DIET AND HEALTH QUESTIONNAIRE

Please make sure that the details here are filled in before commencing the interview :

Interviewer code1: Ros 2: Irene 3: Shelagh 4:Jane 5:Carol 6:Audrey 7: otherRespondent identity number ________

GP code ____________

Sex of respondent 0: Male 1: Female

Respondent's current age ___________

NOTE THE TIME THE INTERVIEW STARTED ________________________________________________________________

INTERVIEWERS TAKE OUT THE RESPONDENT'S CONTACT SHEET TO CHECK THEIR DETAILS AGAINST ANSWERS GIVEN TO CAPE QUESTIONS

CAPE SCORE

"I'd like to start off our interview by asking you a few simple questions. Don't be alarmed if they sound rather too easy."

Code 0 : Incorrect 1 : Correct. (Count non-response or those who cannot remember as '0')

Q1. "What is your name (or full name)?"

Q2. "How old are you ?"

Q3. "What is your date of birth ?"

Q4. "Where are you now ?"

Q5. "What is the address of this place ?"

Q6. "What is the name of this town or city ?"

Q7. Add up the score and enter here ___

(If less than 6 interviewers should automatically move on to a diversionary section - unless the respondent only gets their

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date of birth wrong. In this case they should be allowed to continue. It would be helpful if you could make a note of the date of birth they mention on the contact sheet)

DIVERSIONARY SECTIONNote the answers to these questions on the A4 pad provided."Let's now move onto talk about what kinds of food you eat. Perhaps you could tell me...

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Q1. What are your favourite foods ?"Q2. "Are there any foods you don't like ?" "What are they ?"Q3. "Do you do your own food shopping?" "Where do you shop?"

For those who don't shop for themselves ask

Q4. "Who does your shopping for you ?"

Terminate the interview after these questions.

EDUCATIONAL ATTAINMENT

"Before we talk about your working life, I'd like to ask you a few questions about your time at school and any education or training you might have done since then."

Q1. "How old were you when you started school?" _____ 77: Don't know 88: No answer 99: Not asked

Q2. "How old were you when you left school ?"_____ 77 : Don't Know 88 : No Answer 99 : Not Asked

Q3. Enter years of schooling here _______

Q4. "Did you pass any examinations before you left school?" 0: No 1:Yes 7: Don't know 8: No answer 9: Not asked (If 0, 7, 8 or 9 please skip to Q6)

Q5. "What were they ?" Ask the respondent to specify which was the highest level and enter the appropriate number. Use the list as a running prompt if necessary :1 : School certificate 2 : Scottish Lower (SCE) 3 : City and Guilds 4 : Ordinary Level 5 : Higher certificate / A Level 6 : Matriculation 7 : Can't remember8 : No answer9 : Not asked10 : Scottish Higher 11 : Overseas school leaving exam/cert.12 : Other (specify)____________________________

Q6. "Did you obtain any qualifications after you left school?"

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0: No 1:Yes 7:Don't know/Can't remember 8: No answer 9: Not asked (If 0,7,8 or 9 skip to next section)

Q7. "What were they?" Ask the respondent to specify which was the highest level and enter the appropriate number. Use the list as a running prompt if necessary -

1 : ONC/OND/City and Guilds Advanced or final level 2 : HNC/HND/City and Guilds full technological cert 3 : RSA or other clerical or commercial4 : Teacher training qualification5 : Nursing qualification6 : Membership awarded by a professional body 7 : Don't know8 : No Answer9 : Not asked10 : Degree including a higher degree 11 : Other work related qualification 12 : O Level / OA Level or GCSE13 : A / AS Level / S level14 : Other (specify) _____________________________________

CLASSIFICATION

Q1. "Changing the subject now can you tell me how you would describe you marital status?"

1: married or cohabiting (Go to Q2)2: single (If yes skip to Q5) 3: widowed (If yes skip to Q3) 4: separated or divorced" (If yes skip to Q4)8: no answer (If 8 or 9 skip to Q5) 9: not asked

Q2. "How long have you been married ?" _______ Go to Q5

Q3. "How long have you been widowed?" ________ Go to Q5

Q4. "How long have you been (separated/divorced)?" ______

Q5. "I'd now like to move on to the kind of things you did during your working life. If you haven't worked either now or in the past, I would be interested to know what kinds of work your father or your spouse have done. Have you now retired from paid work?" 0:No 1:Yes 8: No answer 9: Not asked

(If 0, 8 or 9 please skip to Q7)

