1 - ESDS

SWQ33 TO 7HOSE WHO HAvE NOT HAO A STERILISATION OPERATION
TO PREVENT PREGNANCY
If YOUam pregnant now, rhg ........................... .................. *%
If you ma not pregnant now or am unsure, ring ............... 98%
Refvsed .................................................................................. 1%
SWQ34ANY Which of the folbwing method(s)of prevantlngpmgtmncy,if any,
wem you (oryour paftner)usiogwhan you became preqmant?
If no method ussd at all, ting .......... .... .................... .......
Refused ...............................................................................
SWQ34 If Ucing one or more methods, ring all the
mmtbers that ap@y
Whdrawal .... . . . ..
Sheath/mndom
Sai%pwtodirhylhmmethod
Ca@di’aphmgm .... . . . . ... .
Contmcopdvesfxmge
Pilt minip#l(pmge8temnooiy)
Plk combinedpill(includingmuiti-phasicpill)
PM notsure if minior combined
Pleaca writethe brandname below
lUD1.wiWntra.ut.sdnadevirn
FoarnWgoWspfay8/posswles(spennicides) . .......
Goingwitlwulsaxual ihfercoumeto avoid pregnancy..,..,..
Injdbns ... .... .. ... . . ....
Anothermethod
Please write it8 name below............ ........... ..................
Refused . .. ... . . .. .. ..... .. ... ... .
SWQ3S Please put a ring around the number, opposite the ztatemmt which
app~kd to YOUat the mm YOUbOcanMpmgtmm.
SWQ3SMET Whiih methoddldyou usa mosto!lem?
[2]
[1]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[01
[0]
[0]
[1]
We only uses one method ................... . ......... . . [0]
V/a used momthan one mettwd at a time [0]
Sometimesw used one mettmd,sometinmsanother [0]
Refused . ... . ... .... . .... ........ [1]
Pleasalook at tha list ●t SWG34 for the numlw of the method
and Wto that numbar in the bx .............. .. ... ... ................... .......... .. [0]
Refund ......................................................................... ................... . ....... [1]
SWQ37LNG How !anghad this method(Dambinatlo”of methods)ken me
one you usuallyused, thatisthe one you u8ed mostoflen?
Ring the number which applies to you
Lessthan 3 months [0]
At least3 months,Iessthan 6 months [0]
At least 6 months,Iessthan 1 year [0]
At least 1 year, Iessthan 2 years [0]
A3least2 yeafa [0]
Refused [1]
6
I n = 167 1
— Go to SWQ34ANY
— Go to StW&!
— Go to SV#XMA NY
~
— Go to SWQ39SAB
— Go to SW334
~
—Go to SW035
I n=l I
— Go to SW337LNG
— Go to SW4X36MET
_ G-3to SM37LNG
— Go to swrx36
— Return10TMto
Interviewer
— Go to SkWXS
Ldl

SWQ38 VWlchof the followingmethod(s)of preventingpregnarcy, If any,
dId you (oryour partner)uwaltj usa mmmdhtely Wore that7
If you had no saxual ralationsh,p. nng [0]
11no nmthod u-d at all. nng [0]
If pu were pregnant. nng [0]
If usually using one or mom methods, nng all th~
numbers that apply
Wtidmvml [0]
Shenth/mndom [0]
Safa pcnodAhythmmethod [0]
Cap/dbphmgm [0]
C0ntmc8ptwesponge [0]
PIN mm PSII(pmg*slemn only) [0!
PIN .wmbmd pdl(Includingmunl-phancpill) [0]
Pill notsura tfmm or combnnd
Pleasa write the brand name below [0]
ltJO/coMtim4mlna dwmrn [0]
Foamwgeb/spmys/p8sanas (q!errmc!dcs) [0]
Goingwrthotis8xual lmtercwumato avotdpragnaw [0]
Injecfbns [01
Anothermathod
Plaaaa w!ite its nammbelow [0]
Rohmad [1]
TO THOSE WISOOID NOT USE A METHOO AT THE TIME OF
BECOMING PREGNANT
Hem Ia a lid of rcmmnswhy paopb do not uaa any mathodhr
pmvenllngprugnancf Winch reasonappbedto you?
SWQ3SBAB Wanfad to hsve a baby [0]
SW39MEN Unlikdy to .wncar#abe.ausa of menopauss [0]
SWQ391NF Unlikelyto .wncewe bacauaa powbtf mfwtlb [0]
SWfXOUNS Don’tIlkecantracaptbn andlor find rinthods
unsdisfactow [1]
SWQS9REL Agamslbachmg of Churcl.hllgmus balieh [0]
SWQ3SOTH Anothermsm
Plmw write your muon below . . . . . - . [1]
Rntimd [1]
SW040 [ntha Ibsf2 yams have you (oryour partnar) used any of the methods
of preventingpmgnancj I#stedat SWQ41?
Yes [2]
No [01
Rofuaod [1]
9
_ Relum formto
lntetvmw*r
— Go to SWQ39
—Gotosmwo
— Go to SWQ41
— Ralum formto
Irsarvlewar
- Ga to SW41
28’2

sWQ41 If you (or your partner) used one or mom!methods in the last 2 years,
ring all the numbers that apply.
Wlthdfswal
SheaWcondom ... . . . ... ... . . .
Safe perbdlrhythmmetiwd
Ca#dia~fsgm
Contm+tive sponge
Pllt minipill(pmgestemnoniy) . . . ..
Pill:combinedpill(includingmuiii.phaYcpill)
PiU not sureif miniorcombined
Please wrtte the brand name below ...- .........—_...__
lUD/cOillntra-utwlcadevicm
Fosnm/geWspmys@ssaries(spennicides)
GoingwithoutsexualItiemnuma to avoid pregnancy
ll@tiis
Anothermethod
Please wtife its name below ......................... ....... .............
Refumd
SWQ42 TO THOSE WHO ARE NOT PREGNANT ANO HAVE NOT BEEN
STERfUSED TO PREVENT PREGNANCY
Have you had any otheropemtiin whidI preventsyougetting
pregnant(again)?
[0]
[2]
[0]
[01
[0]
[1]
[0]
[01
[0]
[01
[0]
[01
[01
[3]
Yes . .... ... . .... . .... .. . .... .... .. 0%
No . . .... . . ... . .. .... ... . 99%
Relumd 1%
In what month and year was the operatfon?
sWQ42MTH SWG43YR Month Year
Enter Month and Year .... ........ ................ 19...,.,
10
]~
Total number of
tktaasa method
cited
rReturnformto
l~etvmwer
— Go toSW242
I n = 1s6 I
— Go to SW243MTH
—Gobwms
— Q to SW243MTH
I n=l I
—Gowsm244
— Go to SW045
— Retomformto
lntmiawar
— GOtOswxs
Ld3

SWQ46 kWllchof the folbwng method(s)of prevmmngpregnancy,If any,
dtdyou usualtj usa mmmdbtely Mfare that?
N you had no sexual relatmnshflp,nng [0]
If no nmthod und at all, rtng [0]
If you were prrgnan~ nng [0]
If usually using on. m mom methods, nng all the
numbers that apply
Wthdrawal [0]
Sheath/mndom [0]
Safe fmmd~ythm method [0]
Caplduphmgm [0]
ContracapttveSpmlge [0]
Pill mm PIN(progestcmnontf) [01
PNI cumbmad@ll(mcludl”gnwkl-phaac pm) [0]
Pill not sum If mm orwmbmed
Plea- write the brand name below [0]
IUD/mMntm4entw dewca [0]
FoamWgcdWspmy@pacanes(spwnvmdes) [0]
Goingtihout ssxual!ntercc.umnto avoadpregnancy [0]
Injedlons [0]
Anothermathod
Plaan write Its n- below [0]
Rrnhmad [1]
SWQ4S TO THOSE NOT PREGNANT AND WHO HAVE NOT HAO ANY
OPERAmON 7NAT PREVENTS PREGNANCY
kWvchof the fallowtngmethod(s)of praventlngprqmncf, if any,
am you (and yourpmtnor)umml~ uang at pmswt~
If you had no SUU1 ralatlonshlp. nng . .
If no method used ●t ●ll, rtng .-
If usually using one or rtmm methods. rmg ●ll the
numbws that ●pply
hWMmwd
Sheathimndom
Sah pnodfrhythm method
Capldl@wagm
Contmcaplhe sponge
PNI mm PIN(pmgastamnon~)
Pill mmbmod pill(IncludingmuN.phaac PIN)
PNI rwtsum ,f mnl orcwnbnwd
Plensa wttta tha brand nammbelow -.
lUD/coMntm4atine dnvtcn
FomnsJgelsJspmy#~aunes (sPwmmdes)
GOUWwdhoti ~xual tntercourssto avfndpregnancy
Inpcllona
Anothermethod
PleaM wntg Its nam. below
Rehned
11
70%
3%
2%
9s
o%
0’%
1%
4%
7%
1%
o%
0%
0%
o%
o%
3?4
_ Raiwmformto
Interwewer
— Go to SWAM
Total nuntbar of
tfmns ●mdhod
Cried
— Go taSW252
— Go toSWX,l BAB
— Go toSW247
284

SWQ47 Please put a rtng around the number, opposite the statemant which
applies to you at present
SWG48MET Which mathoddid you u.m m08t otin?
We only used one method [m]
We used momthan one math-adat a time [2]
Sometimeswe u8ad one method,wm.stlmesanother [4]
Refused . . .. . . . . . . . . ... . [2]
Pleasa look ●t the list at SWG46 for the number of the method
and write that number in the box
Pllt Combinedpiii(Includingmuti-phasicF41) [2]
Withdrawal . . . .... .... ... .. [2]
Refused ... . . ... . . . . ... . [2]
SWQ49LNG How longhad this method(C.ambhltlonof methods)ken the
one you ususliyuse, that mthe one you use mo8ttmlen?
Ring the number which applies to you
Less than 3 monms m
At least 3 month less thsn6 months PI
At least6 months,Iesathsn 1 yew ... .... .... ... m
At least 1 year, Iessthan 2y0am . .... .... . .... ..
At leaat2 years ........ . . ..... .. . . .. .... . [1!
Rehmed ..... ........ ..... . .. .. .. .... . ... [2]
Misdng ... . .... . . . . . .. . [1]
SWQ50 Whkh of the followingmethod(s)of preventingpregnancy,if any,
dld you USwliyw kmnadlatRIYb@fOMthSt7
If you had no UXIUI rektlomhip, ring ....... ..... . ....... .
If no M9thod ussd at ●ll, ting ...... ... ..... . ... ....... .... ...
If yau were pregnant, ring .... ... ... .. ..... .............. .. ...
if usually using one or mom methods, ring dl the
numbers thmtapply
Wlthdrswsl . ...... ... ... .. . .. .. . ... .......
ShasWcnmdom ... . .. . . . .. . ... . . ..... .
Sak Pmtodlrhyihmmethod
Catidiaphragm . ... .. .... .. .... .... .....
Conbsmpme sponge ... ..... ... . .... . . .
Pilt miniP!41(pmgostmononly) . ... . . . . . ..
Pllkcombinedpill(Includingmuitkphwsicpill)
PIK not sum if minior combined
Plea- wite the brandname belaw
lUD/cuiUintrautatinadevica .. . . . .
Foams/gels&pmy%/pc8sarias(spermicides)
Goingwthoui s8xualintercourseto avoidpregnmmy
Injections ... . .. . ..... . ... . .. .... .
Anothermethod
Please wrtta its nuns below .................................. ............
Refused . ... .
12
[1s]
[3]
PI
[0]
[3]
[0]
[0]
[0]
[0]
[0]
[1]
[0]
[0]
[0]
[0]
[0]
[2]
— Go to SkWXSLNG
— Go to SW24SMET
_ h to SV@4SLNG
—GOtoswxo
_ Returnformto
Itiewiewvr
— Go to sV#250
I n=27 I
_ Ratum formto
htewiewer
I
— Go to SWR251BAB
“L(+5

TO THOSE WHO 00 NOT USE A METHOO AT THE PRESENT
TIME
Here ISa IISIof reasonswhy peopb do notu= any methodfor
prevantmgpregnancf Whch reasonappliesto you?
SWQ61BAB Wanted to have a baby [1j
SWQ61MEN Unhkelyto conwwe becaucdof menopaus8 [0]
SWQ611NF Unhkelyto concawebeau- pomb~ !nfwtlle [0]
SWQ61UNS Oon’tlike cantmceptlonantior findmethods
unaatbhctwy [3]
SWQ61REL Againstteachingof churchlrehgwusbeliefs [2]
SWQ61OTH Anotherreason
Please write your reason below
[0]
Refused [2)
SWQ62 In tha lad 2 yeara have you (oryourpadnar) Usadany of the motlwds
of preventingpmgnanef Ihstedat SW0537
Yes
No
Retiud
SWQ63 If you @r yourpartner)used mm or mom methodsm the last 2 years
ring all tha numbers that ●pply
Wthdmwml
Shaathicandom
Sa6sponodhhythmmethod
Capldl@wagm
Cottmcaptha +wng*
PIN mmlpill(prngaatemnontf)
Pill mmblnad F411 (Includingmust.pbuc PIN)
PNI not mm If mm or cnmbmed
Pleam wtltc tha bmnd nanu Mc+
6%
92%
2%
[1j
[0]
[0]
[3]
[2]
lUO/mMntmubdne dwlm [1]
FoamWgalWspmyWpoaanas(qermmdes)
[0]
GoingWShotisexualIntnrcoumato avoidpmgnnnci
[0]
lnj@dbns
Antiher methwl
[0]
Plaaaa write ttmnnna balow
Retuaed
[0]
[0]
[6]
I n=8 I
—Go tosku252
— Go to Svmss
— R-turn formto
Intewmwar
— Go to SWG63
Total number of
tlm8s ●mathod
Ctiad
1Returnformha
lnt*wlswar
J
13 286

&d7

CONTINUOUS HOUSEHOLO SURVEY lWlfS2
‘OuuMdNm’r CImm 1
Person Nwn~r
Over m~ti yearn the mm and maka-up ofth. pqyubtionhav. ban ai?etind by dmngemm hrmly sm. 8rd m the @tam of mamage
Changessuch as thosaatf.ci tha demandforSCIWOIS, hospdals hcwmngand w on So UmtU’UGovcmmentcan hav. Up-ta.dato
Infornmnonwth whch to fomcaaa the futuredemand forpublicwrv!ccs w. woutdIlkaYOUto help us Q fillingm th!sshort.qUedlonmlm
At eati quesdonthat appli.s to you. pleaaamdlcatmyouran-r as msmuct8d,ekhar ty nngmgth. ●ppmpnst. nurnb.r or w wrmng
youransvor m m- spaca prowded Forexampta,●t Qtwsfmn1 on th. mat ~ga d you wara rnamndm a chuti you &ou!d tingtha
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
nng tha numlmr4, man go to Qu*attOn3
N YOUhava any dlftlculty at all wih ●ny of th.s. quasbona, pleasa ask tlm tnt~awaf for help.
5N3325
1 288

DWQI ~nldng of your (mast Mant) Man!ag.( didyou get marriedi“
church,at a mgisbyoftca. orware yuummpiyIklng togetheras
a MI@?
m
I
In church . .... .. ................. .... ...... . . ... ..... . [12]
At a regbt!y omrn ..... . .......... ......
Bothchurchand m@y ofkd
. . .. . .... .. ... P]
[0]
Go to okVa2
Ltvingtogetheras ●COUF4C............................................ [0] —
F
Go to DkW23
DWQ2 TO TNOSE MARRfED WYfHA RELtGIOUS CEREMONY OR AT A
REGISTRY OFFICE
How many times have you tan Ihgaltymamied?
Mean
Enter the total ntiw of Umcs .. . .... . . .. ... . .._ 1.0 — Go to DVXXMTH
IJWQ3 TO THoSE WNO WERE UVING Willi
NOT LSGAfLY MARRJED
SOMEONE AS A COUPLS BUT
Hava you ever bean bgdty marriad?
I
owQ4nM TO THOSE WHO HAVE SEEN LEGALLY MARRM30IN THE PAST
How many tlmea hava youbean Ikgallymafiad?
Mean
Enter the total nunbsr of tbnas ...___. ..___.. _- 0.0
Whatwas the data of yourmustmeantmanage? I ~
DWQSMTH 0W06YR MOnth Year
Enter Month ●nd Year..... .. .. . . . .. 19......
Owas As you know,some ceuphs lie togetherwithoutactua!+ygating m
maw eRhw bacauaa mq cannotget marriedforsame maaon
or becau!wUmy pmter notto get reamed.
Am you curmntiylivingwdhsam-rw as a rnupb?
I
k
1-
~
m
Go ta 0W05MTH
GLIta DW6
2 Ld!3

TO THOSE CURRENTLY LIVING W7iH SOME oNE AS A COUPLE BUT
NOT LEGALLY fAARRJED II n=O
Man .4d you and yaw pwtm.r smrlIwmgtogaunr as a caupto? 1’
DWQ7M-7H owa7YR Month Yur I
Enter Month and Year -- . -----
“ t--t””w’
I
Dwaa Has yourpattnerwar bean bgally mamnd? Im
Yes [0]
No [0] —G0t0Dm9
Dwa9 Have you any stop,fader or adoplmdchldren of any age who Ike
with you?
m
Y*S
No
[0]
[14] l--
— GOto DVA21OPR
Ga to Dwll
❑W9tOPR Enter the c+vld’sflintname
OWQI 0S7 He/sha IS
Pbnss ●nter the detmh of yourstapifosterhdoptadduld(ran) bcbw
step
Fo8tar
Ado@ad
OWQIOBM Data of bnth Month
owatoBY Year
OWQI OLM Data he/sha bqpn Nwngwth YOU Month
DWQ1OLY Year
1at child
- --.”
mg~:
19
19
[0]
[0]
[0]
2nd child
----
Rll
I
Xd child
---
ull~
I
4th child
-----
—GOtoowll
1
290

DwQi 1 Hava yOUever had a blby?
NO=. EVW if YOUhave had a babywho ontylivedfar a tioff time, m
plemw ring 1. A 8UIIbornbaby sham matbe indudad. Pleala dng 2
if no Itiabom ba(rf,
Yes, have had a baby .... .... ... .... .... . . .................. [11] GOfa Dkw212N0
No, have never had a baby ................................................. [31 tnslnlmormon
Next Page
DWQ12N0 TO AU WOMEN WHO HAVE SVER HAD A OABY
(A)
(B)
(c)
Child
first mm
?+ecmdborn
Third born
Foutth km
Fhth born
Sixthmm
Seventh bom
EighfhImm
Ninthbarn
,Tenth mm
overall
How many dlildmn have you@vanbidhto aiiogethor?
Enfm total nun’Awr,including any WIIOnow liva
mmcwhem elm ●nd ●ny who may hava dlad, bui
excluding ●ny stillborn twby .. . . .. . ... . . .. . . .._ 26 — Go to 0kw213M
P!zmsamconl lha followingdetati foraam of the ch#dmnPU hava
Total nmnbar of
ghmnt4rthto in ths gtid bdow, (atarnngwdhma old- child)
1
childraa
mO dsfo of birth. enwr Monm and Yew
The sax - rtng1 forMale, 2 far Female
Is that childlMrtqwithyou or not?
DWO13M DWQ13YR
(A)
Data of bfrth
Month Year
19...........
. . .... 19...........
.... ..... . 19...........
19...........
... .... 19...........
19,..........
. . ... 19...........
19...........
19...........
19...........
DW012S
(B)
sex
M F
[Sl [a
(41 [4]
{1] [3]
[a
[1!
[1] [0]
[0] [1]
[0] [1]
[14] [1q
4
M-an
DW013L
(c)
IS your child Ilvlng with you or not.
rfng qpropnati nunbw?
I
m
Yes No - alsawhem INOdorossad
[a [a [1]
M [$4 [0]
[31 [1] [q
[1] [a [0]
[0] [1[ [0]
[0] [1] [0]
[1] [01 [0]
— 00 toInsbud.am on Next Page

OWQ14
iNS7RUCl10NS I
- Ifyou am aged W or overpla.sa mtum the hrm to the mtawwwer
. If you am aged 164S, and hav. war glvan bnthto a baty PIOIU go
to DkW214 I
- If you am ●ged 16-49, and IMva never gwen b!rthto a baby deasa go
to Dma I
TO 7HOSE wHO HAVE HAD A BABY
Are you pregnantnow?
owa16 TO 7HOSE W1’10ARE PREGNANT
Yes [0]
No or unwm [9]
Oo Youthink ttmtYou‘Al h’- my mom CMdmn, aner the Onmyou
am expading?
Yes [0]
Pmb8t4yyes [0]
Pmmbly not [0]
No [0]
Dally know [0/
0WQ16 IF YOU 00 NOT KNOW WWTHER YOU WILL HAVE MORE CHILOREN
On thowhole do youthinkmlt. aft-r the c4111cI you am ●xpullng, you
WNpmbabtf or pmbabtf notImvo any Mm Chlf6mn?
PmbsMy [0]
Pmbat4ynot [01
0wQ17N0 How many Cim!dmndo youU!lnkYOUw41ha- Mm hayou m ●ll,
Includlng the one youam qmcnng and thoaayou haw almadf
who am stillalivs?
Entsf total ntUtIbaf of cmldmn —-...—--—. 00
0WG18AGE Howold do you think YouWINbI whanYOUhk.e yournmdW@, afbr
tha one you are ●xp@cUng?
I
Maan
M*an
Enter age YOUthink you ‘+.+11 be —-. ------- 00
I n-* 1
— G0t0DwA215
— GOto 0W19
— Go to 0W#W7N0
— &to 0WX3’2
— G0t0DWQ16
m
— GOto DkWl17N0
— GabJDWQ33
m
292

owa19 TO TWOSEwHO ARE NOT PREGNANT
II n=9 I
00 you think thatyou willham any momchildrenat aN? l————
0WQ20 IF YOU 00 NOT KNOW WlilZillER YOU WILL HAVE MORS CHILOREN
On me wholedo you thinkthatyou WINpmbabiyor pmbabty
not han any mom chddmn?
PmbaMy ... ...... . .. ....... .. ..... .. .. .... .... .. .... [1]
Ga to DWU21 NO
PmbUynti ................................................................... [1] Go to Owsz
0WQ21N0 How many childrenda youthinkyou willhalvebom to you in all,
including thorn you have alreadyV&am SWal~e?
Mean
Ent8r total n~ of ChMmll .. ----------- 1.0 (3 b 0W022AGE
OWQZ?AGE How olddo you think youWI b Whm you have yourmat baOy’1 ~
Mean
Entw ●ga YW think you Will be .._..___—__ 0.0 — Go to DWfX!2
DWQ23 TO THOSE WHO HAVE NOT HAo A LWEBORN 8AEY 1~
Am you p-egnmt now? 1
0WGZ4 TO THOSE wHO ARE PREGNANT
1
Oo YOUthink ttmtyou willhave any momtiildmn, interme one you
am expedng? I
0WQ25 IF YOU DO NOT KNOW WH151’HERYOU WILL HAVE MORE CHILOREN pzzl
On me wholedo youminkthat.aller the&M you am axpecting,you
WIIIpmbabtyor pmnabiynot have any mom chl!dmn? I
Pmbatiy [q
Go to 0W4X?3N0
Pmbmily not [0] —G0t00m3z
r
6
I
F
~
~

owa26No How many CWrtrcndo you fhmkyouWINhava Mm 10ym.Im all,
!ncfudlng mmone you am expubng?
Entwtc4al nwnbarofchtldren ------------- 00 Go to 0WX7AGE
DWOZ7AGE Howold do you think you wII h what!you have yourneai babf, ~
aner tha onmyou am axpacbnfl
DWG3S TO THOSE HO ARE NOT PREGNANT
Enfar aga yw think you wll bc —--——-.——— 00 —GOfo DVJX2
Do you think you WIIIhava any mom chddrw!at all?
MM
Mun
Yes [0]
PrOtabFfyas
Plmt9uy not
PI
[0]
No
[0]
Oun’tknow [1]
0W029 IF YOU DO NOT KNOW WETHER YOU WILL HAVE ANY CHILDREN
On me whole do YOUthinkthatyou wJIprobabtyor pmbabtf
nothave my chidmn?
Pmmtdy [1]
PmbatXynot [0]
❑WG30N0 How many chklmn do youthutkyouWINhavo km h you m 9117
Moan
Entu total numbar of children . -.—_______ 13
0WQ31AGE How old da you think youwll ix whanYOUhave yourfirmb@7 ~
Enter agc you thankyou WI b. —--- ------
M*an
1-
m
fa D~30N0
GOm 0W3Z
1=Go
—Gat00mz6
I n.t 1
— GOto 0WQ32N0
— Go M 0W3Z
L
Go 100WJ31 AGE
“ t--”tOO-
0WQ32 We have aabd you ●bouthow manyChItimnyou thinkyouvnflhave
The nm.xtqueatbansam shut wys of pmvmtlng pmgnancj
Hav* you wer been stmnhsed- I maan ever had an oparatlon
Intandadto prwenl you gemngpregnant(a~m)? I
Yes [2]
Go to DVAX3NHS
NO
[10] Go to DM3#
7
F
294

DWQ33NHS Was tie oporatinncati out undw ttu NHS or cat?
OWQ34WHE DidYOUhave tt!a opemtbn
NHS ... ...... .... ... .. ....... .. ....... .. ...... ....... .. .. ......
Othu .... ...... ............... . .... ...... ....... ..... ................. F!
as ●hospitalkpttm, stayingovernightor longer ..... .. ..
aS a hos@hloutpatient.. ........ .. .... ... . ..... ......... . . .
at yourmb actors surgely . . ... .... ........ ....... . ......... . ..
at a Cflnk .. ....... ................. ...... ........... .. .... .............. .
or wmat cdntodout sommvhem.ska ....... . .... ... ..........
In what monthand year was the opamtbn?
Dwa3shtTtt Owmsw Month Yaw
Dwaas Was youropamtbnI* than 2 yam aga?
Entar Month and Year .----------- . ..... 19..,..
Y-es.......... ...... ............ ....... ....... ...... .. ....... [1]
No .. .............. ........... ... ...... .. . .... ..... ...... .. . ... [1]
DWQ37 WWchof the Wawing method(s)of preventingpmgmancy,if any, worn
you uaimllyusingimmddbtatybeforethat?
If you had no raxuat mtationship, ring _________
If M mmhod uud at ●ll, ting _____________
[f you wwa pregnant. ring _______________
If usually wing one or mom mmhoda, ring all the ntmbam
that ●pply
Wfthdmwl ................... .................... .... .......... .. ...
Sheathkamdom..... ..... ..... ......... . ......... ....... . ... .........
Safa PwlOd%hyth method...... ...... . .. .... .......... . .......
Ca@dbphlagm .................................... . ......... ............. ....
ConbampthmSpring* .. ........ ....... . ........ . .... .............
Pin mkdPM(pmgntwon only) ...... . ..... ........ .......
Plit rnmblnedpill(I!wwing munt-phaaiopill)
Pit notswu if miniorCombimd
PI-U wtita tlm brandname below ___________
lUO/caWx4m.utm.inadovia .. .. ... . ...... ..... .. ... .
Fomm/geIa/Pys/~ssmta# (spermic!des)
Goingwithati -xual intefcoursato avoidpmgnmcy
Inioctians .... . ... .... ... .... .. ....... . .... ..... ... .
Anotherrnetiti
Plaasa WIKOits nana below . ... ..- ....._” ________
8
[1]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[01
[0]
[0]
I n=3 1
— GOto 0WX4W4E
I n=z I
— Go to 0WW3!5MTH
— GOtoobwns
— Ga to 0W337
— Returnformto
mtwvimver
I II=* I
— ReNm formto
Imwviewar

DWQ38 TO 7HOSE WHO HAVE NOT HAO A S7ERMJSATSONOPERATION
TO PREVENT PREGNANCY
If you am pregnnti now,nng [0]
If you am not pmgnmntnuwor armunsure,nng [10]
bMIichof me followngmeutod(a)of preventingpregnam, If any, worn
YOU(oryour @nnr) usingwhm you bRaMO prognantT
DW03SANY Ifnorrmthod uskdatall. ting ----- . . . . . . . .
0WQ3S If usually using .mw .x mom mathod% ring ●ll the nunbom
that ●pply
Wlthdravml
ShaW!4am00m
S8ti pmdmyihm method
Ca@dla@wmgm
CorSmmPtr4sspnngm
PM mm PL!I(progestnmnontf)
PM mmbmd pll (Indkllng muffl-pftamcPIII)
Pill notsum i miniorcomblrnd
Plea- wnt8 the bmti nmm imtow . __________
lUD/coMtira+mnnc dewca
Foama/gatWqxa~pcMnes (sPanmrtes)
Inpatons
Ancthw method
PIUU wnta tts narfm bd.aw ____ --.._ .—.—
owta40 Plmu puta nngaroundth~ numbar,oppo~a ma smmmardwhti
appltedio you at tha Urn*you bacama pregnant
0WG41 MET VVWSTmalhod dldyou US8most.anmn?
[0]
[01
[0]
[0]
[0]
[0;
[0]
[0]
lo]
l!
[0]
W* onV um~ onmmdtod [0]
M ussd mom mm ona methodm ●time [0]
Samattmasw uatd ona method.aorrmtlnwsutothar [01
Pleaaml-k at th Ilst at 0WG3S for ttm n~ti of HI*
mathod ●id vmm that nudr m ma box --—---- _
0W04ZNG How bnq had mu nnmnd (cumbmahonof mmthods)hen tha one You
us.mltyused, mat mfhe ormYouu-d nIoStaRmr?
Ring the !tUMLWrWh!ChaPplias tO you
Les9 man 3 months
[0]
At kast 3 months lau than6 months [0]
At but 6 months,Iasathan 1 year [01
At least 1 yaw, leg than 2 yearn [0]
At lead 2 YCW3 [0]
[0]
Cmcl
— Go ta 0W39ANY/
DW039
— G.3la 0W47
m
—’atoowxo
— (2a ta 0W43LNG
— Go ta 0W041 MET
— Go to t3VAXZLNG
— Go 100WM3
_ ReturnformM
Inmwmvmr
9 296

0WQ43 Which of the tilbtig mdwd(s) of prewntlng pmgnmcy, if any, did
you (or yourpalner) usmw u- Itm’mdhkly bdom that?
If you had no SOXIUImladonship, ring . . . . . . . .
If no ImathOdUwd ●t all, ring .. . . . . . . . . . . .
If you WGMpmglunt ring .. . . ..-—— ------
If usually tming ona or mom methods, ring ●ll the ntmnbem
that apply
Wlthdmwal..........................................................................
Shnthlccmdom ..................................................................
Sati poriori%hyth method................................................
Ca#dbphmgm . ............ ......................... ....... .................
cOntmG@W SpOngc... ......... ......... . ....... ....................
Pit minipill(pmgoatamnoniy) .......... . . ....... ..... . ....
Pm cambinadpill(irmiudingmuiii.pha@cpill) ...................
Pllkrnt aura if minior combined .......... .............. . ....
PI-- Wti NM brand nams blow ..-----—.
luo/c9Wntm.mwlM *via ......... ... . ............. ...............
Foams/gal#sF4ws!mMtiea (awmioid-) . ....................
0oin9 withoutSOmmliri+ardoumsto avoidpmgtmrwy
Ipns ............... ..................... . ........ ........................
Anothw method
Pleasa write its nana Maw --- . . ..————.._...
TO THOSE wHO OID NOT USE A MEINOO AT YHE TIME OF BECOMING
PREGNANT
Hem is a Ilstof masonawhy psopledo not uas any mernodforpreventing
pregnancy. Wltkh maaon lw~d to you?
0WQ44SAS wanted to haw a baby ........................................ ............. [0]
DWGUMEN unlikelyto concstie beau= of menOp.3ua9...................... [0]
0wY441NF unlikelyto Conwive becaurn posaibFfrnfeftw ...... . .......... [0]
0WQ44UNS Omit Iika cmdmc@lc.n atior Ilnd rrwthoda
Unatlfactov .......... .. ..... ......... .................................... [0]
0WQ44REL Ag8ind tmchings of Chutimligoua belhf .. ...................... [0]
Owauow AnetlwJImm
Plaasa Wlih yOIUmason below ... . . . . . . . . [0]
0WQ4S Inthelast2Yom havayou (oryour pd~er) !$zedany of the matimds
of preventingpregnancyIhted at 0WQ49 on me nexl page?
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[01
[0]
[0]
[0]
[0]
[0]
[0]
Yes ... ... .... . . .... .... ..... . . ..... . ... ....`... .. .... [0]
No .....................................................................................
[0]
10
— Ratom formto
lntwviwmr
—G0t00vm4s
— eatOowMO
— Returnmm! M
m+mvmwar

0WQ46 If you (or yourpwtnw) umd one or mom mcUIds m ths hat 2 yoaw
ring ●ll tho ntiws thm apply
WIUIdrawal w]
SheaUdcondom [0]
Safa pem~tiythm method [0]
Ca@dmphmgm [0]
cOramCqxNospmg* [0]
PIN mm PIN(pmgastamnonty) [0]
PIN cambmadF4J(Indudlngmulil.phsmcPIII) [0]
PIN nots.uraIf minior mmbmad [0]
Plus W* U!, brandIIMM him .-—.. --—--
lUO/cu#bltim4mlna dmvla [0]
Fomns/gelwsPy#P-IIn (~mm,dd~a) [0]
Goingwdmd rnk’uallntamOuN m avosdpregnancy
[0]
Inpctmns
Anothermethod
[0]
Plaan wttta its na’m below .-. -.__—---- [01
owQ47 TO TNOSE WIO ARE NOT PREGNANT ANO HAVE NOT BEEN
STERILISEO TO PREVENT PREGNANCY
Have youhad my 00w oprationwiuci7pmvcmtayougetthg Pmgnmt
(again)?
Yes [0]
No
[10]
(n whatmonmand yew WS tlw apemtbn?
❑WQ4SMTH 0WG46TR MUIUI Year
owa4s Ws you opmthn Iesatlmn2 yearnago?
Entw Month ●nd Yam ------------ 19
Yes [0]
No [0]
11
1Ratum formto
Iramvlawmr
I
n-lo
— GOto 0W4SMlH
— Go to OW351
I n=O I
—G0t00va4a
— Got00vA2so
— Rdum farm to
Intarw-r
298

DWQ50 WIIkh of the fallowingmdhod(s) of preventingpmgnaccy,f any, did
YOUUSIMY U= hmnmdiddY b9foM mao
If WU had no SUIUI relmlfc+whlp,ttng .--—_-
If no nmthod usad at ●u, ring .. . . . . . . . . . . .
If you W8N pt’qrmnt. ring ..---,...- . . ..————
N usually using 0n9 al mom M@md5,tings lfthontnnbws
ftmt apply
Wlthdmwal ........................... .. ......... . ....... ..... ..............
Shdhlcomlom .............. .. ......... ........ ................ ... . .....
Sati pmid~m mathnd. .......... . ...............................
C@dbphmgm .. . ............... ............ .............. ............
Ca4mapmc 8p0ngc ... ........... .. ....... ....................... ....
Plk mid pill(pfogmbmn only) ..... ....... .......... ......... ......
Pin cambimd PU(Includingmulfl.phadcPtil) .. ...............
PW notsum if rnlrdor cambkmd
Plea- wdta the bmnd nmm mow -----------
luo/mi4Lntm.uhrlm ** ......... ..... ............. ................
FomTWgaWWyUpaanwtaa (qww@id9s) . ....................
Goingwithout$oxtmlitiercauma to avoidpmgtmmf ........
Inlcctbns .. ........ ............................................... ................
Anottwrmethod
PlomssWti iti O- balow..----—----
Owasl TO TNOSE NOT PREQNANT ANO WHO HAVE NOT NAO ANY
OPERATfON TNAT PNEVf!NTS PRSONANCY
Vvhkh of OMhMowingmah0d9 of preventingpmgnaw ifany, am you
(atI0 yourFOmmr)uuliy uing at pmaont?
If ymuhad no sexual mfatfanship, ring . .. . . . . .
If no Ilmth4d used ●t ●l! ring .,-----------------
If usually using OM or mom nwthoda ring ●ll tha nmbma
that ●flflly
Wmdrawml..........................................................................
Shdhfmtiom ..................................................................
Sah pmtod?thyth mathod ......... .......... .................... ....
C.3pldiw+mgm ...................................................................
Contmc@#* 8p0q* .........................................................
Pm miniPN(prowstuon onty) ...... ......... ......................
Pllt combinedF41(Inciwdingmult!-pharncpiU)
Pllt notsum ifminiw combined
PINU wtita tfm bmnd nama Lwtow.... . . . . . . . .
Iuokdorttra.utelim davica ................................................
FaanWgds(apmyWwssmies (sPermicides) .... .. ...........
Go~ ~tiui sexualimO~u* to avoidpregnancy . . . .
lnjactmns.............................................................................
Anolhermathod
Pleasa write its nama below .......... . . ... . . . . .
12
[0]
[0]
[0]
[0]
[0]
P]
[01
[0}
[0]
[0]
[0]
[0]
[0]
[01
[0]
[0]
P]
[2}
[1]
[31
[2]
[1]
[0]
[0]
PI
[0]
[0]
[0]
[0]
[01
[0]
— Returnformto
h$mviewer
Total ntmnbmof
ti8annth0d
Cimd
I n=t4 I
— GOtom.msr
— Go to D~SiAS
— Go to DlWJ52

DWQ62 Plan put ●nng around tlw nunlmr, c.ppmdam. staimnntwh!ch
appllu to ymu●t pmmlt
DWQS3MET WWSI mdhmt didyou urn mosfoIlen7
W onlyu-d ono method [4]
VA umd mom than one meumd at a time [0]
SomedmasW* uwd one meftwd, samdilmesanammr P.]
PINU look at fha Ilst ●t 13WQS19forma numr of me
mcth.ai and vadwOut nutir in On box
SheWWamdom P]
Dwa64LNQ How longhad thmmemod(Cambmatmnof mathods)hmI the one you
usual~ UW, mat mtha On* you us.amostolhn?
LassUun 3 monms [01
Atkae43 months,I*s than 6 months [0]
At laast6 months,Iesa than 1 year [0]
At bad i ymr, km than 2 Yearn
At lead 2 yearn El
Dwa66 Whkh of tha followngmctlmd(s)of pravwtblg pregnancy,If any, dld
you (or yourpwbw) usuallyu= mwnndlatalybdam fim~
If ymuhad no suual mlationaht% ring .-__. _._._.
If no mathod und ●t ●ll, ring . . . . . . . . . . . .
If wu W- ptmgnant.nng .---—-— -.....-.-.
If usually ualng OIU or mom mathod~ ring all ma nwnbmm
that ●pply
~drawd
Sheathl.wndom
SafmPmmMhyihm mathod
Ca@dlmphmgm
ColtmaplW* -pony
Pill mm PIII(pmgatimn ontf)
Pill ambmcd ptll(Inchnlng mul!-phmo Pill)
Pill notsum If mmlor combmod
PIMsa wntmthe brand nanm balm _...__. _______
lUOlcaUlmmutnnrwdavla
Faamwgawspmywm-nos (sponmcdas)
GOIWvntlmti -xual lntercou~ to avoidPfD9Mlh7f
Inpahns
AnothMmethod
PlemadWnti lta nntle below --- —— ----
[1]
[0]
[0]
[01
[1]
[01
[0]
[0]
[0]
PI
[0]
[0]
[01
[1]
[0]
[0]
— GO10DWJS4LNG
— Go to D~S3MET
— Ga to 0AQS4LNG
I n-a I
—GOtuowxs
— Rdum formto
InfeMMr
— Rafum formto
lmnwlrwer
13 300

TO THOSE WliO 00 NOT USE A MEl1100 AT TNE PRESEN7 TfME
Hem is a I& of mwms My pwpio do not urn any nwlfnfdfar pwetihg
pWIUllCy. Whti mm aW!4Dd10YOU?
Dwmsm WWltld b hWO8 baby ......... ......... ...... . .... . ............... [0]
DW966 MEN Unlikdyto conmiw bdcausaof menopaum . [0]
DbW661NP Unlikelyto cOncaiv*bccaurn poasibr intitiib .... ... ... ... [1]
Dwa6mJNs Don’tlib cdraceplbn andor findmetlwds
Ullsaofactorf.. .... . ............ ................. .................. ........ [1]
owa66REL Agah!dttaatiif!gs of chu@/InUgou8 balbf [0]
Dwa560TH Andhcr muon
Plaan writs your masoa bcdow-------------- [0]
0WQ67 In the last2 yams haw you (oryour pmtner)usedany of the mcth0d8 B
of preventingprugnanefIisWdbelowat 0WQ5W
Owass If you (oryourpamfm) wcd ormor n-mmnwthadsin lb last2 yaws,
ring all tfw n~ that apply
Wlthdfmnl ................ ............... ...... ...................... ..........
Slfdhlmdom .. .............. .. ....... . ..... .... ....... ............
Sara pwindirhyihmmethod .... ......................... ..... ..........
Cwfdhphmgm ........................... .......... .... ......................
Confmwpmo SpOngo.........................................................
Pfft mini*I (pfagastwmnonly) . ........................................
Pit mmbinrd *ii (Ifwfudlngmuls-phadcpill)........... .........
Plit cat sum KfrAnior combirnd
[1]
M
[0]
[0]
[0]
[0]
[0]
Plaaw Wti UM brmd tlMW Mow ...------—
‘0] I I
Iuokawfm.umd M dcvim ... ................ ..... .................... g~
FomrWgddskwayWprnrlaa (SLWllliCidOS)
Gehg ‘#itIwti suxualinfemoumato avoidpmgnmwy .... [0]
Wctlons ............................
Armtharmethod
........ ....... . ........... ......... .... PI
PIaau WIitOits naa balow ...-------— [0]
14
P
I n=2 I
1- Goto 0WX7
Total ntnbar of
thlms ●MOmOd
Cimd
I n=3 I
— ReturnWrrI m
Iltmvieww
ddl

CONllNUOUS HOUSEHOLO SURVEY lWfiS2
““””’”’” N~~r ~ ❑
Person Nmmbsf 1-1-1
OVerrecantyearnthe sue and makeup of ma popubtionhave baon afi.sed ty changm m fare@sue and m the patternof manmge
Changessuchas th~ ●tie mmdemand forXJWOIS,hospdals,haumngad w an SOmat the Govemmantcan hava up-todln
umbrmatinwth whlti to fomcaatdem.nd br pubhcswwces, ‘m wouldIlka YOUto help us Q fillingm ths shortquadonnalm
At aach quOsGonbat applEs to you, pbaaa Itilcata y.a”ranswar as msbmcted,efiherQ nnglngUIOappmpnatanumberor by
wntlngyouranmvarm the spmw prwldad
For ●x8mph If you am mamad, you shouldfollmvLhamtme+mn d tha Mtom of tib page and answr Question1 at tfu top of Um
nal pmga If you warn mannd m a chuti, a regmbyOI?IM,or both,you shoulddngGn appmprmtanumberand than go on to
Quaatmn2
If on the otherhand YOUam not mamcd, you shouldstartat auastlon 3 on the next psgo, and man go onto Ouatibn 4
If you ha- any difIlcuity at all wfih any of thasmquastlons, pbua ●sk tha mtarbi~u for help
If you am mamad pleaamstart ●t Q1
If YW are not mamod pl*ue start at Q
1
.5d’33a5
302

