1 - ESDS

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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
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SWQ33 TO 7HOSE WHO HAvE NOT HAO A S
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sWQ41 If you (or your partner) used
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SWQ47 Please put a rtng around the
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&d7
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DWQI ~nldng of your (mast Mant) Man
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DwQi 1 Hava yOUever had a blby? NO=
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owa19 TO TWOSEwHO ARE NOT PREGNANT
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DWQ33NHS Was tie oporatinncati out
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0WQ43 Which of the tilbtig mdwd(s)
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DWQ50 WIIkh of the fallowingmdhod(s
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TO THOSE WliO 00 NOT USE A MEl1100
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Mwm Thinidngof yourpmsmt man?agg,dl
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(A) (s) (c) 1 I Child Firstbom Seco
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MWQ20N0 How many ctwdmndo youminkyo
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W241WH MWQ34PWH Oldyoumldhe hava th
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Mwau Wflcll of thd followingmethod(
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MWQ61 WIIich of ttw foibwingmethod(
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“PP]UOuf-641(b) SG CONTINUOUS HOU
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CONTINUOUS HOUSEHOLD SURVEY i Dotmm
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EOUSEEOLD TYPE A CODE (02-3) Valuas
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Y aa3 m 4 \N 4 \ z uco6 ,
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_— Employment Status ~ EHp —. Q
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— Quastlonnaare R= f Qumst~on No
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Questionnaire Ref Coding Sheet No o
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Questionnaire Ref Question No Q1 Q2
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Questionnaire Ref 1 Coding Sheet No
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Quaat,onnaxra Ref Codang Sheet No o
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Questionnaire Ref Question NO Q1l(A
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Questionnaire Ref Question No Q1l(A
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Quest ionnaire Re f Question No Q1l
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Questionnaire Ref Question No Q1l(A
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Questionnaire Ref Question No Q13 Q
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Questionnaire Ref Coding Sheet NO o
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Questionnaire Ref Coding Sheet Ques
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Questionnaire Ref Coding Sheet No O
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Questionnaire Ref Coding sheet No o
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Page 82 and 83:
Questionnaire Ref Question NO Marit
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Questionnaire Ref Question No Stand
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Questionnaire Ref Question No Posit
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All others Those persons not fallin
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Qumst.onna.re Raf — Qu88t&0rJ No
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Quastlonnaare Raf Queatxon No QID Q
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Quastlonnaara R-f Coding Shmt No of
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Quastaomaarm R-f Cod>hg Sheet No of
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Qumst .onna>r. R= f ..-* ! Codzng S
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— Qu9st~onnazre Ref Qumst,on NO Q
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Quastionnamm R-f Qumstxon No Q5(A)
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Q5(A) FRENCH Q5(C) FRENCH Q5(c) (L)
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Qu9staonnaara R-f Q5(A) GREEK Q5(C)
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(p49stn7nnaara Rmf Quostzon No Q5(A
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Quast~omaare Raf Q5(A) SPANISH Q5(C
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Quast~onnaar9 Ref Qumstmn No Q5(F)
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Qucstaonnalre R= f Qu9stxon No Q5(F
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Q.@stzonnaara R-f Qwstaon No Q5(F)
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i, , ‘! Quast>onna2re R-f Codxng
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QuastlonnaLra R@f Questaon No Q5(L)
