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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
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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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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)
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Q6(A) (ii) Q6(A) (11) Q6(A) (U) Q6(
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— Quastxonnaarm Ref Cod~ng sheet
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Questaonnur, R9f Questaon No Qlc Q2
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Q.astuxmaxre Ref Questaon No Q4(A)
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. . . + . Quastzonna~r= R-f Codang
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Q6 Q6 Q7[A) Q7A Q7(B) Q7B cHECK C C
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Quastuanna.ra R-f Q13 Q14 Q15 Quast
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Quastzonnaara R-f Questmn No Q18 Q1
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Qu*stmnnaLr* R-f Cod~iig Shoat No o
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Q19(B) Q19B Q19(B) (i.) Q19(C) Q19C
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— Qu8stx0nrIUr9 Raf Quwstaon No Q
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Quest ~onnalrm Rmf — QumstLOn No
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Questiomaire Ref Coding Sheet Quest
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Questionnaire Ref 1 Coding sheet No
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— Qu=stlonnalra R-f Qumstaon No P
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Questionnaire Ref Question No Q3B P
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Quastaonnalre Re f —. Quest~on No
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Questionnaire Re f Question No Q2(A
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Q.estaonnaire Ref Question No Q4(C)
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Questionnaire Ref Question No Codin
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Questionnaire Ref Question No Q1O Q
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CHILD HEALTH TSE FOLLOWING QUESTION
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Questionnaire Ref Question No QIO(A
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Quest ionnaire Re f Question No Q12
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Quast>onnalr. Ref —. Quastlon No
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Questlonna~r9 R-f Q1(A) Qumstaon No
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Q2(C) Q3 Q3 Q3A Q3B Q3C -i Cadang S
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Questaonnaxrm Ref Qu-st>on No Q4A Q
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Qu8staonnaxrm Raf Qumstmn No Q8A Q8
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cHSCK F CHECK G Q13 Q13A Q13A CHX F
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Questxonnalra Raf Q14C Quest.on No
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Quastlonnaare R-f Qu6st~on No Q17 Q
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— Questuannaxre Ref Coding Shaat
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Q.est.m.n~.r= Rmf Quastaon No Q3 Q4
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Quastionnaara Ref Questzon No Q1O R
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Questaonnalrm Raf Coding Shoot No o
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Q29 Q30 Q31 Q32 Q33 Q34 Ref ●r*nc
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Quastaonnaara Raf I Codang Shmat I
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Q43 Q43 Q43 Q43 Q44 Q44 Q43 (1) Q43
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Qu9sta0nnaar* Raf Qu*staon No Q46 Q
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Q51 Q51 Q51 Q52 Q53 Q51 (2) Q51 (3)
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Q56 Q56 Q57 Q58 Q58 Q58 Q58 Codang
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*.. r
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Questionnaire Ref Question No Q9 Q1
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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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Page 270 and 271: Questionnaire Ref Question No Q34 Q
Page 274 and 275: Questionnaire Re f Coding Sheet No
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Page 284 and 285: Q50 Q50 (1) I I 2 2 Coding Instruct
Page 291: — Quastxonnalre Ref Qummtxon No P
Page 294 and 295: Questionnaire Ref Question No Q3 Q4
Page 296 and 297: Questionnaire Ref Question No Q5(A)
Page 298 and 299: Questionnaire Ref Question No Q5(E)
Page 300 and 301: Questionnaire Ref Question No Q6(C)
Page 302 and 303: Questionnaire Ref Question No Q6(I)
Page 305 and 306: Q3(I)(L1) Q3(I) (iii) !23(1 )(111)
Page 307 and 308: Q3(B) Quastxm No Q3(B) (i) Q3(C) Q3
Page 309 and 310: Qu9stJonnaarm Raf Quastxon No Q3(G)
Page 311: ) Questaonnura Ref — Quoatxen No
Page 314 and 315: Questionnaire Ref Question No Q3 Q4
Page 316 and 317: Questionnaire Raf Question No Q4(A)
Page 318 and 319: Questionnaire Ref I Coding Sheet I
Page 322: Questionnaire Ref Question No Q1(A)
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