Mwm Thinidngof yourpmsmt man?agg,dldyouget nmnmd in dmnzh,
at a mgisby.affka, or armYOUsimpiylivingtogemeras a rnupia?
~
I
In church........................................................................ 89%
At a m@tvotllca ...... ..... . ..... . ..... ...... .... 8%
0“ to M~2
Bathchuti andmgiat!y OMM ........ ... .. .. . .. o%
Livk’Gtogdimfasa couple . .... . . . . ........... 3% Ga to MWX3MTH
k
Mwo2 TO THOSE MARNEO WITH A RELIGIOUS CEREMONY OR AT
A REGISTRY OFFfCE
How many times have you been Ihgallymanied?
Mean
Enter fha told nunbcr including your pmsmt
matiga .. .. . . . . . ... .. . . ....... . . . .. . . . . 1,0
TO THOSE CURRENTLY LWING WITH SOMEONE AS A COUFLE
BUT NOT LSGAUY MARRtEO I
W7wndid you and yourpartner-II livingtogetheras a COUF4W
Mwalhmi MW03YR “mlth Yew
1-
~
Ga to MV@7MTH
Entw Month and Yew ... ...... . . ...........
‘g t- ‘bMw&T
MWQ4FT Has yourpa!tnorever tm6f!!egaNymaniad? I
MWQSSELF Have you yuuraelfever booniegaliyreamed?
MWOSTIM TO THOSE WHO HAVE SEEN LEGALLY MARRIEO IN THE PAST ~
How many times have youbean Ikgallyreamed?
Enter numbu of times .. ..... ... ...... . . .. . .._
What was ma data of YOUIpmaenumostremmtmamaga?
MWQ7MTH MW07YR Month Year
Mmn
Enter Month and Year ..... ........... ......... ... 19.....
2
I
I
I
I
10 1- -“”wmm
I
t--
~
Go to “MEND

MWQSKID Havmyou any s@, hstm or adnwd dmdren for any agmwho
Iwawth you?
Yes 1%
Go to MWK)9PER
No
99% Ga to MW210
k
PLEASE ENTER THE DETAILS OF YOUR SIEP/FOSIER/ADOPlE12 I Total nmnber of
CHILO(REN) BELOW
children
MWQ9PER Enter the chIM’silrstname
MWQSSTE HW91MIS
MwasBTR
tAWQSLf#f
Data Ofbwth
Data hwahatagsn Irvingtih you
slap
Fostar
Adapted
Yaw
MonLh
Year
Isl child
19
[a
[q
[0]
19
Znd child
. ------
+
1
-
3rd chtld
-— ---
~
~
I I
19 19 IQ
4th chdd
.. . . . . .
19 ! 19 19
mlo H-v. you aver had a baby? D
NOTE. Ev@nII you have had a baty who only Iwad fora shorl
time, phasa nng1 A stlllbombnty shouldnot b tndudad
Plm” nng 2 If m Iwabombaby
—GOtOMwalo
Yes. h,”- had ●baby 84s
Go 10M~ll NO
No, havo nevarhad a b-by 16% Insoudl.am on
nmt pmga
k
MWQ

(A)
(s)
(c)
1
I
Child
Firstbom
Second born
I
Imitd bem
Fourthborn
Fifthborn
Stdh born
Seventh born
Eighth barn
Ninth bam
P~emll
Plearn remrd me follmv.iqdafaib foreach .afme childrenyou hava
gNon Mth to in me gtid bolnw (sfatiw wlh me oldesttiiid)
#WQ12M MQ12YF
(AI
Da@ of bitih
M.mfh Year
.... ... .. 19........
TfM data of bi!th - mnfarMonth and Year Total ntmnbwof
Thas8x-ftng lfOr Ma19,2fOr Fm’@a childmo
Is fhaf child living with you or not?
hfwalzs
(0)
sax
M F Missing
se% 4*% 1%
42% 5TS 1%
P4 [241 [0]
[11] [16] [1]
M [4] [01
[2] [3] [0]
[1] [1] [0]
[t] [0] [0]
[01 [1] [0]
[1] [q [0]
SI% 4s% 1%
lNSTRUCTfONS
Yes
- if you am aged ~ or ovef ptaa8eMum the formto tie intewioww.
. Ifyou am agad tS4S, and have ever givenbirthto a baQ pbasa go
to Qwdlan MkW213below.
hTWQ12L
(c)
Is your child living with YOUOr nOfrmg
appr0pna29 ntunlmr?
dS&&9 decN&ud
Mfssing
79% 18% 2% 1%
6s% 13% 1% 1?4
p2] [q [0] [0]
ml [4] [1] [0]
m [a [0] [01
[4] [1] [0] [0]
[2] [0] [0] [0]
[1] [0] [0] [0]
[1] [0] [0] [0]
[1] W1 [0] [0]
83% 15% 1% 1%
—GII to tnsbwtiotn bobw
1 I
. If you am aged 1S4S, and havo neverhad a baby plea8ago to
QuestionMVWX22. I I
I 1
I
M-VJQ13 TO TNOSE WfiO HAVE HAD A EASY
Armyou pfmgnantn0w7
4
m

MWQ14 TO TNOSE WWOARE PREGNANT
Ltayou mhk mat youW hsva ●ny mom cim!dren,afmr me ona You
am ●xpacbng?
Yns
Pmt9biy yes
Prohbly not
No
Don’tknow
Mwws IF YOU 00 NOT KNOW wliEIHER YOU WILL HAUE MORE CHODREN
On me whO10do youthinkthat, afiorthe add YOUam ●xpedng, you
WINpmb-btf or pmbabtI not have ●ny mom dmldmn?
[0]
[0]
[0]
[21
[0]
Pmt9t4y [0]
Pmtably not [0]
MWO16N0 HOWmany chtdmn do you mmkYOUwll imva bornto you m all,
mltilng Ummu youam ●xpoclingand Uua88you imve ak8adj
who ●rmsOll●lke?
Entw total numbw of childmm . . . ..—.-. . . . . . 00
Mwa17AGE How old da you mmkyouwtllbowtmnyau have yournexl baby, aller
tha arm YOUam expodng?
h?wQ18 TO THOSE WWOARE NOT PREGNANT
Entu aga you think YOUMl be —----— ------- M
00 you minkthat youWINhave any mom dnldren at all?
Y*S 5%
ProLublyyU 4%
Pmtat4y not 13%
No 84%
Don’tknow 14%
Mwols IF YOU 00 NOT KNOW WETHER YOU WILL HAVE hWRE CHILOREN
On me wholado youthinktit YOUWIIIPfc.bnbtior pmbabtf
nd tuva any mom chddmn?
Pmbsl#y [2]
PmMbly not
[13]
5
J
~ Go to MW231
—Goto MW215
— Go to MkW216N0
— Go to MLW231
— Go to M~l 7AGE
I n -107 I
— Go to MW2.ONO
1
Go to MkW231
1-
— Gato MW219
I n=16 I
— G-aw MM2GN0
— Ga tn M~31
306

MWQ20N0 How many ctwdmndo youminkyou willhave bornto YOUinall,
indudlng thoaa yuu have alreadywho am smtaltue?
Mean
Entar total nunAwr of chitdren . .. .. ... . . .. .. ... . . . 2.4
Mwa2mm How okt do you think youwillba when you have yournexi baby? ~
Mean
Enter aga you think you will be .. ... . .. . .. . . . . . . 30 —G0t0Mw231
MwGs2 TO THoSE WHO HAVE NOT HAD A IJVEEORN EABY
t-
~
Ga to MW21AGE
Am you pregnantnow?
Yes .... ..... ........ . .... ... ..... ...... ............ .... ..... ... .. [f]
I
1= Gat0wAm23
No or unum .. ........ . .... . . ............. ...... ...... .. . [211 Go to MVd22T
MWQ33 TO THOSE WHO ARE PREGNANT
00 you think that you willhave any mom dWdmn, aner ma one you
am expdhlg?
Yes . ....... ........ ...... . ..... . . ..... ... ... . ... . .... . . ..... [01 —Goto~NO
Probablyyes ............. . ...... ............... ... ... . .... . . ...... [t]
Pmbabiynot .. ... .... ... ..... . . ............ . .... ............. [0] .30 b W31
No ......................... ........ ....... . . .... . ...... ........... [0]
Oon,tknow . ...... .... . ....................... ....... . ... ..... ..... [01 gQto MWG24
L
Mwo24 IF YOU 00 NOT KNOW wWETW2RYOU WILL HAVE MORECHNDREN m
On me wIw19doYOUthinkthat, anarth@childyou am expecnng,you
WINpmbabiyor probablynottmvaany mam chlktmn?
PrObatJy........ .... .......... ..... . ...... ........ ........ ......... . [0]
Ga to ~BNO
Pmbat4ynot.. .... . .... ... ............. .. ..... .... ... .... [0] —G0t0MkW131
r
m25N0 How many @ildmn do youthinkyou willhave bom to YOU
in all, inctuding thoone youam alreadyexpactmg?
Ent6r total .- of children .. . . . . . . . . . . .. . Zo
MW036AGE How OUda you think youwillW whenyou have your m
next baby, aitor me ona youam expecti!q?
Mean
Enter aga you mink you will be ... . ..... ........... . .. .. . . ‘1
6
t-
H
Ga to MW26AGE
ddl’

Mwa27 TO THOSE WHO ARE NOT PREGNANT
Do you think that youw,IIhav* ●ny dv!dmn at all
Ycs
Pmtmt4yyes
Probablynot
No
00n’t know
[.s]
[5]
PI
[4]
[1]
I
~
M MWXSNO
Ga to MV#231
1=Go
r--GOto MwQ28
hwoza IF YOU DO NOT KNOW WHETHER YOU WILL HAVE ANY CHILOREN
~
I
On the wtwla do YOUthinkthat you WINpmbab~ or probablynot
havo ●ny .AWdt’an?
I
Probably [1]
Go to MWX9N0
Pmtably not
[0] Gob MW231
F
MWQZ9N0 Howmany ciw!drendo you thinkyou WINhave bom tu you m all?
Maan
Enter ttil nwnbar of chldm __________ 23
MWQ30AGE Howold do you Omnkyou WIIIb8 when you havo your,lti ba@7
Maan
Enter agc you think YOUWill be -.—-—— --- 30
Uwoll V& hsva mlmd you abati tmw many cimblmnYJUthinkyouWIN
have Tna ma quntiom ●m abaul wys of pmvendngpmgnancl
Hsva you or you!huatandfpmmw ●ver been tinllssd - I maan W@r
had an oporathn tntandcd to pmvmt you gatdngprwgmnt(Ogaln)?
I
— GOto MkuXWAGE
— GOto MWQ31
Yes 25%
Go to MW232
No 74% Ga to MWQ3
F
MWQ32 Wm &YOUwho wna stenlbed or yourhuslmndiparhcr who had a
v.nuunry?
Youmalf
Hutim!tipatier
SOth
Was the Opmtwn Cnmadout underthe NHS Orrwr7
MWQ331NH MWQ33PNH own
Opsmtion
NHS
Other
M18Mw
[18]
m
[1]
[21]
[12]
[01
b
I
r n=33 I
:~~” m m
opmatlon
[1ol
[2]
[0]
1-
Go to M~321NH
Ga to MWX41Wli
7 308

W241WH MWQ34PWH
Oldyoumldhe hava the apmtbrv
A9 ●hosptil inpatiant,staying
overnightor bnger ............ .. .....
Asa ho~til oui$,tint
Atyotulhh doctm%auqery
At a dho .............. ....... ......... ........
Or was ii cwiiad out aomwhem
ok . ... .. ................................ .. . ..
Refurnd . ......... .. .... . . ........ .
Mining ................... .. ....... . ..........
Wlwt mmm and year was tha opwation?
own Husbmd’sl
O-*
Pmtl19ts
operation
$; PI
[.9]
[0] [1]
[0] WI
[0] [0]
[0] [1)
[1] [0]
MV4Q361MH f#WQS6PMH MWQS61YR MWQ36PYR Own Husband’al
Opm-aticil pm’tnal-s
Opwath
Entarmonth .. ............. ...... .. . .
Enteryear ........................... . ....
*36 ‘Ms dtiwr youror yourhtimi’dpartrws opwatbn lass
than 2 y.3ama@?
Yas ..... . ......... .................. .. . ......... ....... ... ................
No ...... ................................... . . ... .... ....... .. ...... .... [q
%fusod ........................... ........ ......... ................. ..... [1]
MY’4Q37 VWkh of ttw falhwdngmathod(s)of pmwnting ptngnancy,if any,
were YOUand your husbandIMIMUyusingInm’mdiataly bcfomthat?
If ymuhad no SUIMI rahtianship, ring .._-..__
If m IrNthOd U18d ●t all, Ilng ._.._— ______
If YOUwm p+mgnmt,ting ___________
If Udtlg ma a mom mathods, Iing all the
ntmhra that ●pply
wfthdmwal ................................ . . . . .. ...... . ..... ......
Sh~ttVomdom .................................................................
Safa pefbdhhythmmdlmd ... .. ... ... ...... .. ..... ........
Ca#dlaphmgm ..
Calltrarapdvosponge........ . ...................... ... ....... .
Pllk minipill(progostamnoniy) ... ...... . .... ................. .
Pllt cambinmdF41(includingmulti-ptmsicpill) .. ...... .......
PIN notsum t minior Cemt.kmd
Pleau WtiO the brand m b@OW..--.----—
IuokaWt-Ul-m ** .... ..... .. ...... .... ........
FoamdgcWswaya/p,rnriaa (apmmicides)
Goingwithaulswiual intafmu= to avoid pregnancy .
Injeclians .. .... ........... .... . .... .. . . ....
Anothermethod
Refuasd ... .. ...... . ...... . .... .... ........
Plea- W* ib. - IMOw ..—.-———— ______
8
[0]
[0]
[1]
[0]
[1]
[01
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[1]
[q
‘Goto MWSE
I n=33 1
—G0t0Mwx7
— Returnformto
Intew!mwer
—Goto MW2s7
I n=3 (
—Return formto
Intafviewar
—Goto MWS9
JtJ9

a!
o
4
m

Mwau Wflcll of thd followingmethod(s)of pmv.ntlng pregnancy,if any,
did YKJUuumlty uw irmmdiataly botim tfmtY
MwQ4bsA0
kwQ44MEN
MWQ44fNF
hfWQ4UJNS
Mwa44REL
Mwa440TN
If you hadno SUuai mfaUnrIshiB ring __.——.._ . . . .
if no nWhOd Uud ●t d, ffng ----------ff
pu W@fapregnant, rfng ._.—-.—---
If using am of mom ma4h0ds, ring ●ll the
n~ that ●pply
Wffhdmwal................ ........................ .. ... .......................
Sh8alhlcmdom .................................................................
Sati @mt@thm method. ....... ...... ....... ........ ......... .
capldia@nxgnl..................................................................
Contmcapftveaponga ...... ........................ ............ ........
Pit rrdnlpill(pmgtin oniy) .. .. ..................... ... . .....
Pllt cambhad PIN(includingmum.phasicpall) . .......... ....
PIN notsum Kndnlor combirnd . ........... ....... .... ...
Plaass writ- U19bmnd m blow ..... ---------
Iummwntm.ufwlm ** ...............................................
Foa~eldspmywpo,ndas (spwmicidas) .......... . ........
G@19Wi+tWUf sexualIntemoumato avoid pmgnmcy .,,.,...
l~ns ............................................................................
Anothermdhod
Plcaw writs its nanw balow ...--— --------
TO TNOSI?WNO WERE NOT USING A MSTNOO OF PREVENllNG
PREGNANOY AT TNl?lfME OF EECOMINQ PREGNANT
Hem m8 IM of maaorn whypeoF4edo notusa a methcdforpmvwklng
pmgnwmy. kWIidI of the m190n9 W@iad to you and yourhuabmWpWtnar
at tfw tinmynu teams pregnant?
[0]
ml
[0]
[0]
[0]
[0]
P]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
Whnf,d to haw ●baby ............ ........ ................................... [1]
Utmkatyto canaiua b0au9a of menopausa.. ....... ............ [0]
UnlikNyto cancdw bscausa pwd~ infadils. ..... .............. [0]
Do notmmconimcamon mM/or findmethodunsatisfactw. ... [0]
~airmf taachi~s of cnum+wmliiiausbolid .. ....... ......... ........ [0]
Anotherma9an ............... ......... ................... ...... . ................. [0]
Pleau wtfto your mason below ... . . . . . . . . . . .
MwQ4s In the bst 2 years have you (oryour husbmdlpwtner) usualany of
tlw methcdsof pfevertingpmgfmw listedbelowat MW2407
Yes ............................`............................................................
No ..........................................................................................
10
[0]
[0]
[1]
— Returnfonmto
Intexvlevmr
—Goto MW24S
‘Goto MkW4d
— Returnformto
lntmviaww

Mwa4s If you (or yourhusbm!dlparm.,) mad mm .X mom methodsIn U19Ibst
2 yams. nng all ttu numbm ttmtopp~
WtMt’awml [0]
Sh- Wmndom [0]
Sa18pamw~hm mdlmd [0]
Capldhphmgm [0]
contnmptNa spHtg* [0]
Pill mm PN(pmgastamnonlf) [0]
PIN combuwi F41(Irtckdlngmuffl.pttmc PIU) [0]
Pill notsum f mlmor combuwd
Plea- titm the brand nmm bdc=w .—.-—__—---- [0]
NJO/mUiWa-ddm devua [0]
FoarmJgoWwwm-noa (spanwdes) [0]
GOlriEWhoti SSUI lntwcoum [0 avoid p~IUflCY [0]
Ilqedmns [0]
Anotlmrmethod
Plrnu wnta h nmna bdow -------- . ..—.-. [0]
-7 TO THOSE WHO ARE NOT PREGNANT ANO HAVE NOT SEEN
sTERIusED TO PREVENT PREQNANCY
Have you ar yourhutimllpbtar had ●y Otir 0p8raU0nwhich
pmvmntaPU gettingWgnant (sgmn)?
Y*S [3]
No [s3]
MW04S Was fl YOUor your hukmdlmdnar who had ●n apamtbn whti
prwonti you gatthg pregnant(lgam)?
Yournlf PI
HusbanrUptmr [0]
soul [0]
In what moti and ymarma UM opwaimn?
MWMSIMH w94sPMH ~lYR ~PYR own Husbsnd’s/
Opmuon parttwrs
Opamt&l
Entm month
Enteryew
Mwa60 MS ●aw you or yourhusbmtidpsfiots opmtion la=
than 2 yammam?
Y*S [1]
No [2]
11
— Rdum formto
Intafwavml
— Ga to MW24S
— Go to MWX2
I n=3 I
‘Go to MWW91MH
— Go b MW250
— Go bMWQ5i
— R*tum farmto
Inhrvmww
312

MWQ61 WIIich of ttw foibwingmethod(s)of ptwenting pmgf’mncy,ifany,
did wu usuallyuu hwnadlmtdy bofomthaW
NPU had no saxual mlmtbnahip, ring —_..__.-
If no mcthad Wad ●t W, Ifng .. . . . . . . . . . .
If you Ww pngnmt. ring ------------
If using OM w mom mcth0d8, ring all fhc
n~ that apply
‘Amhdmvml.........................................................................
6hnUVcOnd0m .................................................................
.Safapmiadlhytim m8thad . ..
Cq#dfaphmgm ..................................................................
cOrdmc@lve sponge ............ .................. ......... ..........
Pllt mlnlFM(pmgastwononly) ............... .... ........ .........
P& cmmbind pin(mcbding muiti-phmicPW)
PIK notaum if mid orCOmbmd .. ....... .... ...... . ..............
Plasm Wlfh the bmnd - bOiW .. . . ---------
luo/milik!lr8+torim davica ................... ............. ...........
Fc.srn@_yaifmsu~ (qwmWdes) . . .
&ii tihoul 90XUOIhtmTWIK4 kl avoid PM911WlCY
1~ . .......................................... ..............................
AlWi19r nwuwd
Phso Writsits n- b,low ------------
MWQ62 TO TNOSE WHO ARS NOT PNSGNANT ANO WHO HAVE NOT HAD
ANY OPERA- THAT PRSVENTS PREOfdANCY
WIWI of tha failowingmatkmd8of pmvmtlng pregnancyifmy,
am yuu, and youriIwt9nd/pwlnw usually USi18gat prasmtt7
If you had no saxual relationship, ring . . . . . .
If m nmthod Und ●t all, Iing .— . . ..--. . ..-.. -----
Nwingomarrnc+anmthc.ch,ringalltha
n~ that ●pply
W?4tWrawal .........................................................................
Stmamfmmdom.................................................................
Safo psdwMyttm mathod .......................... ......... ... .....
C@tifhagm ..................................................................
Colltmcspthwapange ........ .................... . ... ...................
Plk mid P4N(ping-n oniy) .. ..... ...... ..... ...............
PIN rnmbinedF411 (Includingmultl.plurncPtil) .. ...
Pin not- if rrirdor combined............. .... ...................
Pleaw wdta ma bmnd nm’m Lwlow.. . . . . . . .
Iuolcdblmm.utcdm &via .................. . ................ .......
Fon~oiww@Pornti@9 (8PcnMcidas)
GoinEwithoutamamlimerccwsc to avoidPmgmncy
Inja.dbns ............................................................................
AWthW ftWLhOd
Pleaaa W* its nama below ..... .... . . . . . . . . . .
MlarinE ..................................................................................
[01
[0]
PI
[0]
lo]
[1]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0]
[0)
1%
la%
5%
35%
5%
0%
o%
8?4
13s
3%
8%
0%
0?4
0%
o%
4?4
- Ralum formto
lntewiewr
Tafal n-r of
thnassnmmnd
Citad
I n = 106 I
— G0t0Ms6
— GOto WST6AB
1-Gat0MvAx3
12 A13

70 THOSE WHO DO NOT USE A METHOD AT THE PRSSENT TIME
Hem am some masons tir cd u~g a method. Which‘@y fa you and
your huaiw!d/pwlner?
~67EAB W4ntsd to have a bOby. ........... .... ........ ...... ... .. ...... ... . [6}
MWQ67 MEN
Unlkely to concewebwausa of menopauaa. . ............ . .... m
Mwa671NF
Unllkalyto concaivabecause~~bla infwflle
[2]
MWQ67UNS
Oo not i+keOXXracapt!onandlorfindmethodundatbfacfoty.... [q
MWQS7RSL
MWQ670TH
Againsltaachicqsof ohurchhmliqrnusM&f ..... ......................
An&har meson........................................................................
P1
[1]
Mining .... ..... ......... ........ ... .... ... . ... . ................. ..... [1]
Plea- WIit9 yOtlrma- below ....___-. ______
Mwass In the ha 2 yams have you (oryourhuz&nd/parirmr) u$adany of
the methodsof preventingpmgnancf Ii@@dMOW at MwQ597
Yes . ... ... ..... .... ........ . . . ... ... .... .. .... ...... .... [q
NO . ... .... ... ................ .......... ... ....... ....................... [1s]
Missirq ........ . . . . ..... ........... .. ..................... ............... [1]
Mwoss If you (or yourhuabmdlpwimr) usedone or morenmthodsin the
last 2 years, ring W the numbaf that apply.
Wnhdrawl ....... ......... . ......... ... ........ .... .................... [4]
Sheawcandom .................................................................
Safa pmiodlrhythmmethad
PI
[D]
C@4iaphngm .................................................................. [q
03nttampfive sponge . . . [0]
pin miniml (progwbmn only) .. ........ ........ . . . ......... P]
Pin combinedpill(Includingmum.phaaicpill)... .. .. ........
Pllk nQtsum if miniorCambimd
[q
Pfnsa writo the bmnd nmw below ___________ [0]
lUO/c&Uintm-IJfwinadovica .............. ............................... [01
Fowns/geW8piay#~mmias (spennicidea) ..................... [0]
Goktgwithnulsexualintwcoumato avoidpmgrmwy ....... [0]
Iwbns ....... .................. ............. ......... ....................... [0]
AnOfhwmethod
Plaau WlitOita name below _____________ [0]
Miaiw ... .... ..... .......... .. ... .... . ....... ... . . ....... [4]
14
1Ga toMWXW
P?cl
‘Goto MW05S
— Returnformto
Intmvlewer
‘Goto MkW.XS
Total msnbor of
UIIN8 ●IINthOd
Cwd
. n=ll I
I I
_ Retom formto
Intwviewer

“PP]UOuf-641(b)
SG
CONTINUOUS HOUSEHOLD SURVEY
CODING INSTRUCTIONS
1991-92
sh33a.5
i

9
14
c!
:
-4
fj
u v9●
:

CONTINUOUS HOUSEHOLD SURVEY
i
Dotmmc UTE POUNDAGE -’
FIELD 00-6
VALUES 122.4 - 168.13
------------------------------------------------------- ----------------------
DISTRICT COUNCIL DOMESTIC RATE
1 A2RIL 1991 ONWARDS
-----------------------------------------------------------------------------
1. Antrim 127.9
------------------------------------------------------------- ----------------
2. Ards 147.6
-----------------------------------------------------------------------------
3. mmagh 125.4
--------------------------- -------------------------------- ------------------
4. Ballymena 122.4
----- ----- -------------------------------------------------------------------
5. Ballymoney 131.2
------------------------------------------ -----------------------------------
6. Banbr~dge 131.2
---------------------------------------------- ------------------------ -------
7. Belfast 168.1
--------- --------------------------------------------------------------------
8. Carrickfergus 147.9
-----------------------------------------------------------------------------
9. Castlereagh 123.4
--------------------- ---------------------------------------------------------
10. Colerame 132.4
------------------------------ --------------------------- --------------------
11. Cookstown 127.4
-----------------------------------------------------------------------------
12. Craigavon 147.5
-----------------------------------------------------------------------------
13. Down 144.9
--------------------------- ---------------------------------------- ----------
14. Dungannon 123.7
------- ----------------------------------------------------------------------
15. Fermanagh 132.9
------- ---------------- ---------- ------ ------------------------ -------- ------
16 Lame 146.4
--- --------------------------------------------------------------------------
17. Limavady 129.9
-----------------------------------------------------------------------------
18. L~sburn 129.2
-------------------------------------- -------------------- -------------------
19. Londonderry 161.9
-----------------------------------------------------------------------------
20. Magherafelt 124.4
----------------- ------- ---------------------------------------------- -------
21. Moyle 151.0
-----------------------------------------------------------------------------
22. Newry and 140urne 133.5
-----------------------------------------------------------------------------
23. Newtownabbey 144.7
-----------------------------------------------------------------------------
24. North Down 146.3
------ -----------------------------------------------------------------------
25. Omsgh 141.3
-- -------------------------------------------------------------------------
26. Strabane 144.2
-----------------------------------------------------------------------------
3

CONTINUOUS HOUS?iEOLD SURVEY
Q~ INSTRUCTIONS
mEX CODE
DATE CODE OATE DATE
April lst-AprLl 7th 01 Sept 30th-Ott 6th 27
April 8th-April 14th 02 Ott 7th-Ott 13th 28
April 15th-AprLl 21st 03 Ott 14th-Ott 20th 29
AprLl 22nd-Aprd 28th 04 Ott 21st-Ott 27th 30
Aprd 29th-klay 5th 05 Ott 28th-Nov 3rd 31
May 6th-54ay 12th 06 NOV 4th-Nov 10th 32
nay 13th-ilay 19th 07 NOV llth-Nov 17th 33
May 20th-May 26th 08 NOV 18th-Nov 24th 34
May 27th-June 2nd 09 NOV 25th-Dee 1st 35
Juna 3rd-June 9th 10 Dmc 2nd-Omc 8th 36
Juna 10th-Jun= 16th 11 OOC 9th-Dac 15th 37
June 17th-June 23rd 12 Dec 16th-Oac 22nd 38
June 24th-Jun@ 30th 13 D-c 23rd-Dot 29th 39
JUIY lst-July 7th 14 o-c 30th-Jan 5th 40
JUIY 8th-July 14th 15 Jan 6th-Jan 12th 41
JUIY 15th-July 21St 16 Jan 13th-Jan 19th 42
July 22nd-July 28th 17 Jan 20th-Jan 26th 43
.7u1Y 29th-Aug 4th 18 Jan 27th-Fob 2nd 44
Aug Sth+ug llth 19 F-b 3rd-Fab 9th 45
Aug 12th-Aug 18th 20 F-b 10th-Fab 16th 46
Aug 19th-Aug 25th 21 F-b 17th-Fab 23rd 47
Aug 26th-Sapt 1st 22 Feb 24th-Mar 2nd 48
Sapt 2nd-Sept 8th 23 Har 3rd-Har 9th 49
Sept 9th-Sapt 15th 24 Mar 10th-14ar 16th 50
Sapt 16th-Scpt 22nd 2s Mar 17th-Har 23rd 51
Sept 23rd-Sept 29th 26 uar 24th-Har 30th 52
. 4

EOUSEEOLD TYPE A CODE
(02-3) Valuas 1-7
ladultaged 16-59 ............................................ 1
2adults aged 16-59 ........................................... 2
Small fanuly - 1 or 2 persons agad 16 or ova
and 1 or 2 parson8 agad under 16 ............. .. 3
Large fanuly - 1 or mor. paraons ag-d 16 or ovar
and 3 or nu.rc prsons agad under 16,
or 3 or morm pmrsonm aged 16 or ova
and 2 ~rsona agad under 16 . .................. 4
Larga adult - 3 or moze persona aged 16 or ov-r,
household with or w>thout 1 parmonm aged under 16 ........ 5
2 adultm, 1 or both aged 60 or ovar ..... ...................... 6
ladult agad 600r over ........... ... ........................ 7
Youngest Parson
aged O-4 -
Youngmst P9rs0n
aged 5-15 -
3 or ❑ora
adults -
EoUSCEOLD TYPE B CODI?,
(02-4) Valuma 1-7
SECODE VMJJS 3, 4, 5 abova Into the following: 1 and 2
as above
1 or ❑ore prsonm aged 16
or ovar and 1 or more prsons
agmd undar 5 ......... ...................... 3
1 or mora pasons agmd 16
or ovmr and 1 or mora parsons
aged 5-15 .................................. 4
3 or more prsons ●gad 16 or
over and no onm ●ged
undar16 .. ...... .............. ............. 5
6 and 7
as above
. 5

—
FINAL 0uTC060?,OF EOUSSEOLD
(a)
(b)
(c)
(d)
(9)
NE
EOUSEHOLD SCSSDULC
EOUSEEOLO RESPONSE
(Raqon.a [02-s] Vslues 1-5)
Fully Co-operating Household .. .............................
This i- whare ●varyona ova tha age of 16 in the hou=ahold
havs co-operated fully to all sections of the survey.
Fully co-opOratlng and PrOxy ...............................
ThM la whera ●varyono whom you war- sbla to mtarvlcw
co-operated full y to all #actions ●nd for those who could
not be cent actmd a proxy schedul~ was camplmtmd.
Psrtial mtarv~aw ... .......................................
This La whara on= or mora adults rafusad to co-opsratm.
Incomplete information ....... ........... ..................
Is a combLnat ion of paragraph a-c abovm togathar w~th onm
or mora adults refusing cartain nection or top~cs of the
indlv>dual schadula.
Houaahold schadula only ....................................
This is whcra all adults r-fusm to co-opmrata on the Individual
schadule, but household schedu la is ach~evad.
If You disagreo w >th t ho raqona. at atmd by f~ald sect ion r-cord in rad on
summary shiat n-t ra8ponsa plus raasonm and rafar to au~rvisor at ●nd of
Satch waak.
STSNDASD OF INTS2RVISNERS ‘ WOSS
P19amm stata clearly on budgat report Lf you foal intommwar ham not chackod
and complated schadula= giving n=ce*_~ ●vzdenc~. If interv~awar has not
clearly chackcd work rafar to suparvLsor at ●nd of Batch waak.
1
2
3
4
5
6

Y aa3 m 4
\N
4
\
z
uco6
,

DON eT SIZOW/NISS ING DATA/RXTUSAL
Don’ t know = -1 Remember to ~nsmrt Iaadmg zeros ~f moro than
2 boxas .
Mmua s~gn should be entmrad in fust box of
f~eld with the figurm ~n the laat box.
●9 - 001
!hssing . -2 Rammnber to lnsart zaros as explained sbova.
Refusal . -3 Ramembmr to Lnsert zeroe as ●xplained above.
[PPRU]-UDuf-640(a)
SC
0001

_—
Employment Status ~ EHp
—.
Q1O(C)
.—
Undw s
/ 0009-00
I
I
I
l—
WINTER
2
_.. —
2
Values -3-8
Code emplo~en t status of
each person. See
explanatory notes overleaf
Vorklng full-clme .... ....1
Vorkmg part-time ...... . .2
Unemployed ......... ......3
At schoO1/cOllege .........4
(-
Reured .-...........-.....5
Keeping house ............-6
Government scheme .... ...+~
Other economically
Inactive ........... . ..= >
Values -3-U
Coda ❑un or only ❑athod of
heat ing Ln ~
Cantral heating. ....... ..01
open fira .......... ......02
closcd fira ........ .. ...03
range .............. ......04
●lactric firelfan haatmr .05
dmplax radimtors .. ......06
paraffin heatar .... ......07
suparmar type gas heater .08
otha gas fua ...........09
dLStriCt heating systeLu .10
othar spcLf y (raf=r all
c.ssae to supermsor) .....11
.—
. 9
.—

Alcoholznm .... .........01
Allergiaa/Phob~am ...... 02
Appendacit~s .............03
Arthr~tia/Lumbago/
P.h*umati.am .... .. ... .04
Asthma ................. .0S
Back tzoublms and
asaociatad illness-s. . ..06
Blood diaordmrs ganeral /
v9rtig0 . ............. .07
Blood prmssura .... ...08
aonas (broksn ) ..........09
bronchitis ...............10
Cancer (undafinad) .......11
Chart problans
(undaf had ) .............12
Colds/flu ......... ......13
Circulation (bad) ........14
D*pr*9si0n/n*rvas ..... 15
Diabmtmm ... ........ ....16
Olmsblmd physically . . . . 17
Epilapmy ........... .....la
GallMaddar troubln ......19
Ganmtic LllnGss/
abnocmalitics ...........20
Glandular troub19 ........21
Gynaacological problams ..22
Haenorrhoids .............23
Hmdachms/migra~ne .. ....24
Hmaring problems .........25
N8art /stroka/CNO [Lnc
rhaumatic favar) ........26
Harnaa .... . ............27
111 health ganmral .......2S
Infactlons ganaral (not
col,ds/flu) ......... ....29
Kidnmy problems ..........30
Llvcr complafita .........31
Lhbtroubla .............32
nultip19 sclarosis .......33
hSCUhS dystrophy ......34
Neurological illnasaam
(by Psrklnaons oisaasa) ..35
Oldagw ..................36
wsp~ratory probloms
(other than bronchitis) ..37
Sight problmno ...........3E
Skin problam ............39
Spa*ch lm~dknt ........40
Stmach problamm/dlgmativm
tract ., ..................4l
Thyro~d gland ............42
Ulc*rm (Lntmrnal ) ........43
Ulc*rati0n9/abcm maa8
(axtarnal) ..............44
Vsrica.e “mind ...........45
Other ....................46
Try to fLt into tha abova
catqorias bdorm rafarrlng
to cuparvisor

—
Quastlonnaare R= f
Qumst~on No
Housahold schedule
Front page
H/H Identlflcatior
number
Household number
DMtrlct Council
Elactoral Ward
Rate Poundage
Housmhold
Ident ~ty
ID No
H/H No
DC
R Poundaga
HOUSEHOLD SECT ION
No of
aOx*s/
Characters
5
2
2
2
3
4
Cadang Instructions/Remarks
This Smction - always be
completed. RIIy problems
should be quar~ed with F=eld
Section vza your suprv~sor.
Values 0000 1-49999
5 d~g>ts ramembar leading
zeros.
Valu. s 01-o!l
Enter household numb-r uszng
leading zero.
valu*8 01-26
Th~s should always be
complatad by mtarv~ewers.
If m any doubt re for to
auparvisor.
~s 01-52
Th~s should alwaya be
complatad by intcrviewar.
If m any doubt plaass
r* far to supervisor.
~ ool-99~
Th~s should always b=
complated by intarviawers.
Howavar if the ratmabla
Vah19 ap~u, tO be V9ry
mmal 1 or ~ntorviewer has
LndiCatid some doubt - rmfar
to supnisor.
valuem 2nu4-2scl
:hack date of mtarvhw as
rat● pxndaga changas ●vary
4pril. R. far to approprxatm
:oding frama and mmert
:OrreCt ~ ratm
?oundagm for that District
:ouncil.
11
y:,.

Quastaonnaara Ref
Quast~On No
Rate Poundage
(cont~nued )
Codug Sh=et I No of
Rmf ●mncm
s0x9s/
Charact_ra
I
Codang Instructions/Ramarks
Tha column on paga 1
gives tha rata poundages from
1 April 1991 to 31 March 1992
Grid/ Front Pago Housahold This Scctlon must always
b- completmd. Check al 1
Lnf Ornmt Km from Grid be fore
entering any values.
Intervlewar’s
Authority Numhr
Inter No
Staxt Lng date of wkjyeaz
mtarvlew
Finishing data of
~nt ●rv LOW
Total no of H/H9
at addres a
Total no of
parsons Ln H/H
Total No of adults
(16+) in H/H
Total no of
personm
~ntarviewed
I
wk~ Y*U
HHs 2
PERS 2
AOOLTS 2
HUNBER 2
3
4
4
=1 ues 001-99~
Insart Lntorviawar’ s
author Lty numk.ar.
Entar w--k from coding
fraou on paga 2. Year =
91/92 .
Ent9r waak from coding frame
on pagm 2. Year = 91/92.
values .- 5
Enter total numimr of
houaeholda ●t addrasa .
~ . .
Entmr total number of paopla
in household. [NE should
corraqond to highoat valua
of parson numb-r (include
chLldran) .]
yQAOs .-
Entar total numb-r of people
16+ in hous-hold.
~ues = oo-~
Enter total number of adults
(16+) who co-o~rat.d •~ther
fully or partially. [NE Do
not ~nc luda non-contacts or
indiv~duala for whom proxy
schadulea ware complatad. ]
12

Questionnaire Ref Coding Sheet No of
Quest ion No Reference BOxas/
Characters
Household Type A TA 1
Household Type B TB 1
Response RESP 1
GRID /FRONT PAGE CHILDRSN
.
,,
“
o-1 1.
2-4 1
s-7 1
8-1o 1
Coding Instructions/Remarks
Values = 1-7
Code as per coding frame on
page 3.
Values = 1-7
Code as per coding frame on
page 3.
Values . 1-5
Code response when VOU have
finished- coding all”
schedules relating to
household.
Fully co-op household. .....1
Fully co-op and Proxy .....2
Partial interview .........3
Incomplete information ....4
Household schedule only ...5
See page 4
NB If you disagree with
response rate stated
record on summary sheet
in red together with
explanation and refer to
Su~rvisOr.
This section only applies if
children in household.
Valuee = o-4
Enter number of children in
household aged O to 1
(inclusive)
Values = O-4
Enter number of children
in household aged 2 to 4
(inclusive) .
Values . 0-4
Enter number of children in
household aged 5-7
(inclusive) .
Values O-4
Enter number of children in
household aged 8 to 10
[inclusive) .
13

:.
Qu8stzonnaare Raf Coding Shmst No of
Qua8t~an No Rmf ●rmncm B0x9s/
Characters
Coding Instructions/R9marks
GRID /FRONT PAGE 11-12 1 Values o-4
Entar numhr of children ~n
household ag8d 11 to 12
(LncluslvO) .
.
.
13-15 1 Va 1Uem o-4
Entar number of chddran ~n
household aged 13 to 15
(inclu#Lva) .
16-18 1 ties o-4
Enter number of ch~ldren ~n
housmhold aged 16 to 18
(Lnclumivm) . [NB a ch~ld
LS def~nad for the purp-asas
of CHS am a d*pendmnt ch~ld
benefit LS payable and tha
child La still attending
fu n-t M!* secondary
education (not furthor ) ]

Questionnaire Ref
Question No
Q1
Q2
Q2
Q3
Coding Sheet
Reference
Q1
Q2
E
Q3
No of
BOxOS/ Coding Instructions/Remarks
Characters
2
2
Values -3-12
T.me of Buildinq
Whole house detached .....01
Whole bungalow detached ..02
Whole house/bungalow -
semi-detached ..........03
Terraced house or terraced
bungalow ...............04
Purpose-built flat or
maisonette .............05
Part of house/converted
flat or maisonettejrooms
in house ... ............o6
Owelling with business
premises ...............07
Rural cottage ............08
Split level ..............09
Prefab ...................10
Caravan ..................11
Other specify (refer to
supervisor ) ............12
Values -3-06
Ac?e of Accommodation
before 1919 ..............01
between 1919 and 1939 ....02
between 1940 and 1944 . ...03
between 1945 and 1964 . ...04
1965 or later . . . . . . . . . ...05
Don, t know . . . . . . . . . . . . . . .-1
(N/A caravan, mobile home
etc ) ...................o6
I
1 Values -3-1
If the informant or
interviewer have estimated
the age of House then there
should be ‘E’ opposite code.
I
It is an est”lmate code . ...1
I f not code . . . . . . . . . . . . . . . 0
2 Values -3-98
HOW many years has Head of
Household been at address?
IEnter number recorded -
less than lyear .........Ol
I
since birth ..............98
;
A5

Quastionnaara R-f tiding Shaat No of
Questaon No R-f ●ranca Box88f
Characters
Q4(A)
Q4(A)
Q4(A)
I 1
I
I
Bcdnn
LLvnn
IBt hrm
I
I
2
2
I2
Q4(A) Kitch 2
Q4(A) Ot ha 2
Q4(B) Q4B 2
Q5A Q5A 2
Q5A(I) Q5A(L) 2
Codang InstrUctiona/nemarks
-s .- U2
Number of bedrooms
~as --
1
Number of lLving room.
~ea -- 05
Numb-r of bathrooms
Values -- 03.
Number of kitchens
~ues -3-09
Number of othar rooms
~ues -- 32
Total numbar of rooms
[Alwaya ●nsura that the
total number of rooms
corrasp-and with tha total
of roouu mant~oned, check
intarvl-wa’s totals]
~*s -- 08
Ownad outright ...........01
B-mg bought on a !martcJaqef
loan ............... ...02
co-ownarsh~p .............03
Rant-d from Housing
Exacut iv- ............ .04
Rant-d fram Housing Assoc. 05
Rantad prLvataly .........06
Squatt Lng ... .............07
Rant Frem .... ........ ....08
Rent colleC ted by
eha landlord .. ....... ...01
an agent ......... .. .02
[AII agRnt LS a th~rd party
pa~d co collect rmnt from
tenants. ]
16

Questionnaire Ref 1 Coding Sheet No of
Question No
Reference
SOxesj
Characters
I
I
Q5(B) Q5B
I
2
I I
I
I
I
I
Coding Instructions/ Remarks
Values -3-02
Sheltered Accommodation
Yes . . . . . . . . . . . . . . . . . . . ...01
No .......................02
Q5C Q5C 2 Values -3-02
Furnished ................01
Unfurnished/pa.ctly
furnished ..............02
Q5D Q5D
Q6 / Q6 12
cHECK A
I
2
I
Values -3-02
Are business Dremises
included
Yes ......................01
NO .......................02
Values -3-Q~
I
Does accommodation ao with
~
Yes ......................01
No .......................02
CHK A 2 Values -3-03
Buying with mortgage floan
(inc. co-owners ) .........01
Cwned outright ...........02
Renters/rent free. ........03
Q7 Q7 2 Values -3-09
Who provided the mortgage/
loan
building society .........01
NI Housing Executive .....02
Insurance Company ........03
Bank .....................04
Solicitor ................05
Relative .................06
an employer ..............07
private individual .......08
other specify (refer such
cases) ................09
, -.

