Self Completion Questionnaire (non-paper)

Self Completion Questionnaire (non-paper) Module of ELSA 2012

Label Type Description
SCPTR Question Which of these statements apply to you? Tick all that apply
SCORG Question Are you a member of any of these organisations, clubs or societies? Tick all that apply
SCORGN Question 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 Question Bank or cash point
SCEDPO Question Post Office
SCEDCS Question Corner shop
SCEDSU Question Medium or large supermarket
SCEDSC Question Shopping centre
SCEDGP Question General Practitioner (GP)
SCEDCH Question Chiropodist
SCEDDE Question Dentist
SCEDOP Question Optician
SCEDHO Question Hospital
SCACTA Question Go to the cinema
SCACTB Question Eat out of the house
SCACTC Question Go to an art gallery or museum
SCACTD Question Go to the theatre, a concert or the opera
SCMOREA Question 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 Question 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 Question 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 Question 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
SCINT Question On average, how often do you use the Internet or email? Tick one box
SCINP Question In which of the following places have you used the Internet or email in the last 3 months? Tick all that apply
SCIND Question On which of the following devices do you access the Internet? Tick all that apply
SCINA Question For which of the following activities did you use the Internet in the last 3 months? Tick all that apply
SCTVWKD Question How many hours of television do you watch on an ordinary day or evening during the week, that is, Monday to Friday?
SCTVWKE Question 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 Question Please say how much you agree or disagree with the following statements. In most ways my life is close to ideal
SCLIFEB Question The conditions of my life are excellent
SCLIFEC Question I am satisfied with my life
SCLIFED Question So far I have got the important things I want in life
SCLIFEE Question If I could live my life again, I would change almost nothing
SCDCA Question At home, I feel I have control over what happens in most situations
SCDCC Question I feel that what happens in life is often determined by factors beyond my control
SCDCD Question In general, I have different demands that I think are hard to combine
SCDCE Question In general, I have enough time to do everything
SCDCG Question Considering the things I have to do at home, I have to work very fast
SCFEELA Question How often do you feel you lack companionship?
SCFEELB Question How often do you feel left out?
SCFEELC Question How often do you feel isolated from others?
SCFEELD Question How often do you feel in tune with the people around you?
SCFEELE Question How often do you feel lonely?
SCQOLA Question My age prevents me from doing the things I would like to
SCQOLB Question I feel that what happens to me is out of my control
SCQOLC Question I feel free to plan for the future
SCQOLD Question I feel left out of things
SCQOLE Question I can do the things that I want to do
SCQOLF Question Family responsibilities prevent me from doing what I want to do
SCQOLG Question I feel that I can please myself what I do
SCQOLH Question My health stops me from doing things I want to do
SCQOLI Question Shortage of money stops me from doing the things I want to do
SCQOLJ Question I look forward to each day
SCQOLK Question I feel that my life has meaning
SCQOLL Question I enjoy the things that I do
SCQOLM Question I enjoy being in the company of others
SCQOLN Question On balance, I look back on my life with a sense of happiness
SCQOLO Question I feel full of energy these days
SCQOLP Question I choose to do things that I have never done before
SCQOLQ Question I feel satisfied with the way my life has turned out
SCQOLR Question I feel that life is full of opportunities
SCQOLS Question I feel that the future looks good for me
SCFEDE Question During the past 30 days, to what degree did you feel…Determined?
SCFEEN Question (During the past 30 days, to what degree did you feel...) Enthusiastic?
SCFEAC Question (During the past 30 days, to what degree did you feel...) Active?
SCFEPR Question (During the past 30 days, to what degree did you feel...) Proud?
SCFEINT Question (During the past 30 days, to what degree did you feel...) Interested?
SCFEHA Question (During the past 30 days, to what degree did you feel...) Happy?
SCFEAT Question (During the past 30 days, to what degree did you feel...) Attentive?
SCFECO Question (During the past 30 days, to what degree did you feel...) Content?
SCFEINS Question (During the past 30 days, to what degree did you feel...) Inspired?
SCFEHO Question (During the past 30 days, to what degree did you feel...) Hopeful?
