SCPTR
|
|
Which of these statements apply to you? Tick all that apply |
SCORG
|
|
Are you a member of any of these organisations, clubs or societies? Tick all that apply |
SCORGN
|
|
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
|
|
Bank or cash point |
SCEDPO
|
|
Post Office |
SCEDCS
|
|
Corner shop |
SCEDSU
|
|
Medium or large supermarket |
SCEDSC
|
|
Shopping centre |
SCEDGP
|
|
General Practitioner (GP) |
SCEDCH
|
|
Chiropodist |
SCEDDE
|
|
Dentist |
SCEDOP
|
|
Optician |
SCEDHO
|
|
Hospital |
SCACTA
|
|
Go to the cinema |
SCACTB
|
|
Eat out of the house |
SCACTC
|
|
Go to an art gallery or museum |
SCACTD
|
|
Go to the theatre, a concert or the opera |
SCMOREA
|
|
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
|
|
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
|
|
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
|
|
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
|
|
On average, how often do you use the Internet or email? Tick one box |
SCINP
|
|
In which of the following places have you used the Internet or email in the last 3 months? Tick all that apply |
SCIND
|
|
On which of the following devices do you access the Internet? Tick all that apply |
SCINA
|
|
For which of the following activities did you use the Internet in the last 3 months? Tick all that apply |
SCTVWKD
|
|
How many hours of television do you watch on an ordinary day or evening during the week, that is, Monday to Friday? |
SCTVWKE
|
|
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
|
|
Please say how much you agree or disagree with the following statements. In most ways my life is close to ideal |
SCLIFEB
|
|
The conditions of my life are excellent |
SCLIFEC
|
|
I am satisfied with my life |
SCLIFED
|
|
So far I have got the important things I want in life |
SCLIFEE
|
|
If I could live my life again, I would change almost nothing |
SCDCA
|
|
At home, I feel I have control over what happens in most situations |
SCDCC
|
|
I feel that what happens in life is often determined by factors beyond my control |
SCDCD
|
|
In general, I have different demands that I think are hard to combine |
SCDCE
|
|
In general, I have enough time to do everything |
SCDCG
|
|
Considering the things I have to do at home, I have to work very fast |
SCFEELA
|
|
How often do you feel you lack companionship? |
SCFEELB
|
|
How often do you feel left out? |
SCFEELC
|
|
How often do you feel isolated from others? |
SCFEELD
|
|
How often do you feel in tune with the people around you? |
SCFEELE
|
|
How often do you feel lonely? |
SCQOLA
|
|
My age prevents me from doing the things I would like to |
SCQOLB
|
|
I feel that what happens to me is out of my control |
SCQOLC
|
|
I feel free to plan for the future |
SCQOLD
|
|
I feel left out of things |
SCQOLE
|
|
I can do the things that I want to do |
SCQOLF
|
|
Family responsibilities prevent me from doing what I want to do |
SCQOLG
|
|
I feel that I can please myself what I do |
SCQOLH
|
|
My health stops me from doing things I want to do |
SCQOLI
|
|
Shortage of money stops me from doing the things I want to do |
SCQOLJ
|
|
I look forward to each day |
SCQOLK
|
|
I feel that my life has meaning |
SCQOLL
|
|
I enjoy the things that I do |
SCQOLM
|
|
I enjoy being in the company of others |
SCQOLN
|
|
On balance, I look back on my life with a sense of happiness |
SCQOLO
|
|
I feel full of energy these days |
SCQOLP
|
|
I choose to do things that I have never done before |
SCQOLQ
|
|
I feel satisfied with the way my life has turned out |
SCQOLR
|
|
I feel that life is full of opportunities |
SCQOLS
|
|
I feel that the future looks good for me |
SCFEDE
|
|
During the past 30 days, to what degree did you feel…Determined? |
SCFEEN
|
|
(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
|
|
(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
|
|
(Please 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
|
|
(Please 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
|
|
F (Please indicate how well each of the following describes you) Softhearted |
SCDEAD
|
|
(Please indicate how well each of the following describes you) Adventurous |
SCDETH
|
|
(Please indicate how well each of the following describes you) Thorough |
SCPTR1
|
|
Do you have a husband, wife or partner with whom you live? Tick one box |
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 make too many demands on you? |
SCPTRG
|
|
How close is your relationship with your spouse or partner? Tick one box |
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 too many 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 |
SCCHDT
|
|