Qa
CHECK 8
Q9
Q1O
CHK B
Q9
Q1O
No of
B0xa8/
Characters
2
2
2
2
Cod~ng Instruct zons/ Ramarks
Values -3-02
tie you r9c.sLvlng Hous Lng
B0nef~t7
r-s ................. ......01
No ........................02
V41”C19 -3-02
Anyone aged 16 or ovmr, apart
from HOH/sgouse Ln the
hou,ehold?
Y9S ......................01
No ............. ..........02
Values -3-02
Anyone ●1s0 racaiving
Houa Lng Ban-f it?
Yms ......................01
No .......................02
Valu*s -3-01
00 you havm any form of CH
(Lnc ●lactric storaga
haatcrs ).
No .......................01
ran - Full ...............02
ram - Partial ............03
OK .......................-1
(sac Lntm7vi*wmrs
mstructiona )
18

Quaat,onnaxra Ref Codang Sheet No of
Quastlon No Rmferencm Box*s/ Codang Instructions/Ramarks
— Characters /’--
Q1OA Q1OA 2 Values -3-02
Q1OA( L ) amount Q1OAL ant 5
3=E 2=P
Central heat ~ng part of a
d~strLct/comrunal heat~ng
system.
Yes ................... 01
No .. ... . ..... . . 02
yalue -3-70000
Enter amount pa~d
Q1OA( L ) period PER 2 v~ -3-08
Enter ~rmd code from
coding franm on paga 5.
Q1O(B) Q1OB1 2 values -3-o&
Othar mathodn of heat~ng
(apart from CH )
Q1O(B) Q1OB2 2 -s --1
0p9n fire?
Yas ......... .............01
NO ..................... .00
Closad f~re?
Yes ......... ..... ......01
No .......................00
Q1O(B) Q1OB3 2 ~es
Rang,?
--
1
Yes ......................01
No .......................00
Q1O(B) Q1OB4 2 ~es --
Elactrac Fu9/Fan Haatar~
Yes ......................01
No ...... . ... ..........00
Q1O(B) Q1OB5 2 Valuas --
1
D ~mplex RadMtors?
Yes ... .... ........... .01
No ....... .... ...........00
\
\
19

QumstaonnaLr9 Ref Cod~ng Sho*t No of
Questaon No R-f ●rmnca Boxms/ cod~ng Instructlon8/ Ramarks
characters
I I I
Q1O(B) Q1OB6 2 Values -3-oa
Paraffin Heatar?
Q1O(B) Q1OB7
Q1O(B) Q1OE8
Q1O(B) Q1OB9
Q1O(E) Q1OB1O
I
Q1O(C) WINTER
Q1O(C) SUXNER
I
I
I
I I I
II
‘2
2
2
2
Y*U . . . . . . . . . . . . . . . . . . . ...01
No . . . . . . . . . . . . . . . . . . . . . 00
-s --
L
SupCrS*r Type Can Hoater~
Ye, . .. .................01
No . ............ ....... 00
*OS -- 01
Other Gas fir=?
Yes .. ................ .. 01
No . ............... . .. .00
Values -3-04
Electr~c Storage heatmrs*
r-s ........... ..........01
NO ................... ...00
Valuea -3-01
Other specify
Y*S ......... ............01
NO ................... ..00
2 ~os -3-U
Coda mam or only method of
haatmg m ~
2 values -3-14
Cantral heating. ....... ..01
openfua .......... ......02
closad fir- ........ ......o3
rang= ...................04
electric fira/fan haatar .05
d~mplax radiators ... ....06
paraffin heater ..........07
suparser type gas haatar .08
othargu f~ra ...... .....09
d~str~ct heating system . 10
othar spec Lfy (refer all
camn to sup*rvmOr) . ..11
code ma~n or only ❑athod of
h-at Lng ~n SUIIMIO

Questionnaire Ref
Question NO
Q1l(A)-(G)
COAL (ordinary)
(GRID )
Q1l(A)
GRID (A)
Q1l(B)
GRID Cal (B)
Q1l(C)
GRID Col (C)
Q1l(C)
GRID Col (C)
Q1l(D)
GRID Cal (D]
Q1l(E)
GRID Col (E)
Q1l(F)
GRID Col (F)
Q1l(G)
GRID Col (G)
Coding Sheet
Reference
No of
Boxes/ Coding Instructions/Remarks
Characters
1
COAL The information in the use
of coal, cost and number of
weeks (consumption)
USE 2 Values -3-1
Use fuel - enter 01
WATER 2 Values -3-1
Use coal to heat water -
enter 01
wINTER 2
I
Use coal for heating in
winter - enter 01
sU14w13R 2 Values -3-1
Use of coal for heating in
summer enter 01
cmK
QTY
cost
2 Values -3-1
Use of coal for cooking -
enter 01
1
2 Values -3-40
Enter number of bags (50kg)
If small bags refer to
supervisor
1 ton = 20 bags
5 Values -3-40000
3=E 2=P Enter cost of last purchase
Wks 2 Values -3-52.
Enter number of weeks last
purchase will last
&l
r-

. .
Quwtxonuaar, Rmf Coding Shaat No of
Qumstaon NO Raf 9r9nc9 SOxmsf Codang Instruct~ons/Ramarks
Q1l(A)-(G)
COAL SMOKELESS
(GRID)
Q1l(A)
GRID (A)
Q1l(B)
GRID (B )
Q1l(C)
WINTER
GRID (C)
Q1l(c)
SUMNER
GRID (C)
Q1l(D)
GRID (D)
Q1l(E)
GRID (E)
Q1l(F)
GRID (F)
Q1l(0)
GRID (G)
Cosx
Characters
APPILm* tO all thosa who U*9
coka or smokalmss fuel
USE 2 values -3-1
Us= fuel - enter 01
WATER 2 ~ --
WINTER
SUN14ER 2
Umm cokalsmokalosn fuel to
heat water - ●ntar 01
2 Valuae -3-1
Uee cokm/smokelmsa fual to
h-at Ln wintar - enter 01
V.aluaa -3-1
Us* cokoismokmlmnm fuel to
h-at m summa-r - ●nt-r 01
CWK 2 Values -3-L
Us-s coka/smokmlass fuel to
cook - mntar 01
Qty 2 Values -- 40
Want xty Enter numbar of
bags (50 kg) If small bags
refer to suparvleor 1 ton =
20 bags
cost 5
3-E Z=p
2
~ms -- 4000Q
renter cost of last purchase
-s -- 52
Dntmr numb-r of waaks last
?urchaee WL1l last
22

Questionnaire Ref
Question No
Q1l(A)-(G)
GRID
PEAT/L=S ETC
Q1l(A)
GRID (A)
Q1l(B)
GRID (B )
Q1l(C)
GRID (C)
WINTER
Q1l(C)
GRID (C)
SUMMER
Q1l(D)
GRID (D)
Q1l(E)
GRID (E)
Q1l(F)
GRID (F)
Q1l(G)
GRID (G)
@d-
Coding Sheet I No of
Reference Boxes/
Characters
PEAT/LOGS
1-
USE 2
WATER 2
WINTER 2
SUMMER 2
COOK
1,
I
I
2
Qty 2
cost 5
3=E Z=p
I
I
I
Wks 2
.~@-1+ .%
Coding Instructions/Remarks
Applies to all who “se
peat/ 10gs
Values -3-1
Use fuel - enter 01
values -3-1
Use peat/logs to heat water
- enter 01
Values -3-1
Uses peat /logs to heat in
winter - enter 01
Values -3-1
Uses peat flogs to heat in
summer - enter 01
Values -3-1
Uses peat/logs to cook -
enter 01
values -3-Z Vi
Quantity: Enter number of
bags. Refer any unusual
respanses to supervisor.
(Eg Rented Banks etc )
Values -4-35&%3 lSCeO
Enter cost of last purchase
Free = -4
Values -3-52
Enter number of weeks last
purchase will last.

Quastzonnaara R-f
Quastaon No
Q1l(A)-(G)
GRID
LPG (Calor )
Q1l(A)
GRID (A)
Q1l(B)
GRID (B)
Q1l(C)
GRID (C)
WINTER
Q1l(C)
GRID (C)
SUWKSR
Coding Shaat
R-f ●rancm
LPG (Calor)
(Storage Tank)
No of
BOxu/
Charzctars
h
Codang Instruct~ons/Rmmarks
APPIIeS tO all who US~ LX
( CALOR/STORAGE )
USE 2 Valu es -3-<
Use fuel - enter 01
WATER
WINTER
sOlM3R
2
2
2
Value8 -3-1
Us- LPG (Calor) to h-at
water - ●nt9r 01
Valu ●S -3-
Usas LPG to heat m winter -
●nter 01
-es -- a
Us-s LPG to h-at in winner -
●nt-r 01
Q1l(D) COOK 2 we -- <
GRID (D) Ueea LPG for cooking -
●ntar 01
Q1l(E)
GRID (E)
Q1l(F)
GRID (F)
Q1l(G)
GRID (G)
WY
coat
Wkm
2
3-E 2=P
2
~ -- OOQ
Entar numkr of lLtras
-es -- 75000
Entar cost of last purchase
W*U -- 52
Enter numhar of wemks last
purchasa WL1l last.
24

Quest ionnaire Re f
Question No
Q1l(A)-(G)
GRID
LPG Calor
Cylinder
Q1l(A)
GRID (A)
Qll(c)
GRID (C)
WINTER
Q1l(c)
GRID (C)
SUMMER
Q1l(E)
GRID (E)
Q1l(F)
GRID (F)
Q1l(G)
GRID (G)
Coding Sheet
Reference
LPG Cylinder
Heat ing
USE
WINTER
SUMMSR
Qty
cost
Wks
No Of
Boxesf
Characters
2
2
2
4
5
3=E Z=p
2
Coding Instructions/Remarks
Applies to all who use
bottled gas for heating
Values -3-1
Use fuel - enter 01
Values -3-1
Uses bottled gas to heat in
winter - enter 01
Values -3-1
Uses bottled gas to heat in
summer - enter 01
Values -3-0104
Enter quantity in pounds
(one ‘super-ser o type
cylinder = approx 25 lbs -
largest cylinder = approx
104 lbs )
Values -3-~ +0~00
Enter cost of last purchase
Values -3-51
Enter number of weeks last
purchase will last
f

Q.m8tL0r.ulaLrm Ref Coding Shaet No of
Quastlon No Raf ●mce s0x8s/
Characters
011(A)-(G)
GRID
LPG Calor Cyllnder
Q1l(A)
GRID (A)
Q1l(D)
GRID (D)
Q1l(E)
GRID (E)
1 1
LPG Cyl Inder
Cooking
Coding Instructions/Remarks
APPIL~S tO all who U3_
bottlod gas for cook~ng
USE 2 Valuee .-
L
Use bottled gas to cook -
enter 01
CWK 2 Valu ●s -3-
Code as (A) sbova
Chack that values are entered
for both (A) and (C) Lf
bottlad gas M used for
cook~ng
Qt y 4 Values .- 104
Ent9r quantity m pounds
( one ‘ super-ser o cylinder =
approx 25 lb- - largact
cylmdar . approx 1D4 lbs )
Q1l(F)
cost
5
v -- 4
GRID (F) 3-E 2=P Enter coet of lant purchase
I
I
I ‘e” 3 “o”
Q1l(G)
GRID (G)
Wks 2 Values -3-52
Enter numb-r of waaks last
purchaaa WL1l last
26

Questionnaire Ref Coding Sheet No of
Question No Reference Boxes/
Characters
Coding Instructions/Remarks
Q1l(A)-(G) Paraffin Applies to all who use
GRID paraffin
Paraffin
Q1l(A) USE 2 Values -3-1
Use fuel - enter 01
Q1l(B)
GRID (B)
Q1l(c)
GRID (C)
Winter
Q1l(C)
GRID (C)
Summer
WATER
WINTER
SUMMER
Q1l(D) CODK
GRID (D)
,,
Q1l(E) Qty
Q1l(F) cost
GRID (F)
Q1l(G) Wks
GRID (G)
I
2
2
2
Values -3-1
Use paraffin to heat water
enter 01
Values -3-1
Uses paraffin for heating in
winter enter 01
Values -3-1
Uses paraffin for heating in
summer - enter 01
2 Values -3-1
Uses paraffin for cooking -
enter 01
4 Values -3-100
Quantity
enter quality in litres
5
3=E Z=p
2
NB If gallons convert to
litres (4.5 Litres =
1 gallon)
● If more than 10 gallons
refer to supervisor
Values -3-03000
enter cost of last purchase
Values -3-53.
enter number of weeks last
purchase will last
r
L?

QUestaomaar- Ref
Quastaon No
Q1l(A)-(G)
GRID
OIL
Q1l(A)
GRID (A)
Q1l(S)
GRID ( S )
Q1l(C)
GRID (C)
WINTER
Q1l(C)
GRIO (C)
SUMNER
Q1l(0)
GRIO (D)
Q1l(E)
GRID (E)
Q1l(F)
GRID (F)
Q1l(G)
GRID (G)
t
Coding Sheet
R9f ●rmnce
oil
USE
No of
Boxms/
Characters
2
.- .
Codang Instructions/Ramarks
.Wliea to all who use Od
values -- L
Usa fud - ●nter 01
WATER 2 J@ues -3-L
US* OL1 to haat watar -
renter 01
WINTER 2 -s -- 1
WE-C OL1 for heating ~n
wuker - ●ntmr 01
SUNWER
caoK 2
Qty 4
coat 5
3=f 2=p
2 value, -3-1
US*9 OL1 for heating ●nsnar
- ●ntar 01
valu*9 -3-L
us- oil for cooking -
●ntar 01
~ -- 270Q
●ntor quantity in l~tras
Lf gallon- cOnv*rt to litr*s
Thare are 4.5 lltras m a
gallon
V.sluos -00003 -7000Q
●nter cost of last purchase
ifks 2
-es -- 52
enter number of w--ks
purchase WL1l last
lam
28

Questionnaire Ref
Question No
Q1l(A)-(G)
GRID
Electricity
Q1l(A)
GRID (A)
Q1l(B)
GRID (B)
Q1l(C)
GRID (C)
WINTER
Q1l(C)
GRID (C)
SUMMER
Q1l(D)
GRID (D)
Q1l(F)
GRID (F)
Q1l(G)
GRID (G)
Coding Sheet
Reference
Electricity
NO of
Boxes/ Coding Instructions/Remarks
Characters
USE 2 Values -3-1
Use fuel
I
I
Applies to all who use
electricity
WATER 2 Valu es -3-L
Use electricity to heat
water - enter 01
WINTER 2 Values -3-1
Uses electricity to heat in
winter - enter 01
SUMMER 2 Values -3-1
Uses electricity to heat in
summer - enter 01
I I I
CCQK 2 Values -3-1
Uses electricity to cook -
enter 01
cost 5
3=s Z=p
Values -0003-50000
enter amount stated at last
(quarterly) account.
Remember HP payments and
arrears should be deducted
Wks 2 Values -3-S2
Enter number of weeks last
advice covered.
If informant pays
electricity by any method
2-7 at Qll (H) then
remember to check that the
guarterly advice has been
entered here and that the
month lyfweekly payments have
been entered at Qll (I ).
Therefore period in grid
should usually be 13 weeks.
r

, .:.
. .
*.
QumstLonnaAra Ref I Codang Shaot I No of I
guest~on No
Rmf ●rancm
!&xas/
Characters
Codang Instructions/Ramarks
I
I
I
Q1l(I) Q1lI 2
Q1l(J)
Q1l(J)
However ~f payment LS mad.a
by slot mater the advice
not Lca may only be g~ven
whmn tha mmtmr LS ●mpt Lad.
Account ........... .......01
Wmakly umtals .. ... ......02
Monthly mstals .. ......03
Sudgcit AjC ... .. ..... ...04
Coco .....................05
Slot mmtar ........... . 06
DHSS Oirect Payment .. . 07
Q1lJ 5 ~os -3-3000Q
3=E 2=P APP1 LOS to ●l1 codod 2-7 at
Q1l(H) (alact)
Per 2
Enter amount thay paLd last
t unm by mathod stat-d at
Q1l(EE).
Valu.s --
Entmr pmrLOd coda from
coding fram on paga 5
Q12 Q12 2 ~umn --
2
Purchased
12 months?
cook-r In hat
I I
Q12(A) Q12A 2 WU.m -3-07
Yes . . . . . . . . . . . . . . . . . . . ...01
No . . . . . . . . . . . . . . . . . ....02
ThinkuIg about cook-r you
baght , W9r* YOU: -
purchasing a cooker for tho
Clrst tl.ma ... ... ........01

Questionnaire Ref Coding Sheet No of
Question No Reference Boxesl Coding Instructions/Remarks
characters
Q12(B)
Q13
Q13
Q12B
I I
PHONE 2
New/Rep
2 Values -3-04
I
I
2
I
replacing your old cooker
with one of the same
type ........ ............02
changing from a gas/solid
fueljoil to one using
electricity .............03
changing from a gas/solid
fueljoil to one using gas
and electricity .........04
changing from an electric
cooker to one using gasl
solid fuel/oil ..........05
changing from an electric
cooker to one using gas
and electricity .........06
other ....................07
Type of fuel used: -
electricity ..............01
gas ......................02
gas and electricity ......03
other ....................04
Values -3-03
a te Lephone
Yes . . . . . . . . . . . . . . . . . . . ...01
No .......................02
Got in past 12 months ....03
Values -3-02
New ......................01
Rep lacement ..............02
JI
~,..

0 .u
K)
1-
I.1
.
N
w
.
N
N
CIZ*
Oom
I-tin
1-. .
5..
1-::
g:.
t- t.:
. .
1-. .
N..
3::
0..
s..
n..
z..
● . .
. .
. .
. . .
. . .
L&&
Lowe
mz
+$
w,
n.
m.
g:
(IZ*
006
mm
r..
2..
. .
1-. .
m..
● . .
l-t. .
i-r:
. .
. .
. .
. .
. .
., .
. .
. .
. .
., .
. .
Lb
w!-
. .
E:.
3::
0..
5..
I- r..
z..
m..
. .
.,.
. . .
. . .
L&&
Uuw
Ziz
;:
m.
::
B.
● .
s.
l-t.
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
L&
t.l!-
Z*
09
●
,.
. .
,.
. .
,.
. .
. .
. .
. .
.,
. .
,.
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
:s’
‘&G
lm

Questionnaire Ref
Question No
Q13
Q13
Q13
Q13
Q13
Q13
Coding Sheet
Reference
DW
New/Rep
TT
New/Rep
AUT
New/ Rep
No of
Boxes/
Characters
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-03
a dishwasher
Yes ......................01
No .......................02
Got in last 12 months ....03
Values -3-02
Dishwasher
New ......................01
Replacement ..............02
Values -3-03
a twin tub
Yes ......................01
No .......................02
Got in last 12 months ....03
Valueg -3-02
Twin tub
New ... ...................01
Replacement ..............02
Values -3-03
an automatic
Yes ......................01
No .......................02
Got in last 12 months ....03
Values -3-02.
Automat ic
New . .....................01
Replacement ..............02

(@eat umnaxrm Re f
Q13
Q13
Q13
Q13
Questaon No
>. L J.
Codang Sheet No of
Rmf ●rmnce Soxasl Coding Instructions/Remarks
Characters
W-D
New/Rep
T-D
Q13 C TV
Q13
I 1
I2
INew fRep 2
I
New fRap
Q13 c NO 2
I
I
2
2
Valu es -3-03
a wamhor/drier
Y*S ... . .... ...... ..01
No ... ...... ....... . .02
Got Ln last 12 months .03
v -- 0
wamhtar/dr~mr
I ‘“es32
N-w ......................01
Rmplac9mmnt ..............02
Values -3-O?
Tumble drier
Yes .. ..... ....... .01
No .......... ....... . 02
Got Ln last 12 months ....03
v -3-o
Tumble dr~ar
I ‘es 2
New .......... ... ....01
Replacmmant ......... . ..02
2 Valuea -3-03
a colour TV
I I I
2
Yes ......................01
No ...... . .... . ........02
Got Ln last 12 months ....03
v -- 0
I-”a” Colour TV
Now ........... ... ....01
Replacammnt ..... ..--- .02
~as -- u
APPILOS Only to thoaa codad
010r03at Q13-CTv
Entar JM@SK of colour
tmlev LsLOns

Questionnaire Ref Coding Sheet NO of
Question No Reference Boxes/ Coding Instructions/ Remarks
Characters
(213 BW TV 2 Values -3-03
Black and White ‘rv
Q13
I
Q13 BW NO
I
New fRep 2
Q13 VIOEO 2
Q13
Q13
Q13
New /Rep
SSTTL
New/Rep
I
Yes ........... ...........01
No .......................02
Got in last 12 months ....03
Values -3-02
Black and White ‘rv
2 Values -3-12
I I I
2
2
2
I
New ......................01
Replacement .... ..........02
Applies only to those coded
01 or 03 at Q13 B/w
Enter ~ of black and
white televisions
Values -3-03
a v idea recorder
Yes ......................01
No .......................02
Got in last 12 months ....03
Values -3-02
Video recorder
New ......................01
Replacement ..............02
Values -3-03
an electric kettle
Yes ......................01
No ............. ..........02
Got in last 12 months ....03
Values -3-02.
Eleczric kettle
New ......................01
Replacement ..............02
~..

Q13
Q13
Q13
Q13
Q13
Q13
I I
M- WAV
New/ Rep
I
No of
*.
Boxmsf Codxng Instruction8/Ramarks
Characters
2
2
v .a
micro-wave ovmn
I ‘m” 30’
Yen ..................... 01
No ................ .......02
Cot m last 12 months ....03
v
HLcrO-wavO Ovan
I alue’ 3-02
New . .....................01
Replacammnt ..............02
MIXER 2 Val u-s -3-03
an ●lactr~c foodmixer
TOAST 2
I I
2
I
Y*9 ......................01
No . .. ..................02
Got m laat 12 months ....03
N-w ......................01
Replacmmmnt ..............02
Valu*s -3-03
a toaster
ram . ... ...... ... .....01
No ................. .....02
Got ua last 12 months ....03
N*u ......................01
Rapl.acamant .. ...... ......02
Q13 VAC 2 Valuee -3-03
a vacuum clean-r
Yes ...... ............ ..01
No .......................02
Got in last 12 months ....03

Questionnaire Ref Coding Sheet
Question No Reference
Q13 I New/Rep
Q13 I MOWER
Q13 New/Rep
Q13 HI-FI
Q13 I New/Rep
Q13 COMP
Q13 NewjRep
I
I
No of
Boxes/
Characters
2
2
2
2
2
2
2
Coding Instructions/ Remarks
Values -3-02
Vacuum cleaner
New ......................01
Replacement ..............02
Values -3-03
an electric grass mower
Yes ......................01
No .......................02
Got in last 12 months ....03
Values -3-02
Electric grass mower
New ......................01
No .......................02
Values -3-03
a hi fi/music centre
Yes ......................01
No .......................02
Got in Last 12 months ....03
Values -3-02
hi- fi[mus ic centre
New ......................Ol
Replacement ..............02
Values -3-03
a micro or persOnaL computer
Yes ......................01
No .......................02
Got in last 12 months ....03
Values -3-02
MicrO/persOnaL computer
New ......................01
Replacement ..............02
r

Q13
.“
Codang Shaat
u-f .mncm
Q13 New/ Rep 2
Q13
Q13
Q13 Rant
Q13 Rent
CD
SD
NEW/REP
DW
CTv
No of
Ii.
sOx*s/ Codang Inatnactum#/Ramarks
Characters
2
2
2
2
2
1
v -3-03
a compact disc (CD) player
I alues
Yes ...... ................01
No . ................. .....02
Got m last 12 months ... 03
values -3-02
Compact dime player
New ................ .....01
Replacement ....... . .....02
Values -3-0~
A smoke detector
Yes .....................01
No ......................02
Got m last 12 months ...03
Vs,lues --
2
A #mokm dmtmctor
New .....................01
Rmplacmmmnt .............02
~es -- 02
Do you rant your dlshwashar?
r-a ................... ...01
NO .. ............ .........02
Values -- 02
Do you rant any of your
colour TV9?
r-s ......................01
No .......................02

Questionnaire Ref Coding Sheet No Of
Question No Reference Boxes/ Coding Instructions/Remarks
Characters
Q13 Rent 0/!? TV ValU@S -3-02
I I I
Do you rent any of your
black and white TVS?
Yes ......................01
NO .......................02
Q13 Rent VIDEO 2 Values -3-02
Do you rent your video
recorder?
I I I
Yes ......................01
NO .......................02
Q14 Q14 2 Values -3-02
Is a car available?
Q14A Q14A 2 Values -3-05
Yes ............ ..........01
No .......................02
How many?
Enter number of cars
available
Q15 Q15 2 Values -3-02
Have you (and your fMIily )
moved house within the last
5 years?
Yes .......................01
No ........................02
Q15A Q15A 2 Values -3-15
How many t ties have you
moved ?
Q15B Q15B 2 Values -3-02
Enter nutier of moves
Was your move within NI or
from outs ide ?
Within NI .................01
From outside ..............02
~

. .. . - -,4.
Quastaoma.ra Ref Coding Shaet No of
Questzon No Raforanca BOX*SI Coding Instructmns/Ramarks
Characters
cHECK C CHK C 2 WL1l thera be an Lndlvldual
proxy schadule for the H-ad
Q16(A)
Q16(A)
Q16A(L)
Q16(A)
Q16AL
2
2
of Household?
Yes . ... ......... ...01
No .... ............. . .02
Only coda if tharo LS
nelthar an Lnd>v~dual nor a
proxy schmd.le for thm HOH
Values -3-05
employea .. .......... .01
self-~mployad ..... ....02
unmmployad .......... ....03
ret ~red . . ..... ... . ..04
other . . . . . . . . . . . . ..05
DK . . . . . . . . . . . . . . . . . -1
Values -3-99
Q16A( 1>) Q16ALL 2 values -3-99
Q16A(LLL) Q16ALL1
2
I
Numb-r of hours per waek
(for ●mployees )
Entar numb-r
Numb-r of hours per waek
(for sdf-mmployad)
Ent*r numbar
Values 3-04
Numbar of other poPle
●mployad~
Yes, 1-5 0mploy9*s ........01
Yea , 6-24 ●Mp10y99S -- ...02
Yes, 25 or more ..... .... 03
No 8mployee8 ..............04

Questionnaire Ref Coding sheet No of
Question No Reference Boxesf Coding Instructions/Remarks
Characters
Q16(B)
I 1 1
I
Q16B Soc
Q16(B) Q16B SOCR
I I I
/-
I
3
I
Values -3-999
code the 3 figure number
9iven in the SOC Manual
2 Values -3-09
Recode of SOC
Recode the three digit value
for SOC as follows
100-199 ...... ...... .......01
(Managers and Administrators )
200-299 ...................02
(Professional Occupations)
300-399 ..... ...............03
(Associate Professional .6
Technical Occupations )
400-499 ...................04
(Clerical & Secretarial
occupations)
SOO-599 ...................0s
(craft & Related Occupations)
600-699 ...................06
(Personal & Protective
Service occupations )
700-799 ...... .............07
(Sales occupations)
800-B99 ...... .............08
(Plant & Machine Operatives)
900-999 ................ ...08 ‘i
(Other Occupations )
-1 ........................-1
-2 ........................-2
-3 ........................-3
{

, .. ,,
Quart.onnazr- Rc f Codang Sheet No of
Quast~on No R-f ●rance Boxas/ Coding Instructions/Ramarks
characters
Q16(B)
I
Q16B IND
I I I
I I I
I I I
I
I
2
v
.-
I ““e= 3 la
~
SF
AgrLcultur9, forestry,
f~shing ............. ... 01
Energy and water supply
~ndustrzes ......... .... 02
Extr.actLOn of mlneralm
and Oras othar than fuals;
IWInUf acturm of mmtal,
mineral products and
chamicals ............. ..03
Metal goods, ●gnearmg
and vahlcle mdustrias ...04
Othar manufacturing
Lndustr Laa . . . . . . . . . . . . 05
Construction .......... ..06
D istrxbut ion, hotals and @<
catering; rapairs ........07
Transport and
cOntnun~catLOn ............08
Banking, financa, insurance
busumss, sarvices and
learning ... ..............09
Othar aesv~cee ...........10
Insufflci*nt information
given to clarify ... ....11
I I I ‘ore‘ban0“- ‘ndus+rv
code
(a) If mc.rm than onm
actlvlty M mant~onad
and thm activates ara
Ln saparata div Ls Lens
but thora appear, to
b= only onm
●stabl~sbmant, code
the m~Ln aCtLVLtY Of
the ●ntabllshMent.
42

Questionnaire Ref Coding Sheet No of
Question No Reference Boxes/ Coding Instructions/Remarks
Characters
(b) If more than one
establishment is
indicated and the
establishments are in
separate divisions,
then code the
establishment that the
informant works in.
cODER CODER 2 Enter coder’s personal
identification number.
43
{

Housahold Schedule
Front Page
GrLd
Front page
HOf H
Identiflar
Household Numb-r
Pmrson No
Sex Column
Aga Column
Codang Shmat
Raf armncm
Person 1-21
H/H ID
H/H No
PERS
FU
sex
Age
RECORD 2
No of
a0x9s/
Characters
5
2
2
1
2
2
Codxng Instructions/Ramarks
This saction must ba
completed for &
~nd~vldual Ln housahold.
_ all LnfOrmat~on before
coding. Ensura that they
are m relatlonsh~p and age
ordar.
-9 00001 -4999s
Entar housahold
~dant Lf ~cat aon number
Valu es 01-0s
Entar household numb-r Using
laadmg zero.
Values 01-u
Entar parson nun!bar
Valuea 1-7
Each household should be
d~v~dmd up Lnto smparata
fsdly un>ts. Record tha
fsmily unit the Lndivldual
belongs to. ~ that
mtarvL*wmr has d~v~dad up
houmehold corractly before
start Lng to code. Footer
chaldrmn form a ●mparatm
fanuly un~t.
- interviawara
instructions for fsmly
un>t daf inLtionm.
Values -- Oz
Male ....................01
Female .............. ...02
-s -3-92
Enter aga of ~rson
If a ch>ld LS lass than
1 yaar old code 01
44

Questionnaire Ref
Question NO
Marital Status
column
Relationship to
Head of H/H
Coding Sheet
Reference
Ms
Rel
No of
BOxesj
Characters
2
2
Coding Instructions/Remarks
Values -3-6
Single (S) ..::::::[$~ .::::
Married (M) . ...
co-habiting (C) ... ....3
Widowed(W) ...............4
Divorced (D ) ..............5
Separated(S) .............6
[NB everyone, regardless of
age, should have a marital
status ]
Values -3-9
Head of Household ..........l
Wife or husband ...........2
Son or daughter (inc 1
stepson/daughter ) ........ .3
Father or mother ..........4
Brother or sister .........5
$randson or granddaughter .6
Father-in-law/
mother-in-law ............7
>ther relative (eg niece,
nephew, son/daughter- in- law
etc) .....................B
)ther non-relative (inc 1
foster children ..........9
iB FOSTER CHILDREN : If
local authority foster
child code as 9
: If not
local authority foster
child and relationship
falls into a group
covered hy 2-B this
should take priority
over 9
ADOPTED cHILDRE N:
should be treated
children - not as
These
as own
code 9
~.,..
45

Qunstzonna~re Ref
Quast~on No
Current Full-time
Educat aon column
CO-OP Adults
Coding Shmmt
FE
Raf 9rmnca
Co-op
No of
soxm8J
Chmractmrs
2
1
Cedang Instruct~ons/Rmmarks
Valu ●s -3-8
Code Lf LS currently
Lnvolved In full -t Lmq
educat Len. Check Educ.atlon
section of Lndivldual
schadula
pr UTlary ...................1
secondary .................2
granmmr ..................3
spac Lal car= ....... .......4
unlvars>ty ......... .......5
poly, collegs (including
teachar traLnLng) . ...... 6
technLcal collago ........ 7
other h~ghar education . ..8
Valu, s 0-<
APPIL*S to evuyona over 16
Ln hou#mhold. This COIUIM
L- best cod-d at ●nd of
coding ●xarcisa. Code
rasponse of individual as
follows :
(F) full rasponsa - all
sectionm complmtmd ...1
(P ) partml r-sponse -
s0m9 sactions
rafusad ..............2
(R) cOmpl*ts rafusal to
~nd~v>dual schadula ..3
(N) non-contact but not
proxy schadula ... ...4
(NP ) non-contact - proxy
schmdula complatad ...5
Do not always acc9pt
Lntsrvlabmr’ s coding. ROf ●r
all casas to suprvisora
where you diagrmm.
ch~ld .....................0
46

Questionnaire Ref
Question No
Standard
Occupational
Classification
(Recode)
:ading sheet
Reference
30CR
No of
SOxes/
Characters
2
~;”
Coding Instructions/Remarks
Values -3-09
Recode of SOC
Recode the three digit value
for SOC as follows
100-199 ...................01
(Managers & Administrators)
200-299 ...................02
(Professional occupations)
300-399 ...................03
(Associate Professional G
Technical Occupations
400-499 ...................04
(Clerical & Secretarial
Occupations )
500-599 ...................05
(Craft & Related Occupations)
600-699 ...................06
(Personal & Protective
Service occupations )
700-799 ...................07
(Sales occupations )
800-899 ...................08
(Plant & Machine Operatives)
900-999 . . . . . . . . . . . . . . . . ...09
(Other occupations )
-1 ........................-1
-2 ........................-2
-3 ........................-3
XX should be coded with
reference to the
‘occupation’ code in the
Employment Section
Foz current occupation see
Q4A in Employment Section.
For last employment see
Q18 in Employment SeCtiOn.
For retired see Q19 in
Employment SeCt iOn.
Also refer to the PrOXY
Schedule and Household .
Schedule for Non-contacts.
. 47
‘L

Quastaonnaara Raf
QuestIon No
Employment Status
standard
Industrial
classification
Codang Sha*t
Rmf ●rmncm
EMP
SIC
No of
Boxms/
Characters
2
2
Codang Instructujns/R9 marks
Values .-
Codm employment status of
●ach person. sea
●xplanatory notes overleaf
WorkAng ful l-t ma .........1
Working part-t arm .........2
Unemployed .............. .3
At school /collmgm ... ......4
Retired ............. . ..5
Kacping houce ....... .....6
Govmrnmmnt schomc ... . ..? ‘r
Other econom~cally
utactlvo .. .... .... . ...8 -
Values -3-1~
INDUSTRIAL WSIFICATION
Agr Lcultura, fore-try,
f~shing .............. ...01
Enmrgy and water supply
LndUStZ198 ..............02
ExtrectLon of minmrals and
ores othmr than fumla;
manufacture of metal,
mineral products and
cheuucaln ...............03
Hetal goods, ●ngineermg
and vehicla induntrlaa ..04
Other manufacturing
~ndustrims ..............05
Construction .............06
oistribut~on, hotals and *e-L~
catmrmg; rmpalrs ..... ..07
Transport and ,#\L( . !’cst ‘-LP’
couwaunxatuan ...... .. ...08
Banking, financa,
Lnmurance bus inass,
scrvicas and laasmg
.-
(,C, c~~..
4
....09”
Othmr scrv Lees .......... 10
InsufficLant information
gLvan to clarify ........11
More thn on. ~nduatrv code
(a) If mora than ona act Lvlty
LS mantionad and the
act Lvlt Les are ~n
separato dLvLsions but
48

Questionnaire Ref
Question No
Posit ion in Unit
Coding Sheet
Reference
Pos
No Of
Saxes/
Characters
1
Coding Instructions/Remarks
(b)
there appears to be only
one establishment, code
the main activity of the
establishment,
If more than one
establishment is
indicated and the
establishments are in
separate divisions, then
code the establishment
that the informant works
in.
Values 1-3
Cede poeition held in each
family unit
Head of Family Unit .......1
Spouse ....................2
Defendants ................3
NB . If a child forms a
separate family unit he/she
is head of that unit, even
if under 16 years.
‘Q
‘i.

SMPLOYXENT STATUS
What la to be coded hare La m fact Economic Actlv~ty - Le economically
actzveflnact~ve
Scan omLcallv act~ve LS dof mad as follow8: -
Thosa persons 16 years or over who wor~ work~ng or unmnployad in the weak before
Lntarview.
All others are economically lnact~ve
For the purpose of coding thesm catagorien will be ●xpanded to tha following: -
1-
2-
3-
4-
5-
6-
7s-
-2 -
-3 -
For clarLty 1, 2 and
work~ng full -tumo
working part-t me
unemployed
at school/colleg9
r-t ~rad
kaapmg housa
Government Schama
other econoumcall y inact LVS ●g
permanently un.abla
miasmg
r-f used
3 WL1l b- explained Ln further dataLl.
)
~ Economically
~ Activa
)
)
) Economically
) Inact LVO
1 ●nd 2 Workang - parsonm agad 16 or ovsr who workad for wagam, salag or othmr
form of cash paymant such as coffunlsmuan or tLps, for any numb-r of hours. It
covars persons absant from work m the raferance week bccausa of holiday,
~Lcknass, str~ke, or tmm~rary lay-off, provLd*d thay had ● job to raturn to
wzth tho aama ●mployar. It alao Lncludas parsons attanding an educational
●stabl ~shnmnt dur>ng tha spaclf ied waak, if thay w~ra pa~d by their ●mployar
whLla attend~ng Lt. ( RELEASED FROM JOB FOR EDUCATION) .
Persons ar* cxcl~ if they worked in a voluntary capacity, for Upenses only,
or only for paymant Ln kind or Lf t hm y were workLng Ln a YTS or Government
TralnLng Schemm.
M Ful 1 t tie students who worked m the rcfcrenca wok arc not counted as
workLng. (ALSO INC STUDENTS WORKING EVENINGS OR WEE3CENDS ).
Full-tame/part-tima This L9 basad on hours worked par waak, ●xcluding Overtune.
Parsons who workad 31 hours or mora yr weak are Ln full-t uma employment and
thoaa who work 30 hours or lmsa par weak are ~n part-t~ma ●mploymant. An
axcmpt Lon LS made for school toachus and locturmrs, who are conm~dmrmd to be Ln
full-txma employment if they work 26 hours or mora pr waak.
3. Unamploy*d The un~mployad cons~st of thoma who, Ln tha waak b-fore
~ntervmw, wera looking for work, would hava looked for work Lf thay had not
been temporarily sick, or wara waLtmg to tako up a job thay had already
obtained. In th~s context temoararv smkness refars to ~llnass lasting 28 days
or lass. Thasa daf>nLt~ons
rcg~starcd as unmmploymd.
Full-tune students who w~re
an unamployad.
. .
of unamploynmnt apply whathar or not tha parson was
unemployed dur Lng the re ferenca waek ara not counted
)
)
)
)
50

All others
Those persons not falling into the categories of working or unemployed as
defined above are economically inactive and should be coded 4 to 8 as
appropriate.
Make sure the Proxy schedule and Household schedule (for absent HoH) are checked
before coding missing.