SCFEAL Question (During the past 30 days, to what degree did you feel...) Alert?
SCFECA Question (During the past 30 days, to what degree did you feel...) Calm?
SCFEEX Question (During the past 30 days, to what degree did you feel...) Excited?
SCDEOU Question (During the past 30 days, to what degree did you feel...) Please indicate how well each of the following describes you Outgoing
SCDEHE Question (Please indicate how well each of the following describes you) Helpful
SCDEMO Question (Please indicate how well each of the following describes you) Moody
SCDEOR Question (Please indicate how well each of the following describes you) Organised
SCDEFR Question (Please indicate how well each of the following describes you) Friendly
SCDEWA Question (Please indicate how well each of the following describes you) Warm
SCDEWO Question (Please indicate how well each of the following describes you) Worrying
SCDERE Question (Please indicate how well each of the following describes you) Responsible
SCDELI Question (Please indicate how well each of the following describes you) Lively
SCDECA Question (Please indicate how well each of the following describes you) Caring
SCDENE Question (Please indicate how well each of the following describes you) Nervous
SCDECR Question (Please indicate how well each of the following describes you) Creative
SCDEHA Question (Please indicate how well each of the following describes you) Hardworking
SCDEIM Question (Please indicate how well each of the following describes you) Imaginative
SCDESOF Question (Please indicate how well each of the following describes you) Softhearted
SCDECAL Question (Please indicate how well each of the following describes you) Calm
SCDEIN Question (Please indicate how well each of the following describes you) Intelligent
SCDECU Question (Please indicate how well each of the following describes you) Curious
SCDEAC Question (Please indicate how well each of the following describes you) Active
SCDECAR Question (Please indicate how well each of the following describes you) Careless
SCDEBR Question (Please indicate how well each of the following describes you) Broad-minded
SCDESY Question (Please indicate how well each of the following describes you) Sympathetic
SCDETA Question (Please indicate how well each of the following describes you) Talkative
SCDESO Question F (Please indicate how well each of the following describes you) Softhearted
SCDEAD Question (Please indicate how well each of the following describes you) Adventurous
SCDETH Question (Please indicate how well each of the following describes you) Thorough
SCPTR1 Question Do you have a husband, wife or partner with whom you live? Tick one box
SCPTRA Question How much do they really understand the way you feel about things?
SCPTRB Question How much can you rely on them if you have a serious problem?
SCPTRC Question How much can you open up to them if you need to talk about your worries?
SCPTRD Question How much do they criticise you?
SCPTRE Question How much do they let you down when you are counting on them?
SCPTRF Question How much do they get on your nerves?
SCPTRX Question How often do they make too many demands on you?
SCPTRG Question How close is your relationship with your spouse or partner? Tick one box
SCCHD Question Do you have any children?
SCCHDA Question How much do they really understand the way you feel about things?
SCCHDB Question How much can you rely on them if you have a serious problem?
SCCHDC Question How much can you open up to them if you need to talk about your worries?
SCCHDD Question How much do they criticise you?
SCCHDE Question How much do they let you down when you are counting on them?
SCCHDF Question How much do they get on your nerves?
SCCHDX Question How often do they make too many demands on you?
SCCHDG Question 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 Question 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 Question 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
SCCHDT Question On average, how often do you do each of the following with any of your children, not counting any who live with you?Send or receive text messages
SCCHDM Question How many of your children would you say you have a close relationship with?
SCFAM Question Do you have any other immediate family, for example, any brothers or sisters, parents, cousins or grandchildren?
SCFAMA Question How much do they really understand the way you feel about things?
SCFAMB Question How much can you rely on them if you have a serious problem?
SCFAMC Question How much can you open up to them if you need to talk about your worries?
SCFAMD Question How much do they criticise you?
SCFAME Question How much do they let you down when you are counting on them?
SCFAMF Question How much do they get on your nerves?
SCFAMX Question How often do they make too many demands on you?
SCFAMG Question 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 Question 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 Question 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
SCFAMT Question On average, how often do you do each of the following with any of these family members, not counting any who live with you?Send or receive text messages
SCFAMM Question How many of these family members would you say you have a close relationship with?
