SC. Self Completion

SC. Self Completion Module of TILDA 2014

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SC1 Question We would like to ask you some questions about participation in social activities. How often, if at all, do you do any of the following activities?
SC1-1 Question Watch television.
SC1-2 Question Go out to films, plays and concerts.
SC1-3 Question Attend classes and lectures.
SC1-4 Question Travel for pleasure.
SC1-5 Question Work in the garden, or your home, or on a car.
SC1-6 Question Read books or magazines for pleasure.
SC1-7 Question Listen to music, radio.
SC1-8 Question Spend time on hobbies or creative activities.
SC1-9 Question Play cards, bingo, games in general.
SC1-10 Question Go to the pub.
SC1-11 Question Eat out of the house.
SC1-12 Question Participate in sport activities or exercise.
SC1-13 Question Visit to or from family or friends, either in person or talking on the phone.
SC1-14 Question Do voluntary work.
SC2 Question The next questions are about how you feel about different aspects of your life. For each one, please say how often you feel that wa y.
SC2-1 Question How often do you feel you lack companionship?
SC2-2 Question How often do you feel left out?
SC2-3 Question How often do you feel isolated from others?
SC2-4 Question How often do you feel in tune with the people around you?
SC2-5 Question How often do you feel lonely?
SC3 Question We would now like to ask you some questions about your spouse or partner with whom you live.
SC3-1 Question How much does he/she really understand the way you feel about things?
SC3-2 Question How much can you rely on him/her if you have a serious problem?
SC3-3 Question How much can you open up to him/her if you need to talk about your worries?
SC3-4 Question How much does he/she make too many demands on you?
SC3-5 Question How much does he/she criticise you?
SC3-6 Question How much does he/she let you down when you are counting on him/her?
SC3-7 Question How much does he/she get on your nerves?
SC4 Question How close is your relationshi p with your spouse or partner with whom you live?
SC5 Question We would now like to ask you some questions about your children.
SC5-1 Question How much do they really understand the way you feel about things?
SC5-2 Question How much can you rely on them if you have a serious problem?
SC5-3 Question How much can you open up to them if you need to talk about your worries?
SC5-4 Question How much do they make too many demands on you?
SC5-5 Question How much do they criticise you?
SC5-6 Question How much do they let you down when you are counting on them?
SC5-7 Question How much do they get on your nerves?
SC6 Question A part from your spouse/partner and children (if any), do you have any other family members (such as brothers, sisters, parents, cousins, etc.)?
SC7 Question We would now like to ask you some questions about THESE FAMILY MEMBERS.
SC7-1 Question How much do they really understand the way you feel about things?
SC7-2 Question How much can you rely on them if you have a serious problem?
SC7-3 Question How much can you open up to them if you need to talk about your worries?
SC7-4 Question How much do they make too many demands on you?
SC7-5 Question How much do they criticise you?
SC7-6 Question How much do they let you down when you are counting on them?
SC7-7 Question How much do they get on your nerves?
SC8 Question We would now like to ask you some questions about YOUR FRIENDS.
SC8-1 Question How much do they really understand the way you feel about things?
SC8-2 Question How much can you rely on them if you have a serious problem?
SC8-3 Question How much can you open up to them if you need to talk about your worries?
SC8-4 Question How much do they make too many demands on you?
SC8-5 Question How much do they criticise you?
SC8-6 Question How much do they let you down when you are counting on them?
SC8-7 Question How much do they get on your nerves?
SC9 Question This question is about how you have felt in the past month.
SC9-1 Question In the last month, how often have you felt that you were unable to control the important things in your life?
SC9-2 Question In the last month, how often have you felt confident about your ability to handle your personal problems?
SC9-3 Question In the last month, how often have you felt that things were going your way?
SC9-4 Question In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?
SC10 Question We would like to ask some questions about how CONCerned YOU Are about the possibility of fallin g. For each of the Following activities, please indicate how concerned YOU are that you might fall if you did this activity.
