..............o2<br />

at his/her surgery .......03<br />

at a health centre .......04<br />

or elsewhere .............05<br />

Values -3-OZ<br />

Did he give you fchild a<br />

prescription<br />

Yes ......................01<br />

No .......................02<br />

Values -3-02<br />

Refer to hospital for tests?<br />

Yes ......................01<br />

No .......................02<br />

Further consultations code<br />

as per Q12(B)-Q12(F)<br />

1st consultation<br />

Values -3-12<br />

Code month (1-12) in<br />

earliest reference period<br />

r-


Q13(A)<br />

outpat L*nt<br />

V1.SLt S<br />

I I I<br />

No of<br />

SOmsf Cadxng Instructions/Ramarks<br />

Characters<br />

2 ~lues .- U<br />

v~szca to Outpatients/<br />

casualty<br />

Q13(A) Nnth 2 2 Values -3-U<br />

Q13(A) VL8Ltm 2 v~ues -3-10<br />

Q13(A)<br />

Q13(A)<br />

Q14(A)<br />

Inpat Lent<br />

staya<br />

I I<br />

I I I<br />

Nnth 3<br />

va.8Lt1<br />

Q12A<br />

2<br />

2<br />

2<br />

- code number of vls~ts ~n<br />

~ month of<br />

ref*rence<br />

cod- month (1-12) m ●-cond<br />

month of raf.rmncm<br />

v~s~ts to outpat~mntsl<br />

casualty<br />

- codo nwnhar of v~slts Ln<br />

sacond month of rmfmr*nCe<br />

v<br />

--<br />

I ‘“”s 3 u<br />

coda month (1-12 j in th~rd<br />

month of rafaranca<br />

v s -3-<br />

I ●lue<br />

VLS Lta to Outpat L*nt 9/<br />

Caaualty<br />

1<br />

I<br />

- code number of via>tm in<br />

v<br />

thzrd month of reference<br />

--<br />

I-’s’u<br />

Enter number of stays as<br />

MIpat iant<br />

141


Quast>onnalr. Ref<br />

—. Quastlon No<br />

PERSON<br />

IDENTIFICATION<br />

Q1<br />

Codxng Shaet<br />

R9farmnca<br />

ID NO<br />

HH NO<br />

Per<br />

FU<br />

Q1<br />

FANILY INFoRMATIoN SECTION<br />

No of<br />

Etoxesj<br />

Characters<br />

5<br />

2<br />

2<br />

1<br />

2<br />

Codang Instruct lon8/Rmma rks<br />

NE<br />

The corresponding coding<br />

shaet to the following<br />

lnStrUCt LOns must be filled<br />

~n for everyone aged 16-59,<br />

male of fema19.<br />

Va luom 0000 1-49999<br />

5 dLgzts - remember la.sdLng<br />

zaros (check that tha numbmr<br />

LS the sane as that on the<br />

front page of the Housahold<br />

Schedule ).<br />

values l-~<br />

Enter household number.<br />

Valuoa l-u<br />

Chack that th- interviewer<br />

has racorded tha correct<br />

person numbar beforo<br />

●ntarlng.<br />

v~<br />

Entar numixr of FamLly Unit (<br />

Valu.. -6-20<br />

Id-al number of childran~<br />

Enta numb-r.<br />

DK ..............<br />

None ............<br />

Al 1 that coma/God<br />

Up to themmalvas<br />

. . . . . . -1<br />

... .. . -4<br />

, WL1l. -5<br />

....... -6<br />

142<br />

~[


t’-


Questlonna~r9 R-f<br />

Q1(A)<br />

Qumstaon No<br />

CHECK A<br />

CNECK B<br />

REcORD TYPE<br />

Codzng Shmet<br />

Rafarmncm<br />

21(A)<br />

CHK A<br />

CNK B<br />

FS TYPE<br />

No of<br />

Boxms/<br />

;haractars<br />

,<br />

)<br />

2<br />

2<br />

Coding Instructions/ Remarks<br />

values -5-20<br />

Personal Ldmal<br />

Enter number.<br />

number 7<br />

OK ........... .. ....... -1<br />

Nono ........ . ....... .. -4<br />

All that come/God’s WL1l. -5<br />

Valuas -3-4<br />

self completion not<br />

of farad ... . ..... . 01<br />

Self compaction offer-d,<br />

refus*d ... ........... 02<br />

self complatlon off-red,<br />

accapted<br />

SLnCjh WOCOOn .. ......... os<br />

Marr LOd/ cohabit ing women 04<br />

W ~dowed, dlvorcmd,<br />

separated women ... . . 05<br />

Man . .. ... .... ...... 06<br />

~,s . .4<br />

Marr>ed . . . . . . . . . . . . . . 01<br />

W~dow9d , 0 Lvoxcmd ,<br />

.Saparated . . . ..-. . . . . . . 02<br />

Cohabltmg ... ........ 03<br />

Sulgle ..................04<br />

Record Tvua Ce% co-w<br />

Aged 60 or ovmr ...... . . 00<br />

Fam~ly Lnformation amct Lon<br />

applies ............ ... 20<br />

.salf cOmpl*t LOn . .<br />

s ~ngla womon .......... 21<br />

MarrLad/COhabLtlng Wommn. 22<br />

Widowed/dLvorced/ sepazatod<br />

wommn ....... .. ...... 23<br />

Man ........ ...... 24<br />

143


Questionnaire Ref<br />

Question No<br />

PERSON<br />

IDENTIFICATION<br />

Q2(A)<br />

Q2(A) (i)<br />

Q2(B)<br />

coding Sheet<br />

Reference<br />

ID NO<br />

HH No<br />

Per<br />

FU<br />

Q2A<br />

Q2Ai<br />

Q2B<br />

No of<br />

Boxes/<br />

Characters<br />

5<br />

2<br />

2<br />

1<br />

2<br />

2<br />

2<br />

Coding Instructi.ans/Remarks<br />

Values 00001-49999<br />

5 digits - remember leading<br />

zeros. [Check that the<br />

number is the same as that<br />

on the front page of the<br />

household schedule ]<br />

Values 1-5<br />

Enter household number<br />

Values 1-21<br />

Check that the interviewer<br />

has recorded the correct<br />

person number before<br />

entering<br />

Values 1-7<br />

Enter number of family unit<br />

Values -3-02<br />

Only marriage ?<br />

Yes ..................... 01<br />

No ...................... 02<br />

Values -3-05<br />

How many times have you been<br />

married?<br />

Enter number of t ties.<br />

Values -3-05<br />

Where did you marry?<br />

Church .................. 01<br />

Registry Office ......... 02<br />

Church and Registry 0ffice03<br />

Living together as a<br />

couple ................. 04<br />

Other (Specify) ......... OS<br />

?<br />

,=,A


Q2(C)<br />

Q3<br />

Q3<br />

Q3A<br />

Q3B<br />

Q3C<br />

-i<br />

Cadang Sheat<br />

Rafarmncm<br />

Q2 E4TH<br />

Q2 YR<br />

Q3 14TH<br />

Q3 YR<br />

Q3A<br />

Q3B<br />

Q3C<br />

No of<br />

S!oxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codang Instructions/ R.marks<br />

~luos -- u<br />

Enter number of month of<br />

marr Lage<br />

values -3-92<br />

Enter last two dLg~ts of<br />

ymar of marrLaga<br />

ValUOS -3-12<br />

Entar numb-r of<br />

started l~ving<br />

a couple<br />

Valu en -3-9?<br />

month whmn<br />

together as<br />

Enter last 2 dLgLtn of y9ar<br />

when startad 1>ving togethar<br />

as a couple<br />

~eg<br />

--<br />

Partn9r ●v9r legally<br />

marrlad?<br />

2<br />

Yam . ......... ... ..... 01<br />

No .. ........ .......... . 02<br />

Valuaa -3-02<br />

Self ●very legally marr~ad?<br />

Y*S . ........ .......... 01<br />

No . . . . ... .... .. -. 02<br />

Valueg -3-05<br />

No. of tunas legally<br />

m.srr~ed?<br />

En’car number<br />

145<br />

I


Questionnaire Ref<br />

Question No<br />

CHECK C<br />

Q4<br />

Q4A<br />

Q4A<br />

TCHK C<br />

Q4<br />

Type 2<br />

BMTH 2<br />

I<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-04<br />

Women - with children* in<br />

the household .......... 01<br />

Men - with children* in the<br />

household .............. 02<br />

Women - without children.<br />

in the household .. .... 03<br />

Hen - without children”<br />

in the household ....... 04<br />

*Children includes foster<br />

children and any sonj<br />

daughter, stepson etc<br />

even if adult<br />

Values -3-04<br />

Women : any step, fOst&C<br />

or adopted children of any<br />

age living with you now<br />

Yes ..................... 01<br />

No ...................... 02<br />

Men : any stepchildren of<br />

any age living with you<br />

(including any children<br />

from your partner, s<br />

previous relationship? )<br />

Yes ..... ................ 03<br />

NO ...................... 04<br />

Values -3-03<br />

Type of child<br />

.5tep .................. ..Ol<br />

Foster .................. 02<br />

Adopted ................. 03<br />

VaLues -3-12<br />

Month of birth<br />

Enter month of birth


Questaonnaxrm Ref<br />

Qu-st>on No<br />

Q4A<br />

Q4A<br />

Q4A<br />

CHECK D<br />

Q5<br />

Q6<br />

Q6<br />

Q6<br />

.,<br />

Codmq Shaat I No of<br />

Rmfmrmnc9<br />

BYR 2<br />

LIVHTH 2<br />

LIVYR 2<br />

CH3C D 2<br />

Q5 2<br />

Q6 2<br />

Mont h 12<br />

YEAR 2<br />

I<br />

Boxes/<br />

Characters<br />

Codang Instructions/Ramarks<br />

Val ues -3-92<br />

Enter yaar of bLrth<br />

Values -3-U<br />

Enter month child etarzed<br />

l>v~ng with informant<br />

Values -3-9?<br />

Enter yaar child started<br />

llvLng with informant.<br />

Rap@at above Lnstructlons<br />

for Q4 for ●ach subsequmt<br />

ch~ld, Ln dascend~ng year<br />

order. If there are more<br />

than 8 Chlldran mvolvad<br />

re for to supervisor<br />

ValUOS -3-02<br />

Mm . ...... ............ . . 01<br />

Womm . ....... ..... .. .. 02<br />

Values -3-02<br />

Ever had a baby7<br />

Y*9 . . . . . . . . . . . . . 01<br />

Wo . . . . . . . . . . . . . . . . . 02<br />

ValU@S -3-20<br />

How many ch~ldran?<br />

Entar numb-r of lLVO broths<br />

Values -3-12<br />

Entmr numbar of month ● ldest<br />

child was born<br />

Values -3-91<br />

Enter last two digits of<br />

Y-U eldmst child was born<br />

14?’


Questionn.ire Ref<br />

Question No<br />

Q6<br />

Q6<br />

Q?<br />

Coding Sheet<br />

Reference<br />

SEX<br />

LIVING<br />

Q7<br />

98<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions [Remarks<br />

Values -3-02<br />

sex of eldest child<br />

Male ........ ............01<br />

Female ....... ...........02<br />

Values -3-03<br />

IS child living with<br />

informant ?<br />

Yes ..................... 01<br />

No .......... ............ 02<br />

Deceased ................ 03<br />

Repeat above instructions<br />

for Q6 for each subsegment<br />

child, in descending age<br />

orer. If there are more<br />

than twelve children<br />

involved refer to supervisor<br />

Values -3-02<br />

Current ly pregnant?<br />

Yes . . . . . . . . . . . . . . . . . . . . . 01<br />

NO . . . . . . . . . . . . . . . . . . . . . . 02<br />

Values -3-04<br />

Expect to have (more<br />

children?<br />

Yes ................ . . . . 01<br />

Probablv Yes ........ .... 02<br />

Probably Not ............ 03<br />

NO ......... .. ........... 04<br />

DK ...................... -1<br />

A48


Qu8staonnaxrm Raf<br />

Qumstmn No<br />

Q8A<br />

Q8B<br />

Q8C<br />

CHECK E<br />

Q9A<br />

Q9A1<br />

Coduig Shaat<br />

Rafmranc9<br />

Q8A<br />

Q8B<br />

Q8C<br />

CHK E<br />

Q9A<br />

Q9AL<br />

No of<br />

Box*s/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instruct ~ons/ Rema rks<br />

Valuea -3-O?<br />

On the whole do you th~nk -<br />

WL1l probably have anylmore<br />

child ran...... .... ...01<br />

WL1l probably not have any/<br />

mora ch~ldran ...... ... 02<br />

DK ---------------------- -1<br />

Values -4-2Q<br />

How many chlldran ~n all<br />

Enter numb-r<br />

None .. . .. .... .. -4<br />

DK . . . . ... -1<br />

Valuea -- 6Q<br />

How old whan you hava your<br />

fustfnaxt bsby<br />

Entu age<br />

OK ... ... .... . . .. ... -1<br />

Valuea --<br />

2<br />

HarZLed/COhSbLt Lng WOIIlmn<br />

16-49 ....... ..... ..... 01<br />

Ochmr wommn 16-49 ....... 02<br />

Values -- o?<br />

Yes . . . . ........ 01<br />

No. . ... .. .... . .02<br />

~uas -3-04<br />

Who had operation?<br />

Informant .. . . .. . . 01<br />

Husband/partner<br />

02<br />

Both ... .. . ... - 03<br />

i49


Questionnaire Ref<br />

Question No<br />

Q9B<br />

!210<br />

Q1O<br />

Qll<br />

Qll<br />

Q12<br />

Q12<br />

Q12<br />

Q12<br />

I<br />

Q9E 2<br />

Q1OINF 2<br />

Q1OPRRT<br />

Q1lINF<br />

12<br />

Q1lPART 2<br />

Q12 IMTH 2<br />

Q121YR 2<br />

Q12PMTH 2<br />

Q12PYR 2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-02<br />

Ever been sterlised?<br />

~.-<br />

Yes ....... .............. 01<br />

No ...................... 02<br />

Values -3-O?<br />

NHS operation or not?<br />

NHS ..................... 01<br />

Other ..... .............. 02<br />

Code as Q1OINF<br />

Values -3-05<br />

Where was operation?<br />

hospital inpatient,<br />

overnight or longer .... 01<br />

hospital outpatient ..... 02<br />

your/his doctor, s surgery 03<br />

at a clinic ............. 04<br />

somewhere else .......... 05<br />

Code as Q1lINF<br />

Values -3-12<br />

Enter month of operation of<br />

informant<br />

Values -3-92<br />

Enter year of operation of<br />

informant<br />

Partner, s Operation code<br />

as for Q121MTH<br />

Partner, s operation Code<br />

as for Q121YR


cHSCK F<br />

CHECK G<br />

Q13<br />

Q13A<br />

Q13A<br />

CHX F<br />

CNK G<br />

Q13<br />

Q13A1<br />

Q13A2<br />

No of<br />

sOxM/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codang Instructions/ Ramarks<br />

~es .- 02<br />

How long ago was oparation-<br />

E~ther Lees than 2 years 01<br />

2 years or more . .. . . 02<br />

Pr9gnant 7<br />

Informant Pragnant .. 01<br />

Othars ......... .... 02<br />

~<br />

U3 Lng any cOntrac*pt Lva<br />

mathode when you baceme<br />

prmgnant ?<br />

Yas .. .. ... ...... ... 01<br />

No ................. .. .. 02<br />

Values .- U<br />

TYPO of COntracept ive met hod<br />

Withdrawal ............ 01<br />

Sheath fcondom . ..... . 02<br />

Safe par~od/rhythm<br />

method ................ 03<br />

Cap/dLaphragm ... .. .... 04<br />

contracapt~ve sponge ... 05<br />

HLnL pLll ........... 06<br />

Combmed pLll (inc<br />

mult~phas Lc ) .......... 07<br />

pLll . not sure Lf man~<br />

orcOmb Lned . ..... ... 08<br />

IuD/cOLl/LntrautmrLn*<br />

d-vice ................ 09<br />

Foams , g019 , Spray- ,<br />

pacsarias (s~rmic~das ) 10<br />

In]mctxmn ............. 12<br />

Another method (Sp+clf y) 13<br />

Valu-s -3-11<br />

Code as Q13A1<br />

151


Questionnaire Ref<br />

Question No<br />

Q13A<br />

Q14A and B<br />

Q14C<br />

Q14C<br />

Q14C<br />

Coding Sheet No of<br />

Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

I I<br />

Q13A3 2 Values -3-13<br />

Code as Q13A1<br />

Q14AB 2 Values -3-04<br />

IMTH<br />

1 I<br />

I<br />

2<br />

I I<br />

I<br />

Note : Q13A1, Q13A2, Q13A3 -<br />

there is no valid code 11<br />

Married/cohabiting or living<br />

as husband and wife. Have<br />

you or husbandlpactner had<br />

any other operation which<br />

prevents you getting<br />

pregnant (again)<br />

Others: Have you had any<br />

other operation which<br />

prevents you getting<br />

pregnant (again)<br />

Yesr informant .......... 01<br />

Yes, husband/partner .... 02<br />

Yes, both .......... ..... 03<br />

NO ...................... 04<br />

Values -3-1?<br />

Month of informant Ss<br />

operation<br />

lYR 2 Values -3-92<br />

Enter month of operat ion<br />

Year of informant as<br />

operation<br />

Enter year of operation<br />

P14TH 2 Values -3-12<br />

I I<br />

Month of partner, s operation<br />

Enter month of operation<br />

.<br />

1’


Questxonnalra Raf<br />

Q14C<br />

Quest.on No<br />

cHECK H<br />

Q15<br />

Cod>ng Sha@t<br />

Rmf ●rmnco<br />

PYR<br />

CHK H<br />

(215(1)<br />

No of<br />

BOxms/<br />

Characters<br />

2<br />

2<br />

2<br />

%. ,,<br />

Codang Inst ruct~onaf Rmmarks<br />

ValUmS -3-92<br />

Year of partner, s operat~on<br />

Ent9r year of operat~on<br />

value s -3-02<br />

Oata of OperatLOn<br />

ELthSr 10ss than 2 yaars 01<br />

2years0rm0re . . . . . . 02<br />

Ways of prevcntmg<br />

Prcgnancy9<br />

No method needed - no sexual<br />

rolationsh~p ..... ... 18<br />

No method used at all 17<br />

Withdrawal .. ...... .. 01<br />

Sheath/condom ........... 02<br />

Safa par~od/rhythm<br />

method ............ .... 03<br />

Cap/diaphragm ....... .... 04<br />

Cent racapt iv- ~ponga ... 05<br />

14in~ PL1l .......... ... 06<br />

comh~nad pill (Lnc<br />

mult L pha~ic) .......... 07<br />

PL1l : not surm lf mm~ or<br />

combmad ............... 08<br />

IUD/coil/lntrauterlna<br />

dev Lea. ........ .... 09<br />

Foam~, gala, spraye,<br />

pessar~as (spermiades ) . 10<br />

GoLng w~thout saxual<br />

Lntmrcoursa to avoid<br />

pregnancy . ... .. . 11<br />

Injmctlona . ...... ... . 12<br />

Another method (~peclf y) 13<br />

153


Questionnaire Ref<br />

Question No<br />

Q15<br />

Q15<br />

Q16<br />

Q16A<br />

Q16A<br />

Q15(2) 2<br />

Q15(3) 2<br />

Q16 2<br />

Q16Ai 2<br />

Q16Aii 2<br />

Coding Instructions/Remarks<br />

Values -3-13<br />

2nd method<br />

Ways of preventing pregnancy<br />

Withdrawal .............. 01<br />

Sheath/condom ........... 02<br />

Safe period/rhythm<br />

method ................. 03<br />

Cap/diaphragm ..... ...... 04<br />

Contraceptive sponge .... 05<br />

Mini pill ............... 06<br />

Combined pill (inc multi<br />

phasic ) ................ 07<br />

Pill : not sure if mini or<br />

combined ............... 08<br />

IUD/coil/intrauterine<br />

device ................. 09<br />

Foams, gels, sprays,<br />

pessaries (spermicides) . 10<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy .............. 11<br />