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Q6. "And how long have you been retired?" __________

Q7. "Are you currently doing ANY part / full-time work ?" 0: No 1: Part-time 2: Full-time 8. No answer 9: Not asked (If 0, 8 or 9 please skip to Q10)

Q8. "About how many hours on average do you work per week nowadays?" ________________________________

Q9. "What is your current occupation?" __________________(If none type none) Now skip to Q11

Q10. "What was your occupation immediately before you retired/ finished working?" (If 'none' enter

'none')_________________INTERVIEWERS - IF THE RESPONDENT IS A MARRIED WOMAN WITH NO OR NO SIGNIFICANT WORK HISTORY GO TO Q21. IF THEY ARE SINGLE AND HAVE NOT WORKED GO TO Q25.

Q11. "Have you(Did you) always done (do) this kind of work ?" 0:No 1:Yes 8: No answer 9: Not asked

Q12. "In your previous occupation were you self-employed?" 0:No 1:Yes 8: No answer 9: Not asked

(If yes skip to Q14)

Q13. "Were you a manager/foreman/supervisor or an employee in this job ?" 1: manager 2: foreman 3: supervisor 4: employee 7: Can't remember 8: No answer 9: Not asked

Q14. "What did the organisation you worked for make or do?" ______________________________________________

Q15. "Was that your usual occupation?" 0:No 1:Yes 8: No answer 9: Not asked (If yes skip to Q17)

Q16. "What was your usual occupation ?" ______________________________________________________________

Q17. "Was this part-time or full-time?" 1:P-T 2:F-T 7: Can't remember 8: No answer 9: Not asked

INTERVIEWERS - IF THE RESPONDENT HAS GIVEN YOU DETAILS OF THEIR USUAL EMPLOYMENT, THEIR GRADE AND WHETHER THIS WAS FULL OR PART TIME PLEASE NOW GO TO Q29.

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Q18. "Were you self-employed?" 0:No 1:Yes 8: No answer 9: Not asked(If yes please skip to Q20)

Q19. "Were you a manager/foreman/supervisor or an employee?"1: manager 2: foreman 3: supervisor 4: employee7: Can't remember/Don't know 8: No answer 9: Not asked

Q20. "What did the organisation you worked for make or do?"_______________________________________________ NOW GO TO Q29

For widowed/separated/ cohabiting/married women ask :

Q21."What (was/is) your (husband/partner's) occupation?" ______________________________

Q22. "(Is/was) he self employed?"0:No 1:Yes 7: Don't know/Can't remember 8:No answer 9: Not asked (If yes skip to Q24)

Q23."(Is/was) he a manager/foreman/supervisor/an employee ?"1: manager 2 :foreman 3 :supervisor 4: employee7 : Don't know/Can't remember 8: No answer 9: Not asked

Q24. "What (does/did) the organisation he works/worked for make or do?"______________________ NOW GO TO Q29

For single women with no occupation/work history

Q25. "What was your father's occupation for most of his life?" ________________________________________

Q26. "Was he self-employed ?"0: No 1: Yes 7: Don't know/ Can't remember

8: No answer 9: Not asked(If yes skip to Q28)

Q27. "Was he a manager/foreman/supervisor or employee?"1 : manager 2: foreman 3 :supervisor 4 : employee7: Don't know/Can't remember 8 : No answer 9 : Not asked

Q28. "What did the organisation he works/worked for make or do?"___________________________

Q29. "Are you doing any voluntary or unpaid work at the moment?" 0:No 1: Yes 8: No answer 9: Not asked (If 0, 8 or 9 please skip to next section)

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Q30. "How many hours do you work (unpaid) each week nowadays?"__________________________________

Q31. Look up the social class coding of the respondent at HCE (see manual) and enter here  ____________

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HOUSEHOLD COMPOSITION

"Now we've talked about work, I'd like to move on to ask about anyone who lives here with you and who does alot of your household jobs"

Q1. "Does anyone else live here with you?" 0: No 1: Yes 8: No answer 9: Not asked

INTERVIEWERS IF THE RESPONDENT LIVES ALONE FILL IN THEIR DETAILS HERE AND THEN SKIP ON TO Q3.

