SCPTP
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Which of these statements apply to you? TICK ALL THAT APPLY |
SCORG
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Are you a member of any of these organisations, clubs or societies? TICK ALL THAT APPLY |
SCORGN
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Thinking about all the organisations, clubs or societies that you are a member of, how many committee meetings if any, do you attend in a year? |
SCEDCP
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How easy or difficult would it be for you to get to each of the following places, using your usual form of transport? Bank or cash point |
SCEDPO
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How easy or difficult would it be for you to get to each of the following places, using your usual form of transport? Post Office |
SCEDCS
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How easy or difficult would it be for you to get to each of the following places, using your usual form of transport? Corner Shop |
SCEDSU
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How easy or difficult would it be for you to get to each of the following places, using your usual form of transport? Medium or large supermarket |
SCEDSC
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How easy or difficult would it be for you to get to each of the following places, using your usual form of transport? Shopping centre |
SCEDGP
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How easy or difficult would it be for you to get to each of the following places, using your usual form of transport? General Practitioner (GP) |
SCEDCH
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How easy or difficult would it be for you to get to each of the following places, using your usual form of transport?) Chiropodist |
SCEDDE
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How easy or difficult would it be for you to get to each of the following places, using your usual form of transport? Dentist |
SCEDOP
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How easy or difficult would it be for you to get to each of the following places, using your usual form of transport? Optician |
SCEDHO
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How easy or difficult would it be for you to get to each of the following places, using your usual form of transport? Hospital |
SCACTA
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Now some questions about your social activities. How often, if at all, do you do any of the following activities? Go to the cinema |
SCACTB
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How often, if at all, do you do any of the following activities? Eat out of the house |
SCACTC
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How often, if at all, do you do any of the following activities? Go to an art gallery or museum |
SCACTD
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How often, if at all, do you do any of the following activities? Go to the theatre, a concert or the opera |
SCMOREA
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Would you like to do any of the following activities more often but feel that, for whatever reason, you cannot? Go to the cinema |
SCMOREB
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Would you like to do any of the following activities more often but feel that, for whatever reason, you cannot? Eat out of the house |
SCMOREC
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Would you like to do any of the following activities more often but feel that, for whatever reason, you cannot? Go to an art gallery or museum |
SCMORED
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Would you like to do any of the following activities more often but feel that, for whatever reason, you cannot? Go to the theatre, a concert or the opera |
SCTVWKD
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The next two questions are about watching television. How many hours of television do you watch on an ordinary day or evening during the week, that is, Monday to Friday? |
SCTVWKE
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And thinking now about an ordinary weekend. How many hours of television do you normally watch in total over the weekend, that is, Saturday and Sunday? |
SCLIFEA
|
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Please say how much you agree or disagree with the following statements. In most ways my life is close to ideal |
SCLIFEB
|
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Please say how much you agree or disagree with the following statements. The conditions of my life are excellent |
SCLIFEC
|
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Please say how much you agree or disagree with the following statements. I am satisfied with my life |
SCLIFED
|
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Please say how much you agree or disagree with the following statements. So far I have got the important things I want in life |
SCLIFEE
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Please say how much you agree or disagree with the following statements. If I could live life again, I would change almost nothing |