Injections .......... ... 12<br />

Another method (specify) . 13<br />

Values -3-13<br />

Code as Q15(2)<br />

Values -3-02<br />

More than 1 method use(d)<br />

In combination .......... 01<br />

Sometimes one, sometimes<br />

other .................. 02<br />

Values -3-18<br />

Method used<br />

Code method number from<br />

Q15(1)<br />

Values -3-18<br />

Method used<br />

Code method number from<br />

Q15(1)<br />

I


Quastlonnaare R-f<br />

Qu6st~on No<br />

Q17<br />

Q18<br />

Q18<br />

Q18<br />

QIS<br />

Codxng sheat<br />

Rafermncm<br />

Q17<br />

BASY<br />

MRNOP<br />

INFERT<br />

UNSATIS<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codang Instructions/Ramarks<br />

Values -3-05<br />

How long?<br />

Less than 3 months . .<br />

At least 3 months, lm8s<br />

than 6 months ... .....<br />

At laast 6 monthn, less<br />

than 1 year .. ..<br />

At least 1 yaar, less<br />

than 2 years ..........<br />

At 10aSt 2 years . . .<br />

Values -- o~<br />

Rmsons for not using<br />

c0ntraceptiva8<br />

Want to have a baby?<br />

01<br />

02<br />

03<br />

04<br />

05<br />

Ye* . . . . . . . . . . . . . . . . 01<br />

No . . . . . . . . . . . . . . . . . 00<br />

Values -. 01.<br />

Unlikely to concaxv- because<br />

of tha mnnopausa?<br />

Yes .. .. .... .. . 01<br />

NO .. .... ... . . 00<br />

value -3-OL<br />

unlikely to conce~ve<br />

bac.ause poss~bly Lnfcrtlle?<br />

Yes . ... ....... .... 01<br />

No ..................... 00<br />

valu*s -3-OL<br />

Don’ t l~ke contraception<br />

●ndlor f~nd methods<br />

unsatisfactory”<br />

Yes . .. 01<br />

No . .. . . . . .... . 00<br />

155


Questionnaire Ref Coding Sheet No of<br />

Question No R13ferencm Boxes/<br />

Characters<br />

Q18 RSLIG 2<br />

Q18 OTH 2<br />

Q19 Q19 2<br />

Q20 Q20(11 2<br />

Coding Instructions /Remarks<br />

Values -3-01<br />

Against teachings of church/<br />

religions belief?<br />

,-.<br />

(<br />

Yes ..................... 01<br />

No ..................... . 00<br />

Values -3-01<br />

Other reason (specify) ?<br />

Yes ..................... 01<br />

No ...................... CJO<br />

Values -3-02<br />

Ever used any of these<br />

methods in the last<br />

2 years?<br />

Yes ..................... 01<br />

No ...................... 02<br />

Values -3-19<br />

1st Method used<br />

NO method needed - no SeXLIaL<br />

relationship ...... ..... 18<br />

No method used at all ... 17<br />

Withdrawal .............. 01<br />

Sheath/condom ........... 02<br />

Safe period/rhythm method 03<br />

Cap/diaphraqm ........... 04<br />

Cent racept ive sponge .... 05<br />

Mini pill ............... 06<br />

Combined pill (inc multi<br />

phasic) ................ 07<br />

Pill : not sure if mini or<br />

combined ............... 08<br />

IDU/coil/ intrauterine<br />

device ................. 09<br />

Foams, gels, sprays,<br />

pessaries (spermicides) . 10<br />

Going without sexual<br />

intercourse to avoid<br />

preqnancy ........ ...... 11<br />

Injections .............. 12<br />

Another method (specify) . 13<br />

Pregnant ................ 19


—<br />

Questuannaxre Ref Coding Shaat No of<br />

Quastaon No Rmf ●rence e.0x9s\ Codang Instruct~ons /R.marks<br />

Characters<br />

Q2 O Q20(2) 2 values -3-12<br />

Q20 Q20(3) 2 Valu es -3-1<br />

[PP]UDuff-2326 HcSurvcy m<br />

Coda as for Q20( 1) but there<br />

are no codes 17 or 18<br />

Coda as for Q20 (1 ) but there<br />

are no codas 17 or 1S<br />

157


—.<br />

Quastxonnalre Ref<br />

Quaataon No<br />

PERSON<br />

IDENTIFICATION<br />

Q1<br />

Q2<br />

FANILY INFORMATION SECTION - SU# CONPLSTION<br />

WIDONED/DIVORCED/ SEPARAiED WOlls2i<br />

cod~ng Sheet<br />

Raf ●rence<br />

ID NO<br />

H/H NO<br />

Per<br />

FU<br />

Q]<br />

Q2<br />

No of<br />

B0x9s/<br />

Characters<br />

5<br />

2<br />

2<br />

1<br />

2<br />

2<br />

Codang Instructions/Ramarks<br />

If thm S.slf-complatmn form<br />

has been umed please<br />

remanber to tear out the<br />

preceding cod~ng sheet.<br />

Values 00001-49999<br />

5 d~g~ts - remember leading<br />

zaros. [Chack that the<br />

number M tha name as that<br />

on tha front page of the<br />

Household Schedule ].<br />

Valum 1-5<br />

Enter household number.<br />

values 1-21<br />

Chack that the intarv~ewer<br />

has recorded tha corract<br />

person number before<br />

●-k-ring.<br />

Values 1-7<br />

Entar numbar of family unit.<br />

-em<br />

--<br />

4<br />

Where dLd you get marrLad? ,<br />

,<br />

m church .................01.<br />

at a rmgLstry Off Lc9. ... .02 \<br />

both church and roglstry<br />

of f~ce ......... .........03<br />

living togathar as a<br />

c0up19 .......... .... .....04<br />

Values -3-05.<br />

Number of tunes<br />

marrLed?<br />

Enter numixr.<br />

legally<br />

158


Q.est.m.n~.r= Rmf<br />

Quastaon No<br />

Q3<br />

Q4<br />

Q5<br />

Q5<br />

Q6<br />

Q7<br />

Codang Shaat<br />

Raf ●ranca<br />

Q3<br />

Q4 TIlC3S<br />

Q5 MTN<br />

Q5 YR<br />

Q6<br />

Q7 MTH<br />

No of<br />

Boxas/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Ramarks<br />

Valuas -3-0~<br />

Ever bean legally marrxed?<br />

Yms ..................... 01<br />

No .......................02<br />

Valu9s .- 05<br />

Number of tbnaa legally<br />

marr i-d?<br />

Enter nurixr.<br />

Values -3-12<br />

Month of most<br />

marrxagm.<br />

Enter month.<br />

-S<br />

--<br />

Y*U of most raent<br />

marriaga?<br />

Enter yaar.<br />

Valuss -3-02<br />

2<br />

recant<br />

currantly livLng with<br />

munaone as a couple?<br />

Yem ......................01<br />

No ................. ... . .02<br />

~o, -- 22<br />

Month started 1Lving<br />

togather?<br />

Enter month.<br />

159


Questionnaire Ref<br />

Question No<br />

Q7<br />

Q8<br />

Q9<br />

Q1O<br />

Q1O<br />

Q1O<br />

Coding Sheet<br />

Reference<br />

Q7 YR<br />

Q8<br />

Q9<br />

PERS<br />

STSP<br />

B MTH<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

><br />

2<br />

2<br />

2<br />

Coding Instructions /Remarks<br />

Values -3-92<br />

Year started<br />

together?<br />

Enter year.<br />

Values -3-02<br />

living<br />

Partner ever legally<br />

married?<br />

Yes .......................01<br />

No ............... ........02<br />

Values -3-02<br />

Any step, foster or<br />

adopted children living<br />

with you?<br />

Yes ......................01<br />

No .-.....................02<br />

Values 1-21<br />

Person no of step etc child.<br />

Code, if necessary, from<br />

household frent grid.<br />

Values -3-03<br />

Type of child<br />

Step ..-.......... ........01<br />

FOster .-.................02<br />

Adopted ...................03<br />

Values -3-12<br />

Month of child os birth.<br />

Enter month.<br />

f


Quastionnaara Ref<br />

Questzon No<br />

Q1O<br />

Rmf●rmncm SOx,sf<br />

Characters<br />

B YR<br />

I I I<br />

I I I<br />

Qlo LIVNTN 2<br />

Q1O<br />

Qll<br />

Q12<br />

Q13<br />

LIVYR<br />

Qll<br />

Q12 NO<br />

MONTH<br />

I<br />

2<br />

2<br />

2<br />

2<br />

Cad-g Instructions/Ramarks<br />

values -3-92<br />

YCar Of child, s bLrth.<br />

Entar yaar.<br />

v<br />

--<br />

I ‘u”” 3 u<br />

Honth child began 1~vmg<br />

I<br />

w~th ~nformant?<br />

Enter month.<br />

v s -3-<br />

I alu- 92<br />

Ymar ch>ld bagan Living<br />

with informant?<br />

1<br />

I Ent.r y.ar.<br />

Rapoat abova Instructions<br />

for Q1O for ●ach eubsequmnt<br />

child. If thara arm more<br />

than 8 ch~ldrm mvolvad<br />

r-f ●r to supervisor.<br />

v<br />

I*e’Q<br />

Evar had a baby?<br />

I<br />

I<br />

--<br />

Yms . . . . . . . . . . . . . . . . . . ...01<br />

NO ...... ................02<br />

v -3-<br />

I -a 2’<br />

1<br />

How many children?<br />

Enter number.<br />

2 wee -- u<br />

Entar month of fust-born<br />

child ‘s birth.<br />

161


Questionnaire Ref<br />

Question No<br />

Q13<br />

Q13<br />

Q13<br />

Q14<br />

Q15<br />

Coding Sheet<br />

Reference<br />

YEAR<br />

SEX<br />

LIVING<br />

Q14<br />

Q15<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-92<br />

Enter year of first-born<br />

child’ s birth.<br />

Values -3-02.<br />

Sex of first-born?<br />

Male .....................01<br />

Female ...................02<br />

Values -3-03<br />

Is child living with you?<br />

Yea ......................01<br />

No, elsewhere .............02<br />

No, deceased ..............o3<br />

Repeat above instructions<br />

for Q13 for each subsequent<br />

child, in descending year<br />

order. If there are more<br />

than 10 children involved<br />

refer to supervisor.<br />

Values -3-02<br />

Are you pregnant now?<br />

Yes .......................01<br />

No, or unsure ............02<br />

Values -3-05<br />

Think you will have any<br />

more ?<br />

res ......................01<br />

Probably yes .............02<br />

Probably not .............03<br />

No .......................04<br />

Oon’t know ................O5


Questaonnalrm Raf Coding Shoot No of<br />

Questaon No Rmf9rancm BOX*SI Cod-g Instructions/Ramarks<br />

Q16<br />

Q17<br />

Q18<br />

Q19<br />

Q20<br />

Q21<br />

Q22<br />

Characters<br />

I I I<br />

I<br />

Q16<br />

Q17 NO<br />

QIS AGE<br />

Q19<br />

Q20<br />

Q21 NO<br />

Q22 AGE<br />

I<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

v .- 0<br />

I alues32<br />

On the whola, do you<br />

think you will havm any<br />

morm?<br />

Probably . . . . . . . . . . . . . . ...01<br />

Probably not .............02<br />

value- -3-2Q<br />

How many Chlldran in all?<br />

Enter number.<br />

Valuaa -3-60<br />

Entmr age.<br />

-es -- 05<br />

Think you will hava any<br />

more childran?<br />

Coda as Q15 .<br />

yQu99<br />

--<br />

2<br />

On tha whole, do you think<br />

you WL1 have mora children?<br />

Cod- as Q16 .<br />

-s -- Q<br />

How many children in all?<br />

Enter number.<br />

~<br />

--<br />

Q<br />

Age at naxt b~rth?<br />

Enter agm,<br />

163


Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxes/ Coding Instructions /Remarks<br />

Characters<br />

Q23 Q23 2 Values -3-02<br />

Are You pregnant now?<br />

Q24 Q24 2 Values -3-05<br />

(<br />

Yes ......................01<br />

NO, or unsure ............02<br />

Think you will have any more<br />

children?<br />

Code as Q15.<br />

Q25 Q25 2 Values -3-r3~<br />

on the whole, do you think<br />

you will have more<br />

children?<br />

Code as Q16<br />

Q26 Q26 NO 2 Values -3-2o<br />

How many children in all?<br />

Enter number.<br />

Q27 Q27 AGE 2 Values -3-613<br />

Age at next birth.<br />

Enter age.<br />

Q28 Q28 2 Values -3-05<br />

Think you will have any<br />

children at all.<br />

Code as Q15.


Q29<br />

Q30<br />

Q31<br />

Q32<br />

Q33<br />

Q34<br />

Ref ●r*nc*<br />

Q29<br />

Q30 NO<br />

Q31 AGE<br />

Q32<br />

Q33 NNS<br />

Q34 WNERE<br />

No of<br />

...<br />

*<br />

,<br />

I<br />

Saxmj<br />

Cbaract*rs I<br />

Codxng Inetructaon8fRemarks<br />

2<br />

2<br />

I<br />

I<br />

I<br />

ValUaS -3-02<br />

On the whola, think you WL1l<br />

hava any childrmn.<br />

Code as Q16 .<br />

values --<br />

Q<br />

How many childran in all?<br />

Enter nuamhr.<br />

2 ~u,s -- Q<br />

2<br />

2<br />

2<br />

Aga at first birth.<br />

En’tar agc.<br />

v<br />

--<br />

I alu*’ 302<br />

Evsr bean star~lisad?<br />

I<br />

I<br />

Yes<br />

.....................01<br />

No .................... ...02<br />

v<br />

--<br />

I ‘“’ 302<br />

Was tha opration carrmd<br />

out under tha NNS or not?<br />

I<br />

1<br />

NNs . . . . . . . . . . . . . . . . . . . ...01<br />

Othsr ...................02<br />

v<br />

--<br />

1 -’30’<br />

0 Ld you have tha oparat Len*<br />

I<br />

as a hosp Ltal ~npatient,<br />

StayLng OVOrnLght or<br />

10nger ...................Ol<br />

as a hospital outpatient. .02<br />

at your/hLs doctor’ s<br />

sugary. . ...... ..........03<br />

at a cl inlc ............ ...04<br />

somewhara ●1s9 ........ ....05<br />

165


Questionnaire R.f<br />

Question No<br />

Q35<br />

Q35<br />

Q36<br />

Q37<br />

Coding Sheet<br />

Reference<br />

MONTH<br />

YEAR<br />

Q36<br />

Q37 (1)<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

COding Instructions/Remarks<br />

Values -3-12<br />

Enter month of operation.<br />

Values -3-92<br />

Enter year of operation.<br />

Values -3-02<br />

Was your operation less<br />

than 2 years ago?<br />

Yes .................. ....01<br />

No .......................02<br />

Values -3-19<br />

1st method of preventing<br />

pregnancy.<br />

No sexual relationship. ...18<br />

No method used at all. ....17<br />

Pregnsnt ..................19<br />

Withdrawal ................01<br />

Sheath/condom. ............02<br />

Safe period frhythm method, 03<br />

Cap/diaphragm. ............04<br />

Contraceptive sponge. .....05<br />

Pill: mini pill ...........06<br />

Pill: combined (inc<br />

multi physic )............o7<br />

Pill: not sure if mini or<br />

combined .................08<br />

IVD/coil/intra uterine<br />

device .................<br />

Foams /gels /spray s/pessar.<br />

(Spermicides )...... ....<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ............... .11<br />

Injections ................12<br />

Another method ............13<br />

(<br />

.09<br />

es<br />

.10


Quastaonnaara Raf I Codang Shmat I No of I<br />

Questuan No<br />

R-f ●renca<br />

Boxesf<br />

Characters<br />

I<br />

I<br />

I<br />

Q37 Q37 (2) 2<br />

Q37 Q37 (3) 2<br />

Q38 Q38 2<br />

Q39<br />

Q39<br />

.,<br />

Q39 ANY<br />

Q39 (1)<br />

2<br />

2<br />

,+.+.<br />

Coding Instructions/Rmmarks<br />

2nd method.<br />

Code as Q37 (1 ) with<br />

rsnga -3-13.<br />

3rd method.<br />

Coda an Q37 (1 ) w~th range<br />

-3-13.<br />

Arm you prmgmnt now?<br />

Yes ......................01<br />

No, orunsure ........... ..O2<br />

Using a method.<br />

Nomathod usad ............O2<br />

Othmr ....................00<br />

l-t method of pravant ing<br />

prmgnancy?<br />

Withdrawal ................01<br />

Shmath/condom. ............02<br />

Safe p-riod/rh~hm method. 03<br />

Cap/diaphragm. ............04<br />

Contracmptiva npongm. .....05<br />

Pill: mini pill ...........O6<br />

Pill: comhincd (lnc<br />

multi phas~c) ..,...... ...07<br />

PL1l: not aurm Lf minL or<br />

comhmad . . ..... ..........08<br />

IUO/coLl/intra utmrLne<br />

dev~ca ...................09<br />

Fo=s/g*ls/apray m/pesaarlas<br />

(spsrnuc~das )........ ...10<br />

In]mctionn ................12<br />

Another mathod ............l3<br />

Not9: no code 11,<br />

167


Q.estionnaire Ref<br />

Question NO<br />

Q39<br />

Q39<br />

Q4Q<br />

Q41<br />

Q42<br />

Coding sheet<br />

Reference<br />

Q39 (2)<br />

Q39 (3)<br />

Q40<br />

Q41 MSTH<br />

Q42 LONG<br />

NO of<br />

SOxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-13<br />

2nd method of preventing<br />

pregnancy?<br />

Code as Q39 (1) .<br />

Values -3-13<br />

3rd method of preventing<br />

pregnancy.<br />

Code as Q39 (1) .<br />

Values -3-03<br />

Number of methods?<br />

We only used one method. ..01<br />

We used more than one method<br />

at a time ................02<br />

Sometimes we used one<br />

method, sometimes<br />

another ............. .....03<br />

Values -3-13<br />

Main method?<br />

Enter the code for most used<br />

method from Q39 (1 ).<br />

Values -3-05<br />

How long have you used the<br />

most frequent method?<br />

Lese than 3 months. .......01<br />

At least 3 months, less<br />

than 6 months ............02<br />

At least 6 months, less<br />

than l year ..............03<br />

At least 1 year, less<br />

than 2 years ......... ....04<br />

At least 2 years ..........O5


Q43<br />

Q43<br />

Q43<br />

Q43<br />

Q44<br />

Q44<br />

Q43 (1)<br />

Q43 (2)<br />

Q43 (3)<br />

Q43 (4)<br />

BRSY<br />

MSNOP<br />

No of<br />

s0x9s/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Inatruct~ona/Rammrks<br />

~es . . al<br />

1st mat hod of prevent ~ng<br />

pregnancy.<br />

code aa Q37 (1) .<br />

2nd mmthod of provanting<br />

pregnancy.<br />

Coda as Q37 (1) using range<br />

-3-13.<br />

3rd mathod of prmvent Lng<br />

prmgnancy.<br />

Coda as Q37 (1) with ranga<br />

-3-13.<br />

4th method of pravantmg<br />

pregnsncy.<br />

Coda as Q37 (1 ) with rang-<br />

-3-13.<br />

Values -- 01<br />

Rmamonm for not Ualng a<br />

m-t hod of prcvant Ing<br />

pregnancy.<br />

want-d a bsby?<br />

Yem .......................Ol<br />

No ... ....................00<br />

Valuen -3-04<br />

Unllkaly to concm Lve because<br />

of tha manopausm?<br />

Y* S........ ..............01<br />

No .......................00<br />

169


Questionnaire Ref<br />

Question No<br />

Q44<br />

Q44<br />

Q44<br />

Q44<br />

Q45<br />

Q46<br />

Coding Sheet<br />

Reference<br />

INFERT<br />

UNSATI S<br />

RELIG<br />

Q45<br />

Q46 (1)<br />

No of<br />

Soxesf<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instruct ions /Remarks<br />

Values -3-01<br />

Unlikely to conceive<br />

because possibly infertile?<br />

Yes .......................Ol<br />

No .......................00<br />

Values -3-01<br />

Don, t like contraception<br />

and/or find methods<br />

unsatisfactory?<br />

Yes .......................01<br />

No ........................00<br />

values -3-o~<br />

Against teachings of churchj<br />

religious belief?<br />

Yes .......................01<br />

No .......................00<br />

Values -3-01<br />

Another reason?<br />

Yes ......................01<br />

No ......................00<br />

Values -3-02<br />

Used any of these methods?<br />

Yes ......................01<br />

No .......................02<br />

Values -3-13<br />

1st method.<br />

Withdrawal ................01<br />

Sheath/condom .............02<br />

Safe period/rhythm method. 03


Qu9sta0nnaar* Raf<br />

Qu*staon No<br />

Q46<br />

Q46<br />

Q46<br />

Q47<br />

Q48<br />

Rof,r,ncm<br />

Q46 (2)<br />

Q46 (3)<br />

Q46 (4)<br />

Q47<br />

Q48 liTH<br />

No of<br />

sOxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codang Instructions/Remarks<br />