SC10-1 Question Cleaning the house (e.g. sweep, vacuum, dust).
SC10-2 Question Getting dressed or undressed.
SC10-3 Question Preparing simple meals.
SC10-4 Question Taking a bath or shower.
SC10-5 Question Going to the shop.
SC10-6 Question Getting in or out of a chair.
SC10-7 Question Going up or down stairs.
SC10-8 Question Walking around in the neighbourhood.
SC10-9 Question Reaching for something above your head or on the ground.
SC10-10 Question Going to answer the telephone before it stops ringing.
SC10-11 Question Walking on a slippery surface (e.g. wet or icy).
SC10-12 Question Visiting a friend or relative.
SC10-13 Question Walking in a place with crowds.
SC10-14 Question Walking on an uneven surface (e.g. rocky ground, poorly maintained pavement).
SC10-15 Question Walking up or down a slope.
SC10-16 Question Going out to a social event (e.g. religious service, family gathering, or club meeting).
SC11 Question The following ARE WAYS people react TO VARIOUS DIFFICULT, STRESSFUL, OR UPSETTING SITUATIONS. PLEASE CIRCLE A NUMBER FROM 1 TO 5 ON each line FOR EACH OF THE FOLLOWING ITEMS.
SC11-1 Question Take some time off and get away from the situation.
SC11-2 Question Focus on the problem and see how I can solve it.
SC11-3 Question Blame myself for having gotten into this situation.
SC11-4 Question Treat myself to a favourite food or snack.
SC11-5 Question Feel anxious about not being able to cope.
SC11-6 Question Think about how I solved similar problems.
SC11-7 Question Visit a friend.
SC11-8 Question Determine a course of action and follow it.
SC11-9 Question Buy myself something.
SC11-10 Question Blame myself for being too emotional about the situation.
SC11-11 Question Work to understand the situation.
SC11-12 Question Become very upset.
SC11-13 Question Take corrective action immediately.
SC11-14 Question Blame myself for not knowing what to do.
SC11-15 Question Spend time with a special person.
SC11-16 Question Think about the event and learn from my mistakes.
SC11-17 Question Wish that I could change what had happened or how I felt.
SC11-18 Question Go out for a snack or meal.
SC11-19 Question Analyse the problem before reacting.
SC11-20 Question Focus on my general inadequacies.
SC11-21 Question Phone a friend.
SC12 Question Here is a list of statements that people have used to describe their lives or how they feel. How often do you feel like this?
SC12-1 Question My age prevents me from doing the things I would like to.
SC12-2 Question I feel that what happens to me is out of my control.
SC12-3 Question I feel free to plan for the future.
SC12-4 Question I feel left out of things.
SC12-5 Question I feel that I can please myself in what I can do.
SC12-6 Question My health stops me from doing the things I want to do.
SC12-7 Question Shortage of money stops me from doing the things that I want to do.
SC12-8 Question I look forward to each day.
SC12-9 Question I feel that my life has meaning.
SC12-10 Question I enjoy being in the company of others.
SC12-11 Question I feel satisfied with the way my life has turned out.
SC12-12 Question I feel that life is full of opportunities.
SC13 Question Have you ever had DRINKS CONTAINING ALCOHOL, e.g. glass of wine, glass of beer, etc.?
SC14 Question Have you had DRINKS CONTAINING ALCOHOL OF any kind in the last 6 months?
SC15 Question During the last 6 months, how often have you had drinks containing alcohol, like beer, cider, wine, spirits or cocktails ?
SC16 Question More recently (i.e. in the last month), would you describe your current alcohol intake as:
SC17 Question From the pictures below, please tick the box that represents the drink you would be most likely to drink
SC18 Question Thinking about your drink of choice, on average, in the last 6 months on the days that you drank, about how many did you have?