Q2. "Who else lives here?"Codings for sex of person : 0: Male 1: Female 2: Not applicable

Codings for age of person : 0 : 0-18 years 1: 19-64 years 2: 65+ years 3: N/A

Codings for relationship of person to respondent :0: Not applicable 1: Spouse or partner2: Parent of respondent or their spouse/partner3: Child of respondent or their spouse/partner includes in-laws and step children4: Grandchild of respondent or their spouse partner5: Sibling of respondent or their spouse partner6: Friend of respondent or their spouse/partner7: Other

SEX AGE GROUP RELATIONSHIP TO RESPONDENT

respondent 02nd person3rd person4th person5th person6th person7th person8th person(for those households with less than 8, fill in as 2, 3, 0)

Enter total number of people living here _________

Q3. "Who is the head of the household?"___________Enter no. between 0 & 7 from relationships list. If respondent lives alone/the respondent is head of the household enter '0'. Households considered to be joint code as '8'.

Q4. "How would you describe your ethnic origin (racial

background) ?" SHOW THE RESPONDENT SHOWCARD NUMBER 11 : UK White2 : White - Other3 : Uk Black4 : Black African5 : Black Caribbean

6 : Black other7 : Indian8 : Pakistani9 : Bangledeshi10: Chinese11: Other Asian12: Other (specify) ________________________________88: No answer99: Not asked

Q5."In which country were you born?"

1 : England 2 : Scotland3 : Wales4 : Ireland5 : Other European country 6 : Caribbean7 : African country8 : India / Pakistan / Bangledesh9 : North America10: Central or South America11: Australia / New Zealand12: Other (specify) ____________________________ 88: No answer99: Not asked

If 1-4 now skip to Q7.

Q6. "How long have you lived in this country ?" _____

Q7. "Was anyone else in the household born outside the UK ?" 0: No 1: Yes 8: No answer 9: Not askedIF THE ANSWER IS NO AND THE RESPONDENT LIVES ALONE SKIP TO Q10If no but they live with others skip to Q9.

Q8. "Which country(ies) do they come from originally?Enter appropriate numbers from list for Q5.

"Now I know more about your background, could you tell me a little about who does various household jobs. Firstly, ..

Q9. "Do you help anyone in the household with daily tasks like washing, dressing, shopping etc because they cannot do it for themselves?" 0: No 1: Yes 8: No answer 9: Not askedYou may ask who this is but we won't record the information Q10. "Does anyone help you with washing, dressing, shopping etc because you cannot do it yourself?" 0: No 1: Yes 8: No answer 9: Not askedYou may ask who this is but we won't record the information

Q11. "Do you help anyone outside the household with washing, dressing, shopping etc because they cannot do it for themselves?"0: No 1: Yes 8: No answer 9: Not asked You may ask who this is but we won't record the information

Q12. "Who usually does most of the housework?" 1: Respondent 2: Respondent's spouse /partner3: Other members of the household4: Person(s) outside the household5: Voluntary or statutory workers outside the household6: Shared between some or all of the above7: Nobody8: No answer9: Not asked

Q13. "And the laundry ?" __________ Enter number between 1 & 9

Q14. "The cooking ?" _____________Enter a number between 1 & 9

Q15. "And lastly the food shopping?" ______________Enter a number between 1 & 9

Q16. "Who does (the person cooking most of the meals- substitute appropriate name) cook for during a typical week?"0: No 1: Yes 7: Don't know/not sure 8: No answer9: Not asked

respondent respondent's family (resident in the same house)respondent's family (resident elsewhere)friends/neighbours other (specify)________________________________

Q17. "Who does (the person doing most of the food shopping- substitute appropriate name) shop for in a typical week?". 0: No 1: Yes 7: Don't know/ not sure 8: No answer 9: Not asked

respondentrespondent's family (resident in same house)respondent's family (resident elsewhere)friends/neighboursother (specify)__________________________________

For those living alone please skip to Q20.

"You have already mentioned that you live with (substitute name{s}/relationship{s}) could you tell me.."

Q18. "Do any of the other people living here work part or full time ?"0: No 1: Yes 8: No answer 9: Not asked(if 0, 8 or 9 skip to Q20)

Q19. "How many of them ?" ______________

Q20. "Does anyone other than yourself contribute to your housekeeping money ?" 0: No 1: Yes 2: Lives with someone who pays all expenses 8: No answer 9: Not asked

HOUSING TENURE

"I'm now going to ask you some questions about your home."

Q1. "How long have you lived in your current home?" _______

Q2. "Do you rent or own this house or flat ?"1: Own/mortgaged2: Rent3: Occupy rent free 4: Shared ownership scheme 5: House owned by relative or friend6: Other (specify)8: No answer9: Not asked

Q3. "Did you ever rent this flat or house from the council?" 0: No 1: Yes 7: Can't remember/Don't know 8: No answer 9: Not asked (if 0, 7, 8 or 9 skip to Q7)

Q4. "Did you buy it from the council?"