SCFRD Question Do you have any friends?
SCFRDA Question How much do they really understand the way you feel about things?
SCFRDB Question How much can you rely on them if you have a serious problem?
SCFRDC Question How much can you open up to them if you need to talk about your worries?
SCFRDD Question How much do they criticise you?
SCFRDE Question How much do they let you down when you are counting on them?
SCFRDF Question How much do they get on your nerves?
SCFRDX Question How often do they make too many demands on you?
SCFRDG Question On average, how often do you do each of the following with any of your friends, not counting any who live with you?Meet up (include both arranged and chance meetings)
SCFRDH Question On average, how often do you do each of the following with any of your friends, not counting any who live with you?Speak on the phone
SCFRDI Question On average, how often do you do each of the following with any of your friends, not counting any who live with you?Write or email
SCFRDT Question On average, how often do you do each of the following with any of your friends, not counting any who live with you?Send or receive text messages
SCFRDM Question How many of your friends would you say you have a close relationship with?
SCDTDRE Question 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 Question (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 Question (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 Question (In your day-to-day life, how often have any of the following things happened to you?) You are threatened or harassed
SCDTDDR Question (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 Question 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 Question What is your religion?
SCRELOF Question About how often have you attended religious services during the past year?
SCRELFA Question These questions are about your religious or spiritual beliefs. Please tick the box which best shows how you feel about each statement. Religious faith is extremely important to me
SCRELPR Question (Please tick the box which best shows how you feel about each statement.) I pray or meditate daily
SCRELME Question (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 Question (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 Question How important is religion in your daily life? Very important Somewhat important Not very important Not at all important
SCEMPL Question Were you in paid employment last month?
SCWORKA Question All things considered I am satisfied with my job
SCWORKB Question My job is physically demanding
SCWORKC Question I receive the recognition I deserve for my work
SCWORKD Question My salary is adequate
SCWORKE Question My job promotion prospects are poor
SCWORKF Question My job security is poor
SCWORKG Question I am under constant time pressure due to a heavy workload
SCWORKH Question I have very little freedom to decide how I do my work
SCWORKI Question I have the opportunity to develop new skills
SCWORKJ Question I receive adequate support in difficult situations
SCWORKK Question At work, I feel I have control over what happens in most situations
SCWORKL Question Considering the things I have to do at work, I have to work very fast
SCRTAGE Question At what age would you like to retire?
SCRAGB Question I have already retired
SCLDDR Question 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
SCDWK Question What day of the week was it yesterday?
SCWUTIME Question What time did you wake up yesterday? For example, if you woke up at 4:00AM, please write 04 in the hour boxes, 00 in the minutes boxes and AM in the last boxes.
SCSYTIME Question What time did you go to sleep at the end of the day yesterday? For example, if you went to sleep at 11:30PM, please write 11 in the hour boxes, 30 in the minutes boxes and PM in the last boxes
SCYPA Question Yesterday, did you feel any pain? Tick one box
SCYWR Question Did you feel well-rested yesterday morning (that is you slept well the night before)? Tick one box
SCYND Question Was yesterday a normal day for you or did something unusual happen? Tick one box
SCTVY Question Please think about the things you did yesterday. How did you spend your time and how did you feel? Yesterday did you watch TV? Tick one box
SCTVTH Question How much time did you spend watching TV yesterday? For example, if you spent one and a half hours, write 1 in the hours box and 30 in the minutes boxes.
SCTVTM Question How much time did you spend watching TV yesterday?For example, if you spent one and a half hours, write 1 in the hours box and 30 in the minutes boxes. Minutes
SCTVH Question How did you feel when you were at home by yourself yesterday? Rate each feeling on a scale from 0 - did not experience at all - to 6 - the feeling was extremely strong. Tick one box on each line. I felt happy (Seven point end labelled scale)
SCTVI Question How did you feel when you were watching TV yesterday? Rate each feeling on a scale from 0 - did not experience at all - to 6 - the feeling was extremely strong. Tick one box on each line. I felt interested (Six point end labelled scale)
SCTVF Question How did you feel when you were watching TV yesterday? Rate each feeling on a scale from 0 – did not experience at all – to 6 – the feeling was extremely strong. Tick one box on each line. I felt frustrated
SCTVS Question How did you feel when you were watching TV yesterday? Rate each feeling on a scale from 0 – did not experience at all – to 6 – the feeling was extremely strong. Tick one box on each line. I felt sad (Seven point end labelled scale)
SCWVY Question Yesterday did you work or volunteer?