Cap/dLaphrqn.. ...........O4<br />

Contracmptiva sponga. .....05<br />

Pill: mLn~ pill ...........O6<br />

Pill: combinad (Lnc<br />

multi phas~c )........ ....07<br />

Pill: not aura ~f min~ or<br />

cambumd . ................08<br />

IUD/co~l/intra utarLne<br />

dav~ce . ..................O9<br />

FOtis/gala/apray n/~ssarzes<br />

(s~rm>cidas ).......... ..lO<br />

Going wzthout saxual<br />

mtercoursa to avoid<br />

pregnancy, .............. 11<br />

Injections ................12<br />

Anothar method ............13<br />

-S .- ?<br />

2nd mmthod.<br />

coda as Q46 (1) .<br />

yQJ9s .- U<br />

3rd mmthod.<br />

Code as Q46 (1) .<br />

Values -3-U<br />

4th method.<br />

Cedm a, Q46 (1) .<br />

Values -3-0~<br />

Any othar operatxon?<br />

Yea ................. ......01<br />

No .. ........ ..............02<br />

Values -3-l Z<br />

Enter month of operation.<br />

171


Questionnaire Ref<br />

Q48<br />

Q49<br />

Q50<br />

Q50<br />

Q50<br />

Q51<br />

Question No<br />

Coding Sheet<br />

Reference<br />

Q48 YR<br />

Q49<br />

Q50 (1)<br />

Q50 (2)<br />

Q50 (3)<br />

Q51 (1)<br />

No of<br />

soxas/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions /Re~rks<br />

Values -3-9?<br />

Enter year of operation.<br />

Values -3-02<br />

Was your operation less<br />

than 2 years ago?<br />

Yes ......................01<br />

No ........ ...............02<br />

Values -3-19<br />

1st method.<br />

Code as Q37 (1) .<br />

Val ues -3-13<br />

2nd method.<br />

Code as Q37<br />

-3-13.<br />

Values -3-13<br />

3rd method.<br />

(1 ) with range<br />

Code as Q37 (1) with range<br />

-3-13.<br />

Values -3-1S<br />

1st method.<br />

No sexual relationship. ...18<br />

No method at all ..........l7<br />

Withdrawal ................OI<br />

Sheath/condom. ............02<br />

Safe period/rhythm method .03<br />

Cap/diaphragm. ............04<br />

Contraceptive sponge. .....05<br />

Pill: mini pill ...........O6<br />

Pill: combined (inc<br />

multi physic )............07<br />

162<br />

4.-<br />

/


Q51<br />

Q51<br />

Q51<br />

Q52<br />

Q53<br />

Q51 (2)<br />

Q51 (3)<br />

Q51 (4)<br />

Q52<br />

Q53 14ETH<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codang Instructions/Rmrks<br />

Pall: not 9ura Lf mirm or<br />

cuubmcd .................08<br />

IVD/co~l/intra utarxnm<br />

davzcm ...................O9<br />

FO~S/gOIE/apray m/pSSarLaS<br />

(s~rmicidas )............lO<br />

Going without sexual<br />

intercouraa to avo~d<br />

pregnancy ............ ....ll<br />

Inactions . .............. .12<br />

Anothar method ............13<br />

2nd method.<br />

coda as Q51 (1) with range<br />

-3-13.<br />

3rd mathod.<br />

Coda as Q51 (1 ) with rang-<br />

-3-13.<br />

4th method.<br />

Coda as Q51 (1) with ranga<br />

-3-13.<br />

Valuas -3-03<br />

Mathods used<br />

Wa ony u-* one mathod. ....01<br />

we usc more than onmathod<br />

at a tmm . ........O2<br />

Somattias W- US- one<br />

mat hod, momotmms<br />

another ............. .....03<br />

Wulss -- lQ<br />

Most often usad mathod.<br />

Code from Q51 (1) .<br />

1’73


Questionnaire Ref Coding Sheet<br />

Question No Reference<br />

Q54 Q54 LONG<br />

Q55<br />

I<br />

I<br />

Q55 (1)<br />

Q55 Q55 (2)<br />

Q55 Q55 (3)<br />

Q55 Q55 (4)<br />

Q56 BABY<br />

Q56<br />

I<br />

I K5NOP<br />

Q56 INFERT<br />

Q56 uNSATIS<br />

No of<br />

B.axesl<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/ Remarks<br />

Values -3-05<br />

How long.<br />

Code as Q42 LONG<br />

Values -3-19<br />

1st method.<br />

Code as Q37 (1) .<br />

Values -3-13<br />

2nd method.<br />

Code as Q37 [1) with range<br />

-3-13.<br />

Values -3-13<br />

3rd method.<br />

Code as Q37 (1 ) with range<br />

-3-13.<br />

Values -3-13<br />

4th method.<br />

Code as Q37 (1) .<br />

Values -3-01<br />

Code as Q44 BABY.<br />

Values -3-01<br />

Code as Q44 MENOP<br />

Values -3-01<br />

Code as Q44 INFERT<br />

Values -3-01<br />

Code as Q44 ONSATI S<br />

1/4<br />

t<br />

A.


Q56<br />

Q56<br />

Q57<br />

Q58<br />

Q58<br />

Q58<br />

Q58<br />

Codang Sh*et<br />

Rof ●rance<br />

RELIG<br />

OTNSR<br />

Q57<br />

Q58 (1)<br />

Q5S (2)<br />

Q5S (3)<br />

Q58 (4)<br />

[PP]UOuf-2331 (H’hold SUN-Y)<br />

Cs I<br />

No of<br />

Boxms/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

tidang Instruct zc.ns/Rmmarks<br />

values -3-01<br />

Code as Q44 RELIC.<br />

Values -3-01.<br />

Coda am Q44 OTHER.<br />

-es<br />

--<br />

2<br />

Use any of theme methods of<br />

preventing pregnancy.<br />

Y@s . . . . . . . . . . . . . . . . . . . ...01<br />

No ......... ....... .......02<br />

values -3-U<br />

1st method.<br />

Code IS Q46 (1) .<br />

Values -- 13<br />

2nd method.<br />

cod- as Q46 (1 ).<br />

Valuaa -- 11<br />

3rd mathod.<br />

Code as Q46 (1) .<br />

Valu ●s -3-13<br />

4th method.<br />

Code aS Q46 (1) .<br />

175


-.<br />

Qumstaonnalre Raf<br />

Qumstmn No<br />

PERSON<br />

IDENTIFICATION<br />

Q1<br />

Q2<br />

FANILY INTOSNA’2!ION - SELF CO~LETI02i<br />

MSN<br />

Codang Shaat<br />

Raf ●rmnco<br />

IDNO<br />

H/5i NO<br />

PER<br />

b-u<br />

Q1<br />

92<br />

NO of<br />

B0x9s/<br />

Cimractmrs<br />

5<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codang Instructions/Ramarks<br />

Values 00001-49999<br />

5 d~glts - remember<br />

leading zeros. [Check that<br />

th* number is tha same as<br />

that on the front page of<br />

the household echedule. ]<br />

values 1-5<br />

Enter household number.<br />

Valuee 1-21<br />

Chack that tha intorvaowar<br />

haa recordmd the correct<br />

parson number bmfore<br />

●ntering.<br />

~11 1-7<br />

Entar numbar of famdy unit.<br />

Valuas -3-03<br />

Mar>tal status7<br />

Xarr~ed or living wLth<br />

someona ae a coupla. ... ...01<br />

Single ....................02<br />

Widowed, dLvorced,<br />

saparatad ....... .........03<br />

~ume<br />

--<br />

Placa of msrriage?<br />

4<br />

In Church .................O1-<br />

At a RmgLstry Office. .....02<br />

Both Church and Raglstry<br />

of fLca ............... ....o3<br />

Living togather am a<br />

couple ...................04<br />

176<br />

I<br />

‘,


*..<br />

r


Questaoanaare Ref<br />

Qumstaon No<br />

Q3<br />

Q4<br />

Q4<br />

Q5<br />

Q6<br />

Q7<br />

Q8<br />

Q8<br />

Codang Shaat<br />

Rmf arancm<br />

Q3<br />

Q4 MTH<br />

Q4 YR<br />

Q5<br />

Q6<br />

Q7<br />

Q8 MTH<br />

Q8 YR<br />

No of I<br />

Saxmf<br />

Charact*r*<br />

I<br />

2<br />

2<br />

2<br />

2<br />

2<br />

I<br />

I<br />

I<br />

I<br />

Codang Inatructxons/R9marks<br />

Valuacl -3-05<br />

Ent-r total number of tmas<br />

lagally married.<br />

Va ~z<br />

En’car nurahr of month of<br />

marriag9.<br />

v -3-<br />

I ‘“S ‘2<br />

Ent9r last two dig~ts of<br />

1<br />

Y*U of marriage.<br />

v<br />

--<br />

I-3U<br />

Partner evar lagally<br />

married ?<br />

I<br />

I<br />

l--<br />

I<br />

2 ~gg --<br />

Y*9. . . . . . . . . . . . . . . . . . . ...01<br />

No .......................O2<br />

v<br />

--<br />

Self aver legally married?<br />

Ymm .. ....................ol<br />

No ................. .....02<br />

Entar numb-r of timas<br />

lmgall y marrL*d.<br />

2 ~uea -- 12<br />

2 Valu.a -3-92<br />

a<br />

Entar numb-r of month of<br />

pr***nt /most recant<br />

marraaga.<br />

Entar last twO dLgLt9 Of<br />

yaar of prasant/mOnt<br />

rmcent marriage.<br />

177


Questionnaire Ref<br />

Question No<br />

Q9<br />

Q1O<br />

(1ST CHILD)<br />

Q1O<br />

(2ND-8TH CHILD)<br />

Qll<br />

Coding Sheet<br />

Reference<br />

Q9<br />

PERS<br />

STEP<br />

BMTH<br />

BYR<br />

LIVMTH<br />

LIVYR<br />

Qll<br />

No of<br />

BoxES/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

coding Instructions/Remarks<br />

Values -3-02<br />

AIIy stepchildren<br />

Live with you?<br />

who<br />

.. .<br />

f<br />

Yes .............. .........01<br />

No ........ ...............02<br />

Values -1-21<br />

Enter person number of<br />

stepchild.<br />

Values -3-O%<br />

Stepchild ................Ol<br />

values -3-12<br />

Enter month of child’s<br />

birth.<br />

Values -3-92<br />

Enter Last two digits of<br />

year of child, s birth.<br />

Valuee -3-12<br />

Enter month child began<br />

living with informant.<br />

values -3-92<br />

Enter Last two digits of<br />

year child started living<br />

with informant.<br />

Code as for first child.<br />

Values -3-O?<br />

currently living with<br />

someone as a couple?<br />

Yes .......................01<br />

No .........................<br />

i“: 8


Q12<br />

Q12<br />

Q13<br />

Q14<br />

Q15 (1ST CHILD)<br />

Coding Sheet<br />

Raf ●ranca<br />

Q12 14TH<br />

Q12 YR<br />

Q13<br />

Q14<br />

PERS<br />

STEP<br />

SUTH<br />

SYR<br />

No of<br />

Box=s/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Valuee .- 1’2<br />

Entmr month informant and<br />

partnar start-d llving<br />

together.<br />

Valu ●s -3-92<br />

Ent=r lact two digits of<br />

yaar informant and partner<br />

startad living togather.<br />

yalues .-<br />

Pmtnar ●ar legally<br />

marraad?<br />

2<br />

Yas ..................... ..ol<br />

No . .......................02<br />

Valuoa -3-02<br />

Any Stapchlldran who livm<br />

with YOU?<br />

Yes .......................ol<br />

No .......................02<br />

ValUOS -3-2L<br />

Enter par-on nuubar of<br />

child .<br />

Values -3-01<br />

Stapchild ...............01<br />

-s -3-G<br />

Entar ❑onth of ch~ld’ s<br />

bLrth.<br />

values -3-92<br />

Enter last two d~glts of<br />

year of ch~ld’s birth.<br />

179


Questionnaire Ref<br />

Question No<br />

(215<br />

(2ND-8TH cHILD )<br />

Q16<br />

Q17<br />

Q18<br />

Q19<br />

Q20<br />

Coding Sheet<br />

Reference<br />

LIVMTH<br />

LIVYR<br />

Q16<br />

Q17<br />

Q18<br />

Q19<br />

Q2 O K1’Ii<br />

No of<br />

SOxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-12<br />

Enter number of month<br />

child began living with<br />

informant.<br />

Values -3-92<br />

Enter last to digits of<br />

year child started living<br />

with informant.<br />

Code as for first child.<br />

Values -3-04<br />

Place of marriage?<br />

In Church .................01<br />

At a Registry Office. .....02<br />

Both Church and Registry<br />

Off ice. ..................03<br />

Living together as a<br />

couple ..... ..............04<br />

Values -3-05<br />

Enter total number of times<br />

legally married.<br />

Values -3-02<br />

Ever legally married?<br />

Yes. ......................01<br />

No ........... ........... ..02<br />

Values -3-05<br />

Enter total number of times<br />

legally married.<br />

Values -3-12<br />

Enter number of month<br />

most recent marriage.<br />

(


Q20<br />

Q21<br />

Q22<br />

Q22<br />

Q23<br />

Q24<br />

Quastuan No<br />

Q25 (1ST CHILO)<br />

Coding Sha9t I NO of<br />

,&+,, #<br />

I<br />

Refm&ca<br />

Box-81<br />

Characters<br />

Cedzng In8trnctlons/R~rks<br />

I<br />

I<br />

Q20 YR ]2 I “due, -3-92<br />

Q21 2<br />

Q22 MTH 2<br />

Q22 YR 2<br />

Q23 2<br />

Q24 2<br />

PERS 2<br />

I<br />

Entmr last two dig~ts of<br />

year of most racmnt<br />

marrxage.<br />

Values -3-O?<br />

Currantly living with<br />

90m*0n9 am a couple?<br />

Yes ............... .......01<br />

NO .......................02<br />

values --<br />

2<br />

Entmr number of umnth<br />

started l~ving with partner<br />

a* ● COUP19.<br />

Valu99 --<br />

2<br />

Entar last two digits of<br />

year start-d livLng with<br />

partnar am a COUPIC.<br />

Valu.9 --<br />

Y*S ......................01<br />

No .......................02<br />

AIIy stapchildran who liv*<br />

wLth yOU?<br />

Yes ......................01<br />

No .......................02<br />

Entar prmn number of<br />

stopch~ld .<br />

181


Questionnaire Ref<br />

Question No<br />

Q25<br />

(2ND-8TH CHILD)<br />

Coding Sheet<br />

Reference<br />

STEP<br />

BMTH<br />

BYR<br />

LIVMTH<br />

LIVYR<br />

[PP]UDuf-2334<br />

cs/<br />

(H’hold Survey)<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-OL<br />

Stepchild ................01<br />

Values -3-12<br />

Enter month of child -s<br />

birth.<br />

Values -3-92<br />

Enter last two digits of<br />

year of child es birth.<br />

Values -3-12<br />

Enter number of month<br />

child began 1iving with<br />

informant.<br />

Values -3-92<br />

Enter last two digits of<br />

year child began living<br />

with informant.<br />

Code as for first child.


—<br />

Qumstaonnur8 R-f<br />

QuOStLOIi No<br />

PERsON<br />

IDENTIFICATION<br />

Q]<br />

Q2<br />

Q3<br />

FANILY INFoSMA’ITON SECTION - SELF-COMPLETION<br />

NASRIED/COEZ@ITING WOkE?i<br />

ID NO<br />

H/H NO<br />

PER<br />

FU<br />

Q1<br />

Q2<br />

Q3 MTH<br />

No of<br />

sexes/<br />

Characters<br />

5<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Cadang Instruct~ons /Remarks<br />