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Quast~onnaLra Rof Q5(Fs) Q5(M) Q5(M
Page 129 and 130: Qu.staonnaxrm Ref Q5(N) Q5(N) Q5(N)
Page 131 and 132: Quast>onnaLre R-f Q5(0) Q5(0) Q5(0)
Page 133 and 134: ,.. --- Quastuannmra Raf Cod>ng Sha
Page 135 and 136: QumstaonnaLra Rmf QuastLon No Q6(A)
Page 137 and 138: Q6(A) (ii) Q6(A) (11) Q6(A) (U) Q6(
Page 139: — Quastxonnaarm Ref Cod~ng sheet
Page 143 and 144: Questaonnur, R9f Questaon No Qlc Q2
Page 145 and 146: Q.astuxmaxre Ref Questaon No Q4(A)
Page 147 and 148: . . . + . Quastzonna~r= R-f Codang
Page 149 and 150: Q6 Q6 Q7[A) Q7A Q7(B) Q7B cHECK C C
Page 151 and 152: Quastuanna.ra R-f Q13 Q14 Q15 Quast
Page 153 and 154: Quastzonnaara R-f Questmn No Q18 Q1
Page 155 and 156: Qu*stmnnaLr* R-f Cod~iig Shoat No o
Page 157 and 158: Q19(B) Q19B Q19(B) (i.) Q19(C) Q19C
Page 159 and 160: — Qu8stx0nrIUr9 Raf Quwstaon No Q
Page 161: Quest ~onnalrm Rmf — QumstLOn No
Page 164 and 165: Questiomaire Ref Coding Sheet Quest
Page 166 and 167: Questionnaire Ref 1 Coding sheet No
Page 169: — Qu=stlonnalra R-f Qumstaon No P
Page 172 and 173: Questionnaire Ref Question No Q3B P
Page 175: Quastaonnalre Re f —. Quest~on No
Page 178 and 179: Questionnaire Re f Question No Q2(A
Page 182 and 183: Questionnaire Ref Question No Codin
Page 184 and 185: Questionnaire Ref Question No Q1O Q
Page 186 and 187: CHILD HEALTH TSE FOLLOWING QUESTION
Page 188 and 189: Questionnaire Ref Question No QIO(A
Page 190 and 191: Quest ionnaire Re f Question No Q12
Page 193 and 194: Quast>onnalr. Ref —. Quastlon No
Page 195 and 196: Questlonna~r9 R-f Q1(A) Qumstaon No
Page 197 and 198: Q2(C) Q3 Q3 Q3A Q3B Q3C -i Cadang S
Page 199 and 200: Questaonnaxrm Ref Qu-st>on No Q4A Q
Page 201 and 202: Qu8staonnaxrm Raf Qumstmn No Q8A Q8
Page 203 and 204: cHSCK F CHECK G Q13 Q13A Q13A CHX F
Page 205 and 206: Questxonnalra Raf Q14C Quest.on No
Page 207 and 208: Quastlonnaare R-f Qu6st~on No Q17 Q
Page 209: — Questuannaxre Ref Coding Shaat
Page 213 and 214: Q.est.m.n~.r= Rmf Quastaon No Q3 Q4
Page 215 and 216: Quastionnaara Ref Questzon No Q1O R
Page 217 and 218: Questaonnalrm Raf Coding Shoot No o
Page 219 and 220: Q29 Q30 Q31 Q32 Q33 Q34 Ref ●r*nc
Page 221 and 222: Quastaonnaara Raf I Codang Shmat I
Page 223 and 224: Q43 Q43 Q43 Q43 Q44 Q44 Q43 (1) Q43
Page 225 and 226: Qu9sta0nnaar* Raf Qu*staon No Q46 Q
Page 227 and 228: Q51 Q51 Q51 Q52 Q53 Q51 (2) Q51 (3)
Page 229: Q56 Q56 Q57 Q58 Q58 Q58 Q58 Codang
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*.. r
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Questionnaire Ref Question No (215
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Questionnaire Ref Question No Q25 (
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Questaonnaira Raf Questmn No Q3 Q4
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Questlonna~re Ref Codxng Shaat No o
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m 23 .+
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Q32 Q33 Q34 Q35 Q35 Q36 cw- Q33 INH
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Q39 (1ST WETHOD) Q39 (2wD-4TH NETHO
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Quastaonnaara Ref Qua=tion No Q44 Q
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Quastaonaaara Ref Cod>ng Shomt Quas
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Quastmmaara Raf mdxng Shaat No of Q
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— Qu9staonnaare R-f QUOStLOll No
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— Qumstxonnaarm Ref Quastlon No P
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Q5 LIVYR Q6 Q6 Q7 Q7N0 Q8 I I Mont
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Questionnaire Ref Coding Sheet Ques
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Questionnaire Re f Coding Sheet No
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Questionnaire Ref Coding Sheet NO o
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Q50 Q50 (1) I I 2 2 Coding Instruct
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Page 291:
— Quastxonnalre Ref Qummtxon No P
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Questionnaire Ref Question No Q5(A)
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Questionnaire Ref Question No Q5(E)
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Questionnaire Ref Question No Q6(C)
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Questionnaire Ref Question No Q6(I)
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Q3(I)(L1) Q3(I) (iii) !23(1 )(111)
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Q3(B) Quastxm No Q3(B) (i) Q3(C) Q3
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Qu9stJonnaarm Raf Quastxon No Q3(G)
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) Questaonnura Ref — Quoatxen No
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Questionnaire Raf Question No Q4(A)
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Questionnaire Ref I Coding Sheet I
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Page 322:
Questionnaire Ref Question No Q1(A)
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