SC19 Question THINKING ABOUT YOUR DRINK OF CHOICE, DURING THE LAST 6 MONTHS, APPROXIMATELY WHAT WAS THE LARGEST NUMBER OF DRINKS YOU HAD ON ANY ONE DAY?
SC20 Question HOW OFTEN IN THE LAST 6 MONTHS WOULD YOU SAY YOU DRANK THE MAXIMUM NUMBER OF DRINKS YOU INDICATED IN THE LAST QUESTION?
SC21 Question Have you ever felt that you should cut down on drinking?
SC22 Question Have you reduced your alcohol intake in the last 2 years?
SC23 Question Why did you reduce your alcohol intake?
SC24 Question Have people ever annoyed you by criticising your drinking?
SC25 Question Have you ever felt bad or guilt y about drinking?
SC26 Question Have you ever ta ken a drink first thing in the morning to steady your nerves or get rid of a hangover?
SC27 Question we would now like to ask some questions about how much you worry about things. please indicate how typical or characteristic each statement is of you.
SC27-1 Question My worries overwhelm me.
SC27-2 Question Many situations make me worry
SC27-3 Question I know I should not worry about things, but I just cannot help it.
SC27-4 Question When I am under pressure, I worry a lot.
SC27-5 Question I am always worrying about something.
SC27-6 Question As soon as I finish one task, I start to worry about everything else I must do.
SC27-7 Question I have been a worrier all my life.
SC27-8 Question I have been worrying about things.
SC28 Question Have any of your close friends died in the past TWO years?
SC29 Question What is the MAIN way in which you heat your accommodation in the winter (Tick ONE box only)
SC30 Question Could you tell me whether you have any of the following problems in your accommodation ? If so, would you say that these are a minor, moderate or major problem for the accommodation ?
SC30-1 Question A leaking roof?
SC30-2 Question Leaking or moisture getting in through walls?
SC30-3 Question Leaking or moisture getting in at door or windows?
SC30-4 Question Leaks from water pipes?
SC30-5 Question Rising damp?
SC30-6 Question Condensation dampness?
SC30-7 Question General dampness from unknown sources?
SC30-8 Question Mould on walls/ceilings etc?
SC30-9 Question Corrosion or rot around any external door(s)?
SC30-10 Question Badly fitting doors?
SC30-11 Question Corrosion or rot around any window(s)?
SC30-12 Question Leaky or draughty windows?
SC30-13 Question Windows that don’t open/close properly?
SC30-14 Question Rot in timbers other than windows/doors, such as rot in joists, floor boards etc?
SC30-15 Question Structural cracks in internal or external SUPPORT walls?
SC30-16 Question Subsidence in floors?
SC30-17 Question Pests – rats, mice, cockroaches?
SC30-18 Question Noise from neighbouring houses?
SC30-19 Question Difficulty in heating your accommodation?
SC30-20 Question Other problems (tick level of problem and specify below)?
SC31 Question Thinking about the food that you eat , we would like you to tell us how often you usually eat the following foods.