values 00001 -499 99<br />

5 digits - ramember leadLng<br />

zeros. [Check that the<br />

number im tho ssme as that<br />

on the front page of the<br />

household schedule. ]<br />

Valu.s l-~<br />

Entar household number<br />

us l-u<br />

Chack that the mtmrvmwer<br />

has recorded tha corract<br />

~rson number baforc<br />

●ntarmg.<br />

Valuea 1-7<br />

Ent*r numbar of fsnuly unLt.<br />

yQuae -3-04<br />

Placa of msrrmgo?<br />

In Church ................01<br />

At a Raglstry Office. .....02<br />

Both Church and RogMtry<br />

Of fLCe .................03<br />

LivLng togmthar as a<br />

Coupla .................04<br />

values -3-05<br />

/’<br />

Enter total number of times !<br />

legally marriad. /<br />

\<br />

\ .<br />

~uem -- 12<br />

Entar number of month<br />

Lnforment and pertner<br />

start-d l~vmg togethar.<br />

183


Questaonnaira Raf<br />

Questmn No<br />

Q3<br />

Q4<br />

Qs<br />

Q6<br />

Q7<br />

Q7<br />

Q8<br />

Codang Sheat<br />

Q3 YR<br />

Q4 PRRT<br />

Q5 SELF<br />

Q6 TIMES<br />

Q7 HTH<br />

Q7 YR<br />

Q8 CHILD<br />

No of<br />

Box-s/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Ramarks<br />

Values -3-92<br />

Entar last two dig~ts of<br />

year Lnformant and<br />

partner started lLving<br />

togathor .<br />

Valu es -3-02<br />

Partnar ●ar legally<br />

mur Led?<br />

Yam ......................01<br />

No .................. .....02<br />

S-1 f avar legally marri-d?<br />

Yas ......................01<br />

No ....... .......... ......02<br />

yQums<br />

--<br />

Enter numb.r of tunas<br />

Legally married.<br />

~m -- u<br />

5<br />

Entmr number of month of<br />

prmsmnt/mOmt rmcmnt<br />

marrzaga.<br />

Values -3-9?<br />

Entar last two digits of<br />

year of presentlmost<br />

recant ma.rsiaga.<br />

Valuao -3-02<br />

~Y ●t*P, f08ter or adopted<br />

childrmn who lLVG with you?<br />

Yes ................ ....01<br />

No .. ...... ............. 02<br />

184


Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

Q9 (1ST CHILD) PERS 2 Values 1-21<br />

Q9 (1ST CHILD) STEP 2 Values -3-03<br />

Enter person “umber of child<br />

Child is:-<br />

Q9 (1ST CHILD) B MTH 2 Values -3-12<br />

Q9 (1ST CHILD) B YR 2 Values -3-92<br />

Q9 (1ST CHILD) LIV MTH 2 Values -3-12<br />

Q9 (1ST CHILD) LIV YR 2 Values -3-92<br />

Step .....................ol<br />

Foster ..................02<br />

Adopted .............. ...03<br />

Enter month of child $s birth<br />

Enter last two digits of<br />

year of child, s birth.<br />

Enter number of month child<br />

started living with<br />

informant.<br />

Enter last two digits of<br />

year child started living<br />

with informant.<br />

Q9 (2ND-8TH CHILD) Code as for 1st child.<br />

Q1O Q1O 2 Values .3-02<br />

Ever had a bsby?<br />

Yes ......................01<br />

No .......................02<br />

r


Questlonna~re Ref Codxng Shaat No of<br />

Quastlon No Raference Eoxesf Ceding Instr.ctions/R.marks<br />

tiaractars<br />

Qll Qll 2 U*S .- 20<br />

Q12 MONTH 2 Values -- u<br />

Enter number of children.<br />

Ent@r nunbmr of month<br />

eldsst ch~ld was born<br />

Q12 YEAR 2 ~es -- 2<br />

Q12<br />

Q13<br />

Entmr laat two d~gits of<br />

I I I<br />

year ●ldent child was born.<br />

I SEX I 2<br />

I<br />

v<br />

~uea<br />

--<br />

302<br />

I LIVING<br />

I<br />

Q13<br />

Sex of eldest child<br />

I 2 I ‘“s -3-0’<br />

I<br />

2<br />

Hal@ ............ .........01<br />

Femala ............ .......02<br />

Is child living with<br />

Lnf O=_t ?<br />

Ymm ......................01<br />

NO ............. ..........02<br />

Dmcaascd .................03<br />

RepOat sbovo instructions<br />

for Q12 for ●ach ●ubsequant<br />

child, Ln dmscanding age<br />

ordar. If thara ara mara<br />

than tan ch~ldr*n involved,<br />

rOf*r to •u~rvlsor.<br />

v<br />

--<br />

I 4“”8 302<br />

Are you pragnant now?<br />

rem .... .................01<br />

No ............. .........02<br />

186


Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

Q14 Q14 2 Values -3-04<br />

Q15 Q15 2 Values -3-02<br />

Q16 Q16 NO 2 Values -3-20<br />

Do you think you wil 1 have<br />

any more children?<br />

Yes .....................01<br />

Probably yes .............02<br />

Probably not ............03<br />

No ......................04<br />

Don, tknow ..............- I<br />

Do you think you wil 1<br />

probably or probably not<br />

have any more children?<br />

Probsbly ................01<br />

Probably not ............02<br />

Enter total number of<br />

children.<br />

Q17 Qll AGE 2 Values -3-6o<br />

Enter age.<br />

Q18 Q18 2 Values -3-04<br />

Do you think you will have<br />

any more children at all?<br />

Yes .......................01<br />

Probably yes .............o2<br />

Probably not .............o3<br />

No .......................04<br />

Oon, tknow ...............-1


m<br />

23<br />

.+


Questionnaire Ref Coding Sheet No of<br />

Question No Reference<br />

Boxesj<br />

Characters<br />

Coding Instructions/Remarks<br />

Q25 Q25 NO 2 Values -3-2o<br />

Enter total number of<br />

children.<br />

Q26 Q26 AGE 2 Values -3-60<br />

Enter age.<br />

Q27 Q27 2 Values -3.-04<br />

Q28 Q20 2 Values -3-02<br />

Q29 Q29 NO 2 Values -3-20<br />

Do you think you will have<br />

any children at all?<br />

Yes ......................01<br />

Probably yes .............02<br />

Probably not .............03<br />

No .......................04<br />

Don, eknow ...............-1<br />

Do you think you will<br />

probsbly or probably not<br />

have any children.<br />

Probably ..... ............01<br />

Probably not .............02<br />

Enter total nuder of<br />

children.<br />

Q30 Q30 AGE<br />

2 Values -3-60<br />

Q31 Q31 2<br />

Enter age.<br />

Values -3-02<br />

Ever had operation intended<br />

to prevent you getting<br />

pregnant ?<br />

Yes ..................... 01<br />

No ...................... 02


Q32<br />

Q33<br />

Q34<br />

Q35<br />

Q35<br />

Q36<br />

cw-<br />

Q33 INHS<br />

Q34 IWNPX<br />

Q35 IMTH<br />

Q35 IYR<br />

Q36<br />

No of<br />

Boxm8/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

tia.ng Instruction8/Ramarks<br />

Valum -3-03<br />

Who was sterLlised?<br />

YOursalf ... ..............01<br />

Hueband/patin9r ..........02<br />

Both ........ .............03<br />

Values --<br />

2<br />

CWII oparation carr~ad out<br />

under NNS?<br />

NNs ......... .............01<br />

Othar ... .. ............ ...02<br />

Did you have operation: -<br />

As a hospital mpatiant<br />

staying overrught or<br />

long-r ...... .......... ...01<br />

As a hospital outpatient. .02<br />

At your doctor’s ●urgmcy. .03<br />

At a clinic ..............04<br />

Som*wh*ra ●lse ...........05<br />

~es<br />

--<br />

En’car manth of own<br />

operation.<br />

Ent9r laat two digits of<br />

Y*U of own operation.<br />

Rmpaat abovm LnstructLOnm<br />

for Qucstlons 33-35 for<br />

humband/partnmr.<br />

Values -3-02<br />

Oparat>on less than two<br />

years ago?<br />

Yen ........ ....... .-.....01<br />

No ....... .. ......-.......02<br />

190


Questionnaire Ref<br />

Question No<br />

Q37 (1ST METHOD)<br />

Q37<br />

(2ND-4TH METHODS)<br />

Q38<br />

Q39<br />

Q37 (2)<br />

Q37 (3)<br />

Q37 (4)<br />

Q38 2<br />

2<br />

Methods of preventing<br />

pregnancy.<br />

No sexual relationship. ..18<br />

NO method used at all. ...17<br />

Pregnant ..... ...........19<br />

Withdrawal ...............01<br />

Sheath/condom ...........02<br />

Safe period/rhythm<br />

method .................03<br />

Cap/diaphragm ............O4<br />

Contraceptive sponge ....05<br />

Pill: mini pill<br />

(progesterone only) .....06<br />

Pill: combined pill<br />

(including multi-phasic<br />

pill) ........ ...........07<br />

Pill : not sure if mi*i or<br />

combined ..... ...........08<br />

IUD/coil/ intra-uterine<br />

device. .................09<br />

Foams/gel/ spray s/pessaries<br />

(spermicides )...........lO<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ..............11<br />

Injections ... ............1.2<br />

Another method ...........l3<br />

Values -3-13<br />

Code as for 1st method<br />

(codes 17-19 do not apply) .<br />

Values -3-02<br />

Q39 ANY 2 Values -3-0~<br />

I I<br />

Pregnant now .............01<br />

Not pregnant/unsure ......02<br />

AnY method used?<br />

Flethod used ...............01<br />

Nomethod used ............02<br />

,, .,<br />

{


Q39 (1ST WETHOD)<br />

Q39<br />

(2wD-4TH NETHODS )<br />

Q40 Q40<br />

I<br />

Q39 (1]<br />

Q39 (2)<br />

Q39 (3)<br />

Q39 (4)<br />

Q41 Q41 MSTH<br />

Q42<br />

I<br />

Q42 LONG<br />

I<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codang Instructions/Remarks<br />

Values -3-13<br />

Withdrawal ...............Ol<br />

Sheath/Condom ....... ....02<br />

Safe pariod/rhythm<br />

mathod .............. ...03<br />

Cap/diaphragm ...... ......04<br />

Contracaptivm mponge ....05<br />

PL1l: min~ pill<br />

(progesterone only) .....06<br />

Pill: combind P1ll<br />

(including multi-pham LC<br />

pill) ...................07<br />

PL1l: not sure Lf mini or<br />

combined ................O8<br />

I~\cOLlf Lntra-utarlne<br />

davLca . . . . . . . . . . . . . . . . ..O9<br />

FOmm/gO1faprays fps*arim9<br />

( a~nn>cldes ) . . . . . . . . ...10<br />

Injectumm.... . . . . . . . . . . .12<br />

Othar method .............13<br />

v<br />

--<br />

I ‘“a 3 ‘a<br />

(d Co ● u for l-t mmthod.<br />

1~<br />

I<br />

va~ -3- 3<br />

Umad only on- m.thod. .....01<br />

us-d more than on- method<br />

at a tLm9 ...............02<br />

Som.tumam US.C3 on- mathod,<br />

saaatuncs another. .......03<br />

Value* -3-13<br />

Enter number of method.<br />

v<br />

--<br />

How long had ❑wchod been<br />

tha one you umually used?<br />

Less than 3 months ........Ol<br />

At least 3 months, lesfJ<br />

than 6monthm ........ .. 02<br />

At leaat 6 months, leas<br />

than 1 year .............03<br />

At leant 1 year, less than<br />

2 vears .............. .. 04<br />

Atlmaat 2 years .........05<br />

192


Questionnaire Ref Coding Sheet No of<br />

Question NO Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

Q43 (1ST MSTHOD ) Q43 (1) 2 Values -3-19<br />

Previous methods of<br />

prevent ing pregnancy.<br />

No sexual relationship. ...18<br />

No method used at all. ....17<br />

Pregnant ..................19<br />

Withdrawal ................01<br />

Sheath/condom. ............02<br />

Safe period/rhythm method. 03<br />

Cap/diaphragm. .,..........04<br />

Contraceptive sponge. .....05<br />

Pill: mini pill<br />

(progesterone only) .......06<br />

Pill: combined pill<br />

(including m“lt i-phas ic<br />

pill) ....................07<br />

Pill: not Sure j.f mini c,=<br />

combined .................08<br />

IVD/coil/intra-uterine<br />

device. ..................09<br />

FOams/gels/spray s/pessaries<br />

(spermicides )............10<br />

Going without sexual<br />

LnteCCOurse to avoid<br />

pregnancy ................ll<br />

Q43 Q43 (2) 2 Values -3-13<br />

(2ND-4TH METHODS) Q43 (3)<br />

Q43 (4) Code as for 1st method<br />

(codes 17-19 do not apply) .<br />

Q44 BABY 2 Values -3-0~<br />

Code 01 if circled,<br />

otherwise code 00.<br />

Q44 HENOP 2 Values -3-01<br />

Code 01 if circled,<br />

otherwise code 00.<br />

Q44 INFERT 2 Values -3-01<br />

Code 01 if circled,<br />

otherwise code 00.<br />

i


Quastaonnaara Ref<br />

Qua=tion No<br />

Q44<br />

Q44<br />

Q44<br />

Q45<br />

Q46 (1ST KETHOD )<br />

Coding Sh*at I No of<br />

UNSATIS 2<br />

RELIG 2<br />

OTHER 2<br />

Q45 2<br />

Q46 (1) 2<br />

Cadang Instructions/Ramarks<br />

~luea<br />

.-<br />

Code 01 if circled,<br />

otharwisa coda 00.<br />

1<br />

wee -- 01<br />

Cod* 01 if circlad,<br />

othar%msa cod- 00.<br />

-es<br />

--<br />

Coda 01 if circlad,<br />

otharwisa CCd= 00.<br />

Valuas .-<br />

us-d any methodo of<br />

pravant ing pragnancy.<br />

L<br />

?<br />

r-s ......... ........... ..01<br />

No ................ .......02<br />

Withdrawal .. ..............Ol<br />

Shaath/condom. ... .........02<br />

Safe period/rhythm method .03<br />

Cap/diaphragm .... .. .......04<br />

Contracmptivm sponga. .....05<br />

Pill : mini pill<br />

(prog*staro* only) .......06<br />

Pill: ccmbmmd pill<br />

(LIICIUd@J rnulti-phas LC<br />

pill) ............ ........07<br />

Pill: (not cur= if mini or<br />

combimd) ... .......... ...08<br />

IUO /coL1/ intra-utmrmo<br />

davica ........ .... .......09<br />

Fotim/gmln/spray m/wsmarLom<br />

(a~rm>cida= )............lO<br />

Going without saxual<br />

Lntarcourse to avald<br />

pregnancy .... ............ll<br />

Injection . . ...............12<br />

Anothar m=thod ..... ...-. ..l3<br />

194


I<br />

Q46 Q46 (2)<br />

(2ND-4TH METHODS) Q46 (3)<br />

Q46 (4)<br />

Q47 Q47<br />

Q48<br />

I<br />

Q4a<br />

Q49 Q49 IMTH<br />

Q49 Q49 IYR<br />

Q49 Q49 PMTH<br />

Q49 Q49 PYR<br />

I<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-13<br />

Code as for 1st method.<br />

Values -3-02<br />

Had any other operation<br />

which prevents YOU<br />

getting pregnant (again) .<br />

Yes ............... .......01<br />

No .......................02<br />

Values -3-03<br />

Was it you or your husband/<br />

partner who had an<br />

operation which prevents<br />

you getting pregnant<br />

(again)?<br />

Yourself ..................01<br />

Husband/partner. ..........02<br />

Both ......................O3<br />

Values -3-12<br />

Enter number of month of<br />

own operation.<br />

Values -3-92<br />

Enter last two digits of<br />

year of own operation.<br />

Values -3-12<br />

Enter number of month of<br />

partner, s operation.<br />

Values -3-92<br />

Enter last two digits of<br />

year of partner rs<br />

operation.<br />

id5


Quastaonaaara Ref Cod>ng Shomt<br />

Quastaon No Rmfaranca<br />

Q50<br />

Q51 (1ST METHOD)<br />

Q51<br />

(2ND-4TH METHODS)<br />

I<br />

Q50<br />

Q51 (1)<br />

Q51 (2)<br />

Q51 (3)<br />

No of<br />

Boxms/ Coding Inwtructiens/Ramarks<br />

Characters<br />

2 Valuaa .-<br />

2<br />

2<br />

2<br />

O~ratLon lass than 2 years<br />

ago ?<br />

Ya9 ......................01<br />

No .......................02<br />

Methods of<br />

pravant ing prmgnancy.<br />

No smual relationship. ...18<br />

No mathod usad at all. ....17<br />

Pragmnt . ................ .19<br />

Withdrawal ................Ol<br />

Shaath/condcim. ............02<br />

Safe pmrLod/rhythm mathod. 03<br />

Cap/diaphragm. ..... .......04<br />

COntracaptiva sp-ange......05<br />

Pill: mini pill<br />

(progastaroti only ).. .....06<br />

Pill: ccabined pill<br />

(including ❑ulti-phasx<br />

pLll )....................07<br />

Pill: not sure if mmi or<br />

ccinbinad .................O8<br />

1~/coLl/intra-ut9 rinm<br />

davlca ..................09<br />

F0=8/gala/mpray */~mmarLam<br />

(sparm>c Ldas )............10<br />

Going without saxual<br />

intarcoursa to avoid<br />

pregnancy ................ll<br />

Injact>ona ................12<br />

Anothar mathod ............l3<br />

Coda an for 1st method<br />

(codem 17-19 do not apply) .<br />

196


Questionnaire Ref Coding Sheet I No of<br />

Question No<br />

Reference<br />

Boxes/<br />

Characters<br />

I<br />

I<br />

Q52<br />

(1ST METHOD)<br />

Q52<br />

(2ND-4TH t4STHODS )<br />

Q53<br />

Q54<br />

Q52<br />

QS2 (2)<br />

Q52 (3)<br />

Q52 (4)<br />

2<br />

2<br />

Q53 2<br />

Q54 N!2TH 2<br />

I<br />

Coding Instructions/Remmrks<br />

Values -3-18<br />

Methods usually used at<br />

present.<br />

No sexual relationship. ...18<br />

No method used ............17<br />

Withdrawal ................Ol<br />

Sheath/condom. ............02<br />

Safe period/rhythm method. 03<br />

Cap/diaphragm .............O4<br />

Contraceptive sponge. .....05<br />

Pill: mini pill<br />

(progesteromz only) .......06<br />

Pill: combined pill<br />

(including multi-phasic<br />

pill )....................07<br />

Pill: not sure if mini or<br />

combined .................08<br />

IUD /coil/ intra-uterine<br />

device ..................09<br />

Foams /gels /spray sjpessaries<br />

(spermicides ),... ........10<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ................ll<br />

Injections ................l2<br />

Another method. ...........13<br />

Values -3-13<br />

Code as for 1st method<br />

(codes 17-18 do not apply)<br />

Values -3-03<br />

Only use one method. ......01<br />

Use more than one method<br />

at a time ................02<br />

Sometimes use one,<br />

sometimes another. .......03<br />

Values -3-13<br />

Enter number of method used<br />

most often.<br />

f<br />

..a


Quastmmaara Raf mdxng Shaat No of<br />

Q55<br />

Quastaori No Raf ●renca Boxesf Coding InstrnctLons/Rmmarks<br />

Charactara<br />

Q56<br />

(1ST HSTHOD )<br />

Q56<br />

(2ND-4TH METHODS)<br />

I<br />

Q55 LONG<br />

Q56<br />

Q56 (1)<br />

Q56 (2)<br />

Q56 (3)<br />

I<br />

2<br />

2<br />

2<br />

v -3-05<br />

I al”e=<br />

How long has this method<br />

bsan the one you use most<br />

often?<br />

L*SS than 3 manthn ........Ol<br />

At least 3 months, 1--8 than<br />

6 monthm ....... ... .. ....02<br />

At laast 6 monthm, 1-s= than<br />

lyear ..................03<br />

At least 1 ymar, 1-s8 than<br />

2 yeazs ........... .......04<br />

At lmast Zymars .........05<br />

No saxual ralationnhip. ...lB<br />

No method used at all. . ...17<br />

Pregnant ..................19<br />

Withdrawal .......... ......01<br />

Shaath/condcm. ..... .... ...02<br />

Sate pried/rhythm method. 03<br />

Cap/dLaphra~. ...... ......04<br />

Contracmptivo spc.ng=. .....05<br />

Pill: mini pill<br />

(progentaro-only) .......06<br />

Pill: ccaubind pill<br />

(Lncluding multL-phaaic<br />

pill )....................07<br />

PL1l: not sure if rein> or<br />

comkuaed. . ........ ... ....08<br />

10’0/cOll Iintra-utarm*<br />

davlce ............ ... ...09<br />

Fomm/gelm/sprays/~SSarlmS<br />

(aparmicides )............lO<br />

Going without saxual<br />

Lntarcour*m to avo~d<br />

pregnancy ........... .....ll<br />

Inject~ons ......... .......l2<br />

Anothar mathod. ...........13<br />

Values -3-12<br />

Coda as for 1st mathod<br />

(codas 17-19 do not apply) .


Q57<br />

I<br />

BABY<br />

Q57 MSNOP<br />

Q57 INFERT<br />

Q57 UNSATIS<br />

Q57<br />

I<br />

I<br />

I<br />

I<br />

RSLIG<br />

Q57 OTHER 2<br />

Q58 QS8 2<br />

I<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-01<br />

Code 01 if circled,<br />

otherwise code 00.<br />

Values -3-01<br />

Code 01 if circled,<br />

otherwise code 00.<br />

Values -3-O\<br />

Code 01 if circled,<br />

otherwise code 00.<br />

Values -3-01<br />

Code 01 if circled,<br />

otherwise code 00.<br />

Values -3-0 ~<br />

Code 01 if circled,<br />

otherwise code 00.<br />

Values -3-01<br />

Code 01 if circled,<br />

otherwise code 00.<br />

Values -3-02<br />

Used any methods of<br />

preventing pregnancy?<br />

Yes ......................01<br />

No .......................02


—<br />

Qu9staonnaare R-f<br />

QUOStLOll No<br />

Q59<br />

(1ST METHOD)<br />

Q59<br />

(2ND-4TH WETHODS )<br />

Coding Shaet<br />

Rmf 8r_UC9<br />

Q59 (1)<br />

Q59 (2)<br />

Q59 (3)<br />

Q59 (4)<br />

[PP]UDuf-2327 (H,hold Survey)<br />

Cs/nn<br />

No of<br />

B0x9s/<br />

Characters<br />

2<br />

2<br />

Cod-g Instructions/Ram&rks<br />

values -3-13<br />

Hathods used: -<br />

Withdrawal ....... ........01<br />

Shaath/condom. .......... .02<br />

safe parmd/rhythra mathod. 03<br />

Cap/diaphragm. ............04<br />

C0ntrac9pt Lve sponge. ... .05<br />

PL1l: minL pill<br />

(progectero~only) .... ...06<br />

Pdl: comhinad PL1l<br />

(Lncluding mult~-phasac<br />

pill) ....... .............07<br />

PL1l: not ●ura ~f manl or<br />

ctimad .................08<br />

IUD/coil /mtra-utmrme<br />

dav~ca .......... ........09<br />

FOmn/gelm/9pray m/~msar I*s<br />

(s~rm~cidas) ............lO<br />

Going without s=xual<br />

zntmrcourmm to avozd<br />

pregnancy .............. ..ll<br />

Infections ................12<br />

Anothar method ............l3<br />

Values .- 23<br />

Coda as for l-t method.<br />

200


~..-


—<br />

Qumstxonnaarm Ref<br />

Quastlon No<br />

Person<br />

Idmnt Lf Lcatzon<br />

Q1<br />

Q2<br />

Q2<br />

FAMILY INFORMATION SECTION - S~F-CO~LSTION<br />

SINGLE WONSN<br />

Codang Sheet<br />

Rmf ●rmncm<br />

ID NO<br />

H/H No<br />

Per<br />

FU<br />

Q1<br />

Q2 MTH<br />

Q2 YR<br />

No of<br />

Boxes/<br />

Characters<br />

5<br />

2<br />

2<br />

1<br />

2<br />

2<br />

2<br />

Coding Instructions/Ramarks<br />

Values 00001-49999<br />

5 d~gita - remerk.er lead~ng<br />

zeros<br />

(Chack that the number LS<br />

the sam as that on the<br />

front paga of tho<br />

Household schedule )<br />

Valu es 1-5<br />

Enter household numbers<br />

-s l-u<br />

Chack ~rson number Le<br />

correct . Enter number<br />

Valuem 1-7<br />

Entar number of FSIUIY UnLt<br />

Values --<br />

Are you currantly livxng<br />

with maneone an a c0up197<br />

Ye, ..................... 01<br />

No ...................... 02<br />

~m -- 2.2<br />

Enter numbar of months whan<br />

started l~vmg togahmr as a<br />

couple .<br />

Values -3-92<br />

Enter last two d~gits of<br />

year whan startmd livxng<br />

togathar as a COUP1O.<br />

201<br />

\


Q3<br />

Q4<br />

Q5<br />

Q5<br />

Q5<br />

Q5<br />

Q5<br />

Codang Shoat No of<br />

R* fmranc9<br />

Boxms/<br />

Characters<br />

I<br />

Q3 2<br />

Q4 2<br />

PERS 2<br />

step<br />

2<br />

BMTH 2<br />

LIVNTH 2<br />

Coding Instructions/Ramarks<br />

Values -3-O?<br />

Partnar war hgally<br />

marrmd?<br />

Y*9 ..................... 01<br />

No ...................... 02<br />

Valuoa -3-02<br />

Hav9 you my S’Cap, fOStOr,<br />

or adopt-d childran of any<br />

age who l~vm w Lth you ?<br />

Yam ......... ...... .... 01<br />

No ..................... 02<br />

values 1-21<br />

Ent*r the par-on ntumhr for<br />

the child from household<br />

grad.<br />

T~* of child<br />

step ................... . 01<br />

Foster ................... 02<br />

Adopt ●d ................. 03<br />

VJ&wsm --<br />

Honth of BLrth<br />

Entmr Month of Birth.<br />

ysbes<br />

--<br />

Yaar of BLrth<br />

Entar Year of Birth.<br />

2<br />

2<br />

~ues -- 12<br />

Entar month ch~ld started<br />

llvmg w~th ~nformant.<br />

.202


Q5 LIVYR<br />

Q6 Q6<br />

Q7 Q7N0<br />

Q8 I<br />

I<br />

Mont h<br />

Q8 Year<br />

Q8 Sex<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-92<br />

Enter year child started<br />

living with informant.<br />

Repeat above instructions<br />

for Q5 for each step/foster/<br />

adopted child living with<br />

informant.<br />

Values -3-02<br />

Have you ever had a baby?<br />

Yes ..................... 01<br />

No ....... ......... ...... (32<br />

Values -3-20<br />

How many children have you<br />

given birth to altogether?<br />

Enter number of live births.<br />

Values -3-12<br />

Month of Birth<br />

Enter Month of Birth.<br />

Values -3-92<br />

Year of Birth<br />

Enter Year of Birth (last<br />

two digits ).<br />

Values -3-02<br />

Sex of Child<br />

Male ...... .......... .... 01<br />

Female . . . . . . . . . . . . . . . . . . 02<br />

t’