0: No 1: Yes 8: No answer 9: Not asked(if 0, 8 or 9 skip to Q7)

Q5."When did you buy it?"_________(code as decimal) NOW GO TO Q7

Q6. "Is your home rented fromrunning prompt : 1: Nottingham City Council or another council2: A housing association (shared ownership / flexible tenure)3: Private landlord 4: Other (please specify)_______________________7: Don't know8: No answer9: Not asked

Q7. Enter the appropriate number for the tenure of the dwelling - Check with respondent if unsure. 1 : Owner occupied2 : Shared ownership with HA 3 : Rented privately - furnished4 : - unfurnished5 : Rented with a job or business6 : Rented from a housing association7 : Rented from local authority/council 8 : Share with owner occupier who is a friend or relative 9 : Other (please specify)______________________________10: Not able to ascertain

FACILITIES FOR COOKING AND STORING FOOD

Q1. "In your current home do you have any of these appliances ?" 0: No 1: Yes 8: No answer 9: Not asked

INTERVIEWERS - HAND THE RESPONDENT SHOWCARD NUMBER 2Gas CookerElectric CookerHot running water Car Telephone Electric kettle Larder or pantry Food mixer or processor TV and radioMicrowave OvenFreezer (including an ice box)Fridge (If 1, 8 or 9 skip to Q3)

If no to fridge ask Q2. "Why is this ?" (open) - then skip to Q4

Q3. "Do you keep it stocked with food?"0: No 1:Yes 8: No answer 9: Not asked

If no to microwave ask Q4. "Why is this ?" (open)

Ask the respondent if you may place a thermometer in their fridge to take it's temperature. Explain that this is just a quick way of checking the temperature of the cavity. See manual for instructions- page 40.

If the respondent has no freezer skip to next section.

Q5. "How much food can you get in your freezer - does it take just a few small packets or is it big enough to cope with a large joint of meat or a Christmas turkey ?"1: Small packets only 2: Can cope with large items8: No answer 9: Not asked

Q6. "Do you keep your freezer stocked with food?"0: No 1: Yes 8: No answer 9: Not asked

Q7. "What star rating is your freezer ?" ____ Enter number 1-4

Q8. Did the respondent know what the rating was without looking - enter appropriate code here _____________0: No 1: Yes 8: No answer 9: Not asked

REMINDER : HAVE YOU PUT THE THERMOMETER IN THE FRIDGE ?

SOCIAL ENGAGEMENT - (Score 0-20)

"Let's move on to talk about some of your daily activities. I'll begin by asking you a few general questions."0: No 1: YesCode non-responses, not asked & don't knows as '0'.

Q1. "Have you made or received a personal telephone call to a friend or relative in the last week or so?

Q2. "Do you read a national or local newspaper or a weekly or monthly magazine?" (include TV listings magazines such as Radio Times)

Q3. "Do you attend religious services or religious gatherings or meetings at least sometimes?" 0: Rarely/ Never 1: Frequently or occasionally

Q4. "Did you vote in the last local, general or european election?"

Q5. "Have you been away on holiday in the last year or so?"

Q6. "Are you planning to go on holiday in the next year or so?"

Q7. "Do you use the public library at least occasionally?" 0: Rarely or never 1: Frequently or occasionally

Q8. "In the past month have you attended a meeting or gathering of any club, organisation, society or group ?"

Q9. "Do you have a senior citizens railcard?"

Q10. "Are you currently in full time or part time paid employment or do full or part time voluntary work?"

Q11. "In general do you have as much contact with your family and friends as you would like to?"

Q12. "Have you written or received a personal letter to a friend or relative in the last week or so ?"

Q13. "Are you able to leave your home and walk independently out of doors (with or without walking aids)?"

Q14. "In general do you get out and about as much as you would like to?"

Q15. "Do you have at least one friend living in or near this district?"

Q16. "Do you ever feel lonely?" Often scores '0', others responses score '1'

Q17. "If you needed help urgently do you know at least one friend or neighbour you would feel able to ask?" _____

ownership of telephone - fill from facilities question ____

ownership of car or van - fill from facilities question ____

ownership of TV & radio fill from facilities question ____

Q21. Add up the total BASE score and enter here later ___________________

EATING OUT/FOOD GIFTS AND EXCHANGES SECTION

Q22. "In the last month have you visited a pub?"0: No 1: Yes 7: Can't remember/don't know 8: No answer 9: Not asked (if 0,7, 8 or 9 skip to Q3)

Q1. "Do you ever have a meal or snack there?"0: No 1: Yes 7: Can't remember 8: No answer 9: Not asked(If 0,7, 8 or 9 skip to Q3)

Q2. "How many times in the past month have you had a snack or meal in a pub ?"