SCDCA
|
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Here are some questions about how you feel about your life in general. Please say how much you agree or disagree with the following statements. At home, I feel I have control over what happens in most situations |
SCDCC
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Please say how much you agree or disagree with the following statements. I feel what happens in life is often determined by factors beyond my control |
SCDCD
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Please say how much you agree or disagree with the following statements. In general, I have different demands that I think are hard to combine |
SCDCE
|
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Please say how much you agree or disagree with the following statements. In general, I have enough time to do everything |
SCDCG
|
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Please say how much you agree or disagree with the following statements. Considering the things I have to do at home, I have to work very fast |
SCFEELA
|
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The next questions are about how you feel about different aspects of your life. For each one, please say how often you feel that way. How often do you feel you lack companionship? |
SCFEELB
|
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How often do you feel left out? |
SCFEELC
|
|
How often do you feel isolated from others? |
SCFEELD
|
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How often do you feel in tune with the people around you? |
SCFEELE
|
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How often do you feel lonely? |
SCQOLA
|
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My age prevents me from doing the things I would like to |
SCQOLB
|
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I feel that what happens to me is out of my control |
SCQOLC
|
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I feel free to plan for the future |
SCQOLD
|
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I feel left out of things |
SCQOLE
|
|
I can do the things that I want to do |
SCQOLF
|
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Family responsibilities prevent me from doing what I want to do |
SCQOLG
|
|
I feel that I can please myself what I do |
SCQOLH
|
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My health stops me from doing things I want to do |
SCQOLI
|
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Shortage of money stops me from doing things I want to do |
SCQOLJ
|
|
I look forward to each day |
SCQOLK
|
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I feel that my life has meaning |
SCQOLL
|
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I enjoy the things that I do |
SCQOLM
|
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I enjoy being in the company of others |
SCQOLN
|
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On balance, I look back on my life with a sense of happiness |
SCQOLO
|
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I feel full of energy these days |
SCQOLP
|
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I choose to do things that I have never done before |
SCQOLQ
|
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I feel satisfied with the way my life has turned out |
SCQOLR
|
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I feel that life is full of opportunities |
SCQOLS
|
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I feel that the future looks good for me |
SCFEDE
|
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During the past 30 days, to what degree did you feel Determined? |
SCFEEN
|
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During the past 30 days, to what degree did you feel Enthusiastic? |
SCFEAC
|
|
During the past 30 days, to what degree did you feel Active? |
SCFEPR
|
|
During the past 30 days, to what degree did you feel Proud? |
SCFEINT
|
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During the past 30 days, to what degree did you feel Interested? |
SCFEHA
|
|
During the past 30 days, to what degree did you feel Happy? |
SCFEAT
|
|
During the past 30 days, to what degree did you feel Attentive? |
SCFECO
|
|
During the past 30 days, to what degree did you feel Content? |
SCFEINS
|
|
During the past 30 days, to what degree did you feel Inspired? |
SCFEHO
|
|
During the past 30 days, to what degree did you feel Hopeful? |
SCFEAL
|
|
During the past 30 days, to what degree did you feel Alert? |
SCFECA
|
|
During the past 30 days, to what degree did you feel Calm? |
SCFEEX
|
|
During the past 30 days, to what degree did you feel Excited? |
SCDEOU
|
|
During the past 30 days, to what degree did you feel Please indicate how well each of the following describes you : Outgoing |
SCDEHE
|
|
Please indicate how well each of the following describes you : Helpful |
SCDEMO
|
|
Please indicate how well each of the following describes you : Moody |
SCDEOR
|
|
Please indicate how well each of the following describes you : Organised |
SCDEFR
|
|