Quest~Oma.ra R*f Codtig Sheet No of<br />

Q8<br />

Q9<br />

Q1O<br />

Qll<br />

Quaatxon No Referenca Boxaa/ Co&rig Instructions/Remarks<br />

Characters<br />

I<br />

2<br />

Q9 2<br />

I I 1<br />

I<br />

I<br />

Q1O<br />

Qll<br />

Q12 Q12 No<br />

I<br />

2<br />

2<br />

2<br />

I<br />

.,<br />

Valuas -3-03<br />

In child llving w~th<br />

in formnt ?<br />

Yen ....... ... ........... 01<br />

No ...................... 02<br />

Deceanmd ................ 03<br />

Rmpmat above Mstructxons<br />

for Q8 for each Subseguant<br />

child, in deacanding aga<br />

ordmr . If there arm morm<br />

than twelve children<br />

uwolved ref*r to suparv>sor<br />

Values -- o~<br />

Aro you pragnant nw?<br />

Yam ..................... 01<br />

No or unmure ............ 02<br />

v<br />

--<br />

I “uee 3 ‘a<br />

Th>nk you WL1 1 havm any more<br />

children, after tha one you<br />

u- ●spcting?<br />

Y9m ........ ............. 01<br />

Probsbly Y-s ............ 02<br />

Probably Not ............ 03<br />

NO ...................... 04<br />

Don’ t know .............. 05<br />

wee -- 02<br />

Will probably or probab 1y<br />

not have any moro ch~ldran?<br />

Proba.bly ............. .. 01<br />

Probably Not ............ 02<br />

Values -3-20<br />

Numb-r of chLldran you think<br />

you WL1l have ~n all?<br />

Entmr numb-r of children<br />

204


Questionnaire Ref Coding Sheet No of<br />

Question No<br />

Reference<br />

Boxes/<br />

Characters<br />

I<br />

I<br />

Q13 Q13 Age 2<br />

Q14 Q14 2<br />

Q15 Q15 2<br />

Q16 Q16 No 2<br />

Q17 Q17 Age<br />

Q18 Q18 2<br />

Coding Instructions/Remarks<br />

Values -3-60<br />

Age you think you ,11 be when<br />

you have your next baby?<br />

Enter Age<br />

Values -3-05<br />

Think you will have any more<br />

children at all?<br />

Yes ..................... 01<br />

Probably Yes ............ 02<br />

Probably Not ...... ...... 03<br />

No ...................... 04<br />

Don *t know .............. 05<br />

Values -3-02<br />

Will probably or probably<br />

not have any more children?<br />

Probably ................ 01<br />

Probably Not ............ 02<br />

Values -3-20<br />

Number of children you think<br />

you will have born to you in<br />

all?<br />

Enter Number of Children<br />

Va 1ues -3-60<br />

Age you think you will be<br />

when you have your next<br />

baby?<br />

Enter Aqe<br />

Values -3-o2<br />

Are you pregnant now?<br />

Yes ..................... 01<br />

No or unsure ............ 02<br />

[


Quast.omaare Ref<br />

Quastlon No<br />

!219<br />

Q2 o<br />

Q21<br />

Q22<br />

Q23<br />

Q24<br />

Codang Shaot<br />

R-f ●rmnce<br />

Q19<br />

Q20<br />

Q21 NO<br />

Q22 Age<br />

Q23<br />

Q24<br />

No of<br />

Boxmaj<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Cod=g Instructions/Rmmarks<br />

Values<br />

.-<br />

5<br />

Think you will have any morm<br />

childran aft-r tha one you<br />

arm exp9cting7<br />

Yes ............. ........ 01<br />

Probably Yen ............ 02<br />

Probably Not ............ 03<br />

NO ..................... . 04<br />

Oon’t know ... ... .. .. ... .05<br />

~es<br />

.-<br />

2<br />

will probably or probably<br />

not hava any more ch~ldran?<br />

Probably .......... ...... 01<br />

Probably Not ............ 02<br />

Valuee -3-2Q<br />

Number of childnn you think<br />

you WL1l have born to you ln<br />

all?<br />

Entar numk$ar of children<br />

Valu.m! -3-6Q<br />

Ago you think you’ 11 ba whmn<br />

you have your naxt baby?<br />

Enter Age<br />

Values -3-05<br />

Think you will have any<br />

ch~ldran at all?<br />

Y9S .................. ... 01<br />

Probably Yee ............ 02<br />

Prob&b ly Not ........ .... 03<br />

No ................ ...... 04<br />

Oon’t know ....... ...... . 05<br />

values -3-02<br />

Will probably or probably<br />

not hava any ch~ldran?<br />

Probably ................ 01<br />

Probably Not ...... ...... 02<br />

206


Questionnaire Ref Coding Sheet<br />

Question No Reference<br />

I<br />

Q25 Q25 No<br />

Q26 Q26 Age<br />

Q27 Q27<br />

Q28 Q28 NHS<br />

Q29 Q29 Where<br />

Q30 Honth<br />

Q30 Year<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-20<br />

Number of children you think<br />

you will have born to you in<br />

all.<br />

Enter number of children<br />

Values -3-60<br />

Age you think you -11 be when<br />

you have your first baby?<br />

Enter Age<br />

Values -3-02<br />

Have you ever been<br />

sterilised?<br />

Yes ............... .. ....01<br />

No ...................... 02<br />

Values -3-02<br />

Operation carried out under<br />

NHS ?<br />

NHs ........ ............. 01<br />

Other ................... 02<br />

Values -3-05<br />

Where did you have the<br />

operation?<br />

Hospital inpaient ....... 01<br />

Hospital outpatient ..... 02<br />

Doctor, s surgery ........ 03<br />

Clinic .................. 04<br />

Somewhere else ......... 05<br />

Values -3-12<br />

In what month was operation?<br />

Enter Month<br />

Values -3-92<br />

In what year was operation?<br />

Enter Year (last two digits)


Q31 Q31<br />

Q32 Q32(1)<br />

w:.<br />

No of<br />

Boxes/ Codang Instructions/Ramarks<br />

Characters<br />

2<br />

2<br />

v -3-<br />

I “u*’ 02<br />

Wm oparation less than<br />

2 years ago?<br />

Yaa ..................... 01<br />

NO ..................... 02<br />

wh~ch m=thods of pravantmg<br />

pragnancy wera you us ~ng?<br />

No saxual ralationnh~p .. 18<br />

No method usad at all ... 17<br />

Waa pregnant ............ 19<br />

withdrawal .............. 01<br />

sheath/condan ........... 02<br />

safa par~od/rhythm ...... 03<br />

Cap/diaphraqm ........... 04<br />

Contraceptive* sponga .... 05<br />

Hinl pLll (progestmron<br />

only) ... ............... 06<br />

comb~nmd p~l 1 ........... 07<br />

Not surm Lf mini or<br />

comhnmdp>ll .......... 08<br />

IUO/COil ................ 09<br />

Foams /g* L*/spray*/<br />

peacarims .............. 10<br />

GOLng without ~exual<br />

intercourse to avo~d<br />

pregnancy .. ............ 11<br />

InjectzOnm .............. 12<br />

Anothmr mathod ......... . 13<br />

208


Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxes/<br />

Characters<br />

Q32 Q32(2) 2<br />

Q32 Q32(3)<br />

Coding Instructions /Remarks<br />

Values -3-13<br />

Which methods of preventing<br />

pregnancy were you using?<br />

Withdrawal .............. 01<br />

Shealth/condom .......... 02<br />

Safe period/rhythm method 03<br />

Cap/diaphragm ........... 04<br />

contraceptive sponge .... 05<br />

Mini pill (progesterone<br />

only) .................. 06<br />

Cmnhinedp ill ........... 07<br />

Not sure if mini or<br />

combined pil 1 .......... 08<br />

IUO/coil/intra-uterine<br />

device ................. 09<br />

Foams /gels/sprays f<br />

psssaries (spermicides) . 10<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy .............. 11<br />

Injections .............. 12<br />

Another method .......... 13<br />

Values -3-13<br />

Which methods of preventing<br />

pregnancy were you using?<br />

Withdrawal .............. 01<br />

Sheath/condom ........... 02<br />

Safe period/rhythm method 03<br />

Cap/diaphragm ........... 04<br />

Contraceptive sp+mlge .... 05<br />

Mini pill (progesterone<br />

only) .................. 06<br />

Combined pill ........... 07<br />

Not sure if mini or<br />

combined pill .......... 08<br />

IUO/coil/intra-uterine<br />

device . . . . . . . . . . . . . . . . . 09<br />

Foams jgels /sprays /<br />

pessaries (speremicides ).10<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy .............. 11<br />

Injections .............. 12<br />

Another method .......... 13


$ \- ,A<br />

Q.estxonnaara R-f Codang Shaat No of<br />

Qumstlon No R-f armnca Boxas/ Codang Instructaona/ReUrka<br />

Characters<br />

Q33<br />

1 I !<br />

I<br />

Q33<br />

I I<br />

Q34 Q34 Any<br />

I<br />

I<br />

2<br />

2<br />

I I<br />

I<br />

Values -3-0~<br />

Thosa who have not had a<br />

stern Lsat~On.<br />

Pregnant now ........ .... 01<br />

ti~nsurm ........ .. ..... .. 02<br />

v .- 0<br />

I “uoa 32<br />

Which mathodm of prevmntmg<br />

pragnancy ware you using?<br />

Q34 Q34(1) 2 Jglues -3-3J<br />

Nomathod used ...... ..... 02<br />

Which mathods of praventmg<br />

pragnancy wora you using?<br />

Wi.thdrlwal ........... .. 01<br />

Sheath/condom ....... ... 02<br />

Safa pariod/rhythm<br />

method ....... ...... ... 03<br />

Capldiaphragm ....... ... 04<br />

Contracmpt iv9 sponge ... 05<br />

Mini pLl 1 (progast=rone<br />

only) ............. .. .. 06<br />

Combmod PL1l ...... .... 07<br />

Not sura if mini or<br />

cominned pLl 1 ...... ... 08<br />

IUD/cOxl/intra-uterLne<br />

dmv~ca .... ....... ..... 09<br />

Foams fgels/ spraya /<br />

pasarLes (sparmic~das ). 10<br />

Inject~ona ..... ... .... . 12<br />

Anothar mathod ....... .. 13<br />

210


Questionnaire Ref<br />

Question No<br />

Q34<br />

Q34<br />

Coding sheet<br />

Reference<br />

Q34(2)<br />

!234(3)<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

Coding Instructions/ Remarks<br />

Values -3-13<br />

Which methods of preventing<br />

pregnancy were you “sing?<br />

Withdrawal ...... .......<br />

Sheath/condom ..........<br />

Safe period/rhythm<br />

period ................<br />

Cap/diaphragm ..........<br />

Contraceptive sponge ...<br />

Mini pill (progesterone<br />

only ) .................<br />

Combined pill ..........<br />

Not sure if mini or<br />

combined pill .........<br />

IUD/coil/ intra-uterine<br />

device ................<br />

Foams /gels/ sprays /<br />

pessaries (spermicides )<br />

Injections .............<br />

Another method .........<br />

Values -3-13<br />

Which methods of preventing<br />

pregnancy were you using?<br />

01<br />

02<br />

03<br />

04<br />

05<br />

06<br />

07<br />

08<br />

09<br />

10<br />

12<br />

13<br />

Wthdrawal .............. 01<br />

Sheath/condom .......... 02<br />

Safe period/rhythm<br />

method ................ 03<br />

Cap/diaphragm .......... 04<br />

Contraceptive sponge ... 05<br />

Mini pill (progesterone<br />

only ) ................. 06<br />

Combined pill .......... 07<br />

Not sure if mini or<br />

combined pill ......... 08<br />

IVO/coil/intra-uterine<br />

device ......... ....... 09<br />

Foams /gels /sprays /<br />

pessaries (spennicides) 10<br />

Injections ............. 12<br />

Another method ......... 13<br />

pregnancy were you using?


Quastaonna~rm Raf<br />

>$<br />

I Cochng Shaet I NO of<br />

*.%<br />

Quaatxon No<br />

R-f ●rancm<br />

Boxasf<br />

Characters<br />

Coding Instructions/Ramarks<br />

I<br />

I<br />

I<br />

Q34 Q34(4] 2 Valuee .- 13<br />

Q35<br />

Q36<br />

Q35<br />

Q36 Meth<br />

2<br />

2<br />

Which ❑cthoda of prevent mg<br />

pragnancy ware you us mg?<br />

W~thdrawal .............. 01<br />

Shmath/condom ........... 02<br />

Safe pariod/rh@un<br />

mthod ................. 03<br />

Cap/dzaphragm ........... 04<br />

Contracaptivc sponga .... 05<br />

141nL pill (progastarone<br />

only ) ................. . 06<br />

ComhLndd PI11 ........... 07<br />

Not sure if mLnL or<br />

comhmed pLll .......... 08<br />

IW/COLl/Lntra-uterLne<br />

dmv~cm ................. 09<br />

Foanu/g91s/9prays/<br />

Pasaarlu (sprm~cades ). 10<br />

In]ectionn .............. 12<br />

Anothar mathod .......... 13<br />

Method of contracept~on<br />

used?<br />

Only u-ad on= mathod .... 01<br />

Us@d mora than ona method 02<br />

Somatimmm ona mmthod<br />

●ometmmm another ...... 03<br />

Which mathod did you US=<br />

momt often?<br />

Enter tha numhr of tha<br />

method<br />

’212


Questionnaire Ref<br />

Question No<br />

Q37<br />

Q38<br />

Q37 Long<br />

Q38(1)<br />

I<br />

I<br />

I<br />

I<br />

2<br />

2<br />

Codimg Instructions/Remarks<br />

Values -3-05<br />

How long has this been the<br />

method you usually used<br />

most often?<br />

Less than 3 months ...... 01<br />

At least 3 months, less<br />

than 6 months .......... 02<br />

At least 6 months, less<br />

than 1 year ............ 03<br />

At least 1 year, less<br />

than 2 years ........... 04<br />

At least 2 years ........ 05<br />

Values -3-19<br />

Methods of preventing<br />

pregnancy using immediately<br />

before that?<br />

No sexual relationship .. 18<br />

No method used at all ... 17<br />

Was pregnant ............ 19<br />

Withdrawal .............. 01<br />

Sheath/condom ........... 02<br />

Safe period/rhythm method 03<br />

Cap/diaphragm ........... 04<br />

Contraceptive sponge .... 05<br />

Mini pill (progesterone<br />

only ) .................. 06<br />

Combined pill ........... 07<br />

Not sure if mini or<br />

combined pill .......... 08<br />

IUO/coil/intra-uterine<br />

device ................. 09<br />

Foams/gels/sprays/<br />

pessaries (spermicides ). 10<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy .............. 11<br />

Injections ............. . 12<br />

Another method .......... 13<br />

r-


Q38<br />

Q38<br />

QuestaOn No<br />

Codang Shmdc<br />

R*f ●ranco<br />

Q38(2)<br />

Q38(3)<br />

No of<br />

Boxes/<br />

characters<br />

2<br />

2<br />

C-%hng Instructions /Ramarks<br />

v<br />

.-<br />

I ‘1”9s 314<br />

Mat hod of pravant Lng<br />

pragnancy usLng unmad~ately<br />

bdoro that?<br />

Withdrawal .............. 01<br />

Sheath/condom ........... 02<br />

Safa pariod/rhythm mmthod 03<br />

Capldiaphrqm ...... ..... 04<br />

C0ntraceptiv9 n~nga .... OS<br />

141nl pLl 1 (progastarone<br />

only) .................. 06<br />

Com~bmad pill .... ...... 07<br />

Not sure Lf mini or<br />

combmadp~ll .......... 0S<br />

IUD/cOil/intra-utarine<br />

device ................. 09<br />

Foams /gels /sprayn/<br />

paenariaa (sperm~cidas . 10<br />

Going wzthout sexual<br />

Lntmrcourse to avoad<br />

pr9gnancy .............. 11<br />

Injmctlonm .............. 12<br />

Rnothar mathod .......... 13<br />

v<br />

--<br />

Ioe”u<br />

Mmthod of prevant ing<br />

pregnancy uming Lmnadiataly<br />

bafara that?<br />

Withdrawal .............. 01<br />

Shaath/condun ........... 02<br />

.%f ● pariod/ rhythm matbod 03<br />

Cap/diaphragm ........... 04<br />

Contracept ave sponga .... 05<br />

Hinz PL1l (progastmrona<br />

only ) .................. 06<br />

Comhmad pill ........... 07<br />

Not sura Lf mini or<br />

cmtmnadpill ..... ..... OS<br />

Ion /cOL1 /intra-utarxnm<br />

dav~ca ................. 09<br />

Fc.ems/gels/ ●praym /<br />

~ssaries (spzmicides ). 10<br />

Coing wxthout sexual<br />

mtarcoursa to avo Ld<br />

pregnancy .............. 11<br />

Injactlons .............. 12<br />

Rnothar method .......... 13<br />

214


Questionnaire Re f Coding Sheet No of<br />

Question No Ref erance Boxes/ ~ding Instructions/Remarks<br />

Characters<br />

Q38 Q38(4) 2 Values -3-13<br />

Q39 Baby 2 Values -3-01<br />

Q39 Menop 2 Values -3-01<br />

Q39 Infert 2 Values -3-01<br />

Which methods of preventing<br />

pregnancy were you<br />

immediately before that?<br />

Withdrawal .............. 01<br />

Sheath/condom ........... 02<br />

Safe ~riod/rhythm method 03<br />

Cap/diaphragm ........... 04<br />

Contraceptive sponge .... 05<br />

Mini pill (progesterone<br />

only ) .................. 06<br />

Combined pill ........... 07<br />

NOt sure if mini or<br />

combined pill .......... 08<br />

IUD/coil/ intra-uterine<br />

device ................. 09<br />

FOamslgels/sprays/<br />

pesssries (spemicides ). lrJ<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy .............. 11<br />