— QuastLon No
I
Rafaranc.
Q1(B) QIB 2
I
00%-s/
Characters
Codxng Inst ructzoas /Ramarks
BhuddLst . ... ... . .. 21
Pentecostal .... .. .. . 22
Jehovah’s W~tness .. 23
Church of God .. ... . 24
Other ... ...... . 25
Unwlll~ng to anaw.r . .. -3
values -3-07
DO YOU attend place of
wor6h~p7
UOre than once a week. . 01
At Least once a week .. ..02
At laast onc~ a nmnth . 03
At least once a year ....04
Lo9s of tan ............ .05
Never .............. .. ...06
Unabla to attand ...... .07
00 not know .......... . -I
No anmw8r/refumed ,...... .-3
52

Qumst.onna.re Raf
— Qu88t&0rJ No
Person
Idant~f~catu3n
Q1
Q1(A)
Coding Sheat
Rafarence
IO No
H/H No
Par
FU
Q]
QIA
MISC~OUS S.CCTION
No of
S.oxesi
characters
5
2
2
1
2
2
tidang Instruct ~ons/R.ma rks
values 00001-49999 /
5 d~gLts - remember l*ad~ng
zeros (chack that the /
number LS the sam as that
on the front page of the (.
Household Schedule)
values 1-5
Enter household number
values l-u
Check prson number LS
corrmct (ie Lnterviawar
has recorded tha proper
refermncm) . Enter p+rson
number.
values 1-7
Entar numb-r of Fsnuly Unit
Values --
2
What r91Lgion
Yes ........... ...........01
NOIIC .....................02
Unwilling to answar ..... .-3
Valuee -3-25
Roman Catholic .......... 01
Pranbytermn ......... ..02
Church of Ireland ........03
Mthodist .. .. ...........04
Baptist ............ .. 05
Free Pr-SbytOr LUI . .. ..06
Brethern ...... ...........07
Prot - not spcif iad ... 08
Othar Protestants ........09
Jewish ........ ...........10
Unitarian ...... ..........11
Norman ..... .. ... .. ....12
Congrogatlonal . .... .. 13
Plymouth Brethren .... ...14
Church of Nazarana ...... 15
chrlst~an .... .. . .. .. 16
Church of England ..... .17
HLndu .......... . ... ..18
nuslLm ........ ...........19
Sikh .......... ... .. .. 20
53

—
Quest~onnaxre Ref
QumstLon No
Person
Ident~flcat~on
Q1
QIB
QIC
Cod>ng Sheet
Rmf*rmnc9
ID NO
H/H No
P*2
FU
QIA
QIB
QIC
EDUCATION sECTION
No of
Boxesj
Characters
5
2
2
1
2
2
2
Cadlng Instructions/Rmmarks
Values 00001-49999
5 d~g~ts - remember lead~ng
zeros
(Check that the nunimr LS
the same a8 that on the
front page of thm
Household Schedulm)
Values 1-5
Entar household numbers
Valu*s l-2\
Ch@ck parson number LS
corrmct. Enter numb-r
ValuOs 1-7
Enter number of Fanuly Unit
Values -5-2Q
How old when left ~
(elementary, secondary or
grarmnar)
antar age
still at school ..........-4
navcr want to school .... .-5
Values --
2
TO THOSE NOT AT SCHOOL
Furthmr Educat mn
Y9m ......................01
No .......................02
-U --
3
Ccmunenced coursa mmediataly
after leaving school
Yes (full-tune) . . . . . . . ...01
Yes (part-time) . ... ....02
No ... .. . . . . ....03
54

Quastlonnaare Raf
Queatxon No
QID
QIE
Q2
Cod~ng Shmet
R9f*rmncm
QID
QIE
Q2
No of
Boxms/
Characters
2
2
2
Codxng Iustructaons/Ramarks
value, -4-32
Agm whan left full-time
cent ~nuoua aducat Lon
Entm age
Still attmdmg . ..... .. -4
values -4-69
Aga whan finishad last
COUXS- Of etudy
Enter age
st~ll attandmg ...... ....-4
Eumher ad ucat ion Course*
College or un~varisty fulltl.me
........ ....... ......1
s.andw~ch c0urs9 ........ ....2
@alificatiOn in nursing,
phy~ Iotharaphy etc ... ....3
Collcga, univer8Lty parttim
or on -day or block
ralama . ...... ... ........4
own un~vars~ty course ....5
Corraspondanca course . ....6
YTP coursa involving
trammg at college ... ...7
Othar furthar ●ducation
course ................ ...s
55

Questionnaire Ref
Question. No
Q3(A)
Q3(B)
Q4
Q4(A)1
Q4(A)2
Coding Sheet
Reference
Q3A
Q3B
Q4
CSE 1
CSE 2-5
No of
Boxes/
Characters
2
2
2
2
2
Coding Instructions/Remarks
Values -3-11
T.me of school cucrentl.f
attendinq
elementary, secondary or
grammar school ..........01
university ... ............02
nursing school/teaching
hospital ................03
polytechnic ..............04
teacher training .........05
technical college ........06
commercial college .......07
agricultural college .....08
special school ...........09
hotel and catering .......10
other (refer all such
cases ) ..................11
NB . ‘Further Education
College, should be coded as
‘technical college, (code
06).
Values -3-11
Type of school last attended
Use codes as for Q3 (A)
Values -3-02
Passed any examinations/
qualifications
‘fes ......................01
No .......................02
Values -3-10
~ of CSE Grade 1-s
Enter Number
Values -3-10
Number of CSE grade 2-5
Enter Number
. J6

Quastlonnaara R-f Coding Shmt No of
Qu*st~on No Ref ●ranca Boxms/ Coding Instructions/Ramarks
Characters
Q4(A)3
I
CSE DK
I I I
I
2
. .
I
Valu,s -3-U
Number of CSE grades
unknown
Enter number
Q4(A)4 J Cart 2 Values -- u
I
Q4(A)5 GCSE
A-C
Q4(A)6 GCSE
D-G
Q4(A)7 GCSE
OK
I I
!
2
2
2
I En... ..**r
Valuo m -3-1o
Numb-r of GCSE grad-s A-C
Enter Numkmr
Values -- 10
Number of GCSE grades D-G
Ent@r Numb-r
Qlues -3-lQ
Numbar of GCSE gradas
unknown
Enter Number
Q4(A)8 GC.?, O’ 2 Values -3-12
1-6
Numbo< of GCE ‘O’ Levals
(Gr.sdas 1-6)
Entar Number
Q4(A)9 GCE’O’
A-C
2 Value s -3-
Numbar of GCE’ O‘ lav018
(Grades A-C)
I I I
Enter Number
57

Questionnaire Ref
Question No
Q4(A)1O
Q4(A)11
Q4(A)12
Q4(A)13
Q4(A)14
Q4(A)15
Q4(A)16
Coding Sheet
Reference
GCE’A’
S Cert
APPRNNT
COMMER
C&G
ONC
HNC
No of
Boxes/
Characters
2
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-10
~ of GCE OA, Levels
Enter number
Values -3-10
Number of passes at Senior
Certificate level
Enter number
Values -3-1
A recognised trade
apprenticeship completed
Yes .......................1
No ........................0
Values -3-L
Clerical and Commercial
Qualifications
Code as per apprenticeship
Values -3-~
City and Guilds Certificate
Code as per apprenticeship
Values -3-1
Ordinary National
Certificate/Diploma
Code as per apprenticeship
Values -3-1
Higher Nat ional Certificate/
Diploma
Code as per apprenticeship
r

Quastaomaarm R-f Cod>hg Sheet No of
QUaStLon No R-f ●rance SOxms/ Coding Instruct~oms /R.marks
characters
Q4(A)17 NURSE 2 values -3-L
Q4(A)18
I I I
I
NOEG
Q4(A)19 TEACH
Q4(A)20 DIPLoNA
Nursing Qualifications
I 2 I ‘a’uee ‘3-1
I I I
1
2
2
Code as per apprent~cesh~p
NureLng dcgrea
Teaching Qualifications:
Include B. ad hara
Code as par appranticanh~p
Veluee -3-1
UnLvmra~ty PoLytmchnLc
D lplO~
Q4(A)21 1st DEG 2 wee -- L
Q4(A)22
Q4(A)23
I I I
I I I
I
2nd DEG
I Other
I
2
I 2
I I I
I I I
I
l-es~
v
Cods as p-r appranticash~p
FLrSt Dmgrmm - Un~v*rmLty/
PoLyt9chnLc/CNM
Coda ae per apprant~caship
Valuee -3-1
Fxst Degraa - University/
Polytmchn~c/CNM
--
Other - refer to supervisor
Code as per apprent Lcaship
59

BA
J Ed
B Phil
B Sc
B SSC
D Phil
Ph D
MA
M Ed
M Litt
‘4 Phil
M Sc
D SC
MBA
M MUS
M Ssc
University Post-graduate
Diploma/Certificate
Dip Ed
PGCE
:ert Ed
College/Polytechnic
Post-graduate Diploma/
Certificate
Other Diploma/Certificate
(non Pos t-graduate)
Professional qualifications,
Diplomas, Associateships
Foreign qualifications
MD
BS
MB
BAO
LDS
BD
LLB
Educational Ouali ficat ions
Bachelor of Arts &wQtsx Q\ & b{~
Bachelor of Education
Bachelor of Philosophy
Bachelor of Science
Bachelor of Social Science
Doctor of Philosophy
Doctor of Philosophy
Master of Arts
Master of Educarion
Master of Literature
Master of Philosophy
Master of Science
Doctor of Science
Master of Business Administration
Master of Music
Master of Social Science
tiny subject of study (except education)
Diploma in Education
Postgraduate Certificate in Education
Certificate in Education
Any subject of study (except education)
Any subject of study
Any subject of study
Any subject of stud::
Ooctor of Medicine
Bachelor of Surgery )
Bachelor of Medicine )
Bachelor of Arts of Obstetrics )
Licentiate of Dental Surgery )
Bachelor of Dentistry )
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
,,
. .
.,
.>
24
25
26
27 “
2%
f-
00

Qumst .onna>r. R= f
..-*
! Codzng Sh*@r. No of
Quastlon No
Raf erenca
E.axes/
Characters
I
I
Q4A Educ
QUalLf S
Contd
Q4A
I
Number
Q4A QUW 2
I
2
Codang Instructions/Remarks
CodLng for Grid at Q4A
used for cod~ng
gual~fications l~stad at
Codes 19-23
us 19-23
Teaching Qual~fication .. 19
university/Polytechn~c
DlplOMa .................20
First D*graa - University/
PolytachnLc/CNAA Degre* 21
High-r Degraa - Univnrslty/
Pol ytechnic/CNAA ...... .22
other Qual~ficat~ons .... 23
NOTE : ‘Other qual~f icat~ons”
nead not Dec*ssarQ ba
highar gualif ications, but
may ~ncluda anything not
fLtt ing into tha above
Crcmgories . Rmmambar to
r-cord with ‘othar-
Spacify ’s’ . Scottish
‘High-r Cmrtif icate’ and
R-public of Irmland
oLaaving Cart Lf icatas’
should b- r-corded hare.
V*,9 .- 3Q
EA . . . . . . . . . . . . . ----- . ...01
BEd .............. ... . .02
BPhil .............. ...03
Ssc .................. ..04
BSSC .................. .05
OPhil ............- .. --.06
PhD .... ...... ........ .07
nA ...................... 08
HEd .... ....... .........09
hlLLtt ........ .... . -. -10
!4 Phil ...................11
Usc ... ............... ..12
DSC .. ......... .. ......13
MBA ................ .....14
Unus .. ..... ...... ....15
HSSC .......... ..... .- 16
Unlvars Lty Post-Graduate
DLp10Ma/C.3ti LfLCat0 . 17
OLp Ed ... .. ........ ..18
61

Questionnaire Re f Coding Sheet No of
Question No Reference i30xns/ Coding Instructions/Remarks
Characters
Q4A AWARD 2
5 tits Ik ?
PGCE .....................19
Cert Ed ..................20
College/Polytechnic Post-
Graduate Diploma/
Certificate .............21
Other Diploma/Certificate
(non Post-Grad”ate ) .....22
Professional Qualifications,
Diplomas,
Associateships ..........23
Foreign Qualifications ...24
MD .......................25
BS, MS, BAO, LDS .........26
LLB ......................27
!Z’@Kkk @i w .Q.@!@ : Zf
w>~-~ iti”ti
Universities in?
NI .......................01
GB .-.....................02
Elsewhere ................o3
Polytechnics in?
NI .......................04
GB .......................05
Elsewhere ................06
Colleges in?
NI .......................07
GB .......................08
E 1sewhere ................09
Professional bodies in?
Nz. .-..% ‘1 .......................10
%--. ” i’t GB .......................11
E 1sewhere ................12
“- Q%ika< -.1
Q4A WHESB 2 Values -3-03
NI .......................01
GB .......................02
Elsewhere ................03
r

—
Qu9st~onnazre Ref
Qumst,on NO
Q4A
Q4A
Q4A
Coding Sh*at
R-f OrOnCa
SUBJ
PASS
No of
Boxmsf
Characters
2
2
Coding Instructions/R9marks
Values -3-20
Educatxm .......... . ..01
Med Lcina, Dent~stryf
Pharmacy, Ancillary
H-alth ............... . 02
Technology & EngLneermg 03
Agriculture, Fore-try and
Vatorinary Studl.s ..... 04
Schnco ●nd Appl ~ad
Scl*nca .................05
Soc id, Adm~nlstrat lva
and Businasa StudLea ...o6
Prof ●ss ~onal and
Vocational stud~as .....07
Language, L~tmrature and “
Ralat9d Area StudLas .. . 08
Arts (other than
languaga ) ............ . 09
Music, Drama and Visual
Art8 ....................10
Law ..................... 11
Theology .................12
Economic Studias ..... ....13
Unspscifi.ad Studias .. ....14
(r-far)
(For coda 23 only)
~ -3-02
Had to Pares Exam?
Yas .................... ..01
No .................... . .02
Code all other qualificat LOnS
Pracodas 19-23 *S for
Precoda ahovs
63

Q5
Q5(1)
Q5A
Q5B
Coding Sheet
Refarmnce
Q5 Eng
1st Lang
5A YfN
Q5B
LANGUAGE sECTION
No of
Boxas/
Characters
2
2
2
2
Codxng Instruct~ons/Rmmarks
Valuea -3-02
Is Engllsh your fxst
language?
Yea .. ........ ...... ... 01
NO .. . ..... .. ..... .. 02
values -3-14
(ApplIOs only to those codod
02 at Q5) /
Specify Language ‘\ \.
Dan~sh ... ... ........ .. 01
Dutch .... . .. . ...... .. 02
French ....... .. ...... . 03
Gmrman ....... . . ...... . 04
Grmek . .... ......... ... 05
Irmh ........ ........... 06
Italian ...... ............ 07
Portuguemm .... ........... 08
SpanLsh .... .. ...... .... 09
Othar European ... .. ... 10
Arab>c ... ............... 11
Chinase .. ......... ...... 12
Ind~an/Pak~atan/Bangladmmhl13
Othmr ........ ........... 14
Valuee -- 2
!tnowladge of any EC language 7
Y*8 ..... ....... ........ . 01
None (’x’) .............. 00
Valueg -3-02
Evar stud~ad ●ny of thaaa
languages at school, evan if
only for a short tma?
Yes .............. ....... 01
No ... ... . ........ .... 02
64

Quastionnamm R-f
Qumstxon No
Q5(A)
DANISH
Q5(C)
DmISH
Q5(C) (i)
DANISH
Q5(D)
DANISH
Q5(D) (L)
DANISH
Q5E
DANISH
Codxng Sha*t
R9fer8nce
5A Know
5C Curr
5Ci ever
5D Curr
5Di ●vmr
5E Qual
No of
BOX8SI
Characters
2
I
I
Coding Inst ructLons/ R8marks
Valuas -3-03
Knowledge of Dan~sh?
2 V.91U*S -3-02
Yes ... ...... ... .... 01
No .............. .... .. 00
Current formal study of
DanL9hv
2 Values -3-02
2
I
Yes . .. ..... ... .... 01
No ... ................... 02
Ev*r formally Studlod DanLsh7
Yes . . . . . . . . . . . . . 01
No . . . . . . . . . . . . . . . . . . . 02
v
--
I ‘e” 302
currant informal Study of
I
DanLsh?
2 I value. -3-02
Yen .. ..... ............ 01
No ... .... ..... .. .. ... 02
Evar informally stud~ad
DanMh?
IYes .................... D1
No . . . . . . . . . . . . . . . . . . . . 02
2 Va lU*S -3-05
Hold any gual LfLcetaons m
DanLsh~
Nom ... .......... .. 01
Degree . . . . . . . . . . . . . . . . . 02
GCE ‘A, Level . ..........03
GCE ‘O ‘ Leval/CSE ....... 04
ClmrLcal/Secrmtar~ al/Othmr 05
65

Questionnaire Ref
Q5(A)
DUTCH
Q5(C)
DUTCH
Question No
Q5(C) (i)
DUTCH
Q5(D)
DUTCH
Q5(D) (i)
DUTCH
Q5E
DUTCH
Coding Sheet
Reference
5A Know
5c Curr
5Ci ever
5D Curr
5D i ever
5E Qual
No of
Boxes/
Characters
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-01
Knowledge of Dutch?
r
Yes ...................... 01
No ....................... 00
Va 1ues -3-02
Current formal study of
Dutch?
Yes ...................... 01
No ....................... 02
Values -3-02
Ever formally studied Dutch?
Yes ...................... 01
No ....................... 02
Values -3-02
Current informal study of
Dutch?
Yes ...................... 01
No ....................... 02
Values -3-O?
Ever formally studied Dutch?
Yes ...................... 01
No ....................... 02
Values -3-05
Hold any qualifications in
Outch?
None ..................... 01
Degree ................... D2
GCE ,A< Level ............ 03
GCE ‘o, Level /CSE ........ 04
Cle~ical Secretarial/Other 05
ti 6

Q5(A)
FRENCH
Q5(C)
FRENCH
Q5(c) (L)
FRENCH
Q5(D)
FRENCH
Q5(D) (1)
FRENCH
Q5E
FRSNCH
.- -.
Coding Sheet
Raferance
5A Know
SC Curr
5CL ever
SD CU!X
SDL ●vmr
SE qual
No of
Boxes/
Characters
2
2
2
2
2
2
Cod~ng Instruct~ons/Ramarks
Valuea -3-0+
Knowlodge of Frmnch?
Yes ... ............... ... 01
No ... .... ........ ... 00
Values -3-0~
Currant formal study of
Franch9
Yes . ... .. .... ... 01
No .. ...... . ... 02
values -3-02
Ever formally stud>ad
French-
Yes .. .............. ... 01
No .. ................. 02
Value s -3-o
Current mforml study of
French?
Yes . ............. ... 01
No . ................. 02
Wumm -3-O?,
Ever formally studmd French?
Yes ....... .... ... 01
No . . . ......... -- 02
Va 1Ues -3-05
Hold any qualifications m
French?
None .. ......... .- 01
Degr90 . ........ . . 02
GCE ‘A ‘ L61v91 ....... . 03
GCE ‘O’ Leval/CSE .. . . 04
Cler~cal/Secretarial /0thmr05
67

Questionnaire Ref
Question No
Q5(A)
GEP.MAN
Q5(C)
GERMAN
Q5(C) (i)
GERMAN
Q5(D)
GERMAN
Q5(D) (i)
GERMAN
Q5E
GERMAN
Coding sheet
Reference
5A Know
SC Curr
5Ci ever
SD Curr
5Di ever
SE Qual
No of
Boxes/
Characters
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-01
Knowledge o f German?
Yes ........ .............. 01
No ....................... 00
Values -3-02
Current formal study of
German?
Yes ..................... 01
No . . . . . . . . . . . . . . . . . . . . . . 02
Values -3-02
Ever formally studied German?
Yes ..................... 01
No ...................... 02
Values -3-OZ
Current informal study of
German?
Yes ..................... 01
No ...................... 02
Values -3-02
Ever formally studied German?
Yes ..................... 01
No ...................... 02
Values -3-05
Hold any qualification in
German?
None .............. ...... 01
Degree .................. 02
GCE ‘A, Level /CSE ....... 03
GCE 80~ Level/CSE ....... 04
Clerical /Secretarial /0ther05
r

Qu9staonnaara R-f
Q5(A)
GREEK
Q5(C)
GREEK
Quastmn No
Qs(c) (i)
GRSEK
Q5(D)
GREEK
Q5(D) [1)
GRSEK
Q5E
GREEK
.~
Codang Shaat
Raf9r0ncm
5A Know
SC Curr
5Ci ever
SD Curr
5DL OVOr
SE Qual
No of
..-.
.. ,
I
00xesf
Characters
ICoding Instructions/Ramarks
2
2
~
.-
I ‘“es 3 ‘i
Knowl@dg@ of Gre~k~
1
I
Yes ............ ....... 01
No. . .. .. .. . ...... 00
Val ues -3-02
2 ydluas --
2
2
Current formal study of
Graek ?
Yea .... . ... ............ 01
No .. . . . . .. .... 02
2
Ever formally studl*d Greek?
Y** ... .. .. ......... 01
No. . . ... . .... ... 02
v s -3-
I “ue 02
Current Lnformal study of
I
I
Gramk?
Yes . . . . . . . . . . . . 01
No . . . . . . . . . . . . . . . . . . . . 02
Values -3-0~
I .v.r formally studmd Gr..k?
2 Values -3-054
Yas .. ...... .. ......... 01
No . . . ........ ........ 02
Hold any qual>f~cations Ln
Gr~ak$
Norm . . . . . . . . . . . . . . . . . 01
Degree ...... . .... ..... 02
GCE ,A, Leval .. ... . .. 03
GCE CO, Leva L/CSE ....... . 04
clerzcal/Secretarial/Other 05
69

Questionnaire Ref
Q5(A)
IRISH
Q5C
IRISH
Q5(C) (i)
IRISH
Q5(D)
IRISH
Question No
Q5(D) (i)
IRISH
Q5E
IRISH
Coding Sheet
Reference
5A Know
SC Curs
5Ci ever
5D Curr
5Di ever
SE Qual
No of
Boxes/
Characters
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-01
Knowledge of Irish?
y- . . . . . . . . . . . . . . . . . . . . . . 01
NO . . . . . . . . . . . . . . . . . . . . . . . 00
Values -3-02
Current formal study of
Irish?
Yes . . . . . . . . . . . . . . . . . . . . . . 01
No ....................... 02
Values -3-02
Ever formally studied Irish?
Yes . . . . . . . . . . . . . . . . . . . . . . 01
No ....................... 02
Values -3-02
Current informal study of
Irish?
Yes ..................... 01
No ...................... 02
Values -3-0~
Ever formally studied Irish?
Yes . . . . . . . . . . . . . . . . . . . . . 01
No ...................... 02
Values -3-05
Hold any qualifications in
Irish?
None . . . . . . . . . . . . . . . . . . . . 01
Degree .................. 02
GCE 4A o Level ........... 03
GCE ‘O” Level/CSE ....... 04
ClericaL/Secretarial /0ther05
.
ill

(p49stn7nnaara Rmf
Quostzon No
Q5(A)
ITALIAN
Q5(C)
ITALIAN
Q5(c) (L)
ITA2,1AN
Q5(D)
ITALIAN
Q5(D) (L)
ITALIAN
Q5E
ITALIAN
+.
Codxng Shaat
Ref9rmncm
5A Know
5C Curr
5C1 ●ver
SD Curr
5DL aver
SE Qual
No of
Boxes/
Charsctors
2
2
2
2
2
2
. .
I Cod*ng Instructions/R.marks
Values -3-o~
Knowledge of Ital~an?
Yes .. . ...... . ... ... 01
No ................... ... 00
Current formal study of
Italian?
Yes . ........... .. ... ... 01
No .. .............. .. .. 02
Evar formally stud~ed
Ital Lan?
Yam ........... . ......... 01
No .... .............. ... 02
Current Lnformal study of
Italian?
Yes ........... .... ....... 01
No .............. ........ 02
!mluea --
Every formally stud~ad
Ital Lan?
2
r-a . . ........... ....... 01
No .......................02
Values -3-0s
Hold any gualLfLcatAOns in
Italian?
Non- . ................ .. 01
D*grmo . . . . . . 02
GcE ‘A’ LOV~l ............ 03
GCE ,0 ‘ Lwel/CSE .. .. .. 04
Clar Lcal/Sacratar~al/Othar OS
71

Questionnaire Ref
Question No
Q5(A)
PORTUGUESE
Q5(C)
PORTUGUESE
Q5(C) (i)
PORTUGUESE
Q5(D)
PORTUGUESE
Q5(D) (i)
PORTUGUESE
Q5E
PORTUGUESE
Coding Sheet
ReferenCe
5A Know
5C Curr
5Ci ever
!3D Curr
5Di ever
5E Qual
No of
Boxes/
Characters
2
2
2
2
2
2
Coding InSt ructions /Remarks
Values -3-01
Knowledge of Portuguese?
Yes ...................... 01
No ....................... 00
Values -3-02
Current formal study of
Portuguese?
Yes ...................... 01
No ....................... 02
Values -3-02
Ever formally studied
Portuguese?
Yes ...................... 01
NO ....................... 02
Values -3-02
Current informal study of
Portuguese?
Yes ...................... 01
No ....................... 02
Values -3-02
Ever formally studied
Portuguese ?
Yes ...................... 01
No ....................... 02
Values -3-05
Hold any qualifications in
Portuguese?
None ..................... 01
Oeqree ................... 02
GCE CA- Level ..... . . . . . . 03
GCE ‘0- Level/CSE . ...... 04
Clerical/ Secretaria, /Other 05
. .
r

Quast~omaare Raf
Q5(A)
SPANISH
Q5(C)
SPANISH
Q5(C) (L)
SPANISH
Q5(D)
SPMISH
Q5(D) (L)
SPANISH
Q5E
SPANISH
~y
Codang Shaet
Raf9renca
5A Know
SC Curr
5CL ever
5D Curr
5E Qual
No of
Boxas/
Characters
2
2
2
2
2
2
Values .- Oa
Yes . .. .......... .... .. 01
No ......... ........ .. .. 00
values -3-O?
Currant formal ntudy of
Spanish?
Yes . . ... . .... .. . 01
No ...... ..... ........... 02
Values -3-02
Ever formally stud~md
Spanish?
Y-s ............. ....... 01
NO .. .. .............. 02
Values -3-02
Currmt informal study of
SpanLah?
Yes ......... ............ 01
No ... ................... 02
EvOr formally stud~ed
Spanish?
Yes .. ................... 01
No .... ................ . 02
yQuee -3-05
Hold any guallflcat Lon8 Ln
Spanish?
None . ............... .. 01
Dagree ..... ......... . 02
GCE ,A ‘ LEV91 . ......... .. 03
GCE ‘O’ Lavel/CSE .... .. 04
Clerlcal/S0Cr9tar Lal/OthOr 05
’73

Q5(F) SF List
❑ANISH
Q5(G)
DANISH
Q5(H)
DANIsH
Q5(I)
DANISH
Q5(J)
DANISH
QS(K)
DANISH
5G Conv
5H Read
51 Writ
5J Use
SK Soc
No of
Boxes/ Coding Instructions/Remarks
Characters
2
2
2
2
2
2
I
I
I
I
I
I
Values -3-5
Understand spoken Danish.
Code as per questionnaire
(Grid F)
Values -3-5
Ability to speak Danish.
Code as per questionnaire
(Grid G)
Values -3-5
Ability to read Danish. C&e
as per questionnaire
(Grid H)
Values -3-5
Ability to write Danish. Code
as per questionnaire
(Grid I)
Values -3-3
Use Danish at home. Code
as per questionnaire
(Grid J)
Values -3-3
USO Danish socially. CODE AS
PER QUESTIONNAIRE
(GRID K)
r

Quast~onnaar9 Ref
Qumstmn No
Q5(F)
FRENCH
Q5(G)
FNXNCH
Q5(H)
FRENCH
Q5(I)
FRENCH
Q5(J)
FRSNCH
Q5(IC)
FRENCH
L
Cod~hg Sheat
Ref eranc -
SF L~st
SC Conv
5H Read
51 Writ
5X Soc
No of
Boxasj
Characters
2
2
2
2
2
2
.
Codang Instructions/Rmmarks
Values -- 5
Understand spoken French
cod- as par q.mst ~onna Lro
(GrLd F)
Values -3-5
Rh~l~ty to spaak French. Coda
as per qumst~onnaira
(Grid G)
Ablllty to read French. Code
as per quaationnalre
(Gr~d H)
Valuee -3-5-
Ahdlty to wrLtm French. Coda
as p9r quastionna~re
(Gr>d I)
Va 1Uem -3-
Usa French at horn.. code
as pmr questionnaire
(Gr~d J)
Valu.a -3-3
use French socially. Coda as
par qumst zonnairm
(Gr>d K)
75

Questionnaire Ref
Question No
Q5(F)
DUTCH
Q5(G)
DUTCH
Q5(H)
DUTCH
Q5(I)
DUTCH
Q5(J)
DUTCH
Q5(K)
DUTCH
Coding Sheet
Reference
SF List
5G Conv
5H Read
51 Writ
5J Use
SK Soc
No of
Boxes/
Characters
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-5
Understand spoken Dutch.
Code as per questionnaire
(Grid F)
Values -3-5
Ability to speak Dutch. Code
as per questionnaire
(Grid G)
Values -3-5
Ability to read Dutch. Code
as per questionnaire
(Grid H)
Values -3-5
Ability to write Dutch. Code
as per questionnaire
(Grid I)
Values -3-3
Use Dutch at home. Code
as per questionnaire
(Grid J)
Values -3-3
Use Dutch socially. Code as
per quest ionnaire
(Grid K)
r
i’6

Qucstaonnalre R= f
Qu9stxon No
Q5(F)
GERWAN
Q5(G)
GERWAN
Q5(H)
GERMAN
Q5(I)
GEF.MRN
Q5(J)
GE3UAN
Q5(K)
GERMAN
..
Coding Sheet
Rmformncm
SF L>st
SC Conv
5H Read
51 Writ
SK SOC
No of
Boxms/
Characters
2
2
2
2
2
2
Codang Instructions/Ramarks
ysluea -3-5
under~tand epaken German.
Code as per quast~onna~rc
(Grid F)
Values -3-5
Ab~l~ty to s~ak German Code
as par quast10nnalr9
(Gr>d G)
Values -3-5
AbLllty tO read German. Code
as per quest iOnna Lra
(GrLd H)
Values -3-\
Ablllty to writ= German. Coda
as per quast~onnaira
(Grid I)
Va 1ue9 -3-3
Uae German at homm. Code
as per quast~onnaua
(Grid J)
values -- 3
Us- German socially. Cod* as
par questlonnaare
(GrLd K)
77

Questionnaire Ref Coding Sheet No of
Question No Reference Boxesf Coding Instructions/Remarks
Characters
Q5(F) 5F List 2 Values -3-5
GREEK
Understand spoken Greek. Code
as per questionnaire
(Grid F)
Q5(G) 5G Conv 2 Values -3-5
GREEK
Ability to speak Greek. code
as per questionnaire
(Grid G)
Q5(H) 5H Read 2 Values -3-5
GREEK
Ability to read Greek. Cede
as per questionnaire
(Grid H)
Q5(I) 51 Writ 2 Values -3-5
GREEK
Q5(J) 5J Use 2 Values -3-3
GREEK
Q5(K) SK SOC 2 Values -3-3
GREEK
Ability to write Greek. Code
as per questionnaire
(Grid I)
Use Greek at home. Code
as per questionnaire
(Grid J)
USe Greek socially. Code as
per questionnaire
(Grid K)

Q.@stzonnaara R-f
Qwstaon No
Q5(F)
IRISH
Q5(G)
IRISH
Q5(H)
IRISH
Q5(I)
IRISH
Q5(J)
IRISH
Q5(K)
IRISH
-?
*,T. . .
Cod>ng shoot No of
R8f ●renca Boxms/
Characters
Coding Instructions/Remarkm
5G Conv
5H Read
I
I
2
2
I Values -3-5
I
Understand spokan IrLsh. Code
as per quest lonnaue
(Grid F)
Ablhty to s~ak Irish. Code
as per quest ~onnaum
(Grid G)
values -3-5
AbLllty to read Irish. Code
as par quastlonnalro
(GrLd H)
Ab~lLty to wrlta Irish. code
as par quest ionnama
(Grid I)
5J USe 1’ values -3-3 I
us- IrLsh at home. Coda
as pmr questionnaire
(Gr>d J)
SK SOC
I
2
I
Values -3-3
US- Irish socaally. Coda as
per qwat~onna~re
(Grid K)
79

Questionnaire Ref Coding Sheet No of
Question No Reference Boxes/ Coding Instructions/Remarks
Characters
Q5(F) SF List 2 Values -3-5
ITALIAN
Q5(G)
ITALIAN
Q5(H)
ITALIAN
5G Conv
5H Read
I
I 2 I ‘alues -3-5
I I
I
2
I
1
Understand spoken Italian.
Code as per questionnaire
(Grid F)
Ability to speak Italian.
Code as per questionnaire
(Grid G)
Values -3-5
Q5(I) 51 Writ 2 Values -3-5
ITALIAN
Q5(J) 5J Use 2 Values -3-3
ITALIAN
Ability to read Italian. Code
as per questionnaire
(Grid H)
Ability to write Italian.
Code as per questionnaire
(Grid I)
Use Italian at home. Code
as per questionnaire
(Grid J)
Q5(K) 5K SOC 2 Values -3-3
ITALIAN
Use Italian socially. Code as
per questionnaire
(Grid K)
~..

i, , ‘!
Quast>onna2re R-f Codxng Shaat No of
QuOStXOn NO Raf ●rance Boxes/ Codang Instructions/Ramarks
Characters
Q5(F) SF List 2 Valu.g -3-5
PORTUGUESE
Understand npoken Portuguese.
Coda as p*r quest~onna~ra
(Grid F)
Q5(G) SC Conv 2 Value , -3-5
PORTUGUESE
Ab>l~ty to speak Portuguese.
Code as per quest~anna~re
(Gr~d G)
Q5(H) 5H Read 2 ~lues --
PORTUGUESE
Rbllity to read Portuguasa.
Code as per guestLonna~re
(Grzd H)
Q5(I) 51 WrLt 2 v~
PORTUGUESE
ilbLllty to wr~te Portuguese.
code as per quact~onnaua
(GrLd I )
Q5(J) 5J U-a 2 Values -3-3
PORTUGUESE
U~e Portuguese at home. Code
as par qucst~onnairo
(Gr>d J)
Q5(K) SK SOC 2 v~ Uas -3-
PORTUGUESE
Us, Portuguasa socmlly. Code
as p-r queet ionnau~
(Grid K)
81

Questionnaire Ref
Question No
Q5(F)
SPANISH
Q5(G)
SPANISH
Q5(H)
SPANISH
Q5(I)
sPANISH
Q5(J)
SPAWISH
Q5(K)
SPANISH
Coding Sheet
Reference
5F List
5G Conv
5H Read
51 Writ
5J Use
SK SOC
NO of
BOxes/
characters
2
2
2
2
2
2
Coding InstmctiOus/Remarks
Values -3-5
Understand spoken Spanish.
Code as per questionnaire
(Grid F)
Values -3-5
Ability to speak Spanish.
Code as per questionnaire
(Grid G)
Values -3-5
Ability w read Spanish. Code
as per questionnaire
(Grid H)
Values -3-5
Ability to write Spanish.
Code as per questionnaire
(Grid I)
Values -3-3
Use Spanish at home. Code
as per questionnaire
(Grid J)
Values -3-3
Use Spanish socially. Code as
per questionnaire
(Grid K]
L+2

QuastlonnaLra R@f
Questaon No
Q5(L)
Q5(L)
Q5(L)
Q5(L)
Q5(L)
Q5(L)
Q5(L)
Coding Sheat
Raferanc*
5L None
5L Dan
5L Dut
5L FR
5L GER
5L GRK
5L IRI
No of
Boxasf
characters
2
2
2
2
2
2
2
Cod>ng Instructions/Rmmarks
values -3-01
Use any languages wh~la on
hol~day?
Yes . . .................. 01
No .. . ................... 00
values -3-C3J
Yen . ........... .... 01
No .. ... ......... . . 00
Valums -3-01
use Dutch wh~l- on hollday?
Yes . . ......... .... . 01
No ... . .... .......... . 00
Values -3-01
use French while on holiday?
Yes .... ... .......... 01
NO ......... .... .. ..... 00
Values -3-01
Usa Garman whila on hol~day?
Yes .... ...... ...... ... 01
No . .......... ....... .. 00
va Lues -3-01
Yes .. .... ... ---------- 01
No ......... ...... .... 00
values -3-OL
Use IrLsh whLle on hol~day?
Yes ..... ... ... .... 01
No ..... ..... ...... . 00
83

Questionnaire Ref
Question No
Q5(L)
Q5(L)
Q5(L)
Coding Sheet
Reference
5L ITL
5L Port
5L Span
No of
BoXeSf
Characters
2
2
2
Coding Instructions/Remarks
Values -3-01
r
Use Italian while on holiday?
Yes ...................... 01
N.J ....................... 00
Values -3-01
Use Portuguese while on
holiday?
Yes ...................... 01
No .......................00
Values -3-0~
u9e Spanish while on holiday?
Yes ...................... 01
NO ....................... 00

Quast~onnaLra Rof
Q5(Fs)
Q5(M)
Q5(M)
Q5(M)
Q5(n)
Q5(k4)
Quastaon No
Coding Shaat
R-f mrenca
5U None
514 Dan
5M out
514 FR
5M GER
514 GRK
No of
BOxas/
Characters
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-0~
Use any languages for
bus Lnens purposes.
Yes . ....... .. .... .. 01
NO .................. .. 00
values -3-OL
Use Dan~sh for busmmss
purposes?
Y*S ......... .... .... 01
NO . ...... . ...... . 00
Values -3-o~
Use Outch for busmaas
purposess
Y9S . ............... ... 01
No .... ...... ........... 00
~
--
Us- French
purpOses Y
Y-s . ...
NO ..... .
~
--
for bualnmss
........ ... 01
............... 00
OS* German for businass
purpoams?
1
Y*8 . .... .. ... 01
NO .. . ... ...... ... 00
values -3
OL
u~e Greek for business
purpos*sa
Y*S . . ..... ..... 01
NO . ... . ... .. ....00
85

Questionnaire Ref
Q5(M)
Q5(M)
Q5(M)
Q5(M)
Question No
Coding sheet
Reference
5M IRI
5M ITL
5M Port
5M Span
No of
Boxes/
Characters
2
2
2
2
Coding Instructions/Remarks
Values -3-01
use Irish for business
purposes?
Yes ...................... 01
No ....................... 00
Values -3-01
Use Italian for business
purposes ?
Yes ...................... 01
NO ....................... 00
Values -3-O&
Use Portuguese for business
purposes?
Yes ................ ...... 01
No ....................... 00
Value9 -3-04
Use Spanish for business
purposes ?
Yes ...................... 01
No ....................... 00
f..
d6

Qu.staonnaxrm Ref
Q5(N)
Q5(N)
Q5(N)
QS(N)
Q5(N)
Q5(N)
Question No
. .
Codzkg Sheat
Referenc9
5N None
SN DarI
5N Dut
5N FR
5N GER
5N GR5(
No of
Boxes/
Characters
2
2
2
2
2
2
!.,
Cod~ng Instructions/ Remark9
wee
.-
1
Usa any languages Ln othar
eltuatlons?
Yee . .. ............ ... 01
No .. ........ ..... . . 00
-s
--
Yes . ........ ...... ...... 01
No . ..... .. . ... 00
yQuee
.-
Use Outch Ln other
s~tuat ions-
1
Yes . . . ... ......... 01
No .. . ..... ......... 00
Velue 9-3-01
use Franch in other
a~tuat~ons?
Yes .. . ........ . ....... 01
No . ............. ...... 00
Values --
Usa Gamn m othar
s~tuat Lonm?
Yms .. ........... . ...... 01
No ................. ...... 00
values -3-02,
Use Crook Ln othar
sLtuat~0n9?
Yes . .. .. . ...... 01
No . ... .. ....... 00
87

Questionnaire Ref
Question No
Q5(N)
Q5(N)
Q5(N)
Q5(N)
Coding sheet
Reference
5N IRI
5N ITL
5N Port
5N Span
No of
Boxes/
Characters
2
2
2
2
Coding Instructions/Remarks
Values -3-01
Use Irish in
situations?
other
Yes ......... . . . . . . . . . . . . . 01
No ....................... 00
Values -3-0~
Use Italian in other
situations?
Yes ...................... ol
No ....................... 00
Values -3-0~
Use Portuguese
situations?
in other
Yes ........... ........... 01
No ........... ............ 00
Values -3-O%
Use Spanish in other
situations?
Yes ...................... ol
go ....................... 00
d8

Quast>onnaLre R-f
Q5(0)
Q5(0)
Q5(0)
Q5(0)
Q5(0)
Q5(0)
Q5(O]
Qu-staon No
A
Cod*ng She-t
Rafmrance
50 Nonm
50 Oan
50 Dut
50 FR
50 GER
50 GRR
50 IRI
No of
Boxas/
Characters
2
2
2
2
2
2
2
tid~ng Instructions/Ramarks
~es -3-01
Intarasted in further
knowledge of languages?
rem -.. .... .. .. .... 01
No ..... ........... ..... 00
Values --
L
Intarestad m further Danxsh?
Yes .. . ...... .. ...... 01
No .. .......... ....... . 00
~ues -- OL
Intmrast.sd in further Dutch?
r-s . . .. ............ . 01
No ... .... ... ..... 00
Value s -3-o
Intmrmstad in furthar French?
Yes . ........ ..... . 01
No ... ........... .. 00
Values --
L
Int=r*st*d in furthar German?
Ye, .. ... . ....... .. . 01
No . ....... ....... ... 00
Val U*S -3-01
Intarmstad m further Gra9k?
Y*S .. .. ... .. .......... 01
No . ... ..... ..... ... 00
Valu as -3-o
Yes . . . ... 01
No . . . . 00
89

Questionnaire Ref
Question No
Q5(0)
Q5(0)
Q5(0)
Coding Sheet
Reference
50 ITL
50 Port
50 span
No of
BOxeS/
Characters
2
2
2
Coding Instructions/Remarks
Values -3-01
Interested in
Italian?
further
Yes ......... ............ 01
No .......................OO
Values -3-01
Interested in further
Portuguese?
Yes ...................... 01
No ....................... 00
Values -3-01
Interested in
Spanish?
further
Yes ......... ............ 01
No ....................... 00

,.. ---
Quastuannmra Raf Cod>ng Sha=t No of
Questaon No Rmfmrence Boxes/ Coding Instructions/Rmmarks
Characters
Q5(P)
Q5(P)
I 1 1
I
5P None
I 2 I ‘a’ues -3-0’
I I I
I
5P Oan
Q5(P) 5P Dut 2
Q5(P) 5P FR
Q5(P) 5P GER
Q5(P)
Q5(P)
5P GRK
5P IRI
I 2 I ‘a’ues ‘3-9
I
2
I
Any of 9 languagms important
to have knowledge of?
Y99 . . . . . . . . . . . . . . . . . . . 01
No . . . . . . . . . . . . . . . . . . . . . 00
Ordar of ~mportancm
Code ●s par guest ionna~ra
(Grid P)
values -3-9
order of ~mp-art.mcm
Code as per questionnaire
(GrLd P)
Values -3-9
I 2 I ‘alues ‘3-2
2
2
Ordar of importance
Coda as pmr quostionna~ra
(Grid P)
Ordar of Importance
coda as per quastionnaue
(Grid P )
Ordar of Lmportancm
cod- ●s pmr qummtmnnaue
(Gr~d P)
Val uas -3-9
Order of Lmportanca
Coda as per questionnaire
(GrLd P)
91

Questionnaire Ref Coding sheet m of
Question No Reference Boxes/ Coding Instructions/Remarks
Characters
Q5(P)
Q5(P)
Q5(P) I
CHECK A
CHECK B
I
I
I I
5P ITL
5P Port
5P Span
CHK A
cHK B
I
I
2
2
1’ I
2
I
I
I
I
IAny I
I
Values -3-9
order of importance
code as per questionnaire
(Grid P)
Values -3-9
Order of importance
Code as per questionnaire
(Grid P)
Values -3-9
Order of importance
code as per questionnaire
(Grid P)
–3
Values 0-02
children under 16?
Q6 Q6 2 Values -3-02
I 1 1
Yes . . . . . . . . . . . . . . . . . . . . . 01
No . . . . . . . . . . . . . . . . . . . . . . 02
Is informant repnsible fOr
children?
/._.
Yes . . . . . . . . . . . . . . . . . . . . . 01
No . . . . . . . . . . . . . . . . . . . . . . 02
Children any knowledge of
languages?
Yes (at least one child) . 01
No (none) ............... 02
If all children less than
three (x) code .......... 00
Q6(A) (i) CHILD 2 Code child qs Person Number
as per questionnaire
[Grid QUA/]

QumstaonnaLra Rmf
QuastLon No
Q6(A) (1)
Q6(A) (L)
Q6(A) (1)
(26(A)(L)
Q6(A) (1)
Q6(A) (L)
!.
Coding Sha*t
Ref ●rOUC*
6AL
DANISH
6AL
DuTCH
6AL
FR3ZNCH
6A>
GERMAN
6AL
GREEK
6A1
IRISH
No of
S.oxasl
characters
2
2
2
2
2
2
Cadng Instructions/Ramarks
Valu es -3-o~
H*/Sha any knowledga of
Dan~sh?
Yea . .. .. .... ...... . 01
No ..... ..... ..... .. 00
Ha/Sh@ any knowledgo of
0utch9
Yes . . . . . .... 01
No . . ... ... .. 00
Ha/ Sha any knowlodga of
French?
Yes .......... ..... ..... 01
No ........ . ...... 00
values -3-01
He/Sha any knowladge Of
German?
Yes .. ................ 01
No ..... .............. . 00
ysluee -- 1
H*/ She any knowledge of
Greeka
Yes . .... . .. ..... 01
No . . . ... . ........ 00
Valu es -3-01
He/She any knowledgm of
Irish>
Yes . ..... . . .01
No. . .... ..... 00
93

Questionnaire Ref
Question No
Q6(A) (i)
Q6(A) (i)
Q6(A) (i)
Q6(A) (ii)
Q6(A) (ii)
Q6(A) (ii)
Coding sheet
Reference
6Ai
ITALIAN
6Ai
PORTUGUESE
6Ai
SPANISH
6Aii
DANISH
6Aii
DUTCH
6Ai i
FRSNCH
No of
Boxes/
characters
2
2
2
2
2
2
Coding Instruct ions /Remarks
Values -3-01
He/She any knowledge of
Italian?
Yes ...................... 01
No ....................... 00
Values -3-01
He/She any knowledge of
Portuguese?
Yes ..................... 01
No . . . . . . . . . . . . . . . . . . . . . . 00
Values -3-0~
He/ She any knowledge of
Spanish?
Yes ..................... 01
No ...................... 00
Values -3-03
He/She use Oanish at home?
Never . . . . . . . . . . . . . . . . . . 01
Occasionally ........... 02
Oaily .................. 03
Values -3-03
He/She use Dutch at home?
Never . . . . . . . . . . . . . . . . . . 01
Occasionally ........... 02
Oaily .................. 03
Values -3-03
He/She use French at home?
Never . . . . . . . . . . . . . . . . . . 01
Occasionally ........... 02
Daily .................. 03

Q6(A) (ii)
Q6(A) (11)
Q6(A) (U)
Q6(A) (ii)
Q6(A) (11)
Q6(A)(L1)
Coda&g shoot
Rmf ●ranca
6AiL
GERHAN
6ALL
GREEK
6AL L
IRISH
6AiL
ITALIAN
6ALi
PORTUGUESE
6ALL
SPANISH
No of
00%8s/
Characters
2
2
2
2
2
2
Codang Instructuans/Rmmarks
values -3-03
He/She use German at home?
Never ....... . ... ... 01
Occasionally .. . ... . 02
Dally ........ . .. . .. 03
Values -3-0~
Ho/ She US- Graok at home?
Never .. .. .... 01
OCCaSLOnally . . . . . . . . . 02
Oally ..... .. .. .... 03
values -3-03
He/She umo Ir>sh at home?
Nav@r . . . . . . . . . . . . . . . . . 01
Occamlonally .. ....... . 02
oaz Ly . . . . ........ 03
valu*s -3-03
He/She use ItalL&n at home?
Nwer. ........ ........ 01
Occasmnally .... ... .... 02
DaLly ..... ............ 03
values -3-03
Ha/Sh@ USO POrtUgUOaa at
home *
Navmr . . . . . . . . . . . . . . . . . . . . 01
Occasionally .. ......... 02
oaLly ..... .. ... .... 03
H*/She usc SpanLsh at homo?
Nev9r . . .. . .. . 01
Occasionally .. ... ..... 02
Oally .. .. .. . 03
95

m
z
0
a
m
.
. . . . N
1 1
z%
Om
u
.,
. .
,.
. .
,.
. .
.,
,.
,.
. .
. .
. .
.,
,.
.,
,.
. .
. .
. .
. .
. .
. .
SE
c).
oh
ar
log
w
ml