SCWVTH Question How much time did you spend working or volunteering yesterday? For example, if you spent nine and a half hours, write 9 in the hours box and 20 in the minutes box. Hours
SCWVTM Question How much time did you spend working or volunteering yesterday? For example, if you spent nine and a half hours, write 9 in the hours box and 20 in the minutes box. Minutes
SCWVFA Question How happy did you feel when you were working or volunteering yesterday?(scale 1-6)
SCWVFB Question How Interested did you feel when you were working or volunteering yesterday?(scale 1-6)
SCWVFC Question How Frustrated did you feel when you were working or volunteering yesterday?(scale 1-6)
SCWVFD Question How Sad did you feel when you were working or volunteering yesterday?(scale 1-6)
SCAWE Question Yesterday did you go for a walk or exercise? Tick one box
SCAWEH Question How much time did you spend walking or exercising yesterday? For example, if you spent 30 minutes, write 0 in the hours box, and 30 in the minutes boxes Hours
SCAWEM Question How much time did you spend walking or exercising yesterday? For example, if you spent 30 minutes, write 0 in the hours box, and 30 in the minutes boxes Minutes
SCAWEA Question How did you feel when you were walking or exercising yesterday? Rate each feeling on a scale from 0 – did not experience at all – to 6 – the feeling was extremely strong. Tick one box on each line. I felt happy (Seven point end labelled scale)
SCAWEB Question How Interested did you feel when you were walking or exercising yesterday?(scale 1-6)
SCAWEC Question How Frustrated did you feel when you were walking or exercising yesterday?(scale 1-6)
SCAWED Question How Sad did you feel when you were walking or exercising yesterday?(scale 1-6)
SCAOTH Question Yesterday did you do any health-related activities other than walking or exercise? For example, visiting a doctor, taking medications or doing treatments. Tick one box
SCAOTHH Question How much time did you spend doing health-related activities yesterday? Hours
SCAOTHM Question How much time did you spend doing health-related activities yesterday? Minutes
SCAOTA Question How happy did you feel when you were doing health-related activities yesterday?(scale 1-6)
SCAOTB Question How Interested did you feel when you were doing health-related activities yesterday?(scale 1-6)
SCAOTC Question How Frustrated did you feel when you were doing health-related activities yesterday?(scale 1-6)
SCAOTD Question How Sad did you feel when you were doing health-related activities yesterday?(scale 1-6)
SCCOMM Question Yesterday did you travel or commute? E.g. by car, train, bus etc. Tick one box
SCCOMH Question How much time did you spend travelling or commuting yesterday? Hours
SCCOMI Question How much time did you spend travelling or commuting yesterday? Minutes
SCCOH Question How happy did you feel when you were travelling or commuting yesterday?(scale 1-6)
SCCOI Question How Interested did you feel when you were travelling or commuting yesterday?(scale 1-6)
SCCOF Question How Frustrated did you feel when you were travelling or commuting yesterday?(scale 1-6)
SCCOS Question How Sad did you feel when you were travelling or commuting yesterday?(scale 1-6)
SCFRIE Question Yesterday did you spend time with friends or family?