Injections .............. 12<br />

Another method .......... 13<br />

Reason why you do not use<br />

any method for preventing<br />

pregnancy.<br />

Wanted to have a baby ... 01<br />

Reason why you do not use<br />

any method for preventing<br />

pregnancy.<br />

Menopause ............... 01<br />

Reason why you do not use<br />

any method for preventing<br />

pregnancy.<br />

Possibly infertile ...... 01<br />

,


Questaonaaar= Raf<br />

Qumst~on NO<br />

Q39<br />

Q39<br />

Q39<br />

Q40<br />

Cndxig Shoot<br />

Rmf ●rmncm<br />

Rdig<br />

Other<br />

Q40<br />

No of<br />

SOxasf<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

COdang Instrnctlons/Ramarks<br />

~ues<br />

-.<br />

1<br />

Reason why you do not uao<br />

any m.tbod for prcvont ing<br />

prmgnancy.<br />

Don” t liko contracmptmn<br />

andjor find mot hods<br />

unsat~sfmtory .......... 01<br />

Valuem -- o~<br />

Roaeon why you do not une<br />

any mthod for prevantmg<br />

pregnancy.<br />

AgaLn9t church/raligxous<br />

bdief ................. 01<br />

~ee<br />

--<br />

1<br />

Rmamon why you do not use<br />

-Y ~th- for prmvmntzng<br />

pregnancy.<br />

Another reason .. ....... 01<br />

v -- 0<br />

l-ee32<br />

Used ❑athods of preventing<br />

pregnancy?<br />

I<br />

Yes . . . . . . . . . . . . . . . . . . . . 01<br />

NO . . . . . . . . . . . . . . . . . . . . . 02<br />

216


Questionnaire Ref Coding Sheet No of<br />

Question No Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

Q41 Q41(1) 2 Values -3-13<br />

Q41<br />

I I I<br />

Q41(2) 2 Values -3-13<br />

Used one or more methods in<br />

the last two years ?<br />

Withdrawal .............. 01<br />

Sheath/condom .......... 02<br />

Safe pried/rhythm method03<br />

Capjdiaphxagm .......... 04<br />

COntrace~ive sponge ... 05<br />

Mini pill (progesterone<br />

only) .................. 06<br />

Combined pill .......... 07<br />

Not sure if mini or<br />

combined pill ......... 08<br />

IUO/coil/intra-uter ine<br />

device ................ 09<br />

Foama/gels/apraye/<br />

pessaries (spermicides ) 10<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ............. 11<br />

Injections ............. 12<br />

Another method ......... 13<br />

Used one or more methods in<br />

the last two years?<br />

Withdrawal ............. 01<br />

Sheat /condom ........... 02<br />

Safe period/rhythm<br />

method ................ 03<br />

Cap/diaphragm .......... 04<br />

Contraceptive sponge ... 05<br />

Mini pill (progesterone<br />

only) ................. 06<br />

Combined pill .......... 07<br />

Not sure if mini or<br />

combined pill ......... OS<br />

IUD /coil/ intra-uterine<br />

device ................ 09<br />

Foams/gels/sprays/<br />

pessaries (spermicides ) 10<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ............. 11<br />

Injections ............. 12<br />

Another method ......... 13


Qu.stxonnure Ref<br />

Quastxon No<br />

Q41<br />

Q41<br />

Codang Sheet<br />

Rmfmrmncm<br />

Q41(3)<br />

Q41(4)<br />

No of<br />

SOxmf<br />

Characters<br />

2<br />

2<br />

Cadang Instrmctaons/Remarks<br />

values -3-U<br />

Uaad ono or mors mathods<br />

in tha la-t two yaarm?<br />

Withdrawal ............. 01<br />

Shmat/condun ......... .. 02<br />

Safe ~riodfrhythm<br />

method ........... .. ... 03<br />

Cap/diaphragm .......... 04<br />

C0ntrac0ptiv9 sponge ... 05<br />

Minx PL11 (progostcrone<br />

only) ............. .... 06<br />

Comtuncdp>ll ..... ..... 07<br />

Not sure Lf man~ or<br />

combinad pill ........ . 08<br />

IUD/ coL1/ intra-uterxne<br />

dmv~cm . ......... ...... 09<br />

Foum jgehj ●praysl<br />

pos=arioc -(s~rmiciden) 10<br />

Going without sexual<br />

intarcourso to avozd<br />

pregnmnc y ............. 11<br />

In3actlons ............. 12<br />

Another mathod .... .. .. 13<br />

~ues -3-13<br />

Umod on- or more mmthodn m<br />

the last two ymarm?<br />

W~thdrmwal ............. 01<br />

Sheat/condcm ........... 02<br />

Safe permd/rhythm<br />

method . ............... 03<br />

Cap fdxaphrcqm ...... .... 04<br />

COntraceptLvO ●ponge ... 05<br />

Xmi PL11 (progesterone<br />

only) ............. .... 06<br />

Combined pzll ......... . 07<br />

Not sure Lf mxnl or<br />

combmed PL1l ... ...... 08<br />

In/co~l/Lntra-uterLne<br />

dmv~ce . ............... 09<br />

FOamm/gmls/mpray e./<br />

~ssar>es (●parmic~des ) 10<br />

Co~ng without saxual<br />

ntmrcoursm to avoid<br />

pregnancy ......... .... 11<br />

In2ect10ns ....... ...... 12<br />

Another method ..... ... 13<br />

218


Questionnaire Ref Coding Sheet NO of<br />

Qumstion N. Reference Boxes/ Coding Instructions/Remarks<br />

Characters<br />

Q42<br />

I<br />

Q42<br />

Q43 Q43 MTH<br />

Q43 Q43 YR<br />

I I I<br />

I<br />

2<br />

2<br />

2<br />

I<br />

Values -3-02<br />

Had any operation which<br />

prevents you getting<br />

pregnant ?<br />

Yes . . . . . . . . . . . . . . . . . . . . 01<br />

NO . . . . . . . . . . . . . . . . . . . . . 02<br />

Values -3-12<br />

What month was the<br />

operation?<br />

Enter month<br />

Valuee -3-92<br />

What year was the operation?<br />

Enter year<br />

Q44 Q44 2 Values -3-02<br />

Operation less than two<br />

years ago?<br />

Yes ..................... 01<br />

NO ......................02<br />

dA9


\<br />

Q45<br />

Coding Shoat<br />

Rmfaranc.<br />

Q45(1)<br />

No of<br />

Boxmf<br />

characters<br />

2<br />

Codxng Inctruct>ons /Remarks<br />

-S .- 19<br />

Mmthod of prevantxng<br />

pregnancy using xnramdntely<br />

b-fore that?<br />

No ●axual rclatLonshxp .. 1S<br />

NO method us-d at all ... 17<br />

Wam prmgnant ............ 19<br />

Withdrawal ............. 01<br />

Sheat /condom . .......... 02<br />

safe pariod/rhythm<br />

method ................ 03<br />

Cap/d iaphrap .......... 04<br />

contrac=pt~vo sponge ... 05<br />

Mini pill (progesterone<br />

only) ................. 06<br />

combanodpxll .......... 07<br />

Not Surm if minx or<br />

Colnixndpill ..... .... 0s<br />

IUD/cOll/intra-ut9 rxne<br />

davicm ................ 09<br />

Foams /gels /spreys /<br />

pcsnari~s (●p.rm~cides ) 10<br />

Going without sexual<br />

intercourse to avo>d<br />

pr*gnancy ... .......... 11<br />

Inactions ............. 12<br />

Rnother method .... ... . 13<br />

220


Questionnaire Ref<br />

Question No<br />

Q45<br />

Q45<br />

Coding Sheet<br />

Reference<br />

Q45(2)<br />

Q45 (3)<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-13<br />

Methods of preventing<br />

pregnancy using immediately<br />

before that?<br />

Withdrawal ............. 01<br />

Sheat/condom ........... 02<br />

Safe period/rhythm<br />

method ................ 03<br />

Cap/diaphragm ..... ..... 04<br />

Contraceptive sponge ... 05<br />

Mini pill (progest crone<br />

only) ................. 06<br />

Combined pill .......... 07<br />

Not muse if mini or<br />

combined pill ......... OS<br />

IUO/ coil/ intra-uterine<br />

device ................O9<br />

Fosme /gels fspraye f<br />

pessaries (sp-ermicides ) 10<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ............. 11<br />

Injections ............. 12<br />

Another method ......... 13<br />

Values -3-13<br />

Methods of preventing<br />

pregnancy using immediately<br />

before that ?<br />

Withdrawal ................01<br />

Sheath/condom. ............02<br />

Safe period/rhflhm method. 03<br />

Cap/diaphragm .............04<br />

Contraceptive sponge. .....05<br />

Mini pill (progesterone<br />

only )....................o6<br />

Combined pill .............07<br />

Not sure if mini of<br />

combined pill ............08<br />

IUO/coil/intra-uterine<br />

device .. .................09<br />

Foams/gels /spray s/pessaries<br />

(spermicides )............lO<br />

Going without Sexua 1<br />

intercourse to avoid<br />

pregnancy ................ll<br />

Inject ions ... .............12<br />

Another method ............l3


\<br />

Q46<br />

Q46<br />

,Codang Sha=t<br />

R-f ●ranc=<br />

Q46 (1)<br />

Q46 (2) 2<br />

nothods if any you are<br />

usually using at pr*aOnt~<br />

No saxual rmlat ionmh~p. ...18<br />

No mmthod us-d at all. ....17<br />

withdrawal ................01<br />

Sheath/condom. ............02<br />

Saf ● puiodfrhythm mmthod. 03<br />

Capjdmphrqm.. ....... ... .04<br />

Contracaptiva sponga. .....05<br />

Mini pill (progmsterono<br />

only )....................06<br />

Combzn*d PL11 .............07<br />

Not mare Lf nmni of<br />

ccatnned pill .......... ..08<br />

IDO /coL1/ intrn-utmrne<br />

devica ...................O9<br />

Fom8/g919/8pray m/p88arlea<br />

(sperm~c~des )............lO<br />

Going without saxual<br />

intercourse to avo~d<br />

pregnancy ................ll<br />

Inj OctlOns ................12<br />

snoth*r ❑@chod ......... ...l3<br />

values -3-13<br />

Mathodz Lf any you are<br />

usually using at presant7<br />

w~thdrawal ................01<br />

Sheath/condom. ........... 02<br />

Safe per~od/rhythm method. 03<br />

Cap/d~aphrr@n.. .. ....... .04<br />

Contracmptxve nponge. ....05<br />

M~n~ PI11 (progesterone<br />

only ) ........ ............06<br />

Communed pill ............ 07<br />

Not aura Lf mlnl of<br />

combinod PL1l ............O8<br />

IUD/coLl/lntra-uteruIe<br />

devxcm ............... ....09<br />

FO-8/geln/ mprayn/pmnar~em<br />

(spernuczdes ). . . . . . . . . ...10<br />

Going w~thout saxual<br />

mtercourne to avo~d<br />

pregnancy .......... .. ..11<br />

In]ectuanm ............... 12<br />

Another method ......... ...l3<br />

222


Questionnaire Ref<br />

Question No<br />

Q46<br />

Q46<br />

Coding Sheet<br />

Re farence<br />

Q46 (3)<br />

Q46 (4)<br />

No of<br />

Boxas/<br />

:haracters<br />

Coding Instructions/Remarks<br />

Values -3-14<br />

Methods if any you are<br />

usually using at present?<br />

Withdrawal ................01<br />

Sheath/condom. ............02<br />

Safe period/rhythm method. 03<br />

Cap/diaphragm .............04<br />

Contraceptive sponge. .....05<br />

Mini pill (progesterone<br />

only) ....................06<br />

Combined pill .............07<br />

Not sure if mini of<br />

combined pill ............O8<br />

IVD/coil/intra-uterine<br />

device ...................09<br />

Foams/gels/epray s/pesmaries<br />

(spermicides) ............lO<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ................ll<br />

Injections ................l2<br />

Rnother method ............l3<br />

Values -3-13<br />

Methods if any you are<br />

usually using at present?<br />

Withdrawal . . . . . . . . . . . . . ...01<br />

Sheath/condom. ............02<br />

Safe period/rhythm method. 03<br />

Cap/diaphragm. ............04<br />

Contraceptive sponge. .....05<br />

Mini pill (progesterone<br />

only) ....................06<br />

Combined pill .............07<br />

Not sure if mini of<br />

combined pill ............O8<br />

IUO/coil/intra-uterine<br />

device ...................09<br />

Foams/gels/ spray s/pessaries<br />

(spermicides )............lO<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ................ll<br />

Inject ions ................12<br />

Another method ............l3<br />

LL!3


,<br />

Questaonzmxre R-f<br />

Quaatxon No<br />

Q47<br />

Q48<br />

Q49<br />

Q47<br />

Q48 IC3TH<br />

Q49 LONG<br />

No of<br />

sox9sf<br />

Characters<br />

2<br />

2<br />

2<br />

COdl.ng Inatructaonsfliem.rks<br />

Mmthod8 of contraception<br />

us-d?<br />

Only us-d one method. .....01<br />

Weed more than on= mathod. 02<br />

Somot tiom on- method<br />

sao.thss anothar. .......03<br />

ifh~ch ❑mthod did you uae<br />

most oftmn?<br />

Entmr tha number of the<br />

mat hod.<br />

Values -3-05<br />

How long has th~a been tha<br />

method you usually used<br />

moat oft-n?<br />

Lam than 3 monthm ........Ol<br />

At least 3 monthn, leas<br />

than 6months ............O2<br />

At leact 6 month-, less<br />

than l year . .............03<br />

At learnt 1 yaar, less than<br />

2 years .................04<br />

At loam 2 yeara ..........O5<br />

224


Q50<br />

Q50 (1)<br />

I<br />

I<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-19<br />

Methods of preventing<br />

pregnancy ueing<br />

innnediately before that?<br />

No sexual relationship. ...18<br />

No method used at all. ....17<br />

Was pregnant ..............19<br />

Withdrawal ................01<br />

Sheath/condom. ............02<br />

Safe period/rhythm method. 03<br />

Cap/diaphragm ....... ......04<br />

contraceptive sponge. .....05<br />

Mini pill (progesterone<br />

only) ....................o6<br />

Combined pill .............07<br />

Not sure if mini of<br />

combined pill ............08<br />

IUD/coil fintra-uterine<br />

device ...................O9<br />

Foama/gels/spray s/pessaries<br />

(spermicides ).. ..........10<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ................ll<br />

Inject ions ................12<br />

Another method ............l3<br />

Values -3-13<br />

Methods of preventing<br />

pregnancy using<br />

immediately before that?<br />

Withdrawal ................01<br />

Sheath/condom. ............02<br />

Safe period frhythm method. 03<br />

Cap/diaphragm .............04<br />

Contraceptive sp.ange......05<br />

Mini pill (progesterone<br />

only) ....................o6<br />

Combined pill .............07<br />

Not sure if mini of<br />

combined pill ............08<br />

IUO/coil/intra-uterine<br />

device ...................09<br />

Foame/gels/spray s/pessaries<br />

(spermicides )............lO<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ................ll<br />

Injections ................12<br />

Another method ............l3<br />

/i.d5


Q50<br />

Q50<br />

Questmn No<br />

Codang Shaat<br />

,-<br />

- Rafaranc=<br />

Q50 (3)<br />

Q50(4)<br />

No of<br />

sox*s/<br />

Cbaract=rs<br />

2<br />

2<br />

C!c.dmg Ia8truct~oms/Remarks<br />

Valuo 9 -3-1<br />

14ethcdB of preventing<br />

pregnancy using ~nuned~at*ly<br />

bmf ore that?<br />

withdrawal ................01<br />

Shaath/condm. ............02<br />

Safe pmriod/rhythm method. 03<br />

Cap/d iaph.ragau.............O4<br />

COntracqtive sponge. .....05<br />

Mini pill (progastorone<br />

only) ....................06<br />

Combined pill .............07<br />

Not sur9 if mini of<br />

cbinod pill ............0S<br />

IUD/coil /intra-utmrzne<br />

device ........... ........O9<br />

Fomm/gels/mpray n/pmmarie9<br />

(aporm~c~das ) . . . . . . . . . . . 10<br />

Going without ●oxual<br />

intmrcouraa to avo~d<br />

pregnancy ................ll<br />

Injections ................12<br />

Another method ............13<br />

value s -3-13<br />

wh~ch mathodm of preventing<br />

prmgnancy wera you<br />

-d~stmly before that?<br />

w~thdrawal ................01<br />

Shaath/condom. ............02<br />

Safe perxod/rhythm method. 03<br />

cap/dLaphragm. ...... .....04<br />

Contraceptive sponge. . ..05<br />

Hni pill (progesterone<br />

only) ....................06<br />

Comhin*d pill .............07<br />

Not sure if nunl of<br />

combined PL1l . ..... .... 08<br />

Im/coil/lntra-utmrane<br />

device ................. .09<br />

FoMs/ge18/ 8pray B/pen EarleB<br />

(s~rnucides )....... ....10<br />

Going without sexual<br />

Lntercourae to avo~d<br />

pregnancy .... ........ .. ..11<br />

In]9ct10n9 ............. ..12<br />

Another method ........ ...13<br />

226


Questionnaire Ref<br />

Question No<br />

Q51<br />

Q51<br />

Q51<br />

Q51<br />

Q51<br />

Q51<br />

Coding Sheet<br />

Ref erance<br />

BASY<br />

KENOP<br />

INFERT<br />

UNSATIS<br />

FJ3LIG<br />

OTHER<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-01<br />

Reason why you do not use<br />

any method for preventing<br />

pregnancy.<br />

Wanted to have a baby. ....01<br />

Values -3-01<br />

Reason why you do not use<br />

~Y method for preventing<br />

pregnancy.<br />

Menopause .... .............01<br />

values -3-01<br />

Reason why you do not use<br />

any met hod for prevent ing<br />

pregnancy.<br />

Possibly infertile. .......01<br />

Values -3-01<br />

Reason why you do not use<br />

any method for preventing<br />

pregnancy.<br />

Oon’ t like contraception<br />

and/ or find methods<br />

unsatisfactor y.............01<br />

Values -3-01<br />

Reason why you do not use<br />

any method for preventing<br />

pregnancy .<br />

Against church freligious<br />

belief ....................01<br />

Values -3-01<br />

Reason why you do not use<br />

any method for preventing<br />

pregnancy.<br />

Another reason ............Ol


I<br />

Q.astzonnalro Ref<br />

Q.mataon No<br />

052<br />

Q53<br />

Coding Sha=t<br />

Rmfmr8ncm<br />

Q52<br />

Q53 (1)<br />

2<br />

2<br />

No of<br />

Codang Instructions/Rmmarks<br />

Valuo s -3-07.<br />

Umd ❑*thods of preventing<br />

pregnancy ?<br />

Yom. . . . . . . . . . . . . . . . . . . . . . .01<br />

NO ................. ... ...02<br />

Vduos -3-13.<br />

Umd one or more mathods<br />

in tho la-t two yearn?<br />

Withdrawal ......... .......01<br />

Shmath/condom. ..... .......02<br />

Safe perxod/rhythm method. 03<br />

Cap/d iaphra~. ..... .......04<br />

Contracapt LVe s~nge. .....05<br />

Mini PL1l (progasterono<br />

only) ............. .......06<br />

Combinod pLll ...... .......07<br />

Not sure Lf mmz of<br />

combinod pill .... .. ......OS<br />

IUD/ coL1/ Lntra-utarxnm<br />

dov~cm ............ ..... .09<br />

FO-s/gelm/mpray s/pmmarxm9<br />

(qarm>cides) ..... .......l O<br />

Going without naxual<br />

Lntarcourse to avozd<br />

pregnancy .......... ......11<br />

Inlmctionm ... ...... .. ... 12<br />

Anothar method ..... .......l3<br />

228


Questionnaire Ref<br />

Question No<br />

Q53<br />

Q53<br />

Coding Sheet<br />

Refarence<br />

Q53 (2)<br />

Q53 (3)<br />

No of<br />

Soxesf<br />

Characters<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-13<br />

Used one or more methods<br />

in the last two years?<br />

Withdrawal .......... ......ol<br />

Sheath/condom. ...... ......02<br />

Safe period/rhythm method. 03<br />

Cap/diaphragm . ............04<br />

Contraceptive sponge. .....05<br />

Mini pill (progesterone<br />

only) ....................06<br />

Combined pill .............07<br />

Not sure if mini of<br />

comhined pill ............08<br />

IUD/coil /intra-uterine<br />

device ...................O9<br />

Foams/ge18/epray s/pessaries<br />

(s~nuicides) ............lO<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ................ll<br />