—
Quastxonnaarm Ref Cod~ng sheet No of
Quast=on No Rifarance Box*s/ Cod~ng Instruct~ons/Ramarks
Characters
Q6(B) 6B ITL 2 Va lues -3-9
Q6(B) 68 Port 2 Values -3-9
Q6(B) 6B Span 2 Values -3-9
[PP]UOuff-2300 Q-5-Q6
M
Ital~an - ardor of
Lmpc.rtance. Code a- per
Grid 6B
Portuguese - order of
Lmpotiance. Code an pmr
Grid 6B
Span~sh - ordar of
Lmportanc.s. Coda as par
Grid 6S
97

Qu.st~onna.re Ref
— QuastLon No
Person
Ident Lflcatmn
Q1 (A-B)
.
Codxng Sheet
Refarence
IO No
H/H No
Per
FU
QIAB
ENPLOYXENT SECTION
No of
soxesf
Characters
5
2
2
2
2
Codug Instruct~ans/R8marks
Values 00001 -49999
S dzg~ts - remember laaduig
zeros [check nundxr 1s
tha ssme as front page of
household schedule ]
Values 01 -0s
Enter houmehold number
~ues 01-21
Check ~rnon number is
corract r enter parson
number
value~ 1-7 I
\
Enter numb-r of Family Unit .
Values .-
6
ThLs quection m tho key
q-uast~on to all of th>s
●ectlOn. It LS ●xtramely
unportant that tha
employmnt status Lcorrect
- Lf Ln any doubt
or Lf you feel Lt has been
wrongly cod-d rafu to
supervisor.
Any paid work Ln the last
ldayu ..................01
Not working last waak etc
buthas a job ...........02
wa~tmg to take up a job .03
Looking for work (include
all r9ceavLng UB/Sup Ban
but excludm thoma On Govt/
Youth Schame$ ) unmmploymd
and ●a.rly ratirmd ..... .04
Intending to look for work
but prmanted by temoorary
sLcknems/ injury ... .....05
98

Questaonnur, R9f
Questaon No
Qlc
Q2
CHECK A
cod~ng Sho*t
Ref*KeUc*
QIC
Q2
CHKA
No of
Boxas/
Characters
2
2
2
2
Coding Instructions/Ramarks
None of theso . ..... ...o6
(th~s Lncludos, rmt Lred,
long’term s~ck, houmaw~vmm,
students/school k~da, all
thosa on YTP and other
Government s~nsored
Sch.mas
valu*s -3-O?
Look~ng for work fplacm on
Government Tramlng schema?
Yes ...... ...............01
NO ....... ..............02
Value~ -3-05
Schmmas attendmd.
Youth Tra~nlng Progracmna
(YTP) ... .. .........01
Act ion for Commuut y
Employnmnt (ACE) ........02
Ent*rprLsa UlOtar/Job
Trauung ProgranMn9 ......03
Ychar Govarmnent Schama
(excluding Entmrprlaa
Allowancm Schame) ......04
None ofthasc . .. .......05
~wsa -- 02
HOW paLd?
A wagm by an employ-r ...01
A traln~ng allowance fOr
Govmrr.nmnt scheme . .....02
OK ... . ... .. ..........-l
Valuas -3-04
On a Govarnmant Schema ...01
Had a lob Laat weak ... .02
Unemployed ...... .. .. ....03.
Nona of these .. ... ...04
99

Questionnaire Ref
Question No
Q3(A) or (B)
Q4(A)
Q4(A)
Coding Sheet
Ref ersnce
Q3 A/B
Q4 SOC
Q4 SOCR
No of
Boxes/
Characters
2
3
2
Coding Instructions/Remarks
Values -3-04
UNEMPLOYED : WAITING TO T-
OP A JOB
Yes . . . . . . . . . . . . . . . . . . . ...01
No .......................02
~LoYND (OTHER)
Have you ever had a paid
job?
Yes ......................03
No .......................04
Values -3-999
Occupation - code the 3figure
number given in the
SOC manual
Values -3-09
Recode of SOC
Recode the three-digit value
for 50C as follows
100-199 ..................01
(Managers & Administrators)
200-299 ..................02
(Professional Occupations)
300-399 ..................03
(Associate Professional &
Technical Occupations )
400-499 ..................04
(ClericaL & Secretarial
Occupations )
500-599 ..................05
(Craft & Related
Occupations )
600-699 ..................06
(Personal .S Protective
Service Occupations )
700-799 ..................07
(Sales occupations)
t
a m

Q.astuxmaxre Ref
Questaon No
Q4(A)
,.,
Coding Shaet
Rmfarence
Q4 IND
No of
BOxms/
Characters
2
Cod>ng Instructions/Ramarks
800-s99 ..................08
(Plant & Hachina Oparatlvas )
900-999 ............ ......09
(Other occupations )
-1 ................. .. ...-1
-2 ........... ... . ... -2
-3 ............... .. ..... -3
Valums -- U
Industrp coda from frama
b-low
ACJrLCUltUr-, f 0rC9try,
fishing .................01
Energy and watar supply
industrial ..............02
~ of minarals and
0r9m ;
~ of m~t~~~.
❑ inaral producte and
ch-~cals ................03
natal goods, ●nginemrmg
●nd vohacl* Lndustrias ...04
Othar manufacturing
industries ...............05
Construct ion ...... .......06
Distribution, hotals and
catering; rmpmrm .. ......07
Transport and
coumum~cat Lon ............08
Bank~ng, financa, Lnaurance,
business sarv~cas and
lcas~ng ..................09
101

QuOStiOIUIaire Ref coding Sheet No of
Question No Reference Boxes/ Coding Instructions/Remarks
Characters
Q4(A) Q4 EMP
Q4(B)
Q4(B) (i)
Q4(C)
I I I
I I I
I I I
I I I
I I I
I
Q4B
Q4Bi
Q4c
I
2
2
2
2
[
I
I
?’
Other services ...........10
Insufficient information
given to classify ........11
NB . If more than one
act ivity is mentioned and the
activities are in separate
divisions but there appears
to be only one estab Lishment,
code the main activity of
the establishment.
If more than one
establishment is indicated
and the establishments are
in separate divisions, then
code the establishment that
the informant works in.
Values -3-02
Employee .................01
Self -employed ............02
Values -3-03
t4anaqer ..................01
Foreman/Supervisor .......02
Other employee ...........03
Values -3-02
Number of employees
1-24 .....................01
25+ ......................02
Values -3-04
Employ other people?
Yes, 1-5 .................01
Yes, 6-24 ................02
Yes, 25+ ...... .. .........03
No ............ ...........04

. . .
+
.
Quastzonna~r= R-f Codang She-t No of
Quastaon No Raf armnc= sOxM/
Characters
Coding Instruct~ons/Remarks
CHECK B CH3C B
Q5 Q5
Q5(A)
Q5(A)
Q5 SOC
Q5 SOCR
2
2
I
I I
I 1
I I I
3
~es
.-
2
Had a job laet w-ok . . . ...01
[ cod-d 2 at Check A]
Unemployed ..... .. ... ..02
[coded 3 at Check A]
~es
--
2
Additional k.mrk other than
mam lob?
Y*8 . . . . . . . . . . . . . . . . . . . . . . 01
No . . . . . . . . . . . . . . . . . . . . ..02
v
I
I ‘s 3 “2
Code as pmr Q4 SOC
1
I
I
1
(Using SOC coding manual)
I
2
v
.-
--
I ‘“”s 3 Q
Rmcodm of SOC
I
Racodo thm thraa-dLgit value
for SOC as follows
100-199 ..................01
(Hanagara S Administrators)
200-299 ...................02
(PrOf ●ss ional occupat ~ons )
300-399 ...................03
(Acaociata Profaaslonal &
Tachnlcal OCCupatlOnS )
400-499 ...................04
(Clar~cal 6 Sacrctarlal
Occupation j
500-599 ........... ........05
(Craft & R*latad 0ccupat10n9 )
600-699 ...................IJ6
(Personal & Protective
sarv~ca Occupat ~0n9 )
103

Questionnaire Ref Coding sheet
Question No Ref erenca
Q5(A) Q5 IND
Q5(A)
I
IQ5 EMP
Q5(B) Q5B
Q5(B) (i)
I
Q5Bi
Q5(C) Q5C
No of
BOxOs/
Characters
2
2
2
2
2
Coding Instructions/Remarks
,.
700-799 ...................07
(Sales Occupations)
800-899 ...... .............o8
(Plant & Machine Operatives)
900-999 ...................09
(Other occupations )
-1 ................. .......-1
-2 ........................-2
-3 ........................-3
Values -3-11
Code as per Q4 IND
(Using Industry coding
frame )
Values -3-OZ
Employee .................01
Self -employed ............02
Values -3-03
Manager ..................01
Foreman/Supervisor .......02
Other employee ...........03
Values -3-02
Numk.er of employees
1-24 .....................01
25+ .................. ....02
Values -3-04
Employ other people?
Yes, 1-5 .................01
Yes, 6-24 ................02
Yes, 25+ ..... ............03
No ................ .......04
A(J4

Q6 Q6
Q7[A) Q7A
Q7(B) Q7B
cHECK C CNKC
Q8 Q8
Q9 Q9
I
No of
sox9s/
Characters
2
2
2
2
2
2
.- .
Cod>ng Instruct~ona/Ramarks
Values .- 02
Short tune laat waak?
Yes ......................01
No .................... ...02
values -3-99
Enta total numhr of
@ hours work-d
Qx’=1 udLnq
overt mm
mad brmaks and
Valuam -3-99
Enter total numb-r of w
bourn work-d axclud~ng meal
breaks. coda 00 if ●mployme
or on a Govermrmnt schams.
values --
z
on a govmrnwnt achmma
(codod 1-4 at Q2) ...... ...01
Employ* as, salf -employed. ..02
Valu,s -3-04
S ~gned on
To clam unamploynunt
banef Lt .......... ...... 01
To claim Lncoma support an
an unemployed pason .....02
To gat cradits for National
Insuranc= Contribut~ons ..03
Not s~gned an ............04
~os -- 02
LOokMg for dlff@rcnt/
add it Ional job
r-s .. ...................01
NO ....... ........ .... ..02
105

Questionnaire Ref
Question No
Q1O(A) or (B)
Qll
Q12
Coding Sheet
Reference
Q1O All
Qll
Q12
No of
Boxes/
Characters
2
2
2
Coding Instructions/Remarks
Values -3-15
Length of employment
Less than 4 weeks .. ......01
4 weeks - less than 3
months ..................02
3 months - less than 6
months ............ ......03
6 months - less than 12
months ..................04
1 year - less than 2
years ...................05
2 years - Less than 3
years ...................o6
3 years - less than 5
years ............. ......07
5 years - less than 10
years ...................08
10 years - less than 15
years .............. .....09
1S years - less than 20
years ...................10
20 years - less than 25
years ...................11
25 years - less than 30
years ...................12
30 years - less than 3S
years ...................13
3S years - less than 40
years ...................14
40 years and over ........15
Values -3-04
Why signed on
To claim unemployment
benefit .................01
To claim income suppOrt ..02
For NI Credits ...........03
Not signed on ............04
Values -3-09
How long out of work?
Less than l week .........01
1 week, less than 1 month. 02
1 month, less than 3
months ..................03
3 months, less than 6
months ..................04

Quastuanna.ra R-f
Q13
Q14
Q15
Quastaon No
Cod~iig Shamt
Rmf ●rmca
Q13
Q14
Q15
No of
S. Ox*s/
Characters
2
2
Codng Instructions/Remarks
6 month=, lams than 1
year ............. .......05
1 year, less than 2
yaars .............. .. 06
2 yaars, less than 3
years ................ ..07
3 yaars, 1-ss than 5
yaars ..... ..............08
5 years and over ........09
-e , .-
6
Last week warm you?
Going to school or
college .................01
Perman*nt ly unabla to
work ................ ...02
Retired ....... .........03
Early retirarmnt .... ....04
LookLng aftmr houmf
family ............ ....05
Otha ...... ............ .06
NB. The ‘rat>rad C and oearly
retired” codas should only
b- us-d for thoaa who hav*
worked. Rmmpondents who say
that they ara r*tirad but
who hava navar work-d should
b* cod-d in tha ‘other’
Catuymy .
Why s ignad on?
To claim ummploynmnt
bmmf it ... ..............01
To claim incomm support ..02
To g-t NI Cradits ........03
Not s ~gned on ............04
Valu.s -- 09
Why not looking for work?
on govmrnmont trammgl
●mploymant ~chema ..... .01
Stud-nt . . . . . . . . . . . . . . . 02
Long-tmrm sick or
d~sabled . . . . . . . . . . . 03
107

Questionnaire Ref
Question No
$316
Q17
Q18
Q18
Coding Sheet
Reference
Q16
No of
Boxes/
Characters
2
I I
I
Coding Instructions/Remarks
Looking after family/
home ....................04
Ret ired ..................05
Doesnst want job .........06
No jobs available . . . . . ...07
Not yet started looking ..08
Other ....................o9
Values -3-02
Would you 1ike to have a
job?
Yes . . . . . . . . . . . . . . . . . . . ...01
No .......................02
Q17
I
2
I
IValues -3-01
Have you ever I worked?
Yes ......................01
No .......................02
Q18 SOC
I I I
I
Q18 SOCR
I I I
I
I
3
2
I
I
Values -3-999
Occupation - last job?
Code the 3-figure number
given in the SOC manual
Values -3-09
Recode of S042
Recode the three-digit value
for SOC as follows
100-199 ...................01
(Managers & Administrators)
200-299 . . . . . . . . . . . . . . . . ...02
( Professional Occupations)
300-399 ...................03
(Associate Professional L
Technical Occupations )

Quastzonnaara R-f
Questmn No
Q18 Q18 IND
No of
sOxms/
Characters
I I I
2
coding Instructions/Ramarks
400-499 .................. 04
(Clerical & Sacretarlal
Occupat Lens j
500-599 ............. .... 05
(Craft G Ralatcd OccupatLOnS )
600-699 ...................06
(Pmsonal & PrOt*ctivO
Sarvlce Occupations)
700-799 ...................07
(Sal*8 occupat~ons )
800-899 .. ................08
(Plant & Machina o~ratives )
900-999 . . . . . . . . . . . . . . . . ...09
(Other occupatmna )
-1 ...... .................-1
-2 ........................-2
-3 .............. .........-3
Values -3-U,
Industry coda from frsma
bmlow
Agr Lcultura, fOr_ltrY,
fishing .................01
Energy and water supply
Lndustrles . . . . . . . . . . . ...02
B ract LQu of mmerals and
0::s J ~ of metals,
mznaral products and
chem~cals ................03
Iiwcal goods, ●nganaaring
and vehLcl* LndustrLen . 04
Other manufacturing
Lndustrms ..... .. . ..05
constructx.n . .. .........06
OLstr~bution, hotels and
catar~ng; rOpa Lr3 .......07
Transport and
cOmununLcatmn . . . . . . . . .08
109

Questionnaire Ref Coding Sheet No of
Question No Reference Boxes/ Coding Instructions/Remarks
Characters
Q18
Q18(B)
Q18(B) (i)
Q18(C)
Q19
I I I
I I I
Q18 EMP
2
Banking, finance, insurance,
business services and
leasing .................09
Other services ...........10
Insufficient information
given to classify .......11
Values -3-02
I
I
I
Employee .................01
Se Lf-employed ........ .....02
I
I
I I
Q18B I 2
Values
I
-3-03
I
Q18Bi
Q18C 2
Q19 2
I
2
I
Manager ..................01
Foreman/Supervisor .......02
Other employee ...........o3
Values -3-02
Number of employees
1-24 .....................01
25+ ......................02
Values -3-04
Employ other people?
Yes, 1-5 .................01
Yes, 6-24 ................02
Yes, 25+ .................03
NO .......................04
Values -3-02
Was described occupation
during working life?
Yes ......................01
No .......................02
t

Qu*stmnnaLr* R-f Cod~iig Shoat No of
Qumstxon No Rmfarance Boxms/ Codang Instructions/Ramarks
Characters
Q19(A)
I
Q19 SOC
I I I
Q19(A) Q19 SOCR 2
I I I
I
3
I
Valuas -3-999
Occupation
Code tha 3-fqne number
given Ln tha SOC manual.
Value s -3-09
Rmcodm of SOC
Racode the thrme-digit valua
for SCC an follows
100-199 ..................01
(14anagars & Administrators)
200-299 ..................02
(Professional Occupations)
300-399 ....... .. .... ...03
(AssocLate Pro fOsai.Onal &
Technical OccupatlOnS )
400-499 ....... .- .......04
(Clerical G Sacratarial
Occupations )
500-599 .............. ...05
(Craft & Relatad occup.stLons )
600-699 ...... .............06
(Parsonal & PrOtactLva
s9SVLCe oCCUpatLOnl )
700-799 ...................07
(Sale* Occupation)
800-899 .... ...... .......08
(Plant & Machine Operat Lvam )
900-999 ...................09
(Ot hsr occupat Lens)
-1 . ......................-1
-2 ................ .......-2
-3 .... .... ....... .....-3
111

Questionnaire Ref I Coding Sheet I No of I
Question No
Reference
Boxes/
Characters
Coding Instructions/Remarks
I
I
I
Q19(A)
I
Q19 IND
I
2 IValues -3-11
Industry code from industry
I I I frame at Q18 IND.
I I I
I I I
Agriculture, forestry,
fishing ..................01
Energy and water supply
industries ...............02
Extraction of minerals and
ores: Manufacture of metals,
mineral products and
chemical s ...... ...........o3
Metal goods, engineering
and vehicle industries ...04
Other manufacturing
Q19(A) Q19 EMP 2 Values -3-02
I I I
industries . . . . . . . . . . . . ...05
Construction ........ ......06
Distribution, hotels and
catering; repair= .. ......07
Transport and
communication ............08
Banking, finance, insurance,
business services and
leasing ....... ...........09
Other services ............lO
Insufficient information
given to classify ........11
NB. See more detailed notes
in Record 2 instructions.
Employment status
Employee .................01
Self -employed ............02
r
.

Q19(B) Q19B
Q19(B) (i.)
Q19(C) Q19C
Q20 Q20 PER
Q20A Q20 SOC
Q20(A) Q20 SOCR
No of
s0x9s/
Characters
2
2
2
2
3
2
k* ..,
Cadng Instructions/Rmmarks
Values .- o~
1f ●mployae: -
Manager . . . . . . . . . . . . . . . ..01
FOreman/Supervisor .......02
Other employ-a ....... .03
Numbmr Of 9IIIP1OY-8
1-24 .................. ...01
25+ ................. .....02
Values
--
1f salf -amploymd: -
Employ other paoplo?
4
ram, 1-5 .................01
Yea, 6-24 ................02
Y-s, 25+ ..... ............03
NO .......................04
yQuee 1-22,
Enter parson number of
raspondmnt’s fathmr ~f he
La a houechold manbu
-es -3-999
Occupat Ion
Coda tha 3-f igurm number
given ~n the SOC manual
Values -3-0~
Racodc of SOC
Recode tha thrat-digit valua
for SOC as follows
100-199 ................ ...01
(Hanagars & Adnmustrators )
113

Questionnaire Ref Coding Sheet No of
Question No Reference SOxes/ Coding Instructions/Remarks
Characters
Q2 OA Q20 IND 2 Values -3-11
I I I
I I I
* .i
200-299 ...... .............02
(Professional Occupations)
300-399 ...................03
(Associate Professional &
Technical Occupations )
400-499 ...................04
(Clerical & Secretarial
Occupations )
500-599 ...................05
(Craft & Related Occupations)
600-699 ...................06
(Personal G Protective
Service Occupations )
700-799 ...................07
(Sales Occupations )
800-899 ...................08
(Plant & Machine 0perative9 )
900-999 ...................09
(Other occupations )
-1 ........................-1
-2 ........................-2
-3 ........................-3
Industry code from frame
below
Agriculture, forestry,
fishing ..... ..............Ol
Energy and water supply
industries ................02
Extraction of minerals and
ores; Manu facture of metals,
mineral products and
chemical s..... ............03
Metal goods, engineering and
vehicle industries. .......04

—
Qu8stx0nrIUr9 Raf
Quwstaon No
Q20A
Q20(B)
Q20(E) (L)
Q20(C)
Codzng Shaet
R~feranca
Q20 EMP
Q20B
Q20B1
Q20C
No of
sOx*s/
Characters
2
2
2
2
C?c.dangInstructions/Ramarks
Other manufacturing
Lndustrle a......... . . 05
Constructmn ...... .......06
Ozstr~butmn, hot-is and
catering; rapalrs ... .. ..07
Transport and
communicat ion...... . . . . ...08
Banking, fmance, Lnsurance,
busmass services and
leasing ...................09
Othar sarvices. ..... ... 10
Insufflcimnt information
glvan to classify. ... .....11
-es
.-
2
Employment status
Employee .................01
Self -employed .............02
1f ●UlplOYme :-
nmugar ..................01
FOraman/SupsrviaOr. .. .....02
Othar ~ployeo . ...........O3
Values -- 02
Number of ●mployaas
1-24 .....................01
25+ ....... ...............02
Valuas -3-04
If mmlf -employed how many
●mployees ?
Yes, 1-5 .................01
Y*9 , 6-24 ..... ............02
Yes, 25+ . ................03
Noeqloyees . . ........ ... .04
115

.

Quest ~onnalrm Rmf
— QumstLOn No
PERsON
IDENTIFICATION
Q1
Q2
Q3(A)
COLLECTED MONEY
(LAST 12 MONTHS)
Coding Sheet
Rafarmnce
IDNO
H/H NO
PER
FU
Q1
Q2
COLL (A)
VOLWMY WOSN SECTION
No of
Boxes/
Characters
5
2
2
2
2
2
2
Cc.dang Instructions/Rmmarks
v~s
5 d~g~tm - rammnhar load >ng
zeros ( check numhar LS the
same a* on front page of
houamhold schedule) .
Valu.s 01-0~
Entar housahold numb-r.
ValUeS 01-2L
Check parson numbsr LS
corract: ●nter par~on number.
V41U*S 1-7
Enter numhr of Fsnuly Unit
~ues
---
‘\
My voluntary work m last ‘.
12 months?
Yes ................... ..01
No ...... ........ ... ....02
~z
--
Any voluntary work lxnkod to
a Church or othar ral~g~ous
organimat Len?
Y*S ..................... .01
No ....... ... ........ .02
-es
-.
a
Colloctad money an last
12 months?
Yen ...... .. ....... ....01
NO ..... ..... ...... .....00
I
116

COLLECTED MONEY
(LAST 4 WEEKS)
SONETHING ELSE TO
SAISE MONEY
(LAST 12 MONTHS)
SONETHING ELSE TO
SAISE HONEY
(LAST 4 NEERS)
VISITED PEOPLE IN
INSTITUTIONS
(IAST 12 MONTHS)
VISITED PEOPLE IN
INSTITUTIONS
(LAST 4 WEEKS)
TEACHING, COACHING,
TRAINING
(LAST 12 MONTHS)
Coding Shm@c
R-f erenca
COLL (S)
ELSE (A)
ELSE (S)
VISIT (A)
vIsIT (S)
TEACH (A)
No of
Boxesf
Characters
2
2
2
2
2
2
Coding Instruct~ons/Rmmarks
Values -3-o2
collect-d monay in 4 waaks
ending yesterday-
Yes . .............. ....01
No . ....... . ..... ....02
somath~ng else to raLse money
Ln last 12 months?
Ye8 .... .. . .. .........01
No ... ...................00
ValUOS -3-02
Somathmg else to raise money
In 4 wa*ks ●riding yestmrday~
Yea .. . ....... ... .01
NO . ... .... ...... ... 02
Values --
Visitad p~Oph in
~nstltut~onm Ln last
12 months?
1
Y*S . .......... ....... .01
NO .............. ......00
values -3-O?
Yes. . . .. ...... . . .. 01
ma . . . . . . . -. . . . . . . . . ..02
Values -3-O&
TeachuIg, coaching, traLnlng
Ln Last 12 monthse
Yes . .... . ....... .O1
No. . ..... . .... ......00
117

Questiomaire Ref Coding Sheet
Question No Reference
TEACHING, COACHING, TEAcH (B)
TFAINING
(LAST 4 NSEKS)
GIVING TALKS, TALKS (A)
CANVASS ING ,
LEAFLETTING
I
(LAST 12 MONTHS)
GIVING TALKS, TALKS (B)
CANVASS ING
LEAFLET ING
(LAST 4 WEEKS)
GIVING ADVICE
(LAST 12 MONTHS)
GIVING AOVICE
(LAST 4 NEEKS)
SERVING
COMHITTEE
ON A
(LAST 12 MONTHS)
I
I
1
I
I
I
I
I
I
I
ADV (A)
AOV (B)
COMH (A)
No of
Boxes/
Characters
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-02
Teaching, coaching, training
in 4 weeks ending yesterday?
-.. .
i
Yes ........................01
No ........................02
Values -3-0~
Giving talks, canvassing,
Leafletting in last 12 months?
Yes . ......................01
No ........................00
Values -3-02
Giving talks, canvassing,
leafletting in 4 weeks
ending yesterday?
Yes .. .....................01
No ........ ................02
Values -3-o~
Giving advice in last 12
months?
Yes .......................01
No ........................00
Values -3-o2
Giving advice in 4 weeks
ending yesterday?
Yes ........ ..............01
NO .......................02
Values -3-01
Serving on a committee in
last 12 months?
Yes ......................01
No .......................00
il?i

Qumstaan No
SERVING ON A
COHMI TTEE
(LAST 4 WEEKS)
ORGANIZING/HELPING
AT A CLUB OR GROUP
(LAST 12 MONTHS)
ORGANIZING/HELPING
AT A CLUB OR GROUP
(LAST 4 WEEKS)
AOMIN/CLERICAL/
SECRETARIAL
(LAsT 12 MONTHS)
AOHIN/CLERICAL/
SECRJSTARIAL
(LAST 4 WEEKS)
oRGANISING/TAKING
PART IN
ENTERTAINNENT
(LAST 12 MONTHS)
Coddig Shaat
Raf 9zonc*
COMN (B)
CLUB (A)
CLUB (B)
AOIIIN (A)
ADMIN (B)
ENTER (A)
No of
BOxas/
characters
2
2
2
2
2
2
P-.%
Codang Instructmnn/Ramarks
Serving on a comrmttee In
4 wemks ending yestarday?
Yes ........ .. ........01
No ..... ..... . . . .....02
values -3-01
organLsmg/halp~ng at a club
or group Ln last 12 months?
Yes .......... ..... .... 01
No . . ...... . .... .....00
Values -3-O?
Organlsmg/halpmg at a club
or group Ln 4 weeks ending
yomtmrday?
Y-* ............. .. ......01
No ............. ........ 02
Values -3-o\
A&Ln/clerical/90crmtarLal
in last 12 months?
YOs ........ ... ...........01
No ........... ...........00
-es
--
2
A&ln/clczical/99 cr9tar1al
Ln 4 wmeks ●riding yasterday>
Y*S ................. ..01
No ......... .. .. ..02
Values --
1
Organ~s~ng/taking part m
entarta~nment in last 12
months,
Yes . - .... -- ...01
No .. .. ...... .. .00
119
—

Questionnaire Ref 1 Coding sheet No of
Question No
Reference
Boxes/
Characters
I
I
ORGANISING/TAKING
PART IN
ENTERTAINf4SNT
(LAST 4 WEEKS)
GIVING OTHER KINDS
OF PRACTICAL HELP
(LAST 12 MONTHS)
GIVING oTHER KINDS
OF PRACTICAL HELP
(LAST 4 WEEKS)
I
ENTER (S)
HELP (A)
HELP (B)
FIRST OTHER TYPE OF OTH1 (A)
VOLUNTARY WORK
(LAST 12 MONTHS)
I
2
2
2
I I
I I I
FIRST OTHER TYPE OF OTH1 (B) 2
VOLUNTARY WORK
(LAST 4 WEEKS)
I
2
I
I
I
Coding Instructions/Remarks
Values -3-02
Organizing/taking part in
entertainment in 4 weeks
ending yesterday.
Yes .......................01
No ........................02
Values -3-01
Giving other kinds of
practical help in last 12
months ?
Yes .......................01
No ........................00
Values -3-02
Giving other kinds of
practical help in 4 weeks
ending yesterday.
Yes .......................01
No ........................02
Values -3-01
First other type of
voluntary work in last
12 months?
Yes . . . . . . . . . . . . . . . . . . . . ...01
No . . . . . . . . . . . . . . . . . . . . . ...00
Values -3-02
First other type of
voluntary work in 4 weeks
ending yesterday?
Yes .......................01
No ........................02
..

m o
l-l
2
d
(-4
4
C4
I-4
m
. .
m
:2
m“
z~
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
u
w:
o-l
,.
. .
40
00
,.
,.
,.
. .
,.
.. .,
..
..
.. ,.
., .. .,
..
-llwm*!min
000000
. . . . . .
. . . . . .
,, ..,.
. . . . . .
... ,..
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . .
. . . . . .
... , .&
. . . . .
. . . . .4
ZZ
..

—
Qu=stlonnalra R-f
Qumstaon No
Parson
Ident Lf ~cat x.n
Q1
QIA
Codang Sha*t
Reference
IDNO
H/H No
PER
FU
(21
QIA
SPOR’TS ANU EIC1’ERTAINMENT
No of
BOxeS/
Characters
5
2
2
2
2
2
Codng Instructions/Rmmarks
Values 00001-49999
5 d~gLts - rameuber lead~ng
zeros (check that the
number La the sam= as that
on the front page of the
Household Schedula
Value 9 01-05
Enter household number
Chack person number LS
c0rr9ct
Enter pereon number.
Values 1-7
Enter number of FamLly OnLt.
Values -3-02
Ttk9n part ~n any indoor f
sparts or phys~cal
exerc Lses Ln last
12 months?
Yes ............... .....01
No ..... ...... .. ....02
~ugg
--
2
Yes .. .............. ... 01
No . ... ... .. .. .. . 02
122

Q2
Q2A
I I I
I
I
Q2
Q2A
Q3 Q3
Q3A A
FILNS
Q3A A
PLAYS - OTHER
Q3 B B
FILMS
I
I
. .. .. -
No of
Box-al
Characters
Coding Instructions/Rmmarks
2
2
2
2
2
2
I
I
I
I
I
values -3-02
Taken part Ln any outdoor
qxxts or phys Lcal
exerclaes ~n the last
12 months.
Yes .....................01
NO ........... ...... .....02
Values -3-OZ
Taken part Ln any outdoor
sports or phys~cal
exercLson Ln tha 4 w-aks
ending ymatarday?
Yes . . . . . . . . . . . . . . . . . . ...01
NO . . . . . . . . . . . . . . . . ...02
Values -3-02
Yes .. ...................01
No .................-....02
Valumm -3-o&
Sae any films m the
4 waaks ●riding ymat-rday?
Yms . . . . . . . . . . . . . . . . . ...01
v -- 0
I ‘“e’ 3 a
v
I “ue931Q
--
Enter numhor of occasions on
wh~ch Lnformant went to sme
fLlms Ln tha 4 weaks ●iIdLIIg
yastmrday .
123

Questionnaire Ref
Question No
Q3B
PLAYS - OTHER
Q3C
FILMS
Q3C
PLAYS - OTHER
Q4A
ART GALLERIES
sTATELY HOMES -
OTHER
Q4B
l@T GALLERIES
sTATELY HOMES -
OTSER
Q4C
=T GALLERIEs
Coding Sheet
Reference
No of
Boxes/
Characters
B 2 Values -3-10
c 3
c 3
A
A
Coding Instructions/Remarks
Code as for films above.
Values -3-150
Enter number of miles
travelled.
Values -3-150
Enter number of miles
travel led.
2 Values -3-03.
2
Visit any art galleries or
museums in the 4 weeks
ending yesterday?
Yes ......................01
Values -3-01
B 2 Values -3-10
B 2 VaLues -3-10
c 2
Values -3-15Q
Code as for art galleries
above.
Enter number of occasions
on which infocmant visited
art galleries etc in the
4 weeks ending yesterday.
Code as for art galleries
above.
Enter number of
travel led.
miles
f-

Questlonnaara R.f
— Quastaon No
STATELY HOHSS -
OTHER
[PP]UOuf-2325 (H-hold Surv)
Cs /
%-
Codlng sheet
Rmf ●ranca
c
No of
Boxas/
Characters
2
Cod>ng Instruct>ons\Rmmarks
Values -3-150
Enter number of m~l.m
travel led.
125

Quastaonnalre Re f
—. Quest~on No
PERsoN
IDENTIFICATION
Q1
Q2
Cadang Sheet
Rafar9nc9
ID NO
H/H NO
PER
FU
Q1
Q2
SEALTE SECTION
No of
Boxms/
Characters
5
2
2
1
2
2
cod~ng Instructions/Ramarks
~ues 00001-4999 9
5 d~g~ts - r-ember lead~ng
zaros and ●nsura that the
numb-r LS the sane as
that on the front page of
the household ●chmdule.
Values 1-5
Enter household number
Qluea 01-zl
Enter par non numlxr,
confirnung that thm
LntmrvLmwer has recorded
tha proper referanc* for
rmmpondent.
Valuee 1-7
Enter number of fanmly unit
values -3-03
Cwar tha last 12 months has
health bean -
good ............. .......ok
fa~rly good .......... ...Oi
not good ................ .03’. ‘,
~
--
Longatandmg illnassaa,
d~sab~l~t~as?
2
Ye, ... ...............
No ...... .............
126
. ..01
...02
/

Quastximalr. ReJf
Questaon No
Q2(A)
C-admg Shaat
Ra ferenca
Q2AL
No of
E.oxes/
Characters
2
.
Coding In8tructlona/Ramarks
Valuee -3-46
Nature of 1st Lllnenm
ment Lonad
Alcohol ism ..... .........01
Allergles/PhObLas ........02
Appand~citis .............03
Arthritis/Lumbago/
Rhaumat iam .... ..........04
Asthma .... ..............05
Back troublas and
●ssocnted illnassas. . . .06
Blood d~sorders gan9ral/
VertLgo .............. ...07
Blood preseure ..... ......08
Bones (brokan) ...... .....09
Bronchat~s ......... ......10
Cancar (undafinad) . .....11
Choet probloms
(undaf lned ) ....... ......12
Colds/f lu ................13
Circulation (bad) ... .....14
0apras8L0n/nanas ........15
O>abetea ...... ...........16
Disabled phys~cally ......17
Epil*psy ...... ...........18
Gallbladder troubla ......19
Ganctic LllnUS/
abnormalities .......... 20
Glandular troubla ........21
Gynaacological problama ..22
Hasmorrhoids ............ 23
Headaches /m~cjraLna .......24
Haaring problama .........25
Heart/ stroko/CHD (Lnc
rhaumat~c fwer) ..... ...26
H*rn>a ... ................27
111 haalth ganeral ..... .28
Infections gcnaral (not
colds/flu) .............29
Kldnay probl-s ..........30
LLvar complaLnta .........31
Lh trouble .. ...... .....32
Multiple sclarosls .... ...33
Muscular dystrophy .......34
Naurolog&cal Lllnmmees
(by Parkinson OLsaase) ..35
Old age .. .. ............36
RespLratOry problmma
(other than bronchLt LB )..37
127

Questionnaire Re f
Question No
Q2(A)
Q2(A)
Q2(B)
Q3
Coding Sheet
Reference
Q2Aii
22Aiii
)26 2
,
No of
Boxes/
Characters
2
2
Coding Instructions/Remarks
Sight problems ...........38
Skin problems ............39
Speech impediment ........40
Stomach problems/digestive
tract .....-..............41
Thyroid gland ............42
Ulcers (internal) ........43
Ulcerations jabcasses
(external) ..............44
Varicose veins ...........45
Other ....................46
Try to fit into the abOve
categories before referring
to supervisor
Values -3-46
Type of illness/disability -
second
Code as per first illness
(2Ai)
Values -3-46
rype of illness/disability -
third
Code as per first illness
(2Ai )
Ialues -3-02
>oes it limit
~ay?
you in any
lAw of the illnesses)
res ......................01
{0 .......................02
ralues -3-02
:ut down activities in
;WO weeks because of
.llness?
ast
:es ................... ..01
10.. . .. .. . .. .. . . . . .. .. .. ..02
~..
Ldtl

1
Q3(A) Q3A
Q3(B)
Q’
Q4(A)
Q4(B)
Last (lst)
Consult
Q’(B)
Last (1st )
consult
No of
. . ..
Boxes/ ; Coding In9tructaons/Ramarks
Characters
.2
I I I
Q4
Q4A
Q4B
PERS
2
I I
1 ,
I
2
2
2
2
I ‘s ‘3-4’
I
What was tha mattgr?
Values -3-14
Enter numbmr of days Ln last
2 waaks
v s -3-o
I alue
Talk to a doctor W’cc in last
2 weeks?
ram . . . . . . . . . . . . . . . . . . ...01
No ............ ...........02
I (Excludm consultations on
I
behalf of children under
16 y.ara old)
value s -3-IQ
Enter numb-r of tl.ms Ln laat
2 woakn
Values --
2
Whosa b-half was most recent
consultation?
Informant ................01
other H/H membar 16+ .....02
Valu ●, -3-2~
Whona behalf was moat rmcant
conaultat~on
Entar person numbar of other
K/H mmbar. 00 ~f informant
129

Q.estaonnaire Ref
Question No
Q4(C)
Last (1st )
Consult
Q4(D)
Last (1st )
Consult
Q4(E)
Last (lst)
Consult
Q4(F)
Last (1st )
Consult
Q4(G)
Last (1st )
Consult
Previous
consultations
(ie 2-6)
Coding sheet
Reference
Q4C
Q4D
Q4E
Q4F
Q4G
No of
Boxes/
Characters
2
2
2
2
2
Coding Instructions/Remarks
Values -3-o2
Was this (most recent )
consultation
Under NHS ................01
Private ..................02
Values -3-03
Was the person
AGP. ....................01
A specialist .............02
Some other kind of doctor. 03
Values -3-05
Did you talk
by telephone
at your hcxne
in surgery .
to him/her
. ............01
.............02
.............03
Health Centre ............04
elsewhere ................05
Values -3-O?
Did you receive a
prescript ion?
Yes ......................01
No .......................02
Values -3-0’4
Doctor refer you to
hospital?
Yes ..... .................01
No .......................02
Consultations 2-6
Code as above for further
consultations
la

.b
No of
SOxes/
Characters
Q5 Q5 2 Valu*s -3-0’4
Q5(A) MNTH 1 2
Codang Instructions/R9marks
v~slt as outpatmnt?
Yes .. ................. .01
NO ............... . ......02
values -- u
Q5(B) visits 2
Values -3-1o
Q5 (A) NNTH 2
Q5(B)
Q5(A) MNTH 3 2
Q5(B) Vialt, 2
2 Valuma -- 12
vis Lt9 2 yQJJ!es -- lQ
Enter number of month for
earliest v~sit
Entar numhar of vlsltn for
●arl last month
Enter number of month for
●mcond VLSLt
Enter nUmh_r of vLsit9 Ln
sacond month
ValUQS -3-12
Enter number of month for
third v~s~t
ValUaS -3-lQ
Q6 Q6
2 Values -3-02
Enter number of Visits Ln
thLrd month
Inpat~ent during last yearz
Yes .. . ....... ....... .01
NO ... .......... ... 02
131

Questionnaire Ref
Question No
Coding Sheet No of
Reference Boxes/ Coding InStructiOLls/Remarks
Characters
Q6(A) Q6A 2 Values -3-12
How many separate staya as
inpatient ?
Enter number
Q7 Q7 2 Values -3-02
QIA
Q7B
Q8
Q8A
I
Wear Glasses or Contact
Lenses?
Yes .................. ......Ol
No .........................02
Q7A 2
Values -3-03
I I Check I do you wear?
Q7B
Q8
Q8A
2
2
Glasses Only ..............01
Contact lenses only .......02
Sometimes glasses[sometimes
contact lenses ............O3
Values -3-OZ
Ever had a pair of glasses
or contact lenses?
Yes .......................01
No ........................02
Values -3-02
Sight tested?
Yes ......................01
No .......................02
values -3-0~
Free or paid for?
Free ......................01
Paid for .................02
DK ........................-1
A A,?
r

QUastaonnaara Raf
Q9
Q9A
Q9 B
Questaon No
CHECK A
CHECK B
CHECK C
Coding she-t
R-f ●rmncm
I
●NS CON’XIWUE WITH 1 UTB sECTION 0~
IF CODED 2 AZ EITEER
I
GO TO NEXT=
Q9
Q9A
Q9 B
CNK/A
CKKIB
CHK/C
No of
Boxms/
Characters
2
2
2
2
2
: 1? cODED 1
ZION
I
Coding Iastructaons/Remarks
values -3-02
St>ll got soma of your
natural teath or lost them
all>
StLll has somo natural
teeth .... .. .01
Has lost all natural
teeth . . . .... . . . .02
Valu, s -3-04
In general, do you go to the
dent~st for a regular
check-up~
Rqul.sr chack-up. ........ .01
occas~onal check-up ..... .02
Only when havang trouble. 03
Never goes to the dant Lst. .04
~ues -- 02
Yea. .............. ...... ...01
No ..... ........ ..... . .02
OK. .. . ........ .. ... .. -1
~m --
2
M- thar* any chlldran
under 16 Ln the hou~ohold?
rem ..... ....... ... .. ..01
No ................. ......02
-e s -3-02
Is this informant the Derson
raspons~ble for any
chLldran?
Yam ...... .......... . ..01
No .... .. .. . .. . . . ..02
Values -3-16
En’car numLI*r of children
? CSECK A AND CSECK 0.
133

Questionnaire Ref
Question No
Q1O
QIOi
Qll
Qll(i)
Q12
Q12(i)
Q13
Coding Sheet
Reference
Q1O
QIOi
Qll
Qlli
Q12
Q12i
Q13
No of
Boxes/
Characters
2
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-02
(Applies only if coded 1 at
Check A/B)
Any children have longstanding
illness?
Yes (any child ) ...........Ol
No (none of them) ........02
Values -3-10
Enter number of children
affected
Values -3-02
Children have to ..cut-down
on things due to illness?
Yes (any child) ..........01
No (none of them) ........02
Values -3-10
Enter number of children
affected
Values -3-02
Any children talk to doctor
Yes (any child) ..........01
No (none of them) ........02
Values -3-10
Enter number of children for
whom contact was made
Values -3-02
Any children outpatients at
hospital ?
Yes (any child) ..........01
No (none of them) ........02
lJ4
f“

Q13(L)
Q14
Q14(1)
Codxng Sheat
Rmf ●rmC-
Q13i
Q14
Q14L
No of
E9x*s/
Characters
2
2
2
Coding InstructIons/Remarks
~qs .- U
Enter number of childen who
attended
mpat iants
Y-S (anv child) ........ .01
No (none of tham) ........02
Valuas -3-1o
Enter nutiar of childran
who wara Ln hospital
135