SCFRIH Question How much time did you spend with friends or family yesterday? Hours
SCFRIM Question How much time did you spend with friends or family yesterday? Minutes
SCFRH Question How happy did you feel when you were with friends or family yesterday? (rate 1-6)
SCFRIN Question How did you feel when you were with friends or family yesterday? Rate each feeling on a scale from 0 – did not experience at all – to 6 – the feeling was extremely strong. Tick one box on each line. I felt interested (Seven point end labelled scale)
SCFRF Question How did you feel when you were with friends or family yesterday? Rate each feeling on a scale from 0 – did not experience at all – to 6 – the feeling was extremely strong. Tick one box on each line. I felt frustrated(Seven point end labelled scale)
SCFRS Question How did you feel when you were with friends or family yesterday? Rate each feeling on a scale from 0 – did not experience at all – to 6 – the feeling was extremely strong. Tick one box on each line. I felt sad(Seven point end labelled scale)
SCSELF Question Yesterday did you spend time at home by yourself? Without a spouse, partner, or anyone else present.
SCSELH Question How much time did you spend at home by yourself yesterday? Hours
SCSELM Question How much time did you spend at home by yourself yesterday? Minutes
SCSEH Question How did you feel when you were at home by yourself yesterday? Rate each feeling on a scale from 0 – did not experience at all – to 6 – the feeling was extremely strong. Tick one box on each line. I felt happy (Seven point end labelled scale)
SCSEI Question How did you feel when you were at home by yourself yesterday? Rate each feeling on a scale from 0 – did not experience at all – to 6 – the feeling was extremely strong. Tick one box on each line. I felt interested (Seven point end labelled scale)
SCSEF Question How did you feel when you were at home by yourself yesterday? Rate each feeling on a scale from 0 – did not experience at all – to 6 – the feeling was extremely strong. Tick one box on each line. I felt frustrated (Seven point end labelled scale)
SCSES Question How sad did you feel when you were at home by yourself yesterday?(rate 1-6)
SCOVHA Question Overall, how happy did you feel yesterday?(rate 0-10)
SCOVAN Question Overall, how anxious did you feel yesterday?(rate 0-10)
SCOVSA Question Overall, how satisfied are you with your life nowadays?(rate 0-10)
SCOVWO Question Overall, to what extent do you feel the things you do in your life are worthwhile?(rate 0-10)
SCVEG Question How many portions of vegetables - excluding potatoes - do you eat on atypical day? If none, please enter '0'.
SCFRU Question How many portions of fruit - of any kind - do you eat on a typical day?If none, please enter '0'.
SCAKO Question Thinking now about all kinds of drinks, how often have you had an alcoholic drink of any kind during the last 12 months? Tick one box
SCAL7A Question Did you have an alcoholic drink in the seven days ending yesterday? Tick one box
SCAL7B Question On how many days out of the last seven did you have an alcoholic drink? Tick one box
SCDRSPI Question 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 Question During the last seven days, how many pints of beer, lager or cider did you have? If none, please enter ‘0’.
SCDRPIN Question During the last seven days, how many glasses of wine did you have? Include sherry, port, vermouth. If none, please enter '0'.
SCEND Question 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 Contact
SCINTL Question INTERVIEWER: DID YOU LEAVE OR SEND ORANGE MAIN SELF COMPLETIONS TO RESPONDENTS IN ADVANCE OF THE INTERVIEW?
SCINTP Question I would now like to collect the paper questionnaires I left with you.
SCINTA Question I would now like to ask each of you some questions on your own. While R NAME 1 answers these questions I would like R NAME 2 to leave the room and complete a paper questionnaire. When R NAME 1 has finished I'll ask R NAME 2 to come back in and we can
SCSEXL Question R NAME 2 As well as the main ORANGE paper questionnaire I am also going to ask you to fill in a paper questionnaire about your sexual activities and attitudes. Please fill in the ^ turquoise\purple questionnaire third and then place it in the sealed env
SCGIV Question R NAME 2 INTERVIEWER: Give ______\purple self completion ______ orange questionnaire and envelope to R NAME 2. Interviewer enter serial number and other information below on front of self completions. Ask ______\her to leave the room."
SCACCEP Question R NAME 2 INTERVIEWER: CODE WHETHER THE RESPONDENT ACCEPTED THE SEXUAL ACTIVITIES QUESTIONNAIRE:
SCACEPR Question R NAME 2 INTERVIEWER: Code reason for refusal of SEXUAL ACTIVITIES questionnaire. CODE ALL THAT APPLY.