Injections ................12<br />

Another method . ...........l3<br />

Values -3-13<br />

Used one or more methods<br />

in the last two years?<br />

Withdrawal ................01<br />

Sheath/condom. ............02<br />

Safe period/rhythm method. 03<br />

Cap/diaphragm. ............04<br />

Contraceptive sponge. .....05<br />

Mini pill (progesterone<br />

only) ......... ...........06<br />

Combined pill .............07<br />

Not sure if mini of<br />

combined pill ............O8<br />

IUD Jcoil fintra-ut erine<br />

device ...................O9<br />

FOa.mB/gelB/spray s/pessaries<br />

(spermicides )............lO<br />

Going without sexual<br />

intercourse to avoid<br />

pregnancy ................ll<br />

Injections ................12<br />

Another method .. .... ......l3


—<br />

\ Quastlonnaare Ref<br />

Quastlon No<br />

!253<br />

-clang Sheet No of<br />

u-f erance SOxesj cod-g Instructions/Rmmarks<br />

z Characters<br />

1 1<br />

Q53 (4)<br />

[PP]VDuf-2332 Fam Info Sing Worn<br />

Mwfcs<br />

I I I<br />

I<br />

2<br />

I<br />

Valuen -3-13<br />

Usad onm or more methods In<br />

the la-t two years,<br />

Withdrawal ........... .....ol<br />

Shmath/condcin. ......... ...02<br />

Safe parxod/rhythm method. 03<br />

Cap/d ~aphra~. ............04<br />

Contraceptive sponge. .....05<br />

Mini pill (prcqantmrone<br />

only) ............... .....06<br />

Combined pill ......... ....O7<br />

Wot suro if mini of<br />

combinad pill ......... ...08<br />

IoD/coil /ntra-utmrme<br />

devzcm ............. .. ....09<br />

FOmm/gmlm/mpray m/~anarLee<br />

(s~rmicidas )........ ....10<br />

Goxng without saxual<br />

Intnrceurme to avo~d<br />

pregnancy ............. ...ll<br />

Injections .............. ..l2<br />

Anothar method ......... ...l3<br />

230


—<br />

Quastxonnalre Ref<br />

Qummtxon No<br />

PERSON<br />

IDENTIFICATION<br />

Codxng Shoat<br />

Ztafarence<br />

ID NO<br />

HJH NO<br />

PER<br />

FU<br />

CHILD CASS SECTION<br />

5<br />

2<br />

2<br />

1<br />

Codang Instructxc.ns/Ramarks<br />

Values 00001 -4999~<br />

5 dxg~tm - rmmemker leadng<br />

zmros and ennure that the<br />

n-r M thm SSMO as that<br />

on the front page of th=<br />

hoummhold ●chmdule.<br />

V*,8 1-5<br />

Enter housahold number<br />

~a 01-21<br />

Ent*r p9rs0n nunimr,<br />

confirming that the<br />

intmrvxmwar has recorded<br />

the propsr rafarencm<br />

raspondant.<br />

Values 1-7<br />

Enter numb-r of fsmdy unat<br />

231


)<br />

Qu*8t10nnair9 Raf<br />

Quaataon No<br />

QIA<br />

QIB<br />

CHECX A<br />

Q2<br />

CHECK B<br />

Codxng Shaat<br />

Ref ●r*nc _<br />

QIA<br />

QIB<br />

CHK A<br />

Q2<br />

CHX B<br />

No of<br />

Box9s/<br />

Cbarmctms<br />

2<br />

2<br />

2<br />

2<br />

2<br />

Codxng Instructions/R~rks<br />

Chzldran undar 12 in the<br />

housahold<br />

Ym . ............... ........ol<br />

No ... .............. ........02<br />

1s th~s inf ornmnt the<br />

praon reqmxtaible for tho<br />

children?<br />

Yaa .. .............. ........ol<br />

No .. ......... ..... .........02<br />

Valuea -4-05<br />

Hut many childran ●gmd undar<br />

5 is tha informant<br />

r.mponuble for?<br />

Entm number<br />

None ......... ......... .....-4<br />

Make arrangements for your<br />

undar 5 ‘●?<br />

Yea . . . . . . . . . . . . . . . . . . . . ...01<br />

No . . . . . . . . . . . . . . . . . . . . . ...02<br />

Values -4-05<br />

How many ch>ldren aged 5-11<br />

in ~nformant respons~ble<br />

for?<br />

Enter number.<br />

Norm . . . . . . . . . . . . . . . . . . . ...-4<br />

232


Questionnaire Ref<br />

Question No<br />

Q3<br />

Q4<br />

Q5(A)<br />

Q5(A)<br />

Q5(A)<br />

Q5(A)<br />

Coding Sheet<br />

Reference<br />

Q3<br />

Q4<br />

SCH/N<br />

H&SS<br />

O/SCH<br />

No of<br />

SOxes/<br />

Characters<br />

2<br />

2<br />

2.<br />

2<br />

2<br />

CQding Instnaction=/Ramarks<br />

Valu es -3-02<br />

Were your children aged<br />

5-11 on holiday from school<br />

last week?<br />

Yes ........................1<br />

No ........................2<br />

Values -3-02<br />

Did you make any arrangements<br />

for your children aged 5-11<br />

to be looked after last week?<br />

Yes .......................1<br />

No ........................2<br />

Values -3-01<br />

Use school /nursery school.<br />

playgroup?<br />

Used .....................01<br />

Not Used . . . . . . . . . . . . . . ...00<br />

Values -3-01<br />

Use Workplace?<br />

Used .......... ...........01<br />

Not Used . . . . . . . . . . . . . . ...00<br />

Values -3-01<br />

Use Health and Social Service<br />

Board Facility?<br />

Used . . . . . . . . . . . . . . . . . . ...01<br />

Not Used . . . . . . . . . . . . . . ...00<br />

Values -3-01<br />

Use Other Scheme?<br />

Used . . . . . . . . . . . . . . . . . . ...01<br />

Not Used . . . . . . . . . . . . . . ...00<br />

drJ3


m<br />

w<br />

N<br />

N<br />

N<br />

N<br />

Zc<br />

0=<br />

*m<br />

a<br />

c<br />

■ .<br />

● .<br />

a.<br />

Zc<br />

om<br />

*O<br />

a<br />

c<br />

9.<br />

m.<br />

n..<br />

.,<br />

. .<br />

. .<br />

::<br />

**<br />

a<br />

G<br />

m.<br />

● .<br />

a.<br />

.,<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

. .<br />

g:<br />

Zcg:<br />

08<br />

*O IJO<br />

a<br />

c<br />

m. “~<br />

m.<br />

II. ”<br />

. .<br />

,,<br />

1


Questionnaire Ref<br />

Question No<br />

Q5(A)i<br />

Q5(A)i<br />

Q5(A) (i)<br />

Q5(A) (i)<br />

Q5(A) (i)<br />

Coding Shmet<br />

Referenca<br />

NUR/S<br />

P/NUR<br />

PG/ST<br />

PG/VOL<br />

PG/PUT<br />

No of<br />

Soxas/<br />

~aracters<br />

2<br />

2<br />

2<br />

2<br />

2<br />

-ing xnatrUctiollB/Remarks<br />

Values -3-01<br />

Would thie be Nursery<br />

School ?<br />

Used .......... ...........01<br />

Not Used .................00<br />

Values -3-01<br />

Would this be Private Day<br />

Nureery?<br />

Used .....................01<br />

Not Used ..... ............00<br />

Values -3-01<br />

Would this be a statutory<br />

Playgroup?<br />

Used ........... ..........01<br />

Not Used .................00<br />

Values -3-01<br />

Would this be a voluntary<br />

Playgroup?<br />

Used .....................01<br />

Not used .................00<br />

Values -3-01<br />

Would this be a private<br />

Playgroup?<br />

Used .....................01<br />

Not Used . . . . . . . . . . . . . . ...00


Q5(B)<br />

Qs(c)<br />

Q5(C)<br />

Q5(C)<br />

Q5(D)<br />

Q5B<br />

Q5(C)1<br />

Q5(C)i1<br />

Q5(D)<br />

no of<br />

Bc.x9a/<br />

Cbaractmrs<br />

2<br />

2<br />

2<br />

2<br />

3<br />

ting In8tructaons/R~arks<br />

Values -3-05<br />

How many of your children<br />

under 5 U= involvmd?<br />

Ent ●r number.<br />

- Number should be ●ntmred<br />

undmr typ of child caro<br />

ummd<br />

values --<br />

a<br />

Is this all tho yaar round?<br />

Y** .......................01<br />

Ring 1 undar t- of child<br />

car. arrangmantm<br />

L.cdecl 01 -OS<br />

IS this;<br />

TmmT tieOnly ...........01<br />

-Ring I Und*r T- of Ch~ld<br />

car- Arrmngmants<br />

Coded 01-0$<br />

Valu*s -3-01<br />

IS this;<br />

Othar Per>oda . . . . . . . . . ...01<br />

- Rmg 1 Under Typ of Chdd<br />

Car* Arrangmmmnts<br />

Coded 01-08<br />

~lues -- 156<br />

HOW my wmmkm pr year for<br />

all under 5‘s?<br />

Enter number of weeks in<br />

total .<br />

- Entsr undmr type of ch~ld<br />

care coded 01-08<br />

236


Questionnaire Ref<br />

Question No<br />

Q5(E)<br />

Q5(F)<br />

Q5(G)<br />

Q5(H)<br />

Coding sheet<br />

Reference<br />

Q5(E)<br />

Q5(F)<br />

Q5(G)<br />

Q5(H)<br />

No of I<br />

Boxes/ Coding Instructions/Remarks<br />

Characters<br />

3<br />

2<br />

5<br />

2<br />

! Values -3-18Q<br />

For how long are your<br />

children looked after each<br />

week?<br />

Check hours<br />

child.<br />

Enter total<br />

under 5 -s.<br />

for each<br />

hours for all<br />

Enter total under type of<br />

child care coded 01-08.<br />

Values -3-O?<br />

Does your employer make a<br />

contribution towards the<br />

cost ?<br />

Yes ........................1<br />

NO ........................2<br />

- Ring 1 or 2 under type of<br />

child care arrangements<br />

coded 01-08.<br />

Values 3-10000<br />

How much is the employer, s<br />

contribution per week?<br />

Enter amount<br />

- Enter amount under type of<br />

child care arrangements<br />

coded 01-08.<br />

Values -3-O?<br />

Is this paid direct to you?<br />

Yes .......................01<br />

NO .... . . . . . . . . . . . . . . . . ...02<br />

- Ring 1 or 2 under type of<br />

child care arrangements<br />

coded 01-08.


Q5(I)<br />

Q5(J)<br />

Q6(A)<br />

Q6(B)<br />

Coda.ng Sh*at<br />

Ref9rence<br />

Q5(I)<br />

Q5(J)<br />

Q6(A)<br />

Q6(B)<br />

No of<br />

BOX*8I<br />

Characters<br />

5<br />

3<br />

2<br />

2<br />

Values -3-5000Q<br />

ROW ❑uch dzd you pay la-t<br />

tams (including any<br />

contribution your Smployer<br />

pays to you)?<br />

Enter UnOunt<br />

- Ent*r amount undmr t- of<br />

child carm arrangcmants<br />

cod-d 01-08.<br />

- If NIL ●ntmr 0000.<br />

Values -3-156<br />

H- many wooks did thxs<br />

covor ?<br />

Entar number of weak- under<br />

typ of ch~ld cararrangement<br />

■ .<br />

values -3-U<br />

which of these did you use<br />

la-t week?<br />

Ueed ....... ..............01<br />

Not Used . .... ............00<br />

- Ring Number Undar Type of<br />

Ch~ld Care Used<br />

Values -3-0.$<br />

How many of your ch~ldren<br />

aged between 5 and 11 arm<br />

Lnvolved ?<br />

Ent@r number.<br />

- Number should be entered<br />

under typ of chdd care<br />

arrangements.<br />

238


Questionnaire Ref<br />

Question No<br />

Q6(C)<br />

Q6(C)<br />

Q6(C)<br />

Q6(D)<br />

Q6(E)<br />

Coding Sheet<br />

Ref eremce<br />

Q6(C)i<br />

Q6(C)ii<br />

Q6(C)iii<br />

Q6(D)<br />

Q6(E)<br />

No of<br />

Boxes/<br />

characters<br />

2<br />

2<br />

3<br />

2<br />

Coding Instructions/Remarks<br />

Value -3-01<br />

Do they go in;<br />

Term time only .. .........01<br />

- Ring Number under Type of<br />

Child Care Arrangements<br />

Coded 09-14<br />

Values -3-01<br />

DO They Go In;<br />

Holidays Only ............01<br />

- Ring Number under Type of<br />

Child Care Arrangements<br />

Coded 09-14<br />

Values -3-01<br />

Do They Go In;<br />

Both .....................01<br />

- Ring Number under Type of<br />

Child care Arrangements<br />

Coded 09-14<br />

Values -3-180<br />

For how long were your<br />

children looked after last<br />

week?<br />

- Check hours for each child<br />

Enter total hours for all<br />

5-11s.<br />

- Enter total under type of<br />

child care<br />

Values -3-02<br />

Does your employer make a<br />

contribution towards the<br />

cost ?<br />

Yes ........................1<br />

No .........................2<br />

- Ring 1 or 2 under type of<br />

child care arrangements


Quastaomaar. R-f<br />

Q6(F)<br />

Q6(G)<br />

Q6(H)<br />

Q6(H)<br />

Qu9staon No<br />

! Coda.hg Shaot<br />

Rmf ●rmnco<br />

Q6(F)<br />

Q6(G)<br />

Q6(H)<br />

Q6(H)1<br />

5<br />

2<br />

5<br />

.2<br />

No of<br />

Coding Iastructiona/Rmmarks<br />

~os .- 1000Q<br />

ECW much is the employer’ s<br />

contributlonc pr wook?<br />

Enter amount<br />

- Enter amount under type<br />

child care arrangement.<br />

IS this paid direct to yOU?<br />

ram ...... ................01<br />

No . . . . . . . . . . . . . . . . . . . . ...02<br />

- Ring 1 or 2 undmr type of<br />

child corm arrangmmentm.<br />

wues<br />

-- 000Q<br />

How much did you pay last<br />

t ima (including mny<br />

contr~utionm your employor<br />

pay, to you)?<br />

Entmr amxnt<br />

- Entmr emount under type of<br />

ch~ld care arrangamants.<br />

- If NIL entar 0000.<br />

Valu ●s -3-01<br />

Cover-d at Q5 (I )?<br />

Covarad .. ................01<br />

- Ring 1 undar type of child<br />

care arrangamsnts Lf last<br />

ch~ld carm payment<br />

zncludad coet of under 5‘ n<br />

and was ●ntarad at Q5 (I ).<br />

240


Questionnaire Ref<br />

Question No<br />

Q6(I)<br />

Q7<br />

tiding Sheet<br />

Reference<br />

Q6(I)<br />

Q7<br />

Q8<br />

No of<br />

BOxas/<br />

Characters<br />

3<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-156<br />

How many weeks<br />

cover 7<br />

Enter number<br />

did this<br />

- Enter number of weeks<br />

under type of child care<br />

arrangements.<br />

Values -3-02<br />

Are you currently employed<br />

or actively seeking work?<br />

Yes ......................Ol<br />

NO .......................02<br />

Values -3-02<br />

If child care provision<br />

were availsble would you<br />

choose to work?<br />

Yes ......................01<br />

No .......................02<br />

441


—<br />

)<br />

Questaonnazre Ref<br />

Quastaon NO<br />

PERSON<br />

IDENTIFICATION<br />

CHECK A<br />

Q1<br />

Codang Sheet<br />

Rmfmrmncm<br />

ID NO<br />

HH NO<br />

Per<br />

m<br />

CHK/A<br />

Q1<br />

INCOKS AND BEN’SFITS<br />

No of<br />

BOHS1<br />

Characters<br />

5<br />

2<br />

2<br />

1<br />

2<br />

2<br />

Codzng In8ta_uctlons/Ramarks<br />

values 00001-49999<br />

5 dig~ts - remember lead~ng<br />

zeros [ch*ck that the<br />

number IS the same as that<br />

on the front pmge of the<br />

Housahold Schadule] .<br />

Values 1-5<br />

Enter houcehold number.<br />

Values l-~<br />

Chock that tha Interviewer<br />

has r-corded the corract<br />

person numb-r before<br />

●ntering.<br />

-a 1-7<br />

En’car number of fanuly unit.<br />

Values 1-02<br />

Informant is<br />

if no Lncctno<br />

HOH ).<br />

HoH (or spouse<br />

mectaon for<br />

Y* S .......... . . . . . . . . . . ...01<br />

No . . . . . . . . . . . . . . . . . . . . ...02<br />

Values -3-14<br />

Enter code for total<br />

household income.<br />

NE This ehould only be<br />

f>lled Ln for one psrson m<br />

the housahold.<br />

,,<br />

,/


Q3(I)(L1)<br />

Q3(I) (iii)<br />

!23(1 )(111)<br />

Q4<br />

Q4(A)<br />

Codang Shaat<br />

R-f ●rmnc=<br />

Q31i(2 ) amount<br />

Q31(3)<br />

Q31i(3) amount<br />

Q4<br />

Q4A<br />

No of<br />

BOxOs/<br />

Clmractors<br />

5<br />

3-E 2-p<br />

2<br />

5<br />

2<br />

2<br />

Codang Instructions/R.marks<br />

Valuem -3-10000<br />

Second bonefat<br />

Ent*r amount of #econd<br />

benaf xt mmnt ioned.<br />

~8 -- 14<br />

Third tvDe of b~<br />

Veluee .- 1000Q<br />

Enter amount of 3rd<br />

benef ~t mant lonod.<br />

values --<br />

2<br />

Any other p9rsonal income?<br />

(Include ●arnings from<br />

Government Trunmg Schamee )<br />

Y*B . . . . . . . . . . . . . . . . . ...01<br />

No. . .. ......... ... .. 02<br />

Valu es -3-14<br />

Enter coda for total other<br />

personal income.


Questionnaire Ref I Coding sheet I No of I<br />

Question No<br />

Reference<br />

Boxes/<br />

Characters<br />

Coding Instructions/Remarks<br />

I<br />

I<br />

I<br />

CHECK B<br />

Q2<br />

CHK/B<br />

I I<br />

I<br />

2<br />

I<br />

I I I<br />

I Q2<br />

I I I<br />

I<br />

Q3(A) Q3A<br />

Q3(A) (i)<br />

Q3(A) (ii)<br />

I<br />

I<br />

I<br />

2<br />

2<br />

Q3Ai amount 5<br />

Q3Aii<br />

Q3(A) (iii) Q3Aiii<br />

amount<br />

I<br />

I<br />

I<br />

I<br />

I<br />

I<br />

Values -3-02<br />

Informant is in paid work<br />

In paid work . . . . . . . . . . . ...01<br />

Other . . . . . . . . . . . . . . . . . ...02<br />

Values -3-14<br />

Enter code for individual<br />

earnings.<br />

If not earning a wage leave<br />

this line blank.<br />

NB. This should not be filled<br />

in for those on<br />

Government Training<br />

Schemes.<br />

Values -3-01<br />

Receiving child benefit at<br />

present<br />

Yes .. . . . . . . . . . . . . . . . . . ...01<br />

Values -3-12000<br />

3=E 2=P Only applies if coded 1 at<br />

3(A). Enter the amount of<br />

child benefit received.<br />

2<br />

I<br />

Values -3-01<br />

Receiving one-parent (child)<br />

benefit (payable to oneparent<br />

families for first<br />

or only child) .<br />

Yes .......................Ol<br />

5 Values -3-00560<br />

3=E 2=P<br />

I<br />

Enter amount of one-parent<br />

benefit received.