CHILD HEALTH
TSE FOLLOWING QUESTIONS CONCERN CHILDREN, AND APPLY ~ TO TBOSE CODED 1 AT
CSECK A AND CHECK B
NS RECORD INFOKNATION FOR INDIVIDUAL CHILDREN ON SEPARATE CODING SEEETS (one
sheet per child)
Tear out child’ s coding sheets if not used.
Use additional sheets as re~ ired.
Questionnaire Ref
Question No
PERSON
IDENTIFICATION
Coding Sheet
Reference
ID NO
H/H NO
Per
FU
cHILD
No of
Sexes/
Characters
5
2
2
2
2
Coding Instructions/Remarks
Values 00001-49999
ID number of person
responsible for child
5 digits - remember leading
zeros [check number is the
same as front page of
household schedule ]
Values 01-5
Enter household number
Values 01-21
Check person number is
correct: enter person number
Values 1-7
Enter number of Family Unit
Values 1-16
Enter child number

Quast~on No
Q1O(A) (i)
Codzng Shaat
Raf ●ranc9
Q1OAL
No of
sOx*s/
Charactara
2
Codxng Instructions/R.marks
Values -3-46
What LS tho matter w~th
ch~ld?
Alcoholism .............. 01
Allarg~es/Phobias ........02
AppandLcit is .............03
ArthrLeL8 jLumhqo]
Rheumatism ..... .... .. 04
Asthma ...................05
Back troublas *nd
asnocutad >llnaasas
Blood d~sordars genara.
v*rt Lgo .......... ..
Blood preasura .. .. ..
Bonms (brokon) .......
Bronchit~s ...... ....
Cancer (undafinmd) ...
Chest problamm
..06
I
.. 07
.. 08
...09
...10
...11
(undafuad) ..............l2
Colds /flu .................13
Cuculat~om (bad) ........14
Dmprmssmn/nmrvma .......15
O~abatas ................ 16
Disablad physically ......17
EPilmPsy .................18
Gallbladder troubla ......19
Ganat>c illn*sa/
abnormalities .... ......20
Glandular troublo ........21
Gynaec.alog>cal problmw ..22
Haamorrhoids . . . . . . . . . . ...23
Headachaa\mLgr~LI19 . . . . ...24
Haarmg problams .........25
H-art /stroke/CHD (Lnc
rhmmat~c fwer) ... . .26
Hmrn~a ............
Ill haalth ganaral
Infections g~n~ral
colds/flu) ... ....
Kldnay problams . .
Llvar complaints ..
L- troubla ......
. . . . .27
......28
not
......29
......30
......31
......32
14ultiplo sclaron~s .......33
Muscular dyatraphy .. ....34
NaurologLcal Lllnmssas
(by Parkinson OMaasc )..35
Old ago .. .... ..... ...-36
Rmsp>ratory problamm
(othar than bronchatls ) 37
137

Questionnaire Ref
Question No
QIO(A) (ii)
Q1O(B)
Q1l(A) (i)
Q1l(A) (ii)
Q1l(B)
Q12(A)
Coding Sheet
Reference
QIOAii
Q1OB
QllAi
QllAii
Q1lB
Q12A
No of
Boxes/
Characters
2
2
2
2
2
2
Coding Instructions/Remarks
Sight problems ...........3I3
Skin problems ............39
Speech impediment ........40
Stomach problems/digestive
tract ...... ............41
Thyroid gland .... ........42
Ulcers (internal) ........43
Ulcerations/abscesses
(external) ..............44
Varicose veins ...........45
Other ....................46
Values -3-46
Second longstanding illness
Code as above (10Ai) .
Values -3-02
Ooes it limit? (Any illness)
Yes . ........ .............01
No .......................02
Values -3-46
What was the matter (1 )?
Code as per QIOAi
Values -3-46
What was the matter (2 )?
Code as per QIOAi
Values -3-14
Enter number of days in last
two weeks
Values -3-10
Enter number of times in
last two weeks
---
3

.. J’,..-
Qu*staon.nana R-f Codang Shaat No of
Qumstaon No Raf*rmncm Boxms/ tidang Instructions/Rammrks
Cbaract=rs
Q12(B) Q12B 2 Values -3-o2
Last (1st)
consult Wls (mast recant)
consultation
Q12(C)
Last (1st )
consult
Q12(D)
LdSt (1st)
consult
Q12(E)
LaSt (1st)
Conmult
Q12(F)
Ld~t (lat )
consult
Q12(B)
Prev (2nd)
Connult
Q12C 2
Q12D 2 ~
Q12E 2
Q12F
Q12B
Under NNS ........... .....01
Pr~vate ..................02
value- -3-01
2 ve&~ --
I
Who daalt with YOU?
A GP/family doctor. . .. ...01
A Spaclalist ... .... . ..02
sane othmr kmd of doctor. 03
Dxd you talk to himjher?
by telmphonm ........ .....01
at your home .............02
at his/her surgary .... ...03
at a hmalth cantrc .......04
Orelsawhmro .............05
Oid ha g>va you/chLld a
prmmcrLpt ion?
1
2 ~ms -- 02
I
Y*S ......................01
No ..... .., ........ ......02
R-for to hospital for tests?
Ye, . . . . . . . . . . . . . . . . . . ...01
No . . . . . . . . . . . . . . . . . . . . . . 02
Was [ most roccnt )
consul tat~on
Under NHS . . . . . . . . . . . . . ...01
PrLvatm . . . . . . . . . . . . . ..02
139

Quest ionnaire Re f
Question No
Q12(C)
Prev (2nd)
Consult
Q12(D)
Prev (2nd)
Consult
Q12(E)
Prev (2nd)
Consult
Q12(F)
Prev (2nd)
Consult
Consultations
(3rd-6th)
Q13(A)
Coding Sheet
Reference
Q12C
Q12D
Q12E
Q12F
Mnth 1
No of
SOxesf
Characters
2
2
2
2
2
Coding Instructions/Remarks
Values -3-03
Who dealt with you?
A GP/family doctor. .......01
A specialist .............02
Some other kind of
doctor ...................03
Values -3-0!3
Did you talk to him/her?
by telephone .............01
at your home ..............o2
at his/her surgery .......03
at a health centre .......04
or elsewhere .............05
Values -3-OZ
Did he give you fchild a
prescription
Yes ......................01
No .......................02
Values -3-02
Refer to hospital for tests?
Yes ......................01
No .......................02
Further consultations code
as per Q12(B)-Q12(F)
1st consultation
Values -3-12
Code month (1-12) in
earliest reference period
r-

Q13(A)
outpat L*nt
V1.SLt S
I I I
No of
SOmsf Cadxng Instructions/Ramarks
Characters
2 ~lues .- U
v~szca to Outpatients/
casualty
Q13(A) Nnth 2 2 Values -3-U
Q13(A) VL8Ltm 2 v~ues -3-10
Q13(A)
Q13(A)
Q14(A)
Inpat Lent
staya
I I
I I I
Nnth 3
va.8Lt1
Q12A
2
2
2
- code number of vls~ts ~n
~ month of
ref*rence
cod- month (1-12) m ●-cond
month of raf.rmncm
v~s~ts to outpat~mntsl
casualty
- codo nwnhar of v~slts Ln
sacond month of rmfmr*nCe
v
--
I ‘“”s 3 u
coda month (1-12 j in th~rd
month of rafaranca
v s -3-
I ●lue
VLS Lta to Outpat L*nt 9/
Caaualty
1
I
- code number of via>tm in
v
thzrd month of reference
--
I-’s’u
Enter number of stays as
MIpat iant
141

Quast>onnalr. Ref
—. Quastlon No
PERSON
IDENTIFICATION
Q1
Codxng Shaet
R9farmnca
ID NO
HH NO
Per
FU
Q1
FANILY INFoRMATIoN SECTION
No of
Etoxesj
Characters
5
2
2
1
2
Codang Instruct lon8/Rmma rks
NE
The corresponding coding
shaet to the following
lnStrUCt LOns must be filled
~n for everyone aged 16-59,
male of fema19.
Va luom 0000 1-49999
5 dLgzts - remember la.sdLng
zaros (check that tha numbmr
LS the sane as that on the
front page of the Housahold
Schedule ).
values l-~
Enter household number.
Valuoa l-u
Chack that th- interviewer
has racorded tha correct
person numbar beforo
●ntarlng.
v~
Entar numixr of FamLly Unit (
Valu.. -6-20
Id-al number of childran~
Enta numb-r.
DK ..............
None ............
Al 1 that coma/God
Up to themmalvas
. . . . . . -1
... .. . -4
, WL1l. -5
....... -6
142
~[

t’-

Questlonna~r9 R-f
Q1(A)
Qumstaon No
CHECK A
CNECK B
REcORD TYPE
Codzng Shmet
Rafarmncm
21(A)
CHK A
CNK B
FS TYPE
No of
Boxms/
;haractars
,
)
2
2
Coding Instructions/ Remarks
values -5-20
Personal Ldmal
Enter number.
number 7
OK ........... .. ....... -1
Nono ........ . ....... .. -4
All that come/God’s WL1l. -5
Valuas -3-4
self completion not
of farad ... . ..... . 01
Self compaction offer-d,
refus*d ... ........... 02
self complatlon off-red,
accapted
SLnCjh WOCOOn .. ......... os
Marr LOd/ cohabit ing women 04
W ~dowed, dlvorcmd,
separated women ... . . 05
Man . .. ... .... ...... 06
~,s . .4
Marr>ed . . . . . . . . . . . . . . 01
W~dow9d , 0 Lvoxcmd ,
.Saparated . . . ..-. . . . . . . 02
Cohabltmg ... ........ 03
Sulgle ..................04
Record Tvua Ce% co-w
Aged 60 or ovmr ...... . . 00
Fam~ly Lnformation amct Lon
applies ............ ... 20
.salf cOmpl*t LOn . .
s ~ngla womon .......... 21
MarrLad/COhabLtlng Wommn. 22
Widowed/dLvorced/ sepazatod
wommn ....... .. ...... 23
Man ........ ...... 24
143

Questionnaire Ref
Question No
PERSON
IDENTIFICATION
Q2(A)
Q2(A) (i)
Q2(B)
coding Sheet
Reference
ID NO
HH No
Per
FU
Q2A
Q2Ai
Q2B
No of
Boxes/
Characters
5
2
2
1
2
2
2
Coding Instructi.ans/Remarks
Values 00001-49999
5 digits - remember leading
zeros. [Check that the
number is the same as that
on the front page of the
household schedule ]
Values 1-5
Enter household number
Values 1-21
Check that the interviewer
has recorded the correct
person number before
entering
Values 1-7
Enter number of family unit
Values -3-02
Only marriage ?
Yes ..................... 01
No ...................... 02
Values -3-05
How many times have you been
married?
Enter number of t ties.
Values -3-05
Where did you marry?
Church .................. 01
Registry Office ......... 02
Church and Registry 0ffice03
Living together as a
couple ................. 04
Other (Specify) ......... OS
?
,=,A

Q2(C)
Q3
Q3
Q3A
Q3B
Q3C
-i
Cadang Sheat
Rafarmncm
Q2 E4TH
Q2 YR
Q3 14TH
Q3 YR
Q3A
Q3B
Q3C
No of
S!oxes/
Characters
2
2
2
2
2
2
2
Codang Instructions/ R.marks
~luos -- u
Enter number of month of
marr Lage
values -3-92
Enter last two dLg~ts of
ymar of marrLaga
ValUOS -3-12
Entar numb-r of
started l~ving
a couple
Valu en -3-9?
month whmn
together as
Enter last 2 dLgLtn of y9ar
when startad 1>ving togethar
as a couple
~eg
--
Partn9r ●v9r legally
marrlad?
2
Yam . ......... ... ..... 01
No .. ........ .......... . 02
Valuaa -3-02
Self ●very legally marr~ad?
Y*S . ........ .......... 01
No . . . . ... .... .. -. 02
Valueg -3-05
No. of tunas legally
m.srr~ed?
En’car number
145
I

Questionnaire Ref
Question No
CHECK C
Q4
Q4A
Q4A
TCHK C
Q4
Type 2
BMTH 2
I
2
2
Coding Instructions/Remarks
Values -3-04
Women - with children* in
the household .......... 01
Men - with children* in the
household .............. 02
Women - without children.
in the household .. .... 03
Hen - without children”
in the household ....... 04
*Children includes foster
children and any sonj
daughter, stepson etc
even if adult
Values -3-04
Women : any step, fOst&C
or adopted children of any
age living with you now
Yes ..................... 01
No ...................... 02
Men : any stepchildren of
any age living with you
(including any children
from your partner, s
previous relationship? )
Yes ..... ................ 03
NO ...................... 04
Values -3-03
Type of child
.5tep .................. ..Ol
Foster .................. 02
Adopted ................. 03
VaLues -3-12
Month of birth
Enter month of birth

Questaonnaxrm Ref
Qu-st>on No
Q4A
Q4A
Q4A
CHECK D
Q5
Q6
Q6
Q6
.,
Codmq Shaat I No of
Rmfmrmnc9
BYR 2
LIVHTH 2
LIVYR 2
CH3C D 2
Q5 2
Q6 2
Mont h 12
YEAR 2
I
Boxes/
Characters
Codang Instructions/Ramarks
Val ues -3-92
Enter yaar of bLrth
Values -3-U
Enter month child etarzed
l>v~ng with informant
Values -3-9?
Enter yaar child started
llvLng with informant.
Rap@at above Lnstructlons
for Q4 for ●ach subsequmt
ch~ld, Ln dascend~ng year
order. If there are more
than 8 Chlldran mvolvad
re for to supervisor
ValUOS -3-02
Mm . ...... ............ . . 01
Womm . ....... ..... .. .. 02
Values -3-02
Ever had a baby7
Y*9 . . . . . . . . . . . . . 01
Wo . . . . . . . . . . . . . . . . . 02
ValU@S -3-20
How many ch~ldran?
Entar numb-r of lLVO broths
Values -3-12
Entmr numbar of month ● ldest
child was born
Values -3-91
Enter last two digits of
Y-U eldmst child was born
14?’

Questionn.ire Ref
Question No
Q6
Q6
Q?
Coding Sheet
Reference
SEX
LIVING
Q7
98
No of
Boxes/
Characters
2
2
2
2
Coding Instructions [Remarks
Values -3-02
sex of eldest child
Male ........ ............01
Female ....... ...........02
Values -3-03
IS child living with
informant ?
Yes ..................... 01
No .......... ............ 02
Deceased ................ 03
Repeat above instructions
for Q6 for each subsegment
child, in descending age
orer. If there are more
than twelve children
involved refer to supervisor
Values -3-02
Current ly pregnant?
Yes . . . . . . . . . . . . . . . . . . . . . 01
NO . . . . . . . . . . . . . . . . . . . . . . 02
Values -3-04
Expect to have (more
children?
Yes ................ . . . . 01
Probablv Yes ........ .... 02
Probably Not ............ 03
NO ......... .. ........... 04
DK ...................... -1
A48

Qu8staonnaxrm Raf
Qumstmn No
Q8A
Q8B
Q8C
CHECK E
Q9A
Q9A1
Coduig Shaat
Rafmranc9
Q8A
Q8B
Q8C
CHK E
Q9A
Q9AL
No of
Box*s/
Characters
2
2
2
2
2
2
Coding Instruct ~ons/ Rema rks
Valuea -3-O?
On the whole do you th~nk -
WL1l probably have anylmore
child ran...... .... ...01
WL1l probably not have any/
mora ch~ldran ...... ... 02
DK ---------------------- -1
Values -4-2Q
How many chlldran ~n all
Enter numb-r
None .. . .. .... .. -4
DK . . . . ... -1
Valuea -- 6Q
How old whan you hava your
fustfnaxt bsby
Entu age
OK ... ... .... . . .. ... -1
Valuea --
2
HarZLed/COhSbLt Lng WOIIlmn
16-49 ....... ..... ..... 01
Ochmr wommn 16-49 ....... 02
Values -- o?
Yes . . . . ........ 01
No. . ... .. .... . .02
~uas -3-04
Who had operation?
Informant .. . . .. . . 01
Husband/partner
02
Both ... .. . ... - 03
i49

Questionnaire Ref
Question No
Q9B
!210
Q1O
Qll
Qll
Q12
Q12
Q12
Q12
I
Q9E 2
Q1OINF 2
Q1OPRRT
Q1lINF
12
Q1lPART 2
Q12 IMTH 2
Q121YR 2
Q12PMTH 2
Q12PYR 2
2
Coding Instructions/Remarks
Values -3-02
Ever been sterlised?
~.-
Yes ....... .............. 01
No ...................... 02
Values -3-O?
NHS operation or not?
NHS ..................... 01
Other ..... .............. 02
Code as Q1OINF
Values -3-05
Where was operation?
hospital inpatient,
overnight or longer .... 01
hospital outpatient ..... 02
your/his doctor, s surgery 03
at a clinic ............. 04
somewhere else .......... 05
Code as Q1lINF
Values -3-12
Enter month of operation of
informant
Values -3-92
Enter year of operation of
informant
Partner, s Operation code
as for Q121MTH
Partner, s operation Code
as for Q121YR

cHSCK F
CHECK G
Q13
Q13A
Q13A
CHX F
CNK G
Q13
Q13A1
Q13A2
No of
sOxM/
Characters
2
2
2
2
2
Codang Instructions/ Ramarks
~es .- 02
How long ago was oparation-
E~ther Lees than 2 years 01
2 years or more . .. . . 02
Pr9gnant 7
Informant Pragnant .. 01
Othars ......... .... 02
~
U3 Lng any cOntrac*pt Lva
mathode when you baceme
prmgnant ?
Yas .. .. ... ...... ... 01
No ................. .. .. 02
Values .- U
TYPO of COntracept ive met hod
Withdrawal ............ 01
Sheath fcondom . ..... . 02
Safe par~od/rhythm
method ................ 03
Cap/dLaphragm ... .. .... 04
contracapt~ve sponge ... 05
HLnL pLll ........... 06
Combmed pLll (inc
mult~phas Lc ) .......... 07
pLll . not sure Lf man~
orcOmb Lned . ..... ... 08
IuD/cOLl/LntrautmrLn*
d-vice ................ 09
Foams , g019 , Spray- ,
pacsarias (s~rmic~das ) 10
In]mctxmn ............. 12
Another method (Sp+clf y) 13
Valu-s -3-11
Code as Q13A1
151

Questionnaire Ref
Question No
Q13A
Q14A and B
Q14C
Q14C
Q14C
Coding Sheet No of
Reference Boxes/ Coding Instructions/Remarks
Characters
I I
Q13A3 2 Values -3-13
Code as Q13A1
Q14AB 2 Values -3-04
IMTH
1 I
I
2
I I
I
Note : Q13A1, Q13A2, Q13A3 -
there is no valid code 11
Married/cohabiting or living
as husband and wife. Have
you or husbandlpactner had
any other operation which
prevents you getting
pregnant (again)
Others: Have you had any
other operation which
prevents you getting
pregnant (again)
Yesr informant .......... 01
Yes, husband/partner .... 02
Yes, both .......... ..... 03
NO ...................... 04
Values -3-1?
Month of informant Ss
operation
lYR 2 Values -3-92
Enter month of operat ion
Year of informant as
operation
Enter year of operation
P14TH 2 Values -3-12
I I
Month of partner, s operation
Enter month of operation
.
1’

Questxonnalra Raf
Q14C
Quest.on No
cHECK H
Q15
Cod>ng Sha@t
Rmf ●rmnco
PYR
CHK H
(215(1)
No of
BOxms/
Characters
2
2
2
%. ,,
Codang Inst ruct~onaf Rmmarks
ValUmS -3-92
Year of partner, s operat~on
Ent9r year of operat~on
value s -3-02
Oata of OperatLOn
ELthSr 10ss than 2 yaars 01
2years0rm0re . . . . . . 02
Ways of prevcntmg
Prcgnancy9
No method needed - no sexual
rolationsh~p ..... ... 18
No method used at all 17
Withdrawal .. ...... .. 01
Sheath/condom ........... 02
Safa par~od/rhythm
method ............ .... 03
Cap/diaphragm ....... .... 04
Cent racapt iv- ~ponga ... 05
14in~ PL1l .......... ... 06
comh~nad pill (Lnc
mult L pha~ic) .......... 07
PL1l : not surm lf mm~ or
combmad ............... 08
IUD/coil/lntrauterlna
dev Lea. ........ .... 09
Foam~, gala, spraye,
pessar~as (spermiades ) . 10
GoLng w~thout saxual
Lntmrcoursa to avoid
pregnancy . ... .. . 11
Injmctlona . ...... ... . 12
Another method (~peclf y) 13
153

Questionnaire Ref
Question No
Q15
Q15
Q16
Q16A
Q16A
Q15(2) 2
Q15(3) 2
Q16 2
Q16Ai 2
Q16Aii 2
Coding Instructions/Remarks
Values -3-13
2nd method
Ways of preventing pregnancy
Withdrawal .............. 01
Sheath/condom ........... 02
Safe period/rhythm
method ................. 03
Cap/diaphragm ..... ...... 04
Contraceptive sponge .... 05
Mini pill ............... 06
Combined pill (inc multi
phasic ) ................ 07
Pill : not sure if mini or
combined ............... 08
IUD/coil/intrauterine
device ................. 09
Foams, gels, sprays,
pessaries (spermicides) . 10
Going without sexual
intercourse to avoid
pregnancy .............. 11
Injections .......... ... 12
Another method (specify) . 13
Values -3-13
Code as Q15(2)
Values -3-02
More than 1 method use(d)
In combination .......... 01
Sometimes one, sometimes
other .................. 02
Values -3-18
Method used
Code method number from
Q15(1)
Values -3-18
Method used
Code method number from
Q15(1)
I

Quastlonnaare R-f
Qu6st~on No
Q17
Q18
Q18
Q18
QIS
Codxng sheat
Rafermncm
Q17
BASY
MRNOP
INFERT
UNSATIS
No of
Boxes/
Characters
2
2
2
2
2
Codang Instructions/Ramarks
Values -3-05
How long?
Less than 3 months . .
At least 3 months, lm8s
than 6 months ... .....
At laast 6 monthn, less
than 1 year .. ..
At least 1 yaar, less
than 2 years ..........
At 10aSt 2 years . . .
Values -- o~
Rmsons for not using
c0ntraceptiva8
Want to have a baby?
01
02
03
04
05
Ye* . . . . . . . . . . . . . . . . 01
No . . . . . . . . . . . . . . . . . 00
Values -. 01.
Unlikely to concaxv- because
of tha mnnopausa?
Yes .. .. .... .. . 01
NO .. .... ... . . 00
value -3-OL
unlikely to conce~ve
bac.ause poss~bly Lnfcrtlle?
Yes . ... ....... .... 01
No ..................... 00
valu*s -3-OL
Don’ t l~ke contraception
●ndlor f~nd methods
unsatisfactory”
Yes . .. 01
No . .. . . . . .... . 00
155

Questionnaire Ref Coding Sheet No of
Question No R13ferencm Boxes/
Characters
Q18 RSLIG 2
Q18 OTH 2
Q19 Q19 2
Q20 Q20(11 2
Coding Instructions /Remarks
Values -3-01
Against teachings of church/
religions belief?
,-.
(
Yes ..................... 01
No ..................... . 00
Values -3-01
Other reason (specify) ?
Yes ..................... 01
No ...................... CJO
Values -3-02
Ever used any of these
methods in the last
2 years?
Yes ..................... 01
No ...................... 02
Values -3-19
1st Method used
NO method needed - no SeXLIaL
relationship ...... ..... 18
No method used at all ... 17
Withdrawal .............. 01
Sheath/condom ........... 02
Safe period/rhythm method 03
Cap/diaphraqm ........... 04
Cent racept ive sponge .... 05
Mini pill ............... 06
Combined pill (inc multi
phasic) ................ 07
Pill : not sure if mini or
combined ............... 08
IDU/coil/ intrauterine
device ................. 09
Foams, gels, sprays,
pessaries (spermicides) . 10
Going without sexual
intercourse to avoid
preqnancy ........ ...... 11
Injections .............. 12
Another method (specify) . 13
Pregnant ................ 19

—
Questuannaxre Ref Coding Shaat No of
Quastaon No Rmf ●rence e.0x9s\ Codang Instruct~ons /R.marks
Characters
Q2 O Q20(2) 2 values -3-12
Q20 Q20(3) 2 Valu es -3-1
[PP]UDuff-2326 HcSurvcy m
Coda as for Q20( 1) but there
are no codes 17 or 18
Coda as for Q20 (1 ) but there
are no codas 17 or 1S
157

—.
Quastxonnalre Ref
Quaataon No
PERSON
IDENTIFICATION
Q1
Q2
FANILY INFORMATION SECTION - SU# CONPLSTION
WIDONED/DIVORCED/ SEPARAiED WOlls2i
cod~ng Sheet
Raf ●rence
ID NO
H/H NO
Per
FU
Q]
Q2
No of
B0x9s/
Characters
5
2
2
1
2
2
Codang Instructions/Ramarks
If thm S.slf-complatmn form
has been umed please
remanber to tear out the
preceding cod~ng sheet.
Values 00001-49999
5 d~g~ts - remember leading
zaros. [Chack that the
number M tha name as that
on tha front page of the
Household Schedule ].
Valum 1-5
Enter household number.
values 1-21
Chack that the intarv~ewer
has recorded tha corract
person number before
●-k-ring.
Values 1-7
Entar numbar of family unit.
-em
--
4
Where dLd you get marrLad? ,
,
m church .................01.
at a rmgLstry Off Lc9. ... .02 \
both church and roglstry
of f~ce ......... .........03
living togathar as a
c0up19 .......... .... .....04
Values -3-05.
Number of tunes
marrLed?
Enter numixr.
legally
158

Q.est.m.n~.r= Rmf
Quastaon No
Q3
Q4
Q5
Q5
Q6
Q7
Codang Shaat
Raf ●ranca
Q3
Q4 TIlC3S
Q5 MTN
Q5 YR
Q6
Q7 MTH
No of
Boxas/
Characters
2
2
2
2
2
2
Coding Instructions/Ramarks
Valuas -3-0~
Ever bean legally marrxed?
Yms ..................... 01
No .......................02
Valu9s .- 05
Number of tbnaa legally
marr i-d?
Enter nurixr.
Values -3-12
Month of most
marrxagm.
Enter month.
-S
--
Y*U of most raent
marriaga?
Enter yaar.
Valuss -3-02
2
recant
currantly livLng with
munaone as a couple?
Yem ......................01
No ................. ... . .02
~o, -- 22
Month started 1Lving
togather?
Enter month.
159

Questionnaire Ref
Question No
Q7
Q8
Q9
Q1O
Q1O
Q1O
Coding Sheet
Reference
Q7 YR
Q8
Q9
PERS
STSP
B MTH
No of
Boxes/
Characters
2
>
2
2
2
Coding Instructions /Remarks
Values -3-92
Year started
together?
Enter year.
Values -3-02
living
Partner ever legally
married?
Yes .......................01
No ............... ........02
Values -3-02
Any step, foster or
adopted children living
with you?
Yes ......................01
No .-.....................02
Values 1-21
Person no of step etc child.
Code, if necessary, from
household frent grid.
Values -3-03
Type of child
Step ..-.......... ........01
FOster .-.................02
Adopted ...................03
Values -3-12
Month of child os birth.
Enter month.
f

Quastionnaara Ref
Questzon No
Q1O
Rmf●rmncm SOx,sf
Characters
B YR
I I I
I I I
Qlo LIVNTN 2
Q1O
Qll
Q12
Q13
LIVYR
Qll
Q12 NO
MONTH
I
2
2
2
2
Cad-g Instructions/Ramarks
values -3-92
YCar Of child, s bLrth.
Entar yaar.
v
--
I ‘u”” 3 u
Honth child began 1~vmg
I
w~th ~nformant?
Enter month.
v s -3-
I alu- 92
Ymar ch>ld bagan Living
with informant?
1
I Ent.r y.ar.
Rapoat abova Instructions
for Q1O for ●ach eubsequmnt
child. If thara arm more
than 8 ch~ldrm mvolvad
r-f ●r to supervisor.
v
I*e’Q
Evar had a baby?
I
I
--
Yms . . . . . . . . . . . . . . . . . . ...01
NO ...... ................02
v -3-
I -a 2’
1
How many children?
Enter number.
2 wee -- u
Entar month of fust-born
child ‘s birth.
161

Questionnaire Ref
Question No
Q13
Q13
Q13
Q14
Q15
Coding Sheet
Reference
YEAR
SEX
LIVING
Q14
Q15
No of
Boxes/
Characters
2
2
2
2
2
Coding Instructions/Remarks
Values -3-92
Enter year of first-born
child’ s birth.
Values -3-02.
Sex of first-born?
Male .....................01
Female ...................02
Values -3-03
Is child living with you?
Yea ......................01
No, elsewhere .............02
No, deceased ..............o3
Repeat above instructions
for Q13 for each subsequent
child, in descending year
order. If there are more
than 10 children involved
refer to supervisor.
Values -3-02
Are you pregnant now?
Yes .......................01
No, or unsure ............02
Values -3-05
Think you will have any
more ?
res ......................01
Probably yes .............02
Probably not .............03
No .......................04
Oon’t know ................O5

Questaonnalrm Raf Coding Shoot No of
Questaon No Rmf9rancm BOX*SI Cod-g Instructions/Ramarks
Q16
Q17
Q18
Q19
Q20
Q21
Q22
Characters
I I I
I
Q16
Q17 NO
QIS AGE
Q19
Q20
Q21 NO
Q22 AGE
I
2
2
2
2
2
2
2
v .- 0
I alues32
On the whola, do you
think you will havm any
morm?
Probably . . . . . . . . . . . . . . ...01
Probably not .............02
value- -3-2Q
How many Chlldran in all?
Enter number.
Valuaa -3-60
Entmr age.
-es -- 05
Think you will hava any
more childran?
Coda as Q15 .
yQu99
--
2
On tha whole, do you think
you WL1 have mora children?
Cod- as Q16 .
-s -- Q
How many children in all?
Enter number.
~
--
Q
Age at naxt b~rth?
Enter agm,
163

Questionnaire Ref Coding Sheet No of
Question No Reference Boxes/ Coding Instructions /Remarks
Characters
Q23 Q23 2 Values -3-02
Are You pregnant now?
Q24 Q24 2 Values -3-05
(
Yes ......................01
NO, or unsure ............02
Think you will have any more
children?
Code as Q15.
Q25 Q25 2 Values -3-r3~
on the whole, do you think
you will have more
children?
Code as Q16
Q26 Q26 NO 2 Values -3-2o
How many children in all?
Enter number.
Q27 Q27 AGE 2 Values -3-613
Age at next birth.
Enter age.
Q28 Q28 2 Values -3-05
Think you will have any
children at all.
Code as Q15.

Q29
Q30
Q31
Q32
Q33
Q34
Ref ●r*nc*
Q29
Q30 NO
Q31 AGE
Q32
Q33 NNS
Q34 WNERE
No of
...
*
,
I
Saxmj
Cbaract*rs I
Codxng Inetructaon8fRemarks
2
2
I
I
I
ValUaS -3-02
On the whola, think you WL1l
hava any childrmn.
Code as Q16 .
values --
Q
How many childran in all?
Enter nuamhr.
2 ~u,s -- Q
2
2
2
Aga at first birth.
En’tar agc.
v
--
I alu*’ 302
Evsr bean star~lisad?
I
I
Yes
.....................01
No .................... ...02
v
--
I ‘“’ 302
Was tha opration carrmd
out under tha NNS or not?
I
1
NNs . . . . . . . . . . . . . . . . . . . ...01
Othsr ...................02
v
--
1 -’30’
0 Ld you have tha oparat Len*
I
as a hosp Ltal ~npatient,
StayLng OVOrnLght or
10nger ...................Ol
as a hospital outpatient. .02
at your/hLs doctor’ s
sugary. . ...... ..........03
at a cl inlc ............ ...04
somewhara ●1s9 ........ ....05
165

Questionnaire R.f
Question No
Q35
Q35
Q36
Q37
Coding Sheet
Reference
MONTH
YEAR
Q36
Q37 (1)
No of
Boxes/
Characters
2
2
2
2
COding Instructions/Remarks
Values -3-12
Enter month of operation.
Values -3-92
Enter year of operation.
Values -3-02
Was your operation less
than 2 years ago?
Yes .................. ....01
No .......................02
Values -3-19
1st method of preventing
pregnancy.
No sexual relationship. ...18
No method used at all. ....17
Pregnsnt ..................19
Withdrawal ................01
Sheath/condom. ............02
Safe period frhythm method, 03
Cap/diaphragm. ............04
Contraceptive sponge. .....05
Pill: mini pill ...........06
Pill: combined (inc
multi physic )............o7
Pill: not sure if mini or
combined .................08
IVD/coil/intra uterine
device .................
Foams /gels /spray s/pessar.
(Spermicides )...... ....
Going without sexual
intercourse to avoid
pregnancy ............... .11
Injections ................12
Another method ............13
(
.09
es
.10

Quastaonnaara Raf I Codang Shmat I No of I
Questuan No
R-f ●renca
Boxesf
Characters
I
I
I
Q37 Q37 (2) 2
Q37 Q37 (3) 2
Q38 Q38 2
Q39
Q39
.,
Q39 ANY
Q39 (1)
2
2
,+.+.
Coding Instructions/Rmmarks
2nd method.
Code as Q37 (1 ) with
rsnga -3-13.
3rd method.
Coda an Q37 (1 ) w~th range
-3-13.
Arm you prmgmnt now?
Yes ......................01
No, orunsure ........... ..O2
Using a method.
Nomathod usad ............O2
Othmr ....................00
l-t method of pravant ing
prmgnancy?
Withdrawal ................01
Shmath/condom. ............02
Safe p-riod/rh~hm method. 03
Cap/diaphragm. ............04
Contracmptiva npongm. .....05
Pill: mini pill ...........O6
Pill: comhincd (lnc
multi phas~c) ..,...... ...07
PL1l: not aurm Lf minL or
comhmad . . ..... ..........08
IUO/coLl/intra utmrLne
dev~ca ...................09
Fo=s/g*ls/apray m/pesaarlas
(spsrnuc~das )........ ...10
In]mctionn ................12
Another mathod ............l3
Not9: no code 11,
167

Q.estionnaire Ref
Question NO
Q39
Q39
Q4Q
Q41
Q42
Coding sheet
Reference
Q39 (2)
Q39 (3)
Q40
Q41 MSTH
Q42 LONG
NO of
SOxes/
Characters
2
2
2
2
2
Coding Instructions/Remarks
Values -3-13
2nd method of preventing
pregnancy?
Code as Q39 (1) .
Values -3-13
3rd method of preventing
pregnancy.
Code as Q39 (1) .
Values -3-03
Number of methods?
We only used one method. ..01
We used more than one method
at a time ................02
Sometimes we used one
method, sometimes
another ............. .....03
Values -3-13
Main method?
Enter the code for most used
method from Q39 (1 ).
Values -3-05
How long have you used the
most frequent method?
Lese than 3 months. .......01
At least 3 months, less
than 6 months ............02
At least 6 months, less
than l year ..............03
At least 1 year, less
than 2 years ......... ....04
At least 2 years ..........O5

Q43
Q43
Q43
Q43
Q44
Q44
Q43 (1)
Q43 (2)
Q43 (3)
Q43 (4)
BRSY
MSNOP
No of
s0x9s/
Characters
2
2
2
2
2
2
Coding Inatruct~ona/Rammrks
~es . . al
1st mat hod of prevent ~ng
pregnancy.
code aa Q37 (1) .
2nd mmthod of provanting
pregnancy.
Coda as Q37 (1) using range
-3-13.
3rd mathod of prmvent Lng
prmgnancy.
Coda as Q37 (1) with ranga
-3-13.
4th method of pravantmg
pregnsncy.
Coda as Q37 (1 ) with rang-
-3-13.
Values -- 01
Rmamonm for not Ualng a
m-t hod of prcvant Ing
pregnancy.
want-d a bsby?
Yem .......................Ol
No ... ....................00
Valuen -3-04
Unllkaly to concm Lve because
of tha manopausm?
Y* S........ ..............01
No .......................00
169

Questionnaire Ref
Question No
Q44
Q44
Q44
Q44
Q45
Q46
Coding Sheet
Reference
INFERT
UNSATI S
RELIG
Q45
Q46 (1)
No of
Soxesf
Characters
2
2
2
2
2
2
Coding Instruct ions /Remarks
Values -3-01
Unlikely to conceive
because possibly infertile?
Yes .......................Ol
No .......................00
Values -3-01
Don, t like contraception
and/or find methods
unsatisfactory?
Yes .......................01
No ........................00
values -3-o~
Against teachings of churchj
religious belief?
Yes .......................01
No .......................00
Values -3-01
Another reason?
Yes ......................01
No ......................00
Values -3-02
Used any of these methods?
Yes ......................01
No .......................02
Values -3-13
1st method.
Withdrawal ................01
Sheath/condom .............02
Safe period/rhythm method. 03

Qu9sta0nnaar* Raf
Qu*staon No
Q46
Q46
Q46
Q47
Q48
Rof,r,ncm
Q46 (2)
Q46 (3)
Q46 (4)
Q47
Q48 liTH
No of
sOxes/
Characters
2
2
2
2
2
Codang Instructions/Remarks
Cap/dLaphrqn.. ...........O4
Contracmptiva sponga. .....05
Pill: mLn~ pill ...........O6
Pill: combinad (Lnc
multi phas~c )........ ....07
Pill: not aura ~f min~ or
cambumd . ................08
IUD/co~l/intra utarLne
dav~ce . ..................O9
FOtis/gala/apray n/~ssarzes
(s~rm>cidas ).......... ..lO
Going wzthout saxual
mtercoursa to avoid
pregnancy, .............. 11
Injections ................12
Anothar method ............13
-S .- ?
2nd mmthod.
coda as Q46 (1) .
yQJ9s .- U
3rd mmthod.
Code as Q46 (1) .
Values -3-U
4th method.
Cedm a, Q46 (1) .
Values -3-0~
Any othar operatxon?
Yea ................. ......01
No .. ........ ..............02
Values -3-l Z
Enter month of operation.
171

Questionnaire Ref
Q48
Q49
Q50
Q50
Q50
Q51
Question No
Coding Sheet
Reference
Q48 YR
Q49
Q50 (1)
Q50 (2)
Q50 (3)
Q51 (1)
No of
soxas/
Characters
2
2
2
2
2
2
Coding Instructions /Re~rks
Values -3-9?
Enter year of operation.
Values -3-02
Was your operation less
than 2 years ago?
Yes ......................01
No ........ ...............02
Values -3-19
1st method.
Code as Q37 (1) .
Val ues -3-13
2nd method.
Code as Q37
-3-13.
Values -3-13
3rd method.
(1 ) with range
Code as Q37 (1) with range
-3-13.
Values -3-1S
1st method.
No sexual relationship. ...18
No method at all ..........l7
Withdrawal ................OI
Sheath/condom. ............02
Safe period/rhythm method .03
Cap/diaphragm. ............04
Contraceptive sponge. .....05
Pill: mini pill ...........O6
Pill: combined (inc
multi physic )............07
162
4.-
/

Q51
Q51
Q51
Q52
Q53
Q51 (2)
Q51 (3)
Q51 (4)
Q52
Q53 14ETH
2
2
2
2
2
Codang Instructions/Rmrks
Pall: not 9ura Lf mirm or
cuubmcd .................08
IVD/co~l/intra utarxnm
davzcm ...................O9
FO~S/gOIE/apray m/pSSarLaS
(s~rmicidas )............lO
Going without sexual
intercouraa to avo~d
pregnancy ............ ....ll
Inactions . .............. .12
Anothar method ............13
2nd method.
coda as Q51 (1) with range
-3-13.
3rd mathod.
Coda as Q51 (1 ) with rang-
-3-13.
4th method.
Coda as Q51 (1) with ranga
-3-13.
Valuas -3-03
Mathods used
Wa ony u-* one mathod. ....01
we usc more than onmathod
at a tmm . ........O2
Somattias W- US- one
mat hod, momotmms
another ............. .....03
Wulss -- lQ
Most often usad mathod.
Code from Q51 (1) .
1’73

Questionnaire Ref Coding Sheet
Question No Reference
Q54 Q54 LONG
Q55
I
I
Q55 (1)
Q55 Q55 (2)
Q55 Q55 (3)
Q55 Q55 (4)
Q56 BABY
Q56
I
I K5NOP
Q56 INFERT
Q56 uNSATIS
No of
B.axesl
Characters
2
2
2
2
2
2
2
2
2
Coding Instructions/ Remarks
Values -3-05
How long.
Code as Q42 LONG
Values -3-19
1st method.
Code as Q37 (1) .
Values -3-13
2nd method.
Code as Q37 [1) with range
-3-13.
Values -3-13
3rd method.
Code as Q37 (1 ) with range
-3-13.
Values -3-13
4th method.
Code as Q37 (1) .
Values -3-01
Code as Q44 BABY.
Values -3-01
Code as Q44 MENOP
Values -3-01
Code as Q44 INFERT
Values -3-01
Code as Q44 ONSATI S
1/4
t
A.