Please indicate how well each of the following describes you : Friendly |
SCDEWA
|
|
Please indicate how well each of the following describes you : Warm |
SCDEWO
|
|
Please indicate how well each of the following describes you : Worrying |
SCDERE
|
|
Please indicate how well each of the following describes you : Responsible |
SCDELI
|
|
Please indicate how well each of the following describes you : Lively |
SCDECA
|
|
Please indicate how well each of the following describes you : Caring |
SCDENE
|
|
Please indicate how well each of the following describes you : Nervous |
SCDECR
|
|
Please indicate how well each of the following describes you : Creative |
SCDEHA
|
|
indicate how well each of the following describes you : Hardworking |
SCDEIM
|
|
Please indicate how well each of the following describes you : Imaginative |
SCDESOF
|
|
Please indicate how well each of the following describes you : Softhearted |
SCDECAL
|
|
indicate how well each of the following describes you : Calm |
SCDEIN
|
|
Please indicate how well each of the following describes you : Intelligent |
SCDECU
|
|
Please indicate how well each of the following describes you : Curious |
SCDEAC
|
|
Please indicate how well each of the following describes you : Active |
SCDECAR
|
|
Please indicate how well each of the following describes you : Careless |
SCDEBR
|
|
Please indicate how well each of the following describes you : Broad-minded |
SCDESY
|
|
Please indicate how well each of the following describes you : Sympathetic |
SCDETA
|
|
Please indicate how well each of the following describes you : Talkative |
SCDESO
|
|
Please indicate how well each of the following describes you : Sophisticated |
SCDEAD
|
|
Please indicate how well each of the following describes you : Adventurous |
SCDETH
|
|
Please indicate how well each of the following describes you : Thorough |
SCPTR
|
|
Do you have a husband, wife or partner with whom you live? |
SCPTRA
|
|
How much do they really understand the way you feel about things? |
SCPTRB
|
|
How much can you rely on them if you have a serious problem? |
SCPTRC
|
|
How much can you open up to them if you need to talk about your worries? |
SCPTRD
|
|
How much do they criticise you? |
SCPTRE
|
|
How much do they let you down when you are counting on them? |
SCPTRF
|
|
How much do they get on your nerves? |
SCPTRX
|
|
How often do they demands on you? |
SCPTRG
|
|
How close is your relationship with your spouse or partner? |
SCCHD
|
|
Do you have any children? |
SCCHDA
|
|
How much do they really understand the way you feel about things? |
SCCHDB
|
|
How much can you rely on them if you have a serious problem? |
SCCHDC
|
|
How much can you open up to them if you need to talk about your worries? |
SCCHDD
|
|
How much do they criticise you? |
SCCHDE
|
|
How much do they let you down when you are counting on them? |
SCCHDF
|
|
How much do they get on your nerves? |
SCCHDX
|
|
How often do they make demands on you? |
SCCHDG
|
|
On average, how often do you do each of the following with any of your children, not counting any who live with you? Meet up (include both arranged and chance meetings)? |
SCCHDH
|
|
On average, how often do you do each of the following with any of your children, not counting any who live with you? Speak on the phone? |
SCCHDI
|
|
On average, how often do you do each of the following with any of your children, not counting any who live with you? Write or email? |
SCCHDM
|
|
How many of your children would you say you have a close relationship with? |
SCFAM
|
|
Do you have any other immediate family, for example, any brothers or sisters, parents, cousins or grandchildren? |
SCFAMA
|
|
How much do they really understand the way you feel about things? |
SCFAMB
|
|
How much can you rely on them if you have a serious problem? |
SCFAMC
|
|
How much can you open up to them if you need to talk about your worries? |
SCFAMD
|
|
How much do they criticise you? |
SCFAME
|
|
How much do they let you down when you are counting on them? |
SCFAMF
|
|
How much do they get on your nerves? |
SCFAMX
|
|
How often do they make too many demands on you? |
SCFAMG
|
|
On average, how often do you do each of the following with any of these family members, not counting any who live with you? Meet up (include both arranged and chance meetings)? |
SCFAMH
|
|
On average, how often do you do each of the following with any of these family members, not counting any who live with you?) Speak on the phone? |
SCFAMI
|
|
On average, how often do you do each of the following with any of these family members, not counting any who live with you?) Write or email? |
SCFAMM
|
|
How many of these family members would you say you have a close relationship with? |
SCFRD
|
|
Do you have any friends? |
SCFRDA
|
|
How much do they really understand the way you feel about things? |
SCFRDB
|
|
How much can you rely on them if you have a serious problem? |
SCFRDC
|
|
How much can you open up to them if you need to talk about your worries? |
SCFRDD
|
|
How much do they criticise you? |
SCFRDE
|
|
How much do they let you down when you are counting on them? |
SCFRDF
|
|
How much do they get on your nerves? |
SCFRDX
|
|