0 : None1 : More than once a day 2 : Daily 3 : Four to six times a week 4 : Two/three times a week 5 : Once a week 6 : Approximately once a fortnight7 : Don't know8 : No answer9 : Not asked10 : Approximately once every three weeks 11 : Once only in that month

"Now let's move on to think about some of the others places you might have eaten at recently" Q3. In the past month have you eaten out at at any of these places ...? -If 'no' code as '0'If yes prompt for how often and code accordingly0 : No1 : More than once a day 2 : Daily 3 : Four to six times a week 4 : Two/three times a week 5 : Once a week 6 : Approximately once a fortnight7 : Don't know8 : No answer9 : Not asked10 : Approximately once every three weeks 11 : Once only in that month

cafe/restaurant __________ relatives house ________

friend/neighbours'house _______ luncheon club __________

hospital canteen _______ day centre ________

Other (specify)____________________

"Apart from food eaten outside the home, I am also interested in whether you have any deliveries of food."

Q4. "Do you have any food delivered to your house (including meals on wheels)?" 0: No 1: Yes 8: No answer 9: Not asked (if 0, 8 or 9 skip to Q8)

Q5. "Who provides you with this food ?" 0: No 1: Yes 8: No answer 9: Not asked

Meals on wheels service Local shop Milkman Takeaway food outlet A friend or relative or neighbour Mobile shop Fish merchant General supplier Other (specify)___________________

Q6. "How often do you have any food delivered ?"Code the most frequently delivered food if more than one1: More than once a day2: Daily3: 4-6 times a week

4: 2-3 times a week5: Once a week 6: Less than once a week 7: Can't remember/don't know8: No answer9: Not asked

Q7. "What do you have delivered ?" 0: No 1: Yes7: Can't remember 8: No answer 9: Not asked

HAND THE RESPONDENT SHOWCARD NUMBER 3

Complete meals Meal items e.g pies, stews Fresh milk Fruit juice Eggs Yoghurt Cream Potatoes Other vegetables Fruit Fresh fish Bread Fish and chips Other takeaway food Tinned food Cheese Other (specify)______________________________

If the respondent has deliveries now skip to Q10

Q8. "Are there any food delivery services available in your area to your knowledge ?" 0: No 1:Yes 7: Don't know 8: No answer 9: Not asked (if 0, 7, 8 or 9 skip to Q10)

Q9. "Why do you not use delivery services ?" 0: No 1: Yes 8: No answer 9: Not asked

The food they sell is too expensiveThe range of food they sell is very limitedThey don't sell the portion sizes I needOther (specify)_______________________________

Q10. "Looking at the list which of these would you like to have delivered to your home if possible?"HAND THE RESPONDENT SHOWCARD NUMBER 3 AGAIN0: No 1:Yes 7:Don't know 8: No answer 9: Not asked

Complete meals Meal items e.g. pies and stewsFresh milk Fruit juiceEggs YoghurtCream PotatoesOther vegetables Fruit Fresh fish Bread Fish and chips Other takeaway food

Tinned food Cheese Other (specify)______________________________

Q11. "Does any of your food come from" : 0: No 1: Yes 8: No answer 9: Not asked

"Your garden or allotment?"Receiving food for a job done?""Exchanging food for food?""Gifts?"

GENERAL HEALTH INDEX

Score 1 for 'Yes' and 0 for 'No' Yes to any part of a question = 1Code non-response, can't remember and don't know as '0'

Q1."I'm now going to ask you some questions about your state of health at the moment and how this might have changed over the past few years, can you tell me if you suffer from

running prompt :heart trouble stomach troublegiddiness headachesincontinence (code as 2 if catheterised)poor eyesight (code as 2 if blind)arthritis or rheumatism foot troublesleep problems

and have you fallen in the past year ?

are you housebound or have trouble walking even with a walking aid ? do you suffer from any long term illness ?

do you use prescribed medications(other than for sleeping)?

have you seen a GP or a nurse or attended an out-patients dept in the last month ?