Q56
Q56
Q57
Q58
Q58
Q58
Q58
Codang Sh*et
Rof ●rance
RELIG
OTNSR
Q57
Q58 (1)
Q5S (2)
Q5S (3)
Q58 (4)
[PP]UOuf-2331 (H’hold SUN-Y)
Cs I
No of
Boxms/
Characters
2
2
2
2
2
2
2
tidang Instruct zc.ns/Rmmarks
values -3-01
Code as Q44 RELIC.
Values -3-01.
Coda am Q44 OTHER.
-es
--
2
Use any of theme methods of
preventing pregnancy.
Y@s . . . . . . . . . . . . . . . . . . . ...01
No ......... ....... .......02
values -3-U
1st method.
Code IS Q46 (1) .
Values -- 13
2nd method.
cod- as Q46 (1 ).
Valuaa -- 11
3rd mathod.
Code as Q46 (1) .
Valu ●s -3-13
4th method.
Code aS Q46 (1) .
175

-.
Qumstaonnalre Raf
Qumstmn No
PERSON
IDENTIFICATION
Q1
Q2
FANILY INTOSNA’2!ION - SELF CO~LETI02i
MSN
Codang Shaat
Raf ●rmnco
IDNO
H/5i NO
PER
b-u
Q1
92
NO of
B0x9s/
Cimractmrs
5
2
2
2
2
2
Codang Instructions/Ramarks
Values 00001-49999
5 d~glts - remember
leading zeros. [Check that
th* number is tha same as
that on the front page of
the household echedule. ]
values 1-5
Enter household number.
Valuee 1-21
Chack that tha intorvaowar
haa recordmd the correct
parson number bmfore
●ntering.
~11 1-7
Entar numbar of famdy unit.
Valuas -3-03
Mar>tal status7
Xarr~ed or living wLth
someona ae a coupla. ... ...01
Single ....................02
Widowed, dLvorced,
saparatad ....... .........03
~ume
--
Placa of msrriage?
4
In Church .................O1-
At a RmgLstry Office. .....02
Both Church and Raglstry
of fLca ............... ....o3
Living togather am a
couple ...................04
176
I
‘,

*..
r

Questaoanaare Ref
Qumstaon No
Q3
Q4
Q4
Q5
Q6
Q7
Q8
Q8
Codang Shaat
Rmf arancm
Q3
Q4 MTH
Q4 YR
Q5
Q6
Q7
Q8 MTH
Q8 YR
No of I
Saxmf
Charact*r*
I
2
2
2
2
2
I
I
I
I
Codang Inatructxons/R9marks
Valuacl -3-05
Ent-r total number of tmas
lagally married.
Va ~z
En’car nurahr of month of
marriag9.
v -3-
I ‘“S ‘2
Ent9r last two dig~ts of
1
Y*U of marriage.
v
--
I-3U
Partner evar lagally
married ?
I
I
l--
I
2 ~gg --
Y*9. . . . . . . . . . . . . . . . . . . ...01
No .......................O2
v
--
Self aver legally married?
Ymm .. ....................ol
No ................. .....02
Entar numb-r of timas
lmgall y marrL*d.
2 ~uea -- 12
2 Valu.a -3-92
a
Entar numb-r of month of
pr***nt /most recant
marraaga.
Entar last twO dLgLt9 Of
yaar of prasant/mOnt
rmcent marriage.
177

Questionnaire Ref
Question No
Q9
Q1O
(1ST CHILD)
Q1O
(2ND-8TH CHILD)
Qll
Coding Sheet
Reference
Q9
PERS
STEP
BMTH
BYR
LIVMTH
LIVYR
Qll
No of
BoxES/
Characters
2
2
2
2
2
2
2
2
coding Instructions/Remarks
Values -3-02
AIIy stepchildren
Live with you?
who
.. .
f
Yes .............. .........01
No ........ ...............02
Values -1-21
Enter person number of
stepchild.
Values -3-O%
Stepchild ................Ol
values -3-12
Enter month of child’s
birth.
Values -3-92
Enter Last two digits of
year of child, s birth.
Valuee -3-12
Enter month child began
living with informant.
values -3-92
Enter Last two digits of
year child started living
with informant.
Code as for first child.
Values -3-O?
currently living with
someone as a couple?
Yes .......................01
No .........................
i“: 8

Q12
Q12
Q13
Q14
Q15 (1ST CHILD)
Coding Sheet
Raf ●ranca
Q12 14TH
Q12 YR
Q13
Q14
PERS
STEP
SUTH
SYR
No of
Box=s/
Characters
2
2
2
2
2
2
2
2
Valuee .- 1’2
Entmr month informant and
partnar start-d llving
together.
Valu ●s -3-92
Ent=r lact two digits of
yaar informant and partner
startad living togather.
yalues .-
Pmtnar ●ar legally
marraad?
2
Yas ..................... ..ol
No . .......................02
Valuoa -3-02
Any Stapchlldran who livm
with YOU?
Yes .......................ol
No .......................02
ValUOS -3-2L
Enter par-on nuubar of
child .
Values -3-01
Stapchild ...............01
-s -3-G
Entar ❑onth of ch~ld’ s
bLrth.
values -3-92
Enter last two d~glts of
year of ch~ld’s birth.
179

Questionnaire Ref
Question No
(215
(2ND-8TH cHILD )
Q16
Q17
Q18
Q19
Q20
Coding Sheet
Reference
LIVMTH
LIVYR
Q16
Q17
Q18
Q19
Q2 O K1’Ii
No of
SOxes/
Characters
2
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-12
Enter number of month
child began living with
informant.
Values -3-92
Enter last to digits of
year child started living
with informant.
Code as for first child.
Values -3-04
Place of marriage?
In Church .................01
At a Registry Office. .....02
Both Church and Registry
Off ice. ..................03
Living together as a
couple ..... ..............04
Values -3-05
Enter total number of times
legally married.
Values -3-02
Ever legally married?
Yes. ......................01
No ........... ........... ..02
Values -3-05
Enter total number of times
legally married.
Values -3-12
Enter number of month
most recent marriage.
(

Q20
Q21
Q22
Q22
Q23
Q24
Quastuan No
Q25 (1ST CHILO)
Coding Sha9t I NO of
,&+,, #
I
Refm&ca
Box-81
Characters
Cedzng In8trnctlons/R~rks
I
I
Q20 YR ]2 I “due, -3-92
Q21 2
Q22 MTH 2
Q22 YR 2
Q23 2
Q24 2
PERS 2
I
Entmr last two dig~ts of
year of most racmnt
marrxage.
Values -3-O?
Currantly living with
90m*0n9 am a couple?
Yes ............... .......01
NO .......................02
values --
2
Entmr number of umnth
started l~ving with partner
a* ● COUP19.
Valu99 --
2
Entar last two digits of
year start-d livLng with
partnar am a COUPIC.
Valu.9 --
Y*S ......................01
No .......................02
AIIy stapchildran who liv*
wLth yOU?
Yes ......................01
No .......................02
Entar prmn number of
stopch~ld .
181

Questionnaire Ref
Question No
Q25
(2ND-8TH CHILD)
Coding Sheet
Reference
STEP
BMTH
BYR
LIVMTH
LIVYR
[PP]UDuf-2334
cs/
(H’hold Survey)
No of
Boxes/
Characters
2
2
2
2
2
Coding Instructions/Remarks
Values -3-OL
Stepchild ................01
Values -3-12
Enter month of child -s
birth.
Values -3-92
Enter last two digits of
year of child es birth.
Values -3-12
Enter number of month
child began 1iving with
informant.
Values -3-92
Enter last two digits of
year child began living
with informant.
Code as for first child.

—
Qumstaonnur8 R-f
QuOStLOIi No
PERsON
IDENTIFICATION
Q]
Q2
Q3
FANILY INFoSMA’ITON SECTION - SELF-COMPLETION
NASRIED/COEZ@ITING WOkE?i
ID NO
H/H NO
PER
FU
Q1
Q2
Q3 MTH
No of
sexes/
Characters
5
2
2
2
2
2
2
Cadang Instruct~ons /Remarks
values 00001 -499 99
5 digits - ramember leadLng
zeros. [Check that the
number im tho ssme as that
on the front page of the
household schedule. ]
Valu.s l-~
Entar household number
us l-u
Chack that the mtmrvmwer
has recorded tha corract
~rson number baforc
●ntarmg.
Valuea 1-7
Ent*r numbar of fsnuly unLt.
yQuae -3-04
Placa of msrrmgo?
In Church ................01
At a Raglstry Office. .....02
Both Church and RogMtry
Of fLCe .................03
LivLng togmthar as a
Coupla .................04
values -3-05
/’
Enter total number of times !
legally marriad. /
\
\ .
~uem -- 12
Entar number of month
Lnforment and pertner
start-d l~vmg togethar.
183

Questaonnaira Raf
Questmn No
Q3
Q4
Qs
Q6
Q7
Q7
Q8
Codang Sheat
Q3 YR
Q4 PRRT
Q5 SELF
Q6 TIMES
Q7 HTH
Q7 YR
Q8 CHILD
No of
Box-s/
Characters
2
2
2
2
2
2
2
Coding Instructions/Ramarks
Values -3-92
Entar last two dig~ts of
year Lnformant and
partner started lLving
togathor .
Valu es -3-02
Partnar ●ar legally
mur Led?
Yam ......................01
No .................. .....02
S-1 f avar legally marri-d?
Yas ......................01
No ....... .......... ......02
yQums
--
Enter numb.r of tunas
Legally married.
~m -- u
5
Entmr number of month of
prmsmnt/mOmt rmcmnt
marrzaga.
Values -3-9?
Entar last two digits of
year of presentlmost
recant ma.rsiaga.
Valuao -3-02
~Y ●t*P, f08ter or adopted
childrmn who lLVG with you?
Yes ................ ....01
No .. ...... ............. 02
184

Questionnaire Ref Coding Sheet No of
Question No Reference Boxes/ Coding Instructions/Remarks
Characters
Q9 (1ST CHILD) PERS 2 Values 1-21
Q9 (1ST CHILD) STEP 2 Values -3-03
Enter person “umber of child
Child is:-
Q9 (1ST CHILD) B MTH 2 Values -3-12
Q9 (1ST CHILD) B YR 2 Values -3-92
Q9 (1ST CHILD) LIV MTH 2 Values -3-12
Q9 (1ST CHILD) LIV YR 2 Values -3-92
Step .....................ol
Foster ..................02
Adopted .............. ...03
Enter month of child $s birth
Enter last two digits of
year of child, s birth.
Enter number of month child
started living with
informant.
Enter last two digits of
year child started living
with informant.
Q9 (2ND-8TH CHILD) Code as for 1st child.
Q1O Q1O 2 Values .3-02
Ever had a bsby?
Yes ......................01
No .......................02
r

Questlonna~re Ref Codxng Shaat No of
Quastlon No Raference Eoxesf Ceding Instr.ctions/R.marks
tiaractars
Qll Qll 2 U*S .- 20
Q12 MONTH 2 Values -- u
Enter number of children.
Ent@r nunbmr of month
eldsst ch~ld was born
Q12 YEAR 2 ~es -- 2
Q12
Q13
Entmr laat two d~gits of
I I I
year ●ldent child was born.
I SEX I 2
I
v
~uea
--
302
I LIVING
I
Q13
Sex of eldest child
I 2 I ‘“s -3-0’
I
2
Hal@ ............ .........01
Femala ............ .......02
Is child living with
Lnf O=_t ?
Ymm ......................01
NO ............. ..........02
Dmcaascd .................03
RepOat sbovo instructions
for Q12 for ●ach ●ubsequant
child, Ln dmscanding age
ordar. If thara ara mara
than tan ch~ldr*n involved,
rOf*r to •u~rvlsor.
v
--
I 4“”8 302
Are you pragnant now?
rem .... .................01
No ............. .........02
186

Questionnaire Ref Coding Sheet No of
Question No Reference Boxes/ Coding Instructions/Remarks
Characters
Q14 Q14 2 Values -3-04
Q15 Q15 2 Values -3-02
Q16 Q16 NO 2 Values -3-20
Do you think you wil 1 have
any more children?
Yes .....................01
Probably yes .............02
Probably not ............03
No ......................04
Don, tknow ..............- I
Do you think you wil 1
probably or probably not
have any more children?
Probsbly ................01
Probably not ............02
Enter total number of
children.
Q17 Qll AGE 2 Values -3-6o
Enter age.
Q18 Q18 2 Values -3-04
Do you think you will have
any more children at all?
Yes .......................01
Probably yes .............o2
Probably not .............o3
No .......................04
Oon, tknow ...............-1

m
23
.+

Questionnaire Ref Coding Sheet No of
Question No Reference
Boxesj
Characters
Coding Instructions/Remarks
Q25 Q25 NO 2 Values -3-2o
Enter total number of
children.
Q26 Q26 AGE 2 Values -3-60
Enter age.
Q27 Q27 2 Values -3.-04
Q28 Q20 2 Values -3-02
Q29 Q29 NO 2 Values -3-20
Do you think you will have
any children at all?
Yes ......................01
Probably yes .............02
Probably not .............03
No .......................04
Don, eknow ...............-1
Do you think you will
probsbly or probably not
have any children.
Probably ..... ............01
Probably not .............02
Enter total nuder of
children.
Q30 Q30 AGE
2 Values -3-60
Q31 Q31 2
Enter age.
Values -3-02
Ever had operation intended
to prevent you getting
pregnant ?
Yes ..................... 01
No ...................... 02

Q32
Q33
Q34
Q35
Q35
Q36
cw-
Q33 INHS
Q34 IWNPX
Q35 IMTH
Q35 IYR
Q36
No of
Boxm8/
Characters
2
2
2
2
2
2
tia.ng Instruction8/Ramarks
Valum -3-03
Who was sterLlised?
YOursalf ... ..............01
Hueband/patin9r ..........02
Both ........ .............03
Values --
2
CWII oparation carr~ad out
under NNS?
NNs ......... .............01
Othar ... .. ............ ...02
Did you have operation: -
As a hospital mpatiant
staying overrught or
long-r ...... .......... ...01
As a hospital outpatient. .02
At your doctor’s ●urgmcy. .03
At a clinic ..............04
Som*wh*ra ●lse ...........05
~es
--
En’car manth of own
operation.
Ent9r laat two digits of
Y*U of own operation.
Rmpaat abovm LnstructLOnm
for Qucstlons 33-35 for
humband/partnmr.
Values -3-02
Oparat>on less than two
years ago?
Yen ........ ....... .-.....01
No ....... .. ......-.......02
190

Questionnaire Ref
Question No
Q37 (1ST METHOD)
Q37
(2ND-4TH METHODS)
Q38
Q39
Q37 (2)
Q37 (3)
Q37 (4)
Q38 2
2
Methods of preventing
pregnancy.
No sexual relationship. ..18
NO method used at all. ...17
Pregnant ..... ...........19
Withdrawal ...............01
Sheath/condom ...........02
Safe period/rhythm
method .................03
Cap/diaphragm ............O4
Contraceptive sponge ....05
Pill: mini pill
(progesterone only) .....06
Pill: combined pill
(including multi-phasic
pill) ........ ...........07
Pill : not sure if mi*i or
combined ..... ...........08
IUD/coil/ intra-uterine
device. .................09
Foams/gel/ spray s/pessaries
(spermicides )...........lO
Going without sexual
intercourse to avoid
pregnancy ..............11
Injections ... ............1.2
Another method ...........l3
Values -3-13
Code as for 1st method
(codes 17-19 do not apply) .
Values -3-02
Q39 ANY 2 Values -3-0~
I I
Pregnant now .............01
Not pregnant/unsure ......02
AnY method used?
Flethod used ...............01
Nomethod used ............02
,, .,
{

Q39 (1ST WETHOD)
Q39
(2wD-4TH NETHODS )
Q40 Q40
I
Q39 (1]
Q39 (2)
Q39 (3)
Q39 (4)
Q41 Q41 MSTH
Q42
I
Q42 LONG
I
2
2
2
2
2
Codang Instructions/Remarks
Values -3-13
Withdrawal ...............Ol
Sheath/Condom ....... ....02
Safe pariod/rhythm
mathod .............. ...03
Cap/diaphragm ...... ......04
Contracaptivm mponge ....05
PL1l: min~ pill
(progesterone only) .....06
Pill: combind P1ll
(including multi-pham LC
pill) ...................07
PL1l: not sure Lf mini or
combined ................O8
I~\cOLlf Lntra-utarlne
davLca . . . . . . . . . . . . . . . . ..O9
FOmm/gO1faprays fps*arim9
( a~nn>cldes ) . . . . . . . . ...10
Injectumm.... . . . . . . . . . . .12
Othar method .............13
v
--
I ‘“a 3 ‘a
(d Co ● u for l-t mmthod.
1~
I
va~ -3- 3
Umad only on- m.thod. .....01
us-d more than on- method
at a tLm9 ...............02
Som.tumam US.C3 on- mathod,
saaatuncs another. .......03
Value* -3-13
Enter number of method.
v
--
How long had ❑wchod been
tha one you umually used?
Less than 3 months ........Ol
At least 3 months, lesfJ
than 6monthm ........ .. 02
At leaat 6 months, leas
than 1 year .............03
At leant 1 year, less than
2 vears .............. .. 04
Atlmaat 2 years .........05
192

Questionnaire Ref Coding Sheet No of
Question NO Reference Boxes/ Coding Instructions/Remarks
Characters
Q43 (1ST MSTHOD ) Q43 (1) 2 Values -3-19
Previous methods of
prevent ing pregnancy.
No sexual relationship. ...18
No method used at all. ....17
Pregnant ..................19
Withdrawal ................01
Sheath/condom. ............02
Safe period/rhythm method. 03
Cap/diaphragm. .,..........04
Contraceptive sponge. .....05
Pill: mini pill
(progesterone only) .......06
Pill: combined pill
(including m“lt i-phas ic
pill) ....................07
Pill: not Sure j.f mini c,=
combined .................08
IVD/coil/intra-uterine
device. ..................09
FOams/gels/spray s/pessaries
(spermicides )............10
Going without sexual
LnteCCOurse to avoid
pregnancy ................ll
Q43 Q43 (2) 2 Values -3-13
(2ND-4TH METHODS) Q43 (3)
Q43 (4) Code as for 1st method
(codes 17-19 do not apply) .
Q44 BABY 2 Values -3-0~
Code 01 if circled,
otherwise code 00.
Q44 HENOP 2 Values -3-01
Code 01 if circled,
otherwise code 00.
Q44 INFERT 2 Values -3-01
Code 01 if circled,
otherwise code 00.
i

Quastaonnaara Ref
Qua=tion No
Q44
Q44
Q44
Q45
Q46 (1ST KETHOD )
Coding Sh*at I No of
UNSATIS 2
RELIG 2
OTHER 2
Q45 2
Q46 (1) 2
Cadang Instructions/Ramarks
~luea
.-
Code 01 if circled,
otharwisa coda 00.
1
wee -- 01
Cod* 01 if circlad,
othar%msa cod- 00.
-es
--
Coda 01 if circlad,
otharwisa CCd= 00.
Valuas .-
us-d any methodo of
pravant ing pragnancy.
L
?
r-s ......... ........... ..01
No ................ .......02
Withdrawal .. ..............Ol
Shaath/condom. ... .........02
Safe period/rhythm method .03
Cap/diaphragm .... .. .......04
Contracmptivm sponga. .....05
Pill : mini pill
(prog*staro* only) .......06
Pill: ccmbmmd pill
(LIICIUd@J rnulti-phas LC
pill) ............ ........07
Pill: (not cur= if mini or
combimd) ... .......... ...08
IUO /coL1/ intra-utmrmo
davica ........ .... .......09
Fotim/gmln/spray m/wsmarLom
(a~rm>cida= )............lO
Going without saxual
Lntarcourse to avald
pregnancy .... ............ll
Injection . . ...............12
Anothar m=thod ..... ...-. ..l3
194

I
Q46 Q46 (2)
(2ND-4TH METHODS) Q46 (3)
Q46 (4)
Q47 Q47
Q48
I
Q4a
Q49 Q49 IMTH
Q49 Q49 IYR
Q49 Q49 PMTH
Q49 Q49 PYR
I
No of
Boxes/
Characters
2
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-13
Code as for 1st method.
Values -3-02
Had any other operation
which prevents YOU
getting pregnant (again) .
Yes ............... .......01
No .......................02
Values -3-03
Was it you or your husband/
partner who had an
operation which prevents
you getting pregnant
(again)?
Yourself ..................01
Husband/partner. ..........02
Both ......................O3
Values -3-12
Enter number of month of
own operation.
Values -3-92
Enter last two digits of
year of own operation.
Values -3-12
Enter number of month of
partner, s operation.
Values -3-92
Enter last two digits of
year of partner rs
operation.
id5

Quastaonaaara Ref Cod>ng Shomt
Quastaon No Rmfaranca
Q50
Q51 (1ST METHOD)
Q51
(2ND-4TH METHODS)
I
Q50
Q51 (1)
Q51 (2)
Q51 (3)
No of
Boxms/ Coding Inwtructiens/Ramarks
Characters
2 Valuaa .-
2
2
2
O~ratLon lass than 2 years
ago ?
Ya9 ......................01
No .......................02
Methods of
pravant ing prmgnancy.
No smual relationship. ...18
No mathod usad at all. ....17
Pragmnt . ................ .19
Withdrawal ................Ol
Shaath/condcim. ............02
Safe pmrLod/rhythm mathod. 03
Cap/diaphragm. ..... .......04
COntracaptiva sp-ange......05
Pill: mini pill
(progastaroti only ).. .....06
Pill: ccabined pill
(including ❑ulti-phasx
pLll )....................07
Pill: not sure if mmi or
ccinbinad .................O8
1~/coLl/intra-ut9 rinm
davlca ..................09
F0=8/gala/mpray */~mmarLam
(sparm>c Ldas )............10
Going without saxual
intarcoursa to avoid
pregnancy ................ll
Injact>ona ................12
Anothar mathod ............l3
Coda an for 1st method
(codem 17-19 do not apply) .
196

Questionnaire Ref Coding Sheet I No of
Question No
Reference
Boxes/
Characters
I
I
Q52
(1ST METHOD)
Q52
(2ND-4TH t4STHODS )
Q53
Q54
Q52
QS2 (2)
Q52 (3)
Q52 (4)
2
2
Q53 2
Q54 N!2TH 2
I
Coding Instructions/Remmrks
Values -3-18
Methods usually used at
present.
No sexual relationship. ...18
No method used ............17
Withdrawal ................Ol
Sheath/condom. ............02
Safe period/rhythm method. 03
Cap/diaphragm .............O4
Contraceptive sponge. .....05
Pill: mini pill
(progesteromz only) .......06
Pill: combined pill
(including multi-phasic
pill )....................07
Pill: not sure if mini or
combined .................08
IUD /coil/ intra-uterine
device ..................09
Foams /gels /spray sjpessaries
(spermicides ),... ........10
Going without sexual
intercourse to avoid
pregnancy ................ll
Injections ................l2
Another method. ...........13
Values -3-13
Code as for 1st method
(codes 17-18 do not apply)
Values -3-03
Only use one method. ......01
Use more than one method
at a time ................02
Sometimes use one,
sometimes another. .......03
Values -3-13
Enter number of method used
most often.
f
..a

Quastmmaara Raf mdxng Shaat No of
Q55
Quastaori No Raf ●renca Boxesf Coding InstrnctLons/Rmmarks
Charactara
Q56
(1ST HSTHOD )
Q56
(2ND-4TH METHODS)
I
Q55 LONG
Q56
Q56 (1)
Q56 (2)
Q56 (3)
I
2
2
2
v -3-05
I al”e=
How long has this method
bsan the one you use most
often?
L*SS than 3 manthn ........Ol
At least 3 months, 1--8 than
6 monthm ....... ... .. ....02
At laast 6 monthm, 1-s= than
lyear ..................03
At least 1 ymar, 1-s8 than
2 yeazs ........... .......04
At lmast Zymars .........05
No saxual ralationnhip. ...lB
No method used at all. . ...17
Pregnant ..................19
Withdrawal .......... ......01
Shaath/condcm. ..... .... ...02
Sate pried/rhythm method. 03
Cap/dLaphra~. ...... ......04
Contracmptivo spc.ng=. .....05
Pill: mini pill
(progentaro-only) .......06
Pill: ccaubind pill
(Lncluding multL-phaaic
pill )....................07
PL1l: not sure if rein> or
comkuaed. . ........ ... ....08
10’0/cOll Iintra-utarm*
davlce ............ ... ...09
Fomm/gelm/sprays/~SSarlmS
(aparmicides )............lO
Going without saxual
Lntarcour*m to avo~d
pregnancy ........... .....ll
Inject~ons ......... .......l2
Anothar mathod. ...........13
Values -3-12
Coda as for 1st mathod
(codas 17-19 do not apply) .

Q57
I
BABY
Q57 MSNOP
Q57 INFERT
Q57 UNSATIS
Q57
I
I
I
I
RSLIG
Q57 OTHER 2
Q58 QS8 2
I
2
2
2
2
2
Coding Instructions/Remarks
Values -3-01
Code 01 if circled,
otherwise code 00.
Values -3-01
Code 01 if circled,
otherwise code 00.
Values -3-O\
Code 01 if circled,
otherwise code 00.
Values -3-01
Code 01 if circled,
otherwise code 00.
Values -3-0 ~
Code 01 if circled,
otherwise code 00.
Values -3-01
Code 01 if circled,
otherwise code 00.
Values -3-02
Used any methods of
preventing pregnancy?
Yes ......................01
No .......................02

—
Qu9staonnaare R-f
QUOStLOll No
Q59
(1ST METHOD)
Q59
(2ND-4TH WETHODS )
Coding Shaet
Rmf 8r_UC9
Q59 (1)
Q59 (2)
Q59 (3)
Q59 (4)
[PP]UDuf-2327 (H,hold Survey)
Cs/nn
No of
B0x9s/
Characters
2
2
Cod-g Instructions/Ram&rks
values -3-13
Hathods used: -
Withdrawal ....... ........01
Shaath/condom. .......... .02
safe parmd/rhythra mathod. 03
Cap/diaphragm. ............04
C0ntrac9pt Lve sponge. ... .05
PL1l: minL pill
(progectero~only) .... ...06
Pdl: comhinad PL1l
(Lncluding mult~-phasac
pill) ....... .............07
PL1l: not ●ura ~f manl or
ctimad .................08
IUD/coil /mtra-utmrme
dav~ca .......... ........09
FOmn/gelm/9pray m/~msar I*s
(s~rm~cidas) ............lO
Going without s=xual
zntmrcourmm to avozd
pregnancy .............. ..ll
Infections ................12
Anothar method ............l3
Values .- 23
Coda as for l-t method.
200

~..-

—
Qumstxonnaarm Ref
Quastlon No
Person
Idmnt Lf Lcatzon
Q1
Q2
Q2
FAMILY INFORMATION SECTION - S~F-CO~LSTION
SINGLE WONSN
Codang Sheet
Rmf ●rmncm
ID NO
H/H No
Per
FU
Q1
Q2 MTH
Q2 YR
No of
Boxes/
Characters
5
2
2
1
2
2
2
Coding Instructions/Ramarks
Values 00001-49999
5 d~gita - remerk.er lead~ng
zeros
(Chack that the number LS
the sam as that on the
front paga of tho
Household schedule )
Valu es 1-5
Enter household numbers
-s l-u
Chack ~rson number Le
correct . Enter number
Valuem 1-7
Entar number of FSIUIY UnLt
Values --
Are you currantly livxng
with maneone an a c0up197
Ye, ..................... 01
No ...................... 02
~m -- 2.2
Enter numbar of months whan
started l~vmg togahmr as a
couple .
Values -3-92
Enter last two d~gits of
year whan startmd livxng
togathar as a COUP1O.
201
\

Q3
Q4
Q5
Q5
Q5
Q5
Q5
Codang Shoat No of
R* fmranc9
Boxms/
Characters
I
Q3 2
Q4 2
PERS 2
step
2
BMTH 2
LIVNTH 2
Coding Instructions/Ramarks
Values -3-O?
Partnar war hgally
marrmd?
Y*9 ..................... 01
No ...................... 02
Valuoa -3-02
Hav9 you my S’Cap, fOStOr,
or adopt-d childran of any
age who l~vm w Lth you ?
Yam ......... ...... .... 01
No ..................... 02
values 1-21
Ent*r the par-on ntumhr for
the child from household
grad.
T~* of child
step ................... . 01
Foster ................... 02
Adopt ●d ................. 03
VJ&wsm --
Honth of BLrth
Entmr Month of Birth.
ysbes
--
Yaar of BLrth
Entar Year of Birth.
2
2
~ues -- 12
Entar month ch~ld started
llvmg w~th ~nformant.
.202

Q5 LIVYR
Q6 Q6
Q7 Q7N0
Q8 I
I
Mont h
Q8 Year
Q8 Sex
No of
Boxes/
Characters
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-92
Enter year child started
living with informant.
Repeat above instructions
for Q5 for each step/foster/
adopted child living with
informant.
Values -3-02
Have you ever had a baby?
Yes ..................... 01
No ....... ......... ...... (32
Values -3-20
How many children have you
given birth to altogether?
Enter number of live births.
Values -3-12
Month of Birth
Enter Month of Birth.
Values -3-92
Year of Birth
Enter Year of Birth (last
two digits ).
Values -3-02
Sex of Child
Male ...... .......... .... 01
Female . . . . . . . . . . . . . . . . . . 02
t’

Quest~Oma.ra R*f Codtig Sheet No of
Q8
Q9
Q1O
Qll
Quaatxon No Referenca Boxaa/ Co&rig Instructions/Remarks
Characters
I
2
Q9 2
I I 1
I
I
Q1O
Qll
Q12 Q12 No
I
2
2
2
I
.,
Valuas -3-03
In child llving w~th
in formnt ?
Yen ....... ... ........... 01
No ...................... 02
Deceanmd ................ 03
Rmpmat above Mstructxons
for Q8 for each Subseguant
child, in deacanding aga
ordmr . If there arm morm
than twelve children
uwolved ref*r to suparv>sor
Values -- o~
Aro you pragnant nw?
Yam ..................... 01
No or unmure ............ 02
v
--
I “uee 3 ‘a
Th>nk you WL1 1 havm any more
children, after tha one you
u- ●spcting?
Y9m ........ ............. 01
Probsbly Y-s ............ 02
Probably Not ............ 03
NO ...................... 04
Don’ t know .............. 05
wee -- 02
Will probably or probab 1y
not have any moro ch~ldran?
Proba.bly ............. .. 01
Probably Not ............ 02
Values -3-20
Numb-r of chLldran you think
you WL1l have ~n all?
Entmr numb-r of children
204

Questionnaire Ref Coding Sheet No of
Question No
Reference
Boxes/
Characters
I
I
Q13 Q13 Age 2
Q14 Q14 2
Q15 Q15 2
Q16 Q16 No 2
Q17 Q17 Age
Q18 Q18 2
Coding Instructions/Remarks
Values -3-60
Age you think you ,11 be when
you have your next baby?
Enter Age
Values -3-05
Think you will have any more
children at all?
Yes ..................... 01
Probably Yes ............ 02
Probably Not ...... ...... 03
No ...................... 04
Don *t know .............. 05
Values -3-02
Will probably or probably
not have any more children?
Probably ................ 01
Probably Not ............ 02
Values -3-20
Number of children you think
you will have born to you in
all?
Enter Number of Children
Va 1ues -3-60
Age you think you will be
when you have your next
baby?
Enter Aqe
Values -3-o2
Are you pregnant now?
Yes ..................... 01
No or unsure ............ 02
[

Quast.omaare Ref
Quastlon No
!219
Q2 o
Q21
Q22
Q23
Q24
Codang Shaot
R-f ●rmnce
Q19
Q20
Q21 NO
Q22 Age
Q23
Q24
No of
Boxmaj
Characters
2
2
2
2
2
2
Cod=g Instructions/Rmmarks
Values
.-
5
Think you will have any morm
childran aft-r tha one you
arm exp9cting7
Yes ............. ........ 01
Probably Yen ............ 02
Probably Not ............ 03
NO ..................... . 04
Oon’t know ... ... .. .. ... .05
~es
.-
2
will probably or probably
not hava any more ch~ldran?
Probably .......... ...... 01
Probably Not ............ 02
Valuee -3-2Q
Number of childnn you think
you WL1l have born to you ln
all?
Entar numk$ar of children
Valu.m! -3-6Q
Ago you think you’ 11 ba whmn
you have your naxt baby?
Enter Age
Values -3-05
Think you will have any
ch~ldran at all?
Y9S .................. ... 01
Probably Yee ............ 02
Prob&b ly Not ........ .... 03
No ................ ...... 04
Oon’t know ....... ...... . 05
values -3-02
Will probably or probably
not hava any ch~ldran?
Probably ................ 01
Probably Not ...... ...... 02
206

Questionnaire Ref Coding Sheet
Question No Reference
I
Q25 Q25 No
Q26 Q26 Age
Q27 Q27
Q28 Q28 NHS
Q29 Q29 Where
Q30 Honth
Q30 Year
No of
Boxes/
Characters
2
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-20
Number of children you think
you will have born to you in
all.
Enter number of children
Values -3-60
Age you think you -11 be when
you have your first baby?
Enter Age
Values -3-02
Have you ever been
sterilised?
Yes ............... .. ....01
No ...................... 02
Values -3-02
Operation carried out under
NHS ?
NHs ........ ............. 01
Other ................... 02
Values -3-05
Where did you have the
operation?
Hospital inpaient ....... 01
Hospital outpatient ..... 02
Doctor, s surgery ........ 03
Clinic .................. 04
Somewhere else ......... 05
Values -3-12
In what month was operation?
Enter Month
Values -3-92
In what year was operation?
Enter Year (last two digits)

Q31 Q31
Q32 Q32(1)
w:.
No of
Boxes/ Codang Instructions/Ramarks
Characters
2
2
v -3-
I “u*’ 02
Wm oparation less than
2 years ago?
Yaa ..................... 01
NO ..................... 02
wh~ch m=thods of pravantmg
pragnancy wera you us ~ng?
No saxual ralationnh~p .. 18
No method usad at all ... 17
Waa pregnant ............ 19
withdrawal .............. 01
sheath/condan ........... 02
safa par~od/rhythm ...... 03
Cap/diaphraqm ........... 04
Contraceptive* sponga .... 05
Hinl pLll (progestmron
only) ... ............... 06
comb~nmd p~l 1 ........... 07
Not surm Lf mini or
comhnmdp>ll .......... 08
IUO/COil ................ 09
Foams /g* L*/spray*/
peacarims .............. 10
GOLng without ~exual
intercourse to avo~d
pregnancy .. ............ 11
InjectzOnm .............. 12
Anothmr mathod ......... . 13
208

Questionnaire Ref Coding Sheet No of
Question No Reference Boxes/
Characters
Q32 Q32(2) 2
Q32 Q32(3)
Coding Instructions /Remarks
Values -3-13
Which methods of preventing
pregnancy were you using?
Withdrawal .............. 01
Shealth/condom .......... 02
Safe period/rhythm method 03
Cap/diaphragm ........... 04
contraceptive sponge .... 05
Mini pill (progesterone
only) .................. 06
Cmnhinedp ill ........... 07
Not sure if mini or
combined pil 1 .......... 08
IUO/coil/intra-uterine
device ................. 09
Foams /gels/sprays f
psssaries (spermicides) . 10
Going without sexual
intercourse to avoid
pregnancy .............. 11
Injections .............. 12
Another method .......... 13
Values -3-13
Which methods of preventing
pregnancy were you using?
Withdrawal .............. 01
Sheath/condom ........... 02
Safe period/rhythm method 03
Cap/diaphragm ........... 04
Contraceptive sp+mlge .... 05
Mini pill (progesterone
only) .................. 06
Combined pill ........... 07
Not sure if mini or
combined pill .......... 08
IUO/coil/intra-uterine
device . . . . . . . . . . . . . . . . . 09
Foams jgels /sprays /
pessaries (speremicides ).10
Going without sexual
intercourse to avoid
pregnancy .............. 11
Injections .............. 12
Another method .......... 13

$ \- ,A
Q.estxonnaara R-f Codang Shaat No of
Qumstlon No R-f armnca Boxas/ Codang Instructaona/ReUrka
Characters
Q33
1 I !
I
Q33
I I
Q34 Q34 Any
I
I
2
2
I I
I
Values -3-0~
Thosa who have not had a
stern Lsat~On.
Pregnant now ........ .... 01
ti~nsurm ........ .. ..... .. 02
v .- 0
I “uoa 32
Which mathodm of prevmntmg
pragnancy ware you using?
Q34 Q34(1) 2 Jglues -3-3J
Nomathod used ...... ..... 02
Which mathods of praventmg
pragnancy wora you using?
Wi.thdrlwal ........... .. 01
Sheath/condom ....... ... 02
Safa pariod/rhythm
method ....... ...... ... 03
Capldiaphragm ....... ... 04
Contracmpt iv9 sponge ... 05
Mini pLl 1 (progast=rone
only) ............. .. .. 06
Combmod PL1l ...... .... 07
Not sura if mini or
cominned pLl 1 ...... ... 08
IUD/cOxl/intra-uterLne
dmv~ca .... ....... ..... 09
Foams fgels/ spraya /
pasarLes (sparmic~das ). 10
Inject~ona ..... ... .... . 12
Anothar mathod ....... .. 13
210

Questionnaire Ref
Question No
Q34
Q34
Coding sheet
Reference
Q34(2)
!234(3)
No of
Boxes/
Characters
2
2
Coding Instructions/ Remarks
Values -3-13
Which methods of preventing
pregnancy were you “sing?
Withdrawal ...... .......
Sheath/condom ..........
Safe period/rhythm
period ................
Cap/diaphragm ..........
Contraceptive sponge ...
Mini pill (progesterone
only ) .................
Combined pill ..........
Not sure if mini or
combined pill .........
IUD/coil/ intra-uterine
device ................
Foams /gels/ sprays /
pessaries (spermicides )
Injections .............
Another method .........
Values -3-13
Which methods of preventing
pregnancy were you using?
01
02
03
04
05
06
07
08
09
10
12
13
Wthdrawal .............. 01
Sheath/condom .......... 02
Safe period/rhythm
method ................ 03
Cap/diaphragm .......... 04
Contraceptive sponge ... 05
Mini pill (progesterone
only ) ................. 06
Combined pill .......... 07
Not sure if mini or
combined pill ......... 08
IVO/coil/intra-uterine
device ......... ....... 09
Foams /gels /sprays /
pessaries (spennicides) 10
Injections ............. 12
Another method ......... 13
pregnancy were you using?

Quastaonna~rm Raf
>$
I Cochng Shaet I NO of
*.%
Quaatxon No
R-f ●rancm
Boxasf
Characters
Coding Instructions/Ramarks
I
I
I
Q34 Q34(4] 2 Valuee .- 13
Q35
Q36
Q35
Q36 Meth
2
2
Which ❑cthoda of prevent mg
pragnancy ware you us mg?
W~thdrawal .............. 01
Shmath/condom ........... 02
Safe pariod/rh@un
mthod ................. 03
Cap/dzaphragm ........... 04
Contracaptivc sponga .... 05
141nL pill (progastarone
only ) ................. . 06
ComhLndd PI11 ........... 07
Not sure if mLnL or
comhmed pLll .......... 08
IW/COLl/Lntra-uterLne
dmv~cm ................. 09
Foanu/g91s/9prays/
Pasaarlu (sprm~cades ). 10
In]ectionn .............. 12
Anothar mathod .......... 13
Method of contracept~on
used?
Only u-ad on= mathod .... 01
Us@d mora than ona method 02
Somatimmm ona mmthod
●ometmmm another ...... 03
Which mathod did you US=
momt often?
Enter tha numhr of tha
method
’212

Questionnaire Ref
Question No
Q37
Q38
Q37 Long
Q38(1)
I
I
I
I
2
2
Codimg Instructions/Remarks
Values -3-05
How long has this been the
method you usually used
most often?
Less than 3 months ...... 01
At least 3 months, less
than 6 months .......... 02
At least 6 months, less
than 1 year ............ 03
At least 1 year, less
than 2 years ........... 04
At least 2 years ........ 05
Values -3-19
Methods of preventing
pregnancy using immediately
before that?
No sexual relationship .. 18
No method used at all ... 17
Was pregnant ............ 19
Withdrawal .............. 01
Sheath/condom ........... 02
Safe period/rhythm method 03
Cap/diaphragm ........... 04
Contraceptive sponge .... 05
Mini pill (progesterone
only ) .................. 06
Combined pill ........... 07
Not sure if mini or
combined pill .......... 08
IUO/coil/intra-uterine
device ................. 09
Foams/gels/sprays/
pessaries (spermicides ). 10
Going without sexual
intercourse to avoid
pregnancy .............. 11
Injections ............. . 12
Another method .......... 13
r-

Q38
Q38
QuestaOn No
Codang Shmdc
R*f ●ranco
Q38(2)
Q38(3)
No of
Boxes/
characters
2
2
C-%hng Instructions /Ramarks
v
.-
I ‘1”9s 314
Mat hod of pravant Lng
pragnancy usLng unmad~ately
bdoro that?
Withdrawal .............. 01
Sheath/condom ........... 02
Safa pariod/rhythm mmthod 03
Capldiaphrqm ...... ..... 04
C0ntraceptiv9 n~nga .... OS
141nl pLl 1 (progastarone
only) .................. 06
Com~bmad pill .... ...... 07
Not sure Lf mini or
combmadp~ll .......... 0S
IUD/cOil/intra-utarine
device ................. 09
Foams /gels /sprayn/
paenariaa (sperm~cidas . 10
Going wzthout sexual
Lntmrcourse to avoad
pr9gnancy .............. 11
Injmctlonm .............. 12
Rnothar mathod .......... 13
v
--
Ioe”u
Mmthod of prevant ing
pregnancy uming Lmnadiataly
bafara that?
Withdrawal .............. 01
Shaath/condun ........... 02
.%f ● pariod/ rhythm matbod 03
Cap/diaphragm ........... 04
Contracept ave sponga .... 05
Hinz PL1l (progastmrona
only ) .................. 06
Comhmad pill ........... 07
Not sura Lf mini or
cmtmnadpill ..... ..... OS
Ion /cOL1 /intra-utarxnm
dav~ca ................. 09
Fc.ems/gels/ ●praym /
~ssaries (spzmicides ). 10
Coing wxthout sexual
mtarcoursa to avo Ld
pregnancy .............. 11
Injactlons .............. 12
Rnothar method .......... 13
214

Questionnaire Re f Coding Sheet No of
Question No Ref erance Boxes/ ~ding Instructions/Remarks
Characters
Q38 Q38(4) 2 Values -3-13
Q39 Baby 2 Values -3-01
Q39 Menop 2 Values -3-01
Q39 Infert 2 Values -3-01
Which methods of preventing
pregnancy were you
immediately before that?
Withdrawal .............. 01
Sheath/condom ........... 02
Safe ~riod/rhythm method 03
Cap/diaphragm ........... 04
Contraceptive sponge .... 05
Mini pill (progesterone
only ) .................. 06
Combined pill ........... 07
NOt sure if mini or
combined pill .......... 08
IUD/coil/ intra-uterine
device ................. 09
FOamslgels/sprays/
pesssries (spemicides ). lrJ
Going without sexual
intercourse to avoid
pregnancy .............. 11
Injections .............. 12
Another method .......... 13
Reason why you do not use
any method for preventing
pregnancy.
Wanted to have a baby ... 01
Reason why you do not use
any method for preventing
pregnancy.
Menopause ............... 01
Reason why you do not use
any method for preventing
pregnancy.
Possibly infertile ...... 01
,

Questaonaaar= Raf
Qumst~on NO
Q39
Q39
Q39
Q40
Cndxig Shoot
Rmf ●rmncm
Rdig
Other
Q40
No of
SOxasf
Characters
2
2
2
2
COdang Instrnctlons/Ramarks
~ues
-.
1
Reason why you do not uao
any m.tbod for prcvont ing
prmgnancy.
Don” t liko contracmptmn
andjor find mot hods
unsat~sfmtory .......... 01
Valuem -- o~
Roaeon why you do not une
any mthod for prevantmg
pregnancy.
AgaLn9t church/raligxous
bdief ................. 01
~ee
--
1
Rmamon why you do not use
-Y ~th- for prmvmntzng
pregnancy.
Another reason .. ....... 01
v -- 0
l-ee32
Used ❑athods of preventing
pregnancy?
I
Yes . . . . . . . . . . . . . . . . . . . . 01
NO . . . . . . . . . . . . . . . . . . . . . 02
216

Questionnaire Ref Coding Sheet No of
Question No Reference Boxes/ Coding Instructions/Remarks
Characters
Q41 Q41(1) 2 Values -3-13
Q41
I I I
Q41(2) 2 Values -3-13
Used one or more methods in
the last two years ?
Withdrawal .............. 01
Sheath/condom .......... 02
Safe pried/rhythm method03
Capjdiaphxagm .......... 04
COntrace~ive sponge ... 05
Mini pill (progesterone
only) .................. 06
Combined pill .......... 07
Not sure if mini or
combined pill ......... 08
IUO/coil/intra-uter ine
device ................ 09
Foama/gels/apraye/
pessaries (spermicides ) 10
Going without sexual
intercourse to avoid
pregnancy ............. 11
Injections ............. 12
Another method ......... 13
Used one or more methods in
the last two years?
Withdrawal ............. 01
Sheat /condom ........... 02
Safe period/rhythm
method ................ 03
Cap/diaphragm .......... 04
Contraceptive sponge ... 05
Mini pill (progesterone
only) ................. 06
Combined pill .......... 07
Not sure if mini or
combined pill ......... OS
IUD /coil/ intra-uterine
device ................ 09
Foams/gels/sprays/
pessaries (spermicides ) 10
Going without sexual
intercourse to avoid
pregnancy ............. 11
Injections ............. 12
Another method ......... 13