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
|
|
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 |
SCFAMT
|
|
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
|
|
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 often do they make too many demands on you? |
SCFRDG
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
(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? Very important Somewhat important Not very important Not at all important |
SCEMPL
|
|
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 for 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 time 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 |
SCDWK
|
|
What day of the week was it yesterday? |
SCWUTIME
|
|
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
|
|
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
|
|
Yesterday, did you feel any pain? Tick one box |
SCYWR
|
|
Did you feel well-rested yesterday morning (that is you slept well the night before)? Tick one box |
SCYND
|
|
Was yesterday a normal day for you or did something unusual happen? Tick one box |
SCTVY
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
Yesterday did you work or volunteer? |
SCWVTH
|
|
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
|
|
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
|
|
How happy did you feel when you were working or volunteering yesterday?(scale 1-6) |
SCWVFB
|
|
How Interested did you feel when you were working or volunteering yesterday?(scale 1-6) |
SCWVFC
|
|
How Frustrated did you feel when you were working or volunteering yesterday?(scale 1-6) |
SCWVFD
|
|
How Sad did you feel when you were working or volunteering yesterday?(scale 1-6) |
SCAWE
|
|
Yesterday did you go for a walk or exercise? Tick one box |
SCAWEH
|
|
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
|
|
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
|
|
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
|
|
How Interested did you feel when you were walking or exercising yesterday?(scale 1-6) |
SCAWEC
|
|
How Frustrated did you feel when you were walking or exercising yesterday?(scale 1-6) |
SCAWED
|
|
How Sad did you feel when you were walking or exercising yesterday?(scale 1-6) |
SCAOTH
|
|
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
|
|
How much time did you spend doing health-related activities yesterday? Hours |
SCAOTHM
|
|
How much time did you spend doing health-related activities yesterday? Minutes |
SCAOTA
|
|
How happy did you feel when you were doing health-related activities yesterday?(scale 1-6) |
SCAOTB
|
|
How Interested did you feel when you were doing health-related activities yesterday?(scale 1-6) |
SCAOTC
|
|
How Frustrated did you feel when you were doing health-related activities yesterday?(scale 1-6) |
SCAOTD
|
|
How Sad did you feel when you were doing health-related activities yesterday?(scale 1-6) |
SCCOMM
|
|
Yesterday did you travel or commute? E.g. by car, train, bus etc. Tick one box |
SCCOMH
|
|
How much time did you spend travelling or commuting yesterday? Hours |
SCCOMI
|
|
How much time did you spend travelling or commuting yesterday? Minutes |
SCCOH
|
|
How happy did you feel when you were travelling or commuting yesterday?(scale 1-6) |
SCCOI
|
|
How Interested did you feel when you were travelling or commuting yesterday?(scale 1-6) |
SCCOF
|
|
How Frustrated did you feel when you were travelling or commuting yesterday?(scale 1-6) |
SCCOS
|
|
How Sad did you feel when you were travelling or commuting yesterday?(scale 1-6) |
SCFRIE
|
|
Yesterday did you spend time with friends or family? |
SCFRIH
|
|
How much time did you spend with friends or family yesterday? Hours |
SCFRIM
|
|
How much time did you spend with friends or family yesterday? Minutes |
SCFRH
|
|
How happy did you feel when you were with friends or family yesterday? (rate 1-6) |
SCFRIN
|
|
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
|
|
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
|
|
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
|
|
Yesterday did you spend time at home by yourself? Without a spouse, partner, or anyone else present. |
SCSELH
|
|
How much time did you spend at home by yourself yesterday? Hours |
SCSELM
|
|
How much time did you spend at home by yourself yesterday? Minutes |
SCSEH
|
|
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
|
|
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
|
|
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
|
|
How sad did you feel when you were at home by yourself yesterday?(rate 1-6) |
SCOVHA
|
|
Overall, how happy did you feel yesterday?(rate 0-10) |