Add up the GHI score and enter here  ______

Q2. "Are you also troubled by any of the following ?"0: No 1: Yes 7: Don't know 8: No answer 9: Not askedHAND THE RESPONDENT SHOWCARD NUMBER4

Fainting spells High blood pressureA mild or full stroke Hearing lossChest pains A hiatus herniaDiabetes Coeliac disease (pronounced Seeleeack)Crohn's disease A gastric ulcerBowel cancer ConstipationDiarrhoea NauseaVomitingShortness of breath or breathing difficulties

DRUG USAGE

"I'd now like to ask you a few questions on any medication you might have had from a doctor or bought for yourself over the counter .."

Q1. "Are you taking any medicines prescribed for you by a doctor?" 0: No 1: Yes 7: Can't remember 8: No answer 9: Not asked (If 0, 7, 8 or 9 skip to Q3)

Q2. "How many different kinds of medicine?"________________

Q3. "Are you taking any medicines that were prescribed for someone else, say your (spouse/sister etc substitute appropriate name) for example ?"0: No 1: Yes 7: Can't remember 8: No answer 9: Not asked (If 0, 7, 8 or 9 skip to Q5) Q4. "How many different kinds?" ____________________

Q5. "Are you regularly taking any drugs you have bought over the counter without a prescription ?"0: No 1: Yes 7: Can't remember 8: No answer 9: Not askedIf 0, 7, 8 or 9 skip to filling in total number of drugs taken

Q6. "How many different kinds?" ____________

Enter total number of drugs taken by the respondent ________IF THIS = 0 GO TO Q7 ON SUPPLEMENTS

NAME DOSE FREQUENCYdrug1

drug2

drug3

drug4

drug5

drug6

drug7

drug8

If the respondent takes any other drugs please enter details here

___________________________________________________________________

___________________________________________________________________

If any of the drugs have special instructions e.g. they have to be taken on an empty stomach, with food or with water please note thedetails here

DRUG NAME INSTRUCTIONS

Code later according to British National FormularyQ7. "Do you ever take any of these drinks or tablets ?"0: No 1: Yes 7: Can't remember 8: No answer 9: Not asked

HAND THE RESPONDENT SHOWCARD NUMBER 5

A meal replacement drink like 'Complan' Fibre tablets or bran A tonic drink such as 'Sanatogen' Lecithin (Lessy-thin)Multivitamin tablets Cod liver oilIron tablets Garlic capsulesMineral supplements like calcium Other (specify) ___________Vitamin C tablets or drinks

Ask to see these if unclear.If no to all, skip to next section.Q8. "Why do you take this/these ?" (open)

USE OF HEALTH AND SOCIAL SERVICES

Q1. "Now I would like you to tell me if you have seen any of the following people in the last six months"

"Your General Practitioner/family doctor""A Community/District Nurse" (may call this a liaison nurse)"A Health Visitor""A Home Help""A Social Worker""A Chiropodist"

0: No 1: Within last week 2: Within last month3: Within the last six months 7: Can't remember8: No answer 9: Not asked

DENTITION

Q1."In the last three months have you had any problems chewing any foods because of problems with your teeth, mouth or dentures ?" 1 : Very often 2 : Fairly often 3: Occasionally 4 : Hardly ever 5 : Never 7 : Can't remember 8 : No answer 9 : Not asked(if 4-9 skip to Q4)

Q2. "Why is this ?" (open)

Q3. "What foods have you had difficulty chewing ?" (open)

Q4. "Do you have sensitive teeth for example due to hot and cold drinks ?"1 : Very often 2 : Fairly often 3 : Occasionally4 : Hardly ever 5 : Never6 : Not applicable - no natural teeth 7 : Can't remember8 : No answer 9 : Not asked

Q5. "Have you had toothache in the last three months?"

1 : Very often 2 : Fairly often 3 : Occasionally4 : Hardly ever 5 : Never6 : Not applicable - no natural teeth 7 : Can't remember8 : No answer 9 : Not asked

Q6. "Have you had painful gums in the last three months?" 1: Very often 2: Fairly often 3: Occasionally4: Hardly ever 5: Never 7: Can't remember8: No answer 9: Not asked

Q7. "In the last three months have you had to avoid eating any foods because of problems with your teeth, mouth or dentures ?" 1: Very often 2: Fairly often 3: Occasionally4: Hardly ever 5: Never 7: Can't remember8: No answer 9: Not asked (if 4-9 skip to next section)

Q8. "Why is this ?" (open)

Q9. "Which foods have you avoided ?" (open)

APPETITE

"Thinking more specifically about how much and what you've eaten recently.."