Q3(B)<br />

Quastxm No<br />

Q3(B) (i)<br />

Q3(C)<br />

Q3(C) (L)<br />

Q3(D)<br />

Codang Sh*at<br />

Rmf erancn<br />

Q3B<br />

Q3Bi amount<br />

Q3C<br />

Q3C1 amount<br />

Q3D<br />

No of<br />

sOxms/<br />

Cbaractmra<br />

2<br />

5<br />

3-E 2-P<br />

2<br />

5<br />

3-E 2=P<br />

2<br />

Codang Instructions/Ramarks<br />

Valuem -3-0~<br />

Pr0s9ntly raca>ving famaly<br />

credit. (Payable to<br />

families with dependent<br />

childrmn ~f hmad/both arc m<br />

full-t- employment. )<br />

NB . on occamion if<br />

unamployad for less than<br />

1 year and entitled<br />

while employed may Wt 111<br />

be receiving<br />

Yes. .......... .......... .01<br />

values -- 1000Q<br />

Only applL08 if<br />

above .<br />

Enter amount.<br />

-s<br />

--<br />

1<br />

coded 1<br />

Prassnt racoiving - NI<br />

rmtzromant penalon or old<br />

ag. pan910n.<br />

rem ............ ...... . ..01<br />

ValUOS -3-1250Q<br />

Only applien If cod-d 1<br />

above .<br />

Entmr amount<br />

Values -3-01<br />

Presently rmc9Lving ancome<br />

support<br />

Yea<br />

NB<br />

. . . . . . . . . . . . . . . 01<br />

This is not paad to<br />

those full-tune Ln<br />

employnmnt.<br />

245


Questionnaire Ref I Coding Sheet I No of I<br />

Question No<br />

Reference<br />

Boxes/<br />

Characters<br />

Coding lnStluctions/Remarks<br />

I<br />

I<br />

I<br />

Q3(D) (i) I Q3Di amount I 5 ] values -.3-20000<br />

Q3(E)<br />

I<br />

Q3E<br />

I I I<br />

I<br />

3=E Z=p Only applies if coded 1<br />

above.<br />

2<br />

I<br />

Enter amount.<br />

Values -3-02<br />

PXeSently receiving sickness<br />

benefit or invalidity<br />

benefit<br />

Yes . . . . . . . . . . . . . . . . . . . . . ..01<br />

v ~ue, -3-10 J,0*(130<br />

Q3(E) (i) Q3Ei amount 5 a<br />

3=E Z=p Only applies if coded<br />

1 above.<br />

Q3(F) Q3F 2 Values -3-01<br />

Q3(F) (i) Q3Fi amount 5<br />

3=! Z=p<br />

Enter amount of sickness/<br />

invalidity benefit.<br />


Qu9stJonnaarm Raf<br />

Quastxon No<br />

Q3(G)<br />

Q3(G) (i)<br />

Q3(H)<br />

Ceding Shmmt<br />

R9formnco<br />

Q3G<br />

Q3Gi mmunt<br />

Q3H<br />

Q3(H) (1) Q3H1 amount 5<br />

Q3(I) Q3 I 2<br />

No of<br />

Box9s/<br />

CJmractmrs<br />

2<br />

5<br />

3-s 2=p<br />

2<br />

3-f 2-p<br />

Codang Inltruct~ons/Ramark8<br />

va 1Ue, -3-01<br />

Prmaently rmc91vang<br />

Attendance Allowance<br />

Yin ......................01<br />

NB. Thxs X8 paid to disabled<br />

person, not to caror.<br />

~ues -- 1000Q<br />

Only applias if coded<br />

1 above.<br />

Entar amount.<br />

~lues -- Oa<br />

Presantly recoivmg widows<br />

allowanco ●tc (Widowed<br />

140thars Allowance, War<br />

Widows Pens~on) .<br />

Ye* . ........ ..... ........01<br />

Va 1Umm -3-10000<br />

Only appllma If codad<br />

1 above.<br />

Enter amount.<br />

Presantly receiving any<br />

other atata banef~t<br />

Q3(I) (1) Q31(1) 2 Values -3-14<br />

Yes. .. ............. ....01<br />

Type of benaf ~t.<br />

Mat9rn~ty allowancm. . . 01<br />

Induatrxal ln]ury bencf~t/<br />

~ndumtr~al death. ........02


Questionnaire Ref<br />

Question No<br />

Q3(I) (i)<br />

Q3(I) (ii)<br />

Codinq Sheet<br />

Reference<br />

)31i(l) amount<br />

)31(2)<br />

No of<br />

Boxem/<br />

characters<br />

5<br />

l=f 2=p<br />

Coding Instructions/Remarks<br />

Benefit including other<br />

t~ of industrial<br />

benefit payment. .........03<br />

Non-cent invalidity pension<br />

including housewife>a. ...04<br />

Special hardship<br />

allowance ................05<br />

Invalid care allowance. ...06<br />

War pensions (uK) .........07<br />

Contributory Invalidity<br />

Benefit ..................08<br />

Child, s Special Allowance. 09<br />

Disablement pension/<br />

benefit . . . . . . . . . . . . . . . ...10<br />

Guardian, s allowance. . . ...11<br />

Foster Child Allowance. . ..12<br />

Mobility Allowance. . . . . . . .13<br />

other .- . . . . . . . . . . . . . . . . . ..l4<br />

NB . Only include benefits<br />

which are payable on a<br />

weekly/monthly basis.<br />

Exclude lump sum<br />

payments or welfare<br />

benefit in kind (eg free<br />

milk, school meals, free<br />

optical, dental treatment<br />

etc )<br />

Invalid care allowance is<br />

paid to carer, not to<br />

invalid.<br />

Jalues -3-10000<br />

?irst (other) benefit<br />

)nly applies if coded 1 at<br />

23(I ) above.<br />

>nter amount of first/Only<br />

]enefit mentioned.<br />

)al”es -3-14<br />

second tm e of benefit<br />

:ode as per first type of<br />

>enef it.<br />

L48


)<br />

Questaonnura Ref<br />

— Quoatxen No<br />

PERSON<br />

IDENTIFICATION<br />

EMPLOYNSNT<br />

SECTION - Q1<br />

ID NO<br />

NH NO<br />

Per<br />

FD<br />

QIAS<br />

PROXY<br />

No of<br />

SOX*SJ<br />

Chmractmrs<br />

5<br />

2<br />

2<br />

1<br />

2<br />

Codang Instructlona/Rmarks<br />

values 00001 -49992<br />

5 dLgitn - reumnbor l,ading<br />

zeros [Chack that the<br />

number is the ●SMO as that<br />

on the front pago of the<br />

Hous*hold Schedule] .<br />

Values 1-5<br />

Enter houmhold numb-r.<br />

Chmck that tha intorviowar<br />

has recorded tho corract<br />

rmfmrmncm number of the<br />

pmrson for whom the<br />

mf ormat>on ham been givan.<br />

Enter the person nunber.<br />

Valu em 1-7<br />

Entar number of FsmLly Unit<br />

valuea -3-lQ<br />

Econornc Statua:<br />

Employee or eelf -employed. .1<br />

Away from ]ob ..............2<br />

wa~ting to take up lob. . ..3<br />

Semkang work funemployed. ...4<br />

Sicker injured ...... ... . .5<br />

Schwl or collage ..... .....6<br />

Permanently unsble to work. 7<br />

Retired ....................8<br />

KmopLng Houme .. . . .. . . . . . . ..9<br />

Other (specify )...........lO<br />

NB. The retirad code should<br />

only be used for thone<br />

who have prev~ously<br />

worked.


m(c)<br />

Q2<br />

Q2(L)<br />

CHECK A<br />

Q2<br />

92 i<br />

CHS A<br />

No of<br />

sOxas/<br />

Cbarnctmrs<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-02<br />

Lookxng for pa~d work or<br />

placa on Government Scheme?<br />

Y91 .......................O1<br />

No .......... .... ........ ..O2<br />

Schmnaa attmnded m prav~ous<br />

wmmk.<br />

Youth Tra&ning Progrsnwae<br />

(YTP) ................ ....O1<br />

Action for Ccimunity<br />

Smploymnt (ACE) ..... ....O2<br />

EntarprLma Ulmter/Job<br />

Training Progrmmam. .. ....03<br />

Othar Govmnwnt Schame<br />

(excluding Enterprise<br />

Allowanca Sch-o) ... .. ...04<br />

None ofthama ......... ....O5<br />

-m -- 02<br />

How paLd?<br />

Wage by an ●mployer. ......01<br />

A tramm’ig al lwancs for<br />

Govornmnt Schunas. . .....02<br />

DK .......... ......... .....-1<br />

Valuee -3-04<br />

Economic mtatus<br />

On a Goverrmmnt SchemG. ...01<br />

Had a ]ob last wook. .. ....02<br />

Unemployed ........... .....03<br />

Nonaof these ....... ......04<br />

250


Questionnaire Ref<br />

Question No<br />

Q3<br />

Q4<br />

Coding Sheet<br />

Reference<br />

Q3AB<br />

Q4 SOC<br />

No of<br />

Boxes/<br />

Characters<br />

2<br />

2<br />

tiding Instructions/Remarks<br />

Values -3-04<br />

Ever had a paid job?<br />

FOR UNEMPLOYED WAITING TO<br />

TAKE UP A JOB<br />

Yes .......................0l<br />

No ........................oz<br />

FOR ALL OTWERS NOT<br />

CURRENTLY EMPLOYED OR ON<br />

TRAINING SCRE34ES<br />

Yes .......................03<br />

No . . . . . . . . . . . . . . . . . . . . . . ..o4<br />

Values -3-999<br />

Standard Occupation<br />

Classification<br />

Code the three digit SOC code<br />

from the SOC manual.<br />

dJl


Qu*=t20n.uaar9 R.f<br />

Quastxon No<br />

Q4 Q4 SOCR<br />

No of<br />

s0x9s/<br />

Chsractars<br />

2<br />

.,<br />

Cod>ng Instruct>ona/Remarks<br />

Values .-<br />

Recode of SOC<br />

R-coda the throc-dig~t value<br />

for SOC ●m follows<br />

100-199 .., ................01<br />

(Manager- G Adminxaerators )<br />

200-299 ...................02<br />

(PrOf ●msional occupat~ons )<br />

300-399 ...................03<br />

(Associat* Professional C<br />

Tochnlcal occupations)<br />

400-499 ... .... ............04<br />

(Clarzcal C Sacratarial<br />

Occupat ionn )<br />

500-599 ...................05<br />

(Craft 6 Related Occupatlona )<br />

600-699 ...................06<br />

(Personal G PrOtOctiv*<br />

sarvice occupations)<br />

700-799 .... ...............07<br />

(Salee Occupatlona)<br />

800-s99 ...................08<br />

(Plant & Machine Cprmt~vos )<br />

900-999 ...................09<br />

(Other occupations )<br />

-1 ........................-1<br />

-2 . . . . . . . . . . . . . . . . . . . . . ...-2<br />

-3 ... .......... ........ .-3<br />

252


Questionnaire Raf<br />

Question No<br />

Q4(A)<br />

Q4(A)<br />

coding Sheet<br />

Reference<br />

Q4 IND<br />

Q4 EMP<br />

No of<br />

Noxes J<br />

Characters<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-1><br />

Industrial classification<br />

Agriculture, forestry,<br />

fishing ...................ol<br />

Energy and water supply<br />

industries ................o2<br />

Extraction of minerals and<br />

ores; manufacture of metals,<br />

mineral products and<br />

chemicals .................o3<br />

Metal gcmds, engineering<br />

and vehicle industries. ...04<br />

Other manufacturing<br />

induetriee ................O5<br />

Construction ..............06<br />

Distribution, hotel B and<br />

catering; repairs. ........07<br />

Transport and<br />

communication. ...........08<br />

Banking, finance,<br />

insurance, business<br />

services and leasing. ....09<br />

Other services ............lo<br />

Insufficient information<br />

given to classify. .......11<br />

Values -3-03<br />

Employment Status ?<br />

full-ttie employee. .......01<br />

part-time employee. .......02<br />

self-employed. ............03


)<br />

Queataonnaara Ref<br />

Q4(B)<br />

Q4(C)<br />

CKSCS B<br />

Q5<br />

Q4B<br />

Q4C<br />

CNK B<br />

Q5<br />

no of<br />

Box*s/<br />

Characters<br />

2<br />

2<br />

2<br />

2<br />

C6dxng Instructionm/Rmmarks<br />

manager ... .... ............01<br />

fOr-an/muparvimOr. .......02<br />

othar ●mployao. ...........03<br />

J@luo, --<br />

2<br />

Employ any othar paopla?<br />

r-a .......................01<br />

No ................... .....02<br />

On a Govarnmant Scheme. ...01<br />

Had ● job la-t waak. ......02<br />

Unmmployad . .. .............03<br />

Othar ...... ...............O4<br />

How many hours m wc.rkng<br />

w-ok?<br />

Entax nun!bar of hour- (if<br />

~t var~em, g~ve an average<br />

and Lf ❑ore thmn onm 10b<br />

code the main one )<br />

25/4


Questionnaire Ref I Coding Sheet I No of<br />

Question No<br />

EDUCATION SECTION :<br />

Q1<br />

I<br />

Ra f erence<br />

I<br />

SOxas f<br />

Characters<br />

I I I<br />

I I IHow<br />

Q1 2<br />

Q2 Q2 2<br />

I I I<br />

I I I<br />

Cod~g Instructions/Remarks<br />

UnemDloved<br />

long unemployed?<br />

kss than one week. .......01<br />

1 week but less than<br />

lmonth ..................O2<br />

1 month but less than<br />

3 months ................03<br />

3 months but less than<br />

6 months .................04<br />

6 m.unths but less than<br />

12months ................O5<br />

12 months hut less than<br />

2yesra ..................O6<br />

2 year8 but less than<br />

3 yeare ..................O7<br />

3 years but less than<br />

5 years ............... ...O8<br />

5years0r mare ...........09<br />

DX ........................-1<br />

Values -5-20<br />

Age left school?<br />

Enter age<br />

Still at school ...........-4<br />

Never went to school. .....-5<br />

DID........................-1<br />

Values -3-02<br />

Other course of study?<br />

Q2?+ I Q2A 12 I Values -3-03<br />

Yes . . . . . . . . . . . . . . . . . . . . ...01<br />

No . . . . . . . . . . . . . . . . . . . . . . ..02<br />

Conunence course immediately<br />

after leaving school<br />

Yes (full-t ime) ...........Ol<br />

Yes (part-t ime) ...........O2<br />

No .....................- -.03


)<br />

Qu8#ta0naI~are Rmf<br />

Qu98ti0n NO<br />

Q2B<br />

Q2C<br />

03<br />

Q2B<br />

Q2C<br />

Q3<br />

No of<br />

B0xm8/<br />

Cbaractmra<br />

2<br />

2<br />

2<br />

C&ng IU8truction8/Rmmarks<br />

~em -4-Z<br />

Ago whan left full-tree<br />

continuous ●ducation<br />

Ent_r age<br />

Still attending. ..........-4<br />

-em -4-62<br />

Ag= when finished<br />

couraa of study<br />

Entmr ●ge<br />

last<br />

Still attmnding. . . ........-4<br />

~ -3-o&<br />

Currant further ●ducation<br />

COlleg* or univorslty fullttia<br />

.. ............. ......ol<br />

SandwLch courso. ..........02<br />

Qualification in nursing,<br />

physiotherapy ●te. .......03<br />

COllOgO, university pa*ttio<br />

or on day or block<br />

releamO .. ................O4<br />

Opan Univars~ty courne. ...05<br />

Corrmmpondence courme. ....06<br />

YTP coursa lnvolvmg<br />

tralnxng mt college. .....07<br />

Other further education<br />

course .. ............... .08<br />

256


Questionnaire Ref Coding Sheet No of<br />

Question No Reference sOxas/ Coding Instructions/Remarks<br />

characters<br />

Q4A Q4A 2 Values -3-11<br />

Q4B<br />

HSALTH SECTION:<br />

Q1<br />

I<br />

I<br />

Q4B<br />

Q1<br />

I I I<br />

I<br />

I<br />

2<br />

2<br />

I<br />

‘Wp+? Of School, college or<br />

training establishment<br />

current ly attended.<br />

Elementary or secondary<br />

school ...................01<br />

University ................02<br />

Nursing school/teaching<br />

hospital .................O3<br />

Polytechnic ..............04<br />

Teacher training college. .05<br />

Technical college. .. ......06<br />

commercial college. .. .....07<br />

Agricultural college. .....08<br />

Special school ............O9<br />

Hotel and Catering<br />

College ............. .....lO<br />

Other (specify )..... ......ll<br />

.Don’t know ........... .....-1<br />

NE. IFurther Education<br />

College’ should be coded as<br />

Stechnical college, (code 06)<br />

Values -3-11<br />

The type of school, college<br />

or training establishment<br />

last attended.<br />

Code as for Q4A.<br />

Values -3-02<br />

Longstanding illness?<br />

Q1(A) I Values -3-46<br />

Yes . . . . . . . . . . . . . . . . . . . . . ..01<br />

No ................... .....02<br />

DO . . . . . . . . . . . . . . . . . . . . . . . .-1<br />

Nature of 1st illness<br />

mentioned<br />

Alcoholism ................01<br />

Allergies/Phobias. . .......02<br />

,.<br />

Appendic~t~s ..............o3<br />

. LJ7


-1<br />

*, &<br />

Qu8stx0nnaxrm R*f<br />

QuaBtaon No<br />

C.adxng Shaot<br />

JS’*fmrencm<br />

No of<br />

BOxms f<br />

Cbaract9ra<br />

Coda.ng Instructions/Rmsarks<br />

ArthrLtLn/Lumbmgo/<br />

Rh9umatinm ...............O4<br />

Asthma ....................05<br />

Sack troubles and ansoclatad<br />

llln*mmmm ................06<br />

Blood disordars ganeral/<br />

Vartlgo ...... .... ... .....07<br />

Blood pro8sure . . . . . . . . ...08<br />

Sonas (brokan) . . . . . . . . . . ..O9<br />

Bronchitis ................10<br />

Cancer (undefined) . .......11<br />

Chmst probl-s<br />

(undefined) ... ...........l2<br />

Colds /flu .................13<br />

Circulation (bad) .........14<br />

Deprmm810n/nmrves. ........15<br />

Diahtas ....... ...........16<br />

Disabled physically. ......17<br />

EPilaPsy ...... ............l8<br />

Callblmddsr troublm. ......19<br />

Genmt zc il hmmm/<br />

abnormalities ...... ......2O<br />

Glandular trouble. ..... ...21<br />

Gynaecolog~cal problems. ..22<br />

Haworrhoids ..............23<br />

Iimadachmm)migraine. .......24<br />

Haaring problems. ... ......25<br />

Heart/stroko/CHO (mc<br />

rheumatic fav@r) .........26<br />

HOrnm . . . . . . . . . . . . . . . . . ...27<br />

111 health genaral. .......28<br />

Inf ●ct uana general (not<br />

colds /flu) ......... ......29<br />

K~dnoy problems. ....... ..30<br />

Liver Complalnta. .... . ..31<br />

Lti trouble .... ...... ..32<br />

Sultipla aclerO*is. . ... ..33<br />

Muscular dystrophy. ... ..34<br />

Nmurologlcal Lllnesaes by<br />

ParkLnnon8 DLamaBe) ... 35<br />

>ldaae .......... .. ... ..36<br />

Resp~ratory problems (other<br />

than bronchitis) ...... ..37<br />

Sight problemn ............38<br />

5k~n problems .. ...........39<br />

Speech unpada.ment ........40<br />

Stomach problems /dlgeat~ve<br />

tract ................. . 41<br />

rhyroid gland ....... ......42<br />

31c*r9 (Lntcrnal). ....... 43<br />

Jlcmratmns/abcesaem<br />

(external) . ..............44<br />

Varlcoae vezna .. ..........45<br />

ether ........ ......... ...46<br />

258


Questionnaire Ref<br />

Question No<br />

Q1(A)<br />

Q1(B)<br />

Q2<br />

Q2(A)<br />

[PP]UDuf-642<br />

Cs J<br />

Coding Sheet<br />

Ref erencq”<br />

2nd ILL<br />

QIS<br />

Q2<br />

Q2A<br />

No of<br />

sOxe.s/<br />

Characters<br />

2<br />

2<br />

2<br />

Coding Instructions/Remarks<br />

Values -3-46<br />

Nature of 2nd illness<br />

mentioned. Code from table<br />

above.<br />

Values -3-02<br />

Does illness (any one if<br />

two are mentioned ) limit<br />

act ivity<br />

Yes .......................ol<br />

No . . . . . . . . . . . . . . . . . . . . . . ..o2<br />

DO ........................-1<br />

Values -3-02<br />

GP consultation?<br />

Yes .......................01<br />

No ........................O2<br />

DO ........................-1<br />

Values -3-20<br />

Enter number of consultations<br />

in past two weeks.

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