How much do they make too many demands on you? |
SCFRDG
|
|
On average, how often do you do each of the following with any of these friends, not counting any who live with you? Meet up (include both arranged and chance meetings)? |
SCFRDH
|
|
On average, how often do you do each of the following with any of these friends, not counting any who live with you?) |
SCFRDI
|
|
On average, how often do you do each of the following with any of these friends, not counting any who live with you?) Write or email? |
SCFRDM
|
|
How many of your friends would you say you have a close relationship with? |
SCDTDRE
|
|
In your day-to-day life, how often have any of the following things happened to you? You are treated with less courtesy or respect than other people |
SCDTDST
|
|
In your day-to-day life, how often have any of the following things happened to you? You receive poorer service than other people at restaurants or stores |
SCDTDCL
|
|
In your day-to-day life, how often have any of the following things happened to you? People act as if they think you are not clever |
SCDTDHA
|
|
In your day-to-day life, how often have any of the following things happened to you? You are threatened or harassed |
SCDTDDR
|
|
In your day-to-day life, how often have any of the following things happened to you? You receive poorer service or treatment than other people from doctors or hospitals |
SCDTD
|
|
If any of the above things mentioned in the previous question have happened to you, what do you think were the reasons WHY these experiences happened to you? Tick all that apply |
SCREWH
|
|
What is your religion? |
SCRELOF
|
|
About how often have you attended religious services during the past year? |
SCRELFA
|
|
Please tick the box which best shows how you feel about each statement. Religious faith is extremely important to me |
SCRELPR
|
|
Please tick the box which best shows how you feel about each statement. I pray or meditate daily |
SCRELME
|
|
Please tick the box which best shows how you feel about each statement. I look to my religion to provide meaning and purpose in my life |
SCRELAC
|
|
Please tick the box which best shows how you feel about each statement. I consider myself active in organised religion (going to church, temple, mosque, etc.) |
SCRELIM
|
|
How important is religion in your daily life? |
SCEMPL
|
|
The next questions are about paid employment. Were you in paid employment last month? |
SCWORKA
|
|
All things considered I am satisfied with my job |
SCWORKB
|
|
My job is physically demanding |
SCWORKC
|
|
I receive the recognition I deserve in my work |
SCWORKD
|
|
My salary is adequate |
SCWORKE
|
|
My job promotion prospects are poor |
SCWORKF
|
|
My job security is poor |
SCWORKG
|
|
I am under constant pressure due to a heavy workload |
SCWORKH
|
|
I have very little freedom to decide how I do my work |
SCWORKI
|
|
I have the opportunity to develop new skills |
SCWORKJ
|
|
I receive adequate support in difficult situations |
SCWORKK
|
|
At work I feel I have control over what happens in most situations |
SCWORKL
|
|
Considering the things I have to do at work I have to work very fast |
SCRTAGE
|
|
At what age would you like to retire? |
SCRAGB
|
|
I have already retired? |
SCLDDR
|
|
Think of this ladder as representing where people stand in our society. At the top of the ladder are the people who are the best off - those who have the most money, most education and best jobs. At the bottom are the people who are the worst off - who ha |
SCVEG
|
|
How many portions of vegetables - excluding potatoes - do you eat on a typical day? If none, please enter '0'. A serving or portion of vegetables means three heaped tablespoons of green or root vegetables such as carrots, parsnips, spinach, small vegetables like peas, baked beans or sweet corn, or a medium bowl of salad (lettuce, tomatoes, etc).Please write in portion |
SCFRU
|
|
How many portions of fruit - of any kind - do you eat on a typical day? If none, please enter '0'. A portion of fruit is an apple or banana, a small bowl of grapes, or three tablespoons of tinned or stewed fruit. If you drink fruit juice, you can count one glass per day, but additional glasses of fruit juice do not count as additional portions. Please write in portion |
SCAKO
|
|
Thinking now about all kinds of drink, how often have you had an alcoholic drink of any kind in the last 12 months? |
SCAL7A
|
|
Did you have an alcoholic drink in the seven days ending yesterday? |
SCAL7B
|
|
On how many days out of the last seven did you have an alcoholic drink? |
SCDRSPI
|
|
During the last seven days, how many measures of spirits did you have? Drinks poured at home may be larger than a pub single measure please estimate number of singles. If none, please enter '0'. |
SCDRWIN
|
|
During the last seven days, how many pints of beer, lager or cider did you have? If none, please enter '0'. |
SCDRPIN
|
|
During the last seven days, how many glasses of wine did you have? Include sherry, port, vermouth. If none, please enter '0'. |
SCEND
|
|
If there is anything else you would like to tell us please write in this space below. We shall be very interested to read what you have to say. Text: up to 100 characters |