Q1. "How has your appetite been in the last month?"1: Very good 5: Very poor2: Good 7: Can't remember3: Fair 8: No answer4: Poor 9: Not asked

Q2. "Do you enjoy your food as much as you used to?"0: No 1: Yes 7: Not sure/Don't know 8: No answer9: Not asked

Q3. "Have any of the following affected your eating habits in the last year ?"0: No 1: Yes 7: Don't know 8: No answer 9: Not askedrunning prompt :

Change in appetite Change in the taste or smell of food A health problem Change in living situation No longer prepare my own meals Low mood Change in financial status Retirement from work Other (please describe)__________________________________

Q4. "Compared with a year ago would you say you have been eating more, less or the same of these foods?"1: More 2: Less 3:Same 7: Don't know 4: Have never eaten 8: No answer 9: Not askedrunning prompt - remind respondent of the options e.g. 'the first is red meat, would you say you've eaten more, less or the same compared with a year ago?'

Red meat (beef, lamb, pork) Chicken and turkeyEggs Fresh fishFrozen or tinned fish Fresh vegetables Frozen or tinned vegetables SaladsFresh fruit Fruit juice (not squash)Frozen or tinned fruit White breadBrown or wholemeal bread Rice / pastaFull cream milkSkimmed or semi-skimmed milk Food in generalSugar SaltButter MargarineLow fat spreads Sweets and confectionery

If the respondent offers reasons for changes note them overleaf

SPECIAL DIETS

Q1. "Are you watching what you eat ?" 0: No 1: Yes 8: No answer 9: Not asked

Q2. "Is there anything you avoid eating ?" 0: No 1: Yes 8: No answer 9: Not askedIf 0, 8 or 9 skip to Q5 unless the respondent lives alone.In this case skip to the next section.

Q3. "What is this ?" (open question)

Q4. "Why do you avoid it ?" (open)

Q5. "Does anyone living in the house other than yourself watch what they eat?" 0: No 1: Yes 8: No answer 9: Not asked(If No skip to next section)

Q6. "How do they watch what they eat (What are they careful about)?" (open)

Q7. "Why do they watch what they eat?" 0: No 1: Yes 8: No answer 9: Not asked

They want to lose weight They want to follow a healthier diet They have a health problem They follow religious rules on food They follow their country's traditional diet They object to eating certain food on humanitarian or ethical grounds Don't know Other ________________________________________________

Q8. "If someone is watching what they eat, does this affect what anyone else in the household eats as well?" 0: No 1: Yes 8: No answer 9: Not asked(If 0, 8 or 9 skip to next section)

Q9. "How does it affect them?" (open)

ABILITY TO PREPARE/SHOP FOR FOOD

"The next section looks at how some every day household tasks are carried out in your household"

Q1. "Do you carry your bags of shopping yourself ?"0: No 1: Yes 2: Uses a trolley 8: No answer 9: Not askedIf yes skip to Q4.

Q2. "Could you carry your shopping if you had to ?"0: No 1: Yes 8: No answer 9: Not asked

Q3. "Who usually carries your shopping for you?"1 : Spouse/partner 2 : Neighbour/Friend3 : Son/daughter4 : Son/daughter-in-law5 : Other relative6 : Home help or other social service7 : Can't remember8 : No answer9 : Not asked10: Other (specify)_____________________________________11: No help available77: Not applicable to respondent

Q4. "Do you wash small amounts of clothing by hand yourself?"0: No 1: Yes 2: Not applicable 8: No answer 9: Not askedIf yes skip to Q7

Q5. "Could you wash clothing by hand if you needed to?"0: No 1: Yes 8: No answer 9: Not asked

Q6. "Who usually does any hand washing for you?"1 : Spouse/partner 2 : Neighbour/Friend3 : Son/daughter4 : Son/daughter-in-law5 : Other relative6 : Home help or other social service7 : Can't remember8 : No answer9 : Not asked10: Other (specify)_____________________________________11: No help available77: Not applicable to respondent

Q7. "Can you open screw top jars or bottles yourself?"

