Self-Completion Questionnaire (Paper)

Self-Completion Questionnaire (Paper) for ELSA 2016

item label type description
SCPTR Question Which of these statements apply to you?
SCORG Question Are you a member of any of these organisations, clubs or societies?
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? If none, please enter ‘0’.
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 Go to the cinema
SCMOREB Question Eat out of the house
SCMOREC Question Go to an art gallery or museum
SCMORED Question Go to the theatre, a concert or the opera
SCINT Question We would now like to ask you some questions about your use of the Internet and email. On average, how often do you use the Internet or email?
SCIND Question On which of the following devices do you access the Internet?
SCINA Question For which of the following activities did you use the Internet in the last 3 months?
SCLIFEA Question In most ways my life is close to my 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
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
SCPRT Question Do you have a husband, wife or partner with whom you live?
SCPRTA Question How much do they really understand the way you feel about things?
SCPRTB Question How much can you rely on them if you have a serious problem?
SCPRTC Question How much can you open up to them if you need to talk about your worries?
SCPRTD Question How much do they criticise you?
SCPRTE Question How much do they let you down when you are counting on them?
SCPRTF Question How much do they get on your nerves?
SCPRTG Question How often do they make too many demands on you?
SCPRTM Question How close is your relationship with your spouse or partner?
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?
SCCHDG Question How often do they make too many demands on you?
SCCHDH Question Meet up (include both arranged and chance meetings)
SCCHDI Question Speak on the phone
SCCHDJ Question Write or email
SCCHDK Question Send or receive text messages
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?
SCFAMG Question How often do they make too many demands on you?
SCFAMH Question Meet up (include both arranged and chance meetings)
SCFAMI Question Speak on the phone
SCFAMJ Question Write or email
SCFAMK Question 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?
SCFRDG Question How often do they make too many demands on you?
SCFRDH Question Meet up (include both arranged and chance meetings)
SCFRDI Question Speak on the phone
SCFRDJ Question Write or email
SCFRDK Question Send or receive text messages
SCFRDM Question How many of your friends would you say you have a close relationship with?
SCCNTA Question I try to pass along the knowledge I have gained through my experiences.
SCCNTB Question I feel as though I have made a difference to many people.
SCCNTC Question Others would say that I have made unique contributions to society.
SCCNTD Question I have important skills that I try to teach others.
SCCNTE Question I have made many commitments to many different kinds of people, groups and activities in my life.
SCCNTF Question I feel as though my contributions will exist after I die.
SCMENA Question I want to give back to my community.
SCMENB Question I want to mentor people younger than me.
SCMENC Question I want to do something that will be valuable to others for a long time.
SCMEND Question I want to show people younger than me how to do things.
SCEMPL Question The next questions are about paid employment. 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
SCRTAG Question At what age would you like to retire?
SCLDDR Question Please mark a cross on the rung on the ladder where you would place yourself.
SCOFEEL Question The next few questions are about how you feel about your age and experience of growing older. How old do you feel that you are?
SCAGLIK Question What age would you like to be?
SCOLDPOS Question On the whole, has growing older been a positive or negative experience?
SCOAOP Question We can learn a lot from old people
SCOALON Question As I get older, I expect to become more lonely
SCOAILL Question Old age is a time of ill health
SCOATOL Question As I grow older, I become more tolerant
SCOATLON Question Old age is a time of loneliness
SCOADO Question As I get older, I expect to be able to do the things I’ve always done
SCOAGRAM Question When I think of old people, I think of them as generally grumpy and miserable
SCOAHLTH Question I worry that my health will get worse as I grow older
SCOAOLD Question I don’t think of myself as old
SCOARESP Question Old people don’t get respect in society
SCOALEIS Question Retirement is a time of leisure
SCOABOTH Question Growing older doesn’t bother me
SCOVHA Question Overall, how happy did you feel yesterday?
SCOVAN Question Overall, how anxious did you feel yesterday?
SCOVSA Question Overall, how satisfied are you with your life nowadays?
SCOVWO Question Overall, to what extent do you feel the things you do in your life are worthwhile?
SCGPATI Question Are you generally an impatient person, or someone who always shows great patience?
SCGRISK Question Are you generally a person who is fully prepared to take risk, or do you try to avoid taking risks?
SCFPATI Question Thinking specifically about your finances, spending and savings, are you generally an impatient person, or someone who always shows great patience?
SCFRISK Question Thinking specifically about your finances, spending and savings, are you a person who is fully prepared to take risk, or do you try to avoid taking risks?
SCHRISK Question Thinking specifically about the risks and benefits of treatments to improve your health, are you a person who is fully prepared to take risk or do you try to avoid taking risks?
SCHPATI Question Thinking about your health in general. Do you generally prefer to live for the moment, or to live for the future?
SCHQUAL Question Is quality of life generally more important to you, or length of life?
SCHBODY Question Is how your body looks usually more important to you, or how your body functions?
SCHEXPT Question Are you a person who would be willing to use experimental treatments, or someone who would never use experimental treatments?
SCHDECI Question Are you a person who prefers to make the final decision about your healthcare, or someone who prefers to leave all treatment decisions to their doctor?
SCEND Question If there is anything else you would like to tell us, please write in the space below. We shall be very interested to read what you have to say.
SCVEG Question How many portions of vegetables – excluding potatoes – do you eat on a typical 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?
SCAL7A Question Did you have an alcoholic drink in the seven days ending yesterday?
SCAL7B Question On how many days out of the last seven did you have an alcoholic drink?
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 glasses of wine did you have? Include sherry, port, vermouth. If none, please enter ‘0’.
SCDRPIN Question During the last seven days, how many pints of beer, lager or cider did you have? If none, please enter ‘0’.
SCHELNCT Question We would like to ask you about incontinence. During the last 12 months, have you lost any amount of urine beyond your control?
SCHELNCTA Question When you had this problem, did it last for more than one month?
SCHEBOW Question During the last 12 months, have you had any problems controlling your bowels?
SCHEBOWA Question When you had this problem, did it last for more than one month?
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