SCACPX Question R NAME 2 INTERVIEWER: type in other answer given, press + when finished.
SC4ENDN Question This is almost the end of the interview. Thank you very much for taking part. I'm now going to ask R NAME 2 to come back into the room so I can ask him/her some questions on his/her own. I would like you to leave the room and complete a paper questionnai
SC4SEXL Question R NAME 1 As well as the main ORANGE questionnaire I am also going to ask you to fill in a paper questionnaire about your sexual activities and attitudes. Please fill in the ______\purple questionnaire third and then place it in the sealed envelope p
SC4GIV Question "R NAME 1 INTERVIEWER: Give ______\purple self completion ^ and orange questionnaire and envelope to R NAME 1. Interviewer enter serial number and other information below on front of self completions. Ask ______\her to leave the room.
SC4ACCEP Question R NAME 1 INTERVIEWER: CODE WHETHER THE RESPONDENT ACCEPTED THE SEXUAL ACTIVITIES QUESTIONNAIRE:
SC4ACCEPR Question R NAME 1 INTERVIEWER: code reason for refusal of SEXUAL ACTIVITIES uestionnaire. CODE ALL THAT APPLY.
SC4ACPX Question R NAME 1 INTERVIEWER: type in other answer given, press + when finished.
SC4SXE Question R NAME 2 Ask R NAME 2 to come back into the room. Code whether or not ______\purple SEXUAL ACTIVITIES self-completion was obtained from R NAME 2. INTERVIEWER: this should usually have been completed. Encourage respondent to complete this while you
SC4END Question Code whether or not ORANGE main self-completion was obtained from R NAME 2. INTERVIEWER: Answer this question even if you have already obtained ORANGE questionnaire from them earlier. INTERVIEWER: If ORANGE questionnaire is incomplete leave questionnaire
Sc5SXE Question That is the end of the interview. Thank you very much for taking part. INTERVIEWER: Ask R NAME 1 to come back into the room Code whether or not ______\purple SEXUAL ACTIVITIES self-completion was obtained from R NAME 1. INTERVIEWER: this should usua
SC5End Question Code whether or not ORANGE self-completion was obtained from R NAME 1. INTERVIEWER: Answer this question even if you have already obtained ORANGE questionnaire from them earlier. INTERVIEWER: If ORANGE questionnaire is incomplete leave questionnaire with
SCRem5 Question INTERVIEWER: Remind respondent to complete ______ questionnaires\the sexual activity questionnaire\the orange questionnaire and ^ place in the pre-paid envelope and have ready for the nurse to pick up at the nurse visit\ using the pre-paid envelope as soon
Sc6End Question That is the end of the interview. Thank you for taking part. Before I go, I would like to ^ collect the ORANGE paper questionnaire\ give you this paper questionnaire for you to fill in in your own time. INTERVIEWER: ^ collect the ORANGE paper questionnair
SC6SexII Question As well as the ORANGE paper questionnaire I am also going to ask you to fill in a paper questionnaire about your sexual activities and attitudes. Please fill in the ______\PURPLE questionnaire and then place it in the sealed envelope provided. Some of
SC6GivI Question INTERVIEWER: Give ______\PURPLE self completion and envelope to ______\her. Interviewer first enter serial number and other information below on front of self completion.
SC6Accep Question INTERVIEWER: CODE WHETHER THE RESPONDENT ACCEPTED THE SEXUAL ACTIVITIES QUESTIONNAIRE:
SC6AcepR Question INTERVIEWER: code reason for refusal of SEXUAL ACTIVITIES questionnaire. CODE ALL THAT APPLY."
SC6AcpX Question INTERVIEWER: type in other answer given, press + when finished."
SC6Comp Question This ______\PURPLE questionnaire does not take long to complete. Would you like to complete it now while I wait or would you like me to collect it later? Alternatively you could post it back yourself.
SCRem6 Question INTERVIEWER: Remind respondent to complete ______ questionnaires\the sexual activity questionnaire\the orange questionnaire and ^ place in the pre-paid envelope and have ready for the nurse to pick up at the nurse visit\ using the pre-paid envelope as soon