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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
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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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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
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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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,.. --- Quastuannmra Raf Cod>ng Sha
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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 180 and 181: Q.estaonnaire Ref Question No Q4(C)
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 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
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Page 215 and 216: Quastionnaara Ref Questzon No Q1O R
Page 217 and 218: Questaonnalrm Raf Coding Shoot No o
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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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Page 234 and 235: Questionnaire Ref Question No Q9 Q1
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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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— 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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Questionnaire Ref Question No Q1(A)
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