Qu.stxonnure Ref
Quastxon No
Q41
Q41
Codang Sheet
Rmfmrmncm
Q41(3)
Q41(4)
No of
SOxmf
Characters
2
2
Cadang Instrmctaons/Remarks
values -3-U
Uaad ono or mors mathods
in tha la-t two yaarm?
Withdrawal ............. 01
Shmat/condun ......... .. 02
Safe ~riodfrhythm
method ........... .. ... 03
Cap/diaphragm .......... 04
C0ntrac0ptiv9 sponge ... 05
Minx PL11 (progostcrone
only) ............. .... 06
Comtuncdp>ll ..... ..... 07
Not sure Lf man~ or
combinad pill ........ . 08
IUD/ coL1/ intra-uterxne
dmv~cm . ......... ...... 09
Foum jgehj ●praysl
pos=arioc -(s~rmiciden) 10
Going without sexual
intarcourso to avozd
pregnmnc y ............. 11
In3actlons ............. 12
Another mathod .... .. .. 13
~ues -3-13
Umod on- or more mmthodn m
the last two ymarm?
W~thdrmwal ............. 01
Sheat/condcm ........... 02
Safe permd/rhythm
method . ............... 03
Cap fdxaphrcqm ...... .... 04
COntraceptLvO ●ponge ... 05
Xmi PL11 (progesterone
only) ............. .... 06
Combined pzll ......... . 07
Not sure Lf mxnl or
combmed PL1l ... ...... 08
In/co~l/Lntra-uterLne
dmv~ce . ............... 09
FOamm/gmls/mpray e./
~ssar>es (●parmic~des ) 10
Co~ng without saxual
ntmrcoursm to avoid
pregnancy ......... .... 11
In2ect10ns ....... ...... 12
Another method ..... ... 13
218

Questionnaire Ref Coding Sheet NO of
Qumstion N. Reference Boxes/ Coding Instructions/Remarks
Characters
Q42
I
Q42
Q43 Q43 MTH
Q43 Q43 YR
I I I
I
2
2
2
I
Values -3-02
Had any operation which
prevents you getting
pregnant ?
Yes . . . . . . . . . . . . . . . . . . . . 01
NO . . . . . . . . . . . . . . . . . . . . . 02
Values -3-12
What month was the
operation?
Enter month
Valuee -3-92
What year was the operation?
Enter year
Q44 Q44 2 Values -3-02
Operation less than two
years ago?
Yes ..................... 01
NO ......................02
dA9

\
Q45
Coding Shoat
Rmfaranc.
Q45(1)
No of
Boxmf
characters
2
Codxng Inctruct>ons /Remarks
-S .- 19
Mmthod of prevantxng
pregnancy using xnramdntely
b-fore that?
No ●axual rclatLonshxp .. 1S
NO method us-d at all ... 17
Wam prmgnant ............ 19
Withdrawal ............. 01
Sheat /condom . .......... 02
safe pariod/rhythm
method ................ 03
Cap/d iaphrap .......... 04
contrac=pt~vo sponge ... 05
Mini pill (progesterone
only) ................. 06
combanodpxll .......... 07
Not Surm if minx or
Colnixndpill ..... .... 0s
IUD/cOll/intra-ut9 rxne
davicm ................ 09
Foams /gels /spreys /
pcsnari~s (●p.rm~cides ) 10
Going without sexual
intercourse to avo>d
pr*gnancy ... .......... 11
Inactions ............. 12
Rnother method .... ... . 13
220

Questionnaire Ref
Question No
Q45
Q45
Coding Sheet
Reference
Q45(2)
Q45 (3)
No of
Boxes/
Characters
2
2
Coding Instructions/Remarks
Values -3-13
Methods of preventing
pregnancy using immediately
before that?
Withdrawal ............. 01
Sheat/condom ........... 02
Safe period/rhythm
method ................ 03
Cap/diaphragm ..... ..... 04
Contraceptive sponge ... 05
Mini pill (progest crone
only) ................. 06
Combined pill .......... 07
Not muse if mini or
combined pill ......... OS
IUO/ coil/ intra-uterine
device ................O9
Fosme /gels fspraye f
pessaries (sp-ermicides ) 10
Going without sexual
intercourse to avoid
pregnancy ............. 11
Injections ............. 12
Another method ......... 13
Values -3-13
Methods of preventing
pregnancy using immediately
before that ?
Withdrawal ................01
Sheath/condom. ............02
Safe period/rhflhm method. 03
Cap/diaphragm .............04
Contraceptive sponge. .....05
Mini pill (progesterone
only )....................o6
Combined pill .............07
Not sure if mini of
combined pill ............08
IUO/coil/intra-uterine
device .. .................09
Foams/gels /spray s/pessaries
(spermicides )............lO
Going without Sexua 1
intercourse to avoid
pregnancy ................ll
Inject ions ... .............12
Another method ............l3

\
Q46
Q46
,Codang Sha=t
R-f ●ranc=
Q46 (1)
Q46 (2) 2
nothods if any you are
usually using at pr*aOnt~
No saxual rmlat ionmh~p. ...18
No mmthod us-d at all. ....17
withdrawal ................01
Sheath/condom. ............02
Saf ● puiodfrhythm mmthod. 03
Capjdmphrqm.. ....... ... .04
Contracaptiva sponga. .....05
Mini pill (progmsterono
only )....................06
Combzn*d PL11 .............07
Not mare Lf nmni of
ccatnned pill .......... ..08
IDO /coL1/ intrn-utmrne
devica ...................O9
Fom8/g919/8pray m/p88arlea
(sperm~c~des )............lO
Going without saxual
intercourse to avo~d
pregnancy ................ll
Inj OctlOns ................12
snoth*r ❑@chod ......... ...l3
values -3-13
Mathodz Lf any you are
usually using at presant7
w~thdrawal ................01
Sheath/condom. ........... 02
Safe per~od/rhythm method. 03
Cap/d~aphrr@n.. .. ....... .04
Contracmptxve nponge. ....05
M~n~ PI11 (progesterone
only ) ........ ............06
Communed pill ............ 07
Not aura Lf mlnl of
combinod PL1l ............O8
IUD/coLl/lntra-uteruIe
devxcm ............... ....09
FO-8/geln/ mprayn/pmnar~em
(spernuczdes ). . . . . . . . . ...10
Going w~thout saxual
mtercourne to avo~d
pregnancy .......... .. ..11
In]ectuanm ............... 12
Another method ......... ...l3
222

Questionnaire Ref
Question No
Q46
Q46
Coding Sheet
Re farence
Q46 (3)
Q46 (4)
No of
Boxas/
:haracters
Coding Instructions/Remarks
Values -3-14
Methods if any you are
usually using at present?
Withdrawal ................01
Sheath/condom. ............02
Safe period/rhythm method. 03
Cap/diaphragm .............04
Contraceptive sponge. .....05
Mini pill (progesterone
only) ....................06
Combined pill .............07
Not sure if mini of
combined pill ............O8
IVD/coil/intra-uterine
device ...................09
Foams/gels/epray s/pesmaries
(spermicides) ............lO
Going without sexual
intercourse to avoid
pregnancy ................ll
Injections ................l2
Rnother method ............l3
Values -3-13
Methods if any you are
usually using at present?
Withdrawal . . . . . . . . . . . . . ...01
Sheath/condom. ............02
Safe period/rhythm method. 03
Cap/diaphragm. ............04
Contraceptive sponge. .....05
Mini pill (progesterone
only) ....................06
Combined pill .............07
Not sure if mini of
combined pill ............O8
IUO/coil/intra-uterine
device ...................09
Foams/gels/ spray s/pessaries
(spermicides )............lO
Going without sexual
intercourse to avoid
pregnancy ................ll
Inject ions ................12
Another method ............l3
LL!3

,
Questaonzmxre R-f
Quaatxon No
Q47
Q48
Q49
Q47
Q48 IC3TH
Q49 LONG
No of
sox9sf
Characters
2
2
2
COdl.ng Inatructaonsfliem.rks
Mmthod8 of contraception
us-d?
Only us-d one method. .....01
Weed more than on= mathod. 02
Somot tiom on- method
sao.thss anothar. .......03
ifh~ch ❑mthod did you uae
most oftmn?
Entmr tha number of the
mat hod.
Values -3-05
How long has th~a been tha
method you usually used
moat oft-n?
Lam than 3 monthm ........Ol
At least 3 monthn, leas
than 6months ............O2
At leact 6 month-, less
than l year . .............03
At learnt 1 yaar, less than
2 years .................04
At loam 2 yeara ..........O5
224

Q50
Q50 (1)
I
I
2
2
Coding Instructions/Remarks
Values -3-19
Methods of preventing
pregnancy ueing
innnediately before that?
No sexual relationship. ...18
No method used at all. ....17
Was pregnant ..............19
Withdrawal ................01
Sheath/condom. ............02
Safe period/rhythm method. 03
Cap/diaphragm ....... ......04
contraceptive sponge. .....05
Mini pill (progesterone
only) ....................o6
Combined pill .............07
Not sure if mini of
combined pill ............08
IUD/coil fintra-uterine
device ...................O9
Foama/gels/spray s/pessaries
(spermicides ).. ..........10
Going without sexual
intercourse to avoid
pregnancy ................ll
Inject ions ................12
Another method ............l3
Values -3-13
Methods of preventing
pregnancy using
immediately before that?
Withdrawal ................01
Sheath/condom. ............02
Safe period frhythm method. 03
Cap/diaphragm .............04
Contraceptive sp.ange......05
Mini pill (progesterone
only) ....................o6
Combined pill .............07
Not sure if mini of
combined pill ............08
IUO/coil/intra-uterine
device ...................09
Foame/gels/spray s/pessaries
(spermicides )............lO
Going without sexual
intercourse to avoid
pregnancy ................ll
Injections ................12
Another method ............l3
/i.d5

Q50
Q50
Questmn No
Codang Shaat
,-
- Rafaranc=
Q50 (3)
Q50(4)
No of
sox*s/
Cbaract=rs
2
2
C!c.dmg Ia8truct~oms/Remarks
Valuo 9 -3-1
14ethcdB of preventing
pregnancy using ~nuned~at*ly
bmf ore that?
withdrawal ................01
Shaath/condm. ............02
Safe pmriod/rhythm method. 03
Cap/d iaph.ragau.............O4
COntracqtive sponge. .....05
Mini pill (progastorone
only) ....................06
Combined pill .............07
Not sur9 if mini of
cbinod pill ............0S
IUD/coil /intra-utmrzne
device ........... ........O9
Fomm/gels/mpray n/pmmarie9
(aporm~c~das ) . . . . . . . . . . . 10
Going without ●oxual
intmrcouraa to avo~d
pregnancy ................ll
Injections ................12
Another method ............13
value s -3-13
wh~ch mathodm of preventing
prmgnancy wera you
-d~stmly before that?
w~thdrawal ................01
Shaath/condom. ............02
Safe perxod/rhythm method. 03
cap/dLaphragm. ...... .....04
Contraceptive sponge. . ..05
Hni pill (progesterone
only) ....................06
Comhin*d pill .............07
Not sure if nunl of
combined PL1l . ..... .... 08
Im/coil/lntra-utmrane
device ................. .09
FoMs/ge18/ 8pray B/pen EarleB
(s~rnucides )....... ....10
Going without sexual
Lntercourae to avo~d
pregnancy .... ........ .. ..11
In]9ct10n9 ............. ..12
Another method ........ ...13
226

Questionnaire Ref
Question No
Q51
Q51
Q51
Q51
Q51
Q51
Coding Sheet
Ref erance
BASY
KENOP
INFERT
UNSATIS
FJ3LIG
OTHER
No of
Boxes/
Characters
2
2
2
2
2
2
Coding Instructions/Remarks
Values -3-01
Reason why you do not use
any method for preventing
pregnancy.
Wanted to have a baby. ....01
Values -3-01
Reason why you do not use
~Y method for preventing
pregnancy.
Menopause .... .............01
values -3-01
Reason why you do not use
any met hod for prevent ing
pregnancy.
Possibly infertile. .......01
Values -3-01
Reason why you do not use
any method for preventing
pregnancy.
Oon’ t like contraception
and/ or find methods
unsatisfactor y.............01
Values -3-01
Reason why you do not use
any method for preventing
pregnancy .
Against church freligious
belief ....................01
Values -3-01
Reason why you do not use
any method for preventing
pregnancy.
Another reason ............Ol

I
Q.astzonnalro Ref
Q.mataon No
052
Q53
Coding Sha=t
Rmfmr8ncm
Q52
Q53 (1)
2
2
No of
Codang Instructions/Rmmarks
Valuo s -3-07.
Umd ❑*thods of preventing
pregnancy ?
Yom. . . . . . . . . . . . . . . . . . . . . . .01
NO ................. ... ...02
Vduos -3-13.
Umd one or more mathods
in tho la-t two yearn?
Withdrawal ......... .......01
Shmath/condom. ..... .......02
Safe perxod/rhythm method. 03
Cap/d iaphra~. ..... .......04
Contracapt LVe s~nge. .....05
Mini PL1l (progasterono
only) ............. .......06
Combinod pLll ...... .......07
Not sure Lf mmz of
combinod pill .... .. ......OS
IUD/ coL1/ Lntra-utarxnm
dov~cm ............ ..... .09
FO-s/gelm/mpray s/pmmarxm9
(qarm>cides) ..... .......l O
Going without naxual
Lntarcourse to avozd
pregnancy .......... ......11
Inlmctionm ... ...... .. ... 12
Anothar method ..... .......l3
228

Questionnaire Ref
Question No
Q53
Q53
Coding Sheet
Refarence
Q53 (2)
Q53 (3)
No of
Soxesf
Characters
2
2
Coding Instructions/Remarks
Values -3-13
Used one or more methods
in the last two years?
Withdrawal .......... ......ol
Sheath/condom. ...... ......02
Safe period/rhythm method. 03
Cap/diaphragm . ............04
Contraceptive sponge. .....05
Mini pill (progesterone
only) ....................06
Combined pill .............07
Not sure if mini of
comhined pill ............08
IUD/coil /intra-uterine
device ...................O9
Foams/ge18/epray s/pessaries
(s~nuicides) ............lO
Going without sexual
intercourse to avoid
pregnancy ................ll
Injections ................12
Another method . ...........l3
Values -3-13
Used one or more methods
in the last two years?
Withdrawal ................01
Sheath/condom. ............02
Safe period/rhythm method. 03
Cap/diaphragm. ............04
Contraceptive sponge. .....05
Mini pill (progesterone
only) ......... ...........06
Combined pill .............07
Not sure if mini of
combined pill ............O8
IUD Jcoil fintra-ut erine
device ...................O9
FOa.mB/gelB/spray s/pessaries
(spermicides )............lO
Going without sexual
intercourse to avoid
pregnancy ................ll
Injections ................12
Another method .. .... ......l3

—
\ Quastlonnaare Ref
Quastlon No
!253
-clang Sheet No of
u-f erance SOxesj cod-g Instructions/Rmmarks
z Characters
1 1
Q53 (4)
[PP]VDuf-2332 Fam Info Sing Worn
Mwfcs
I I I
I
2
I
Valuen -3-13
Usad onm or more methods In
the la-t two years,
Withdrawal ........... .....ol
Shmath/condcin. ......... ...02
Safe parxod/rhythm method. 03
Cap/d ~aphra~. ............04
Contraceptive sponge. .....05
Mini pill (prcqantmrone
only) ............... .....06
Combined pill ......... ....O7
Wot suro if mini of
combinad pill ......... ...08
IoD/coil /ntra-utmrme
devzcm ............. .. ....09
FOmm/gmlm/mpray m/~anarLee
(s~rmicidas )........ ....10
Goxng without saxual
Intnrceurme to avo~d
pregnancy ............. ...ll
Injections .............. ..l2
Anothar method ......... ...l3
230

—
Quastxonnalre Ref
Qummtxon No
PERSON
IDENTIFICATION
Codxng Shoat
Ztafarence
ID NO
HJH NO
PER
FU
CHILD CASS SECTION
5
2
2
1
Codang Instructxc.ns/Ramarks
Values 00001 -4999~
5 dxg~tm - rmmemker leadng
zmros and ennure that the
n-r M thm SSMO as that
on the front page of th=
hoummhold ●chmdule.
V*,8 1-5
Enter housahold number
~a 01-21
Ent*r p9rs0n nunimr,
confirming that the
intmrvxmwar has recorded
the propsr rafarencm
raspondant.
Values 1-7
Enter numb-r of fsmdy unat
231

)
Qu*8t10nnair9 Raf
Quaataon No
QIA
QIB
CHECX A
Q2
CHECK B
Codxng Shaat
Ref ●r*nc _
QIA
QIB
CHK A
Q2
CHX B
No of
Box9s/
Cbarmctms
2
2
2
2
2
Codxng Instructions/R~rks
Chzldran undar 12 in the
housahold
Ym . ............... ........ol
No ... .............. ........02
1s th~s inf ornmnt the
praon reqmxtaible for tho
children?
Yaa .. .............. ........ol
No .. ......... ..... .........02
Valuea -4-05
Hut many childran ●gmd undar
5 is tha informant
r.mponuble for?
Entm number
None ......... ......... .....-4
Make arrangements for your
undar 5 ‘●?
Yea . . . . . . . . . . . . . . . . . . . . ...01
No . . . . . . . . . . . . . . . . . . . . . ...02
Values -4-05
How many ch>ldren aged 5-11
in ~nformant respons~ble
for?
Enter number.
Norm . . . . . . . . . . . . . . . . . . . ...-4
232

Questionnaire Ref
Question No
Q3
Q4
Q5(A)
Q5(A)
Q5(A)
Q5(A)
Coding Sheet
Reference
Q3
Q4
SCH/N
H&SS
O/SCH
No of
SOxes/
Characters
2
2
2.
2
2
CQding Instnaction=/Ramarks
Valu es -3-02
Were your children aged
5-11 on holiday from school
last week?
Yes ........................1
No ........................2
Values -3-02
Did you make any arrangements
for your children aged 5-11
to be looked after last week?
Yes .......................1
No ........................2
Values -3-01
Use school /nursery school.
playgroup?
Used .....................01
Not Used . . . . . . . . . . . . . . ...00
Values -3-01
Use Workplace?
Used .......... ...........01
Not Used . . . . . . . . . . . . . . ...00
Values -3-01
Use Health and Social Service
Board Facility?
Used . . . . . . . . . . . . . . . . . . ...01
Not Used . . . . . . . . . . . . . . ...00
Values -3-01
Use Other Scheme?
Used . . . . . . . . . . . . . . . . . . ...01
Not Used . . . . . . . . . . . . . . ...00
drJ3

m
w
N
N
N
N
Zc
0=
*m
a
c
■ .
● .
a.
Zc
om
*O
a
c
9.
m.
n..
.,
. .
. .
::
**
a
G
m.
● .
a.
.,
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
g:
Zcg:
08
*O IJO
a
c
m. “~
m.
II. ”
. .
,,
1

Questionnaire Ref
Question No
Q5(A)i
Q5(A)i
Q5(A) (i)
Q5(A) (i)
Q5(A) (i)
Coding Shmet
Referenca
NUR/S
P/NUR
PG/ST
PG/VOL
PG/PUT
No of
Soxas/
~aracters
2
2
2
2
2
-ing xnatrUctiollB/Remarks
Values -3-01
Would thie be Nursery
School ?
Used .......... ...........01
Not Used .................00
Values -3-01
Would this be Private Day
Nureery?
Used .....................01
Not Used ..... ............00
Values -3-01
Would this be a statutory
Playgroup?
Used ........... ..........01
Not Used .................00
Values -3-01
Would this be a voluntary
Playgroup?
Used .....................01
Not used .................00
Values -3-01
Would this be a private
Playgroup?
Used .....................01
Not Used . . . . . . . . . . . . . . ...00

Q5(B)
Qs(c)
Q5(C)
Q5(C)
Q5(D)
Q5B
Q5(C)1
Q5(C)i1
Q5(D)
no of
Bc.x9a/
Cbaractmrs
2
2
2
2
3
ting In8tructaons/R~arks
Values -3-05
How many of your children
under 5 U= involvmd?
Ent ●r number.
- Number should be ●ntmred
undmr typ of child caro
ummd
values --
a
Is this all tho yaar round?
Y** .......................01
Ring 1 undar t- of child
car. arrangmantm
L.cdecl 01 -OS
IS this;
TmmT tieOnly ...........01
-Ring I Und*r T- of Ch~ld
car- Arrmngmants
Coded 01-0$
Valu*s -3-01
IS this;
Othar Per>oda . . . . . . . . . ...01
- Rmg 1 Under Typ of Chdd
Car* Arrangmmmnts
Coded 01-08
~lues -- 156
HOW my wmmkm pr year for
all under 5‘s?
Enter number of weeks in
total .
- Entsr undmr type of ch~ld
care coded 01-08
236

Questionnaire Ref
Question No
Q5(E)
Q5(F)
Q5(G)
Q5(H)
Coding sheet
Reference
Q5(E)
Q5(F)
Q5(G)
Q5(H)
No of I
Boxes/ Coding Instructions/Remarks
Characters
3
2
5
2
! Values -3-18Q
For how long are your
children looked after each
week?
Check hours
child.
Enter total
under 5 -s.
for each
hours for all
Enter total under type of
child care coded 01-08.
Values -3-O?
Does your employer make a
contribution towards the
cost ?
Yes ........................1
NO ........................2
- Ring 1 or 2 under type of
child care arrangements
coded 01-08.
Values 3-10000
How much is the employer, s
contribution per week?
Enter amount
- Enter amount under type of
child care arrangements
coded 01-08.
Values -3-O?
Is this paid direct to you?
Yes .......................01
NO .... . . . . . . . . . . . . . . . . ...02
- Ring 1 or 2 under type of
child care arrangements
coded 01-08.

Q5(I)
Q5(J)
Q6(A)
Q6(B)
Coda.ng Sh*at
Ref9rence
Q5(I)
Q5(J)
Q6(A)
Q6(B)
No of
BOX*8I
Characters
5
3
2
2
Values -3-5000Q
ROW ❑uch dzd you pay la-t
tams (including any
contribution your Smployer
pays to you)?
Enter UnOunt
- Ent*r amount undmr t- of
child carm arrangcmants
cod-d 01-08.
- If NIL ●ntmr 0000.
Values -3-156
H- many wooks did thxs
covor ?
Entar number of weak- under
typ of ch~ld cararrangement
■ .
values -3-U
which of these did you use
la-t week?
Ueed ....... ..............01
Not Used . .... ............00
- Ring Number Undar Type of
Ch~ld Care Used
Values -3-0.$
How many of your ch~ldren
aged between 5 and 11 arm
Lnvolved ?
Ent@r number.
- Number should be entered
under typ of chdd care
arrangements.
238

Questionnaire Ref
Question No
Q6(C)
Q6(C)
Q6(C)
Q6(D)
Q6(E)
Coding Sheet
Ref eremce
Q6(C)i
Q6(C)ii
Q6(C)iii
Q6(D)
Q6(E)
No of
Boxes/
characters
2
2
3
2
Coding Instructions/Remarks
Value -3-01
Do they go in;
Term time only .. .........01
- Ring Number under Type of
Child Care Arrangements
Coded 09-14
Values -3-01
DO They Go In;
Holidays Only ............01
- Ring Number under Type of
Child Care Arrangements
Coded 09-14
Values -3-01
Do They Go In;
Both .....................01
- Ring Number under Type of
Child care Arrangements
Coded 09-14
Values -3-180
For how long were your
children looked after last
week?
- Check hours for each child
Enter total hours for all
5-11s.
- Enter total under type of
child care
Values -3-02
Does your employer make a
contribution towards the
cost ?
Yes ........................1
No .........................2
- Ring 1 or 2 under type of
child care arrangements

Quastaomaar. R-f
Q6(F)
Q6(G)
Q6(H)
Q6(H)
Qu9staon No
! Coda.hg Shaot
Rmf ●rmnco
Q6(F)
Q6(G)
Q6(H)
Q6(H)1
5
2
5
.2
No of
Coding Iastructiona/Rmmarks
~os .- 1000Q
ECW much is the employer’ s
contributlonc pr wook?
Enter amount
- Enter amount under type
child care arrangement.
IS this paid direct to yOU?
ram ...... ................01
No . . . . . . . . . . . . . . . . . . . . ...02
- Ring 1 or 2 undmr type of
child corm arrangmmentm.
wues
-- 000Q
How much did you pay last
t ima (including mny
contr~utionm your employor
pay, to you)?
Entmr amxnt
- Entmr emount under type of
ch~ld care arrangamants.
- If NIL entar 0000.
Valu ●s -3-01
Cover-d at Q5 (I )?
Covarad .. ................01
- Ring 1 undar type of child
care arrangamsnts Lf last
ch~ld carm payment
zncludad coet of under 5‘ n
and was ●ntarad at Q5 (I ).
240

Questionnaire Ref
Question No
Q6(I)
Q7
tiding Sheet
Reference
Q6(I)
Q7
Q8
No of
BOxas/
Characters
3
2
2
Coding Instructions/Remarks
Values -3-156
How many weeks
cover 7
Enter number
did this
- Enter number of weeks
under type of child care
arrangements.
Values -3-02
Are you currently employed
or actively seeking work?
Yes ......................Ol
NO .......................02
Values -3-02
If child care provision
were availsble would you
choose to work?
Yes ......................01
No .......................02
441

—
)
Questaonnazre Ref
Quastaon NO
PERSON
IDENTIFICATION
CHECK A
Q1
Codang Sheet
Rmfmrmncm
ID NO
HH NO
Per
m
CHK/A
Q1
INCOKS AND BEN’SFITS
No of
BOHS1
Characters
5
2
2
1
2
2
Codzng In8ta_uctlons/Ramarks
values 00001-49999
5 dig~ts - remember lead~ng
zeros [ch*ck that the
number IS the same as that
on the front pmge of the
Housahold Schadule] .
Values 1-5
Enter houcehold number.
Values l-~
Chock that tha Interviewer
has r-corded the corract
person numb-r before
●ntering.
-a 1-7
En’car number of fanuly unit.
Values 1-02
Informant is
if no Lncctno
HOH ).
HoH (or spouse
mectaon for
Y* S .......... . . . . . . . . . . ...01
No . . . . . . . . . . . . . . . . . . . . ...02
Values -3-14
Enter code for total
household income.
NE This ehould only be
f>lled Ln for one psrson m
the housahold.
,,
,/

Q3(I)(L1)
Q3(I) (iii)
!23(1 )(111)
Q4
Q4(A)
Codang Shaat
R-f ●rmnc=
Q31i(2 ) amount
Q31(3)
Q31i(3) amount
Q4
Q4A
No of
BOxOs/
Clmractors
5
3-E 2-p
2
5
2
2
Codang Instructions/R.marks
Valuem -3-10000
Second bonefat
Ent*r amount of #econd
benaf xt mmnt ioned.
~8 -- 14
Third tvDe of b~
Veluee .- 1000Q
Enter amount of 3rd
benef ~t mant lonod.
values --
2
Any other p9rsonal income?
(Include ●arnings from
Government Trunmg Schamee )
Y*B . . . . . . . . . . . . . . . . . ...01
No. . .. ......... ... .. 02
Valu es -3-14
Enter coda for total other
personal income.

Questionnaire Ref I Coding sheet I No of I
Question No
Reference
Boxes/
Characters
Coding Instructions/Remarks
I
I
I
CHECK B
Q2
CHK/B
I I
I
2
I
I I I
I Q2
I I I
I
Q3(A) Q3A
Q3(A) (i)
Q3(A) (ii)
I
I
I
2
2
Q3Ai amount 5
Q3Aii
Q3(A) (iii) Q3Aiii
amount
I
I
I
I
I
I
Values -3-02
Informant is in paid work
In paid work . . . . . . . . . . . ...01
Other . . . . . . . . . . . . . . . . . ...02
Values -3-14
Enter code for individual
earnings.
If not earning a wage leave
this line blank.
NB. This should not be filled
in for those on
Government Training
Schemes.
Values -3-01
Receiving child benefit at
present
Yes .. . . . . . . . . . . . . . . . . . ...01
Values -3-12000
3=E 2=P Only applies if coded 1 at
3(A). Enter the amount of
child benefit received.
2
I
Values -3-01
Receiving one-parent (child)
benefit (payable to oneparent
families for first
or only child) .
Yes .......................Ol
5 Values -3-00560
3=E 2=P
I
Enter amount of one-parent
benefit received.

Q3(B)
Quastxm No
Q3(B) (i)
Q3(C)
Q3(C) (L)
Q3(D)
Codang Sh*at
Rmf erancn
Q3B
Q3Bi amount
Q3C
Q3C1 amount
Q3D
No of
sOxms/
Cbaractmra
2
5
3-E 2-P
2
5
3-E 2=P
2
Codang Instructions/Ramarks
Valuem -3-0~
Pr0s9ntly raca>ving famaly
credit. (Payable to
families with dependent
childrmn ~f hmad/both arc m
full-t- employment. )
NB . on occamion if
unamployad for less than
1 year and entitled
while employed may Wt 111
be receiving
Yes. .......... .......... .01
values -- 1000Q
Only applL08 if
above .
Enter amount.
-s
--
1
coded 1
Prassnt racoiving - NI
rmtzromant penalon or old
ag. pan910n.
rem ............ ...... . ..01
ValUOS -3-1250Q
Only applien If cod-d 1
above .
Entmr amount
Values -3-01
Presently rmc9Lving ancome
support
Yea
NB
. . . . . . . . . . . . . . . 01
This is not paad to
those full-tune Ln
employnmnt.
245

Questionnaire Ref I Coding Sheet I No of I
Question No
Reference
Boxes/
Characters
Coding lnStluctions/Remarks
I
I
I
Q3(D) (i) I Q3Di amount I 5 ] values -.3-20000
Q3(E)
I
Q3E
I I I
I
3=E Z=p Only applies if coded 1
above.
2
I
Enter amount.
Values -3-02
PXeSently receiving sickness
benefit or invalidity
benefit
Yes . . . . . . . . . . . . . . . . . . . . . ..01
v ~ue, -3-10 J,0*(130
Q3(E) (i) Q3Ei amount 5 a
3=E Z=p Only applies if coded
1 above.
Q3(F) Q3F 2 Values -3-01
Q3(F) (i) Q3Fi amount 5
3=! Z=p
Enter amount of sickness/
invalidity benefit.

Qu9stJonnaarm Raf
Quastxon No
Q3(G)
Q3(G) (i)
Q3(H)
Ceding Shmmt
R9formnco
Q3G
Q3Gi mmunt
Q3H
Q3(H) (1) Q3H1 amount 5
Q3(I) Q3 I 2
No of
Box9s/
CJmractmrs
2
5
3-s 2=p
2
3-f 2-p
Codang Inltruct~ons/Ramark8
va 1Ue, -3-01
Prmaently rmc91vang
Attendance Allowance
Yin ......................01
NB. Thxs X8 paid to disabled
person, not to caror.
~ues -- 1000Q
Only applias if coded
1 above.
Entar amount.
~lues -- Oa
Presantly recoivmg widows
allowanco ●tc (Widowed
140thars Allowance, War
Widows Pens~on) .
Ye* . ........ ..... ........01
Va 1Umm -3-10000
Only appllma If codad
1 above.
Enter amount.
Presantly receiving any
other atata banef~t
Q3(I) (1) Q31(1) 2 Values -3-14
Yes. .. ............. ....01
Type of benaf ~t.
Mat9rn~ty allowancm. . . 01
Induatrxal ln]ury bencf~t/
~ndumtr~al death. ........02

Questionnaire Ref
Question No
Q3(I) (i)
Q3(I) (ii)
Codinq Sheet
Reference
)31i(l) amount
)31(2)
No of
Boxem/
characters
5
l=f 2=p
Coding Instructions/Remarks
Benefit including other
t~ of industrial
benefit payment. .........03
Non-cent invalidity pension
including housewife>a. ...04
Special hardship
allowance ................05
Invalid care allowance. ...06
War pensions (uK) .........07
Contributory Invalidity
Benefit ..................08
Child, s Special Allowance. 09
Disablement pension/
benefit . . . . . . . . . . . . . . . ...10
Guardian, s allowance. . . ...11
Foster Child Allowance. . ..12
Mobility Allowance. . . . . . . .13
other .- . . . . . . . . . . . . . . . . . ..l4
NB . Only include benefits
which are payable on a
weekly/monthly basis.
Exclude lump sum
payments or welfare
benefit in kind (eg free
milk, school meals, free
optical, dental treatment
etc )
Invalid care allowance is
paid to carer, not to
invalid.
Jalues -3-10000
?irst (other) benefit
)nly applies if coded 1 at
23(I ) above.
>nter amount of first/Only
]enefit mentioned.
)al”es -3-14
second tm e of benefit
:ode as per first type of
>enef it.
L48

)
Questaonnura Ref
— Quoatxen No
PERSON
IDENTIFICATION
EMPLOYNSNT
SECTION - Q1
ID NO
NH NO
Per
FD
QIAS
PROXY
No of
SOX*SJ
Chmractmrs
5
2
2
1
2
Codang Instructlona/Rmarks
values 00001 -49992
5 dLgitn - reumnbor l,ading
zeros [Chack that the
number is the ●SMO as that
on the front pago of the
Hous*hold Schedule] .
Values 1-5
Enter houmhold numb-r.
Chmck that tha intorviowar
has recorded tho corract
rmfmrmncm number of the
pmrson for whom the
mf ormat>on ham been givan.
Enter the person nunber.
Valu em 1-7
Entar number of FsmLly Unit
valuea -3-lQ
Econornc Statua:
Employee or eelf -employed. .1
Away from ]ob ..............2
wa~ting to take up lob. . ..3
Semkang work funemployed. ...4
Sicker injured ...... ... . .5
Schwl or collage ..... .....6
Permanently unsble to work. 7
Retired ....................8
KmopLng Houme .. . . .. . . . . . . ..9
Other (specify )...........lO
NB. The retirad code should
only be used for thone
who have prev~ously
worked.

m(c)
Q2
Q2(L)
CHECK A
Q2
92 i
CHS A
No of
sOxas/
Cbarnctmrs
2
2
Coding Instructions/Remarks
Values -3-02
Lookxng for pa~d work or
placa on Government Scheme?
Y91 .......................O1
No .......... .... ........ ..O2
Schmnaa attmnded m prav~ous
wmmk.
Youth Tra&ning Progrsnwae
(YTP) ................ ....O1
Action for Ccimunity
Smploymnt (ACE) ..... ....O2
EntarprLma Ulmter/Job
Training Progrmmam. .. ....03
Othar Govmnwnt Schame
(excluding Enterprise
Allowanca Sch-o) ... .. ...04
None ofthama ......... ....O5
-m -- 02
How paLd?
Wage by an ●mployer. ......01
A tramm’ig al lwancs for
Govornmnt Schunas. . .....02
DK .......... ......... .....-1
Valuee -3-04
Economic mtatus
On a Goverrmmnt SchemG. ...01
Had a ]ob last wook. .. ....02
Unemployed ........... .....03
Nonaof these ....... ......04
250

Questionnaire Ref
Question No
Q3
Q4
Coding Sheet
Reference
Q3AB
Q4 SOC
No of
Boxes/
Characters
2
2
tiding Instructions/Remarks
Values -3-04
Ever had a paid job?
FOR UNEMPLOYED WAITING TO
TAKE UP A JOB
Yes .......................0l
No ........................oz
FOR ALL OTWERS NOT
CURRENTLY EMPLOYED OR ON
TRAINING SCRE34ES
Yes .......................03
No . . . . . . . . . . . . . . . . . . . . . . ..o4
Values -3-999
Standard Occupation
Classification
Code the three digit SOC code
from the SOC manual.
dJl

Qu*=t20n.uaar9 R.f
Quastxon No
Q4 Q4 SOCR
No of
s0x9s/
Chsractars
2
.,
Cod>ng Instruct>ona/Remarks
Values .-
Recode of SOC
R-coda the throc-dig~t value
for SOC ●m follows
100-199 .., ................01
(Manager- G Adminxaerators )
200-299 ...................02
(PrOf ●msional occupat~ons )
300-399 ...................03
(Associat* Professional C
Tochnlcal occupations)
400-499 ... .... ............04
(Clarzcal C Sacratarial
Occupat ionn )
500-599 ...................05
(Craft 6 Related Occupatlona )
600-699 ...................06
(Personal G PrOtOctiv*
sarvice occupations)
700-799 .... ...............07
(Salee Occupatlona)
800-s99 ...................08
(Plant & Machine Cprmt~vos )
900-999 ...................09
(Other occupations )
-1 ........................-1
-2 . . . . . . . . . . . . . . . . . . . . . ...-2
-3 ... .......... ........ .-3
252

Questionnaire Raf
Question No
Q4(A)
Q4(A)
coding Sheet
Reference
Q4 IND
Q4 EMP
No of
Noxes J
Characters
2
2
Coding Instructions/Remarks
Values -3-1>
Industrial classification
Agriculture, forestry,
fishing ...................ol
Energy and water supply
industries ................o2
Extraction of minerals and
ores; manufacture of metals,
mineral products and
chemicals .................o3
Metal gcmds, engineering
and vehicle industries. ...04
Other manufacturing
induetriee ................O5
Construction ..............06
Distribution, hotel B and
catering; repairs. ........07
Transport and
communication. ...........08
Banking, finance,
insurance, business
services and leasing. ....09
Other services ............lo
Insufficient information
given to classify. .......11
Values -3-03
Employment Status ?
full-ttie employee. .......01
part-time employee. .......02
self-employed. ............03

)
Queataonnaara Ref
Q4(B)
Q4(C)
CKSCS B
Q5
Q4B
Q4C
CNK B
Q5
no of
Box*s/
Characters
2
2
2
2
C6dxng Instructionm/Rmmarks
manager ... .... ............01
fOr-an/muparvimOr. .......02
othar ●mployao. ...........03
J@luo, --
2
Employ any othar paopla?
r-a .......................01
No ................... .....02
On a Govarnmant Scheme. ...01
Had ● job la-t waak. ......02
Unmmployad . .. .............03
Othar ...... ...............O4
How many hours m wc.rkng
w-ok?
Entax nun!bar of hour- (if
~t var~em, g~ve an average
and Lf ❑ore thmn onm 10b
code the main one )
25/4

Questionnaire Ref I Coding Sheet I No of
Question No
EDUCATION SECTION :
Q1
I
Ra f erence
I
SOxas f
Characters
I I I
I I IHow
Q1 2
Q2 Q2 2
I I I
I I I
Cod~g Instructions/Remarks
UnemDloved
long unemployed?
kss than one week. .......01
1 week but less than
lmonth ..................O2
1 month but less than
3 months ................03
3 months but less than
6 months .................04
6 m.unths but less than
12months ................O5
12 months hut less than
2yesra ..................O6
2 year8 but less than
3 yeare ..................O7
3 years but less than
5 years ............... ...O8
5years0r mare ...........09
DX ........................-1
Values -5-20
Age left school?
Enter age
Still at school ...........-4
Never went to school. .....-5
DID........................-1
Values -3-02
Other course of study?
Q2?+ I Q2A 12 I Values -3-03
Yes . . . . . . . . . . . . . . . . . . . . ...01
No . . . . . . . . . . . . . . . . . . . . . . ..02
Conunence course immediately
after leaving school
Yes (full-t ime) ...........Ol
Yes (part-t ime) ...........O2
No .....................- -.03

)
Qu8#ta0naI~are Rmf
Qu98ti0n NO
Q2B
Q2C
03
Q2B
Q2C
Q3
No of
B0xm8/
Cbaractmra
2
2
2
C&ng IU8truction8/Rmmarks
~em -4-Z
Ago whan left full-tree
continuous ●ducation
Ent_r age
Still attending. ..........-4
-em -4-62
Ag= when finished
couraa of study
Entmr ●ge
last
Still attmnding. . . ........-4
~ -3-o&
Currant further ●ducation
COlleg* or univorslty fullttia
.. ............. ......ol
SandwLch courso. ..........02
Qualification in nursing,
physiotherapy ●te. .......03
COllOgO, university pa*ttio
or on day or block
releamO .. ................O4
Opan Univars~ty courne. ...05
Corrmmpondence courme. ....06
YTP coursa lnvolvmg
tralnxng mt college. .....07
Other further education
course .. ............... .08
256

Questionnaire Ref Coding Sheet No of
Question No Reference sOxas/ Coding Instructions/Remarks
characters
Q4A Q4A 2 Values -3-11
Q4B
HSALTH SECTION:
Q1
I
I
Q4B
Q1
I I I
I
I
2
2
I
‘Wp+? Of School, college or
training establishment
current ly attended.
Elementary or secondary
school ...................01
University ................02
Nursing school/teaching
hospital .................O3
Polytechnic ..............04
Teacher training college. .05
Technical college. .. ......06
commercial college. .. .....07
Agricultural college. .....08
Special school ............O9
Hotel and Catering
College ............. .....lO
Other (specify )..... ......ll
.Don’t know ........... .....-1
NE. IFurther Education
College’ should be coded as
Stechnical college, (code 06)
Values -3-11
The type of school, college
or training establishment
last attended.
Code as for Q4A.
Values -3-02
Longstanding illness?
Q1(A) I Values -3-46
Yes . . . . . . . . . . . . . . . . . . . . . ..01
No ................... .....02
DO . . . . . . . . . . . . . . . . . . . . . . . .-1
Nature of 1st illness
mentioned
Alcoholism ................01
Allergies/Phobias. . .......02
,.
Appendic~t~s ..............o3
. LJ7

-1
*, &
Qu8stx0nnaxrm R*f
QuaBtaon No
C.adxng Shaot
JS’*fmrencm
No of
BOxms f
Cbaract9ra
Coda.ng Instructions/Rmsarks
ArthrLtLn/Lumbmgo/
Rh9umatinm ...............O4
Asthma ....................05
Sack troubles and ansoclatad
llln*mmmm ................06
Blood disordars ganeral/
Vartlgo ...... .... ... .....07
Blood pro8sure . . . . . . . . ...08
Sonas (brokan) . . . . . . . . . . ..O9
Bronchitis ................10
Cancer (undefined) . .......11
Chmst probl-s
(undefined) ... ...........l2
Colds /flu .................13
Circulation (bad) .........14
Deprmm810n/nmrves. ........15
Diahtas ....... ...........16
Disabled physically. ......17
EPilaPsy ...... ............l8
Callblmddsr troublm. ......19
Genmt zc il hmmm/
abnormalities ...... ......2O
Glandular trouble. ..... ...21
Gynaecolog~cal problems. ..22
Haworrhoids ..............23
Iimadachmm)migraine. .......24
Haaring problems. ... ......25
Heart/stroko/CHO (mc
rheumatic fav@r) .........26
HOrnm . . . . . . . . . . . . . . . . . ...27
111 health genaral. .......28
Inf ●ct uana general (not
colds /flu) ......... ......29
K~dnoy problems. ....... ..30
Liver Complalnta. .... . ..31
Lti trouble .... ...... ..32
Sultipla aclerO*is. . ... ..33
Muscular dystrophy. ... ..34
Nmurologlcal Lllnesaes by
ParkLnnon8 DLamaBe) ... 35
>ldaae .......... .. ... ..36
Resp~ratory problems (other
than bronchitis) ...... ..37
Sight problemn ............38
5k~n problems .. ...........39
Speech unpada.ment ........40
Stomach problems /dlgeat~ve
tract ................. . 41
rhyroid gland ....... ......42
31c*r9 (Lntcrnal). ....... 43
Jlcmratmns/abcesaem
(external) . ..............44
Varlcoae vezna .. ..........45
ether ........ ......... ...46
258

Questionnaire Ref
Question No
Q1(A)
Q1(B)
Q2
Q2(A)
[PP]UDuf-642
Cs J
Coding Sheet
Ref erencq”
2nd ILL
QIS
Q2
Q2A
No of
sOxe.s/
Characters
2
2
2
Coding Instructions/Remarks
Values -3-46
Nature of 2nd illness
mentioned. Code from table
above.
Values -3-02
Does illness (any one if
two are mentioned ) limit
act ivity
Yes .......................ol
No . . . . . . . . . . . . . . . . . . . . . . ..o2
DO ........................-1
Values -3-02
GP consultation?
Yes .......................01
No ........................O2
DO ........................-1
Values -3-20
Enter number of consultations
in past two weeks.