1 - ESDS

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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
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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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owa19 TO TWOSEwHO ARE NOT PREGNANT
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DWQ33NHS Was tie oporatinncati out
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Questionnaire Ref Question No Q13 Q
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Questionnaire Ref Question NO Marit
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All others Those persons not fallin
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Quastlonnaare Raf Queatxon No QID Q
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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
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Qu.staonnaxrm Ref Q5(N) Q5(N) Q5(N)
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Quast>onnaLre R-f Q5(0) Q5(0) Q5(0)
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Page 147 and 148: . . . + . Quastzonna~r= R-f Codang
Page 149 and 150: Q6 Q6 Q7[A) Q7A Q7(B) Q7B cHECK C C
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Page 153 and 154: Quastzonnaara R-f Questmn No Q18 Q1
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Questionnaire Ref Question No (215
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Questaonnaira Raf Questmn No Q3 Q4
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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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Quastaonaaara Ref Cod>ng Shomt Quas
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— Qu9staonnaare R-f QUOStLOll No
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— Qumstxonnaarm Ref Quastlon No P
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— Quastxonnalre Ref Qummtxon No P
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Q3(I)(L1) Q3(I) (iii) !23(1 )(111)
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Questionnaire Raf Question No Q4(A)
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Questionnaire Ref I Coding Sheet I
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