SCOVAN
|
|
Overall, how anxious did you feel yesterday?(rate 0-10) |
SCOVSA
|
|
Overall, how satisfied are you with your life nowadays?(rate 0-10) |
SCOVWO
|
|
Overall, to what extent do you feel the things you do in your life are worthwhile?(rate 0-10) |
SCVEG
|
|
How many portions of vegetables - excluding potatoes - do you eat on atypical day? If none, please enter '0'. |
SCFRU
|
|
How many portions of fruit - of any kind - do you eat on a typical day?If none, please enter '0'. |
SCAKO
|
|
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
|
|
Did you have an alcoholic drink in the seven days ending yesterday? Tick one box |
SCAL7B
|
|
On how many days out of the last seven did you have an alcoholic drink? Tick one box |
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 Contact |
SCINTL
|
|
INTERVIEWER: DID YOU LEAVE OR SEND ORANGE MAIN SELF COMPLETIONS TO RESPONDENTS IN ADVANCE OF THE INTERVIEW? |
SCINTP
|
|
I would now like to collect the paper questionnaires I left with you. |
SCINTA
|
|
I would now like to ask each of you some questions on your own. While ^iname[1] answers these questions I would like ^iname[2] to leave the room and complete a paper questionnaire. When ^IName[1] has finished I'll ask ^IName[2] to come back in and we can |
SCSEXL
|
|
^iname[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 ^first and then place it in the sealed env |
SCGIV
|
|
^iname[2] INTERVIEWER: Give ^turquoise\purple self completion ^and orange questionnaire and envelope to ^IName[2]. Interviewer enter serial number and other information below on front of self completions. Ask ^him\her to leave the room." |
SCACCEP
|
|
^iname[2] INTERVIEWER: CODE WHETHER THE RESPONDENT ACCEPTED THE SEXUAL ACTIVITIES QUESTIONNAIRE: |
SCACEPR
|
|
^iname[2] INTERVIEWER: Code reason for refusal of SEXUAL ACTIVITIES questionnaire. CODE ALL THAT APPLY. |
SCACPX
|
|
^iname[2] INTERVIEWER: type in other answer given, press + when finished. |
SC4ENDN
|
|
This is almost the end of the interview. Thank you very much for taking part. I'm now going to ask ^IName[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
|
|
^iname[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 ^turquoise\purple questionnaire ^first and then place it in the sealed envelope p |
SC4GIV
|
|
"^iname[1] INTERVIEWER: Give ^turquoise\purple self completion ^ and orange questionnaire and envelope to ^IName[1]. Interviewer enter serial number and other information below on front of self completions. Ask ^him\her to leave the room. |
SC4ACCEP
|
|
^iname[1] INTERVIEWER: CODE WHETHER THE RESPONDENT ACCEPTED THE SEXUAL ACTIVITIES QUESTIONNAIRE: |
SC4ACCEPR
|
|
^iname[1] INTERVIEWER: code reason for refusal of SEXUAL ACTIVITIES uestionnaire. CODE ALL THAT APPLY. |
SC4ACPX
|
|
^iname[1] INTERVIEWER: type in other answer given, press + when finished. |
SC4SXE
|
|
^iname[2] Ask ^IName[2] to come back into the room. Code whether or not ^turquoise\purple SEXUAL ACTIVITIES self-completion was obtained from ^IName[2]. INTERVIEWER: this should usually have been completed. Encourage respondent to complete this while you |
SC4END
|
|
Code whether or not ORANGE main self-completion was obtained from ^IName[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
|
|
That is the end of the interview. Thank you very much for taking part. INTERVIEWER: Ask ^iname[1] to come back into the room Code whether or not ^turquoise\purple SEXUAL ACTIVITIES self-completion was obtained from ^IName[1]. INTERVIEWER: this should usua |
SC5End
|
|
Code whether or not ORANGE self-completion was obtained from ^iname[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
|
|
INTERVIEWER: Remind respondent to complete ^both 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
|
|
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
|
|
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 ^TURQUOISE\PURPLE questionnaire and then place it in the sealed envelope provided. Some of |
SC6GivI
|
|
INTERVIEWER: Give ^TURQUOISE\PURPLE self completion and envelope to ^him\her. Interviewer first enter serial number and other information below on front of self completion. |
SC6Accep
|
|
INTERVIEWER: CODE WHETHER THE RESPONDENT ACCEPTED THE SEXUAL ACTIVITIES QUESTIONNAIRE: |
SC6AcepR
|
|
INTERVIEWER: code reason for refusal of SEXUAL ACTIVITIES questionnaire. CODE ALL THAT APPLY." |
SC6AcpX
|
|
INTERVIEWER: type in other answer given, press + when finished." |
SC6Comp
|
|
This ^TURQUOISE\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
|
|
INTERVIEWER: Remind respondent to complete ^both 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 |