SC31-1 Question Beef or Lamb-including roast, steak stew, mince
SC31-2 Question Pork-including roast, chops, slices
SC31-3 Question Ham, Bacon
SC31-4 Question Chicken or Turkey portion –including breast, thigh, leg
SC31-5 Question Chicken products including chicken nuggets or breaded chicken
SC31-6 Question Fresh fish
SC31-7 Question Fish, including breaded, battered, or fish fingers
SC31-8 Question Processed meat - including meat pies, pasties, sausage rolls, burgers, sausages,
SC31-9 Question Lentils, tofu, soya meat, vegeburger
SC31-10 Question White bread
SC31-11 Question Brown bread
SC31-12 Question Porridge, readybrek
SC31-13 Question High fibre cereal e.g Weetabix, all bran branflakes, bran buds, muesli
SC31-14 Question Other cereal e.g. cornflakes, rice crispies
SC31-15 Question Potatoes, including boiled, mashed, baked potatoes, but excluding roast potatoes, chips or potato products eg waffles
SC31-16 Question Chips, roast potatoes, and potato products, eg potato waffles, smiles
SC31-17 Question Rice
SC31-18 Question Pasta
SC31-19 Question PastaYoghurt (carton)
SC31-20 Question Cheese-including cheddar, cheese slices, soft cheese
SC31-21 Question Eggs (one) including boiled, scrambled, poached, fried
SC31-22 Question Cream (tablespoon)
SC31-23 Question Salad dressings (tablespoon)
SC31-24 Question Butter (teaspoon)
SC31-25 Question Low fat spread (teaspoon)
SC31-26 Question Cholesterol lowering spread e.g. benecol, flora pro active
SC31-27 Question Fruit including fresh, frozen, dried, tinned
SC31-28 Question Green vegetables, including cabbage, broccoli, peas, green beans
SC31-29 Question Orange/Yellow vegetables, including carrots, turnips, cauliflower
SC31-30 Question Salad or other vegetables, including leeks, onions, garlic, sweet peppers, mushrooms, sweetcorn, tomatoes, beetroot
SC31-31 Question Plain biscuits
SC31-32 Question Chocolate Biscuits, including wrapped chocolate biscuits, eg Twix, Kit-Kat, Penguin
SC31-33 Question Confectionary, including sweets and chocolate bars
SC31-34 Question Cakes, buns, desserts, eg cheesecakes, apple tart
SC31-35 Question Savoury snacks, eg crisps, tortilla chips
SC31-36 Question Vegetable soup (homemade/carton)
SC31-37 Question Vegetable soup (packet, cup-a-soup)
SC31-38 Question Sauces e.g. white sauce, cheese sauce, gravy (tablespoon)
SC31-39 Question Marmite, bovril
SC31-40 Question Jam, marmalade
SC31-41 Question Water (glass)
SC31-42 Question Tea (cup)
SC31-43 Question Coffee (cup)
SC31-44 Question Cocoa, hot chocolate (cup)
SC31-45 Question Horlicks, Ovaltine (cup)
SC31-46 Question Wine (glass)
SC31-47 Question Beer (half pint)
SC31-48 Question Spirits (single measure)
SC31-49 Question Low Calorie or Diet Fizzy drinks (glass)
SC31-50 Question Fizzy drinks (glass)
SC31-51 Question Pure fruit juice (glass)
SC31-52 Question Fruit squash, diluted orange (glass)
SC32 Question What type of milk do you use most often?
SC33 Question How much milk do you USE each day?
SC34 Question we are interested in your own personal views and experiences about getting older. please indicate how strongly you agree or disagree with the following statements
SC34-1 Question I am always aware of my age.
SC34-2 Question I always classify myself as old.
SC34-3 Question I feel my age in everything that I do.
SC34-4 Question As I get older I get wiser.
SC34-5 Question As I get older I continue to grow as a person.
SC34-6 Question As I get older I appreciate things more.
SC34-7 Question I get depressed when I think about how ageing might affect the things that I can do?
SC34-8 Question Getting older makes me less independent.
SC34-9 Question As I get older I do not cope as well with problems that arise.
SC34-10 Question Slowing down with age is not something I can control.
SC34-11 Question How mobile I am in later life is not up to me.
SC34-12 Question I have no control over the effects which getting older has on my social life.
SC34-13 Question I get depressed when I think about getting older.
SC34-14 Question I go through cycles in which my experience of ageing gets better and worse.
SC34-15 Question I feel angry when I think about getting older.
SC34-16 Question I go through phases of feeling old.
SC34-17 Question I go through phases of viewing myself as old.
SC35 Question In our study we are interested in looking at the migration patterns of people throughout their lifetime both within ireland and to and from ireland. we also want to investigate the possible effect of water supply on health .
SC36 Question If there is anything you would like to tell us, please write in the space below. FEEL FREE TO ADD A PAGE IF this space is insufficient. We shall be very interested to read what you have to say.
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