0: No 1: Yes 2: Not applicable 8: No answer 9: Not askedIf yes skip to Q10

Q8. "Could you open a jar or bottle yourself if you needed to?" 0: No 1: Yes 8: No answer 9: Not asked

Q9. "Who usually opens jars or bottles for you?"Use same codes as Q6

Q10. "Can you open a carton of juice or milk yourself?"0: No 1: Yes 2: Not applicable 8: No answer 9: Not askedIf yes skip to Q13

Q11. "Could you open a carton yourself if you had to?"0: No 1: Yes 8: No answer 9: Not asked

Q12. "Who usually opens cartons for you? Use same codes as Q6

Q13. "Can you cook a main meal yourself in other words a main item plus at least two vegetables?" 0: No 1: Yes 8: No answer 9: Not askedIf Yes skip to Q16

Q14. "Could you cook a meal for yourself if you needed to?" 0: No 1: Yes 8: No answer 9: Not asked

Q15. "Who usually cooks your main meals for you?"Use same codes as Q6

Q16. "Can you fry food using a fry pan for yourself?"0: No 1: Yes 2: Not applicable 8: No answer 9: Not askedIf yes skip to Q19

Q17. "Could you fry food for yourself if you needed to?" 0: No 1: Yes 8: No answer 9: Not asked

Q18. "Who usually does any frying for you?"1 : Spouse/partner 2 : Neighbour/Friend3 : Son/daughter4 : Son/daughter-in-law5 : Other relative6 : Home help or other social service7 : Can't remember8 : No answer9 : Not asked10: Other (specify)_____________________________________11: No help available

77: Not applicable to respondent

Q19. "Can you make a cup of tea for yourself?"0: No 1: Yes 2: Not applicable 8: No answer 9: Not askedIf yes skip to Q22

Q20. "Could you make one if you needed to?" 0:No 1: Yes 8: No answer 9: Not asked

Q21. "Who usually makes you cups of tea for you?"Use same codes as Q18

Q22. "Can you open tins of food yourself (without using an electric can opener)?"0: No 1: Yes 2: Not applicable 8: No answer 9: Not askedIf yes skip to next section

Q23. "Could you open a tin of food if you needed to?" 0:No 1: Yes 8: No answer 9: Not asked

Q24. "Who usually opens tins of food for you?"Use same codes as Q18

SHOPPING FOR FOOD

Q1. "Have you been food shopping in the last week?" 0: No 1: Yes 8: No answer 9: Not asked(If yes skip to question 3)

Q2. "When was the last time you went food shopping ?"Use list as a running prompt if necessary 1 : Less than a week ago 2 : Between one and two weeks ago 3 : Between two and three weeks ago 4 : Between three and four weeks ago 5 : Four weeks ago 6 : More than four weeks ago7 : Can't remember 8 : No answer 9 : Not asked 10: Don't do food shopping - not applicable If 7-10 skip to Q4.

Q3. "How many times did you go shopping for food that week?"

Use list as a running prompt if necessary 1: More than once a day2: Once a day3: 4-6 times 4: 2-3 times 5: Once

7: Can't remember 8: No answer 9: Not asked

Q4. "Did anyone else do any shopping for you ?" 0: No 1: Yes 7: Can't remember 8: No answer 9: Not asked(If 0, 7, 8 or 9 skip to Q6)

Q5. "Who was this ?" 1: Friend or neighbour 2: Relative 3: Spouse/partner 4: Home help or other care worker 5: Other (specify) _____________________________ 6: More than one person 7: Can't remember 8: No answer 9: Not asked

Q6. "Did you shop for anyone else ?"0: No 1: Yes 7: Can't remember 8: No answer 9: Not asked(If 0, 7, 8 or 9 skip to Q8)IF THE RESPONDENT DOES NOT SHOP FOR THEMSELVES OR ANYONE ELSE PLEASE SKIP TO NEXT SECTION

Q7. "Who was this ?"

1: Friend or neighbour2: Relative 3: Spouse/partner 4: Other 5: More than one person 7: Can't remember8: No answer9: Not asked

Q8. "Did you go shopping with anyone ?:" 0: No 1: Yes 7: Can't remember 8: No answer 9: Not asked(If 0, 8 or 9 skip to Q10)

Q9. "Who was this ?" 1: Friend or neighbour

2: Spouse/partner3: Relative4: Other (specify)___________________5: More than one person7: Can't remember8: No answer9: Not asked

Q10. "Did anyone make a list of what to buy when you went food shopping ?"0: No 1: Yes 7: Can't remember 8: No answer 9: Not asked(If 0, 7, 8 or 9 skip to Q12)

Q11. "Who made out the list ?"

1: Respondent only2: Respondent and spouse/partner only3: Whole household (respondent, spouse/partner plus at least one other person) 4: Spouse/partner of respondent only5: Other members of the household only (not respondent or spouse/partner)6: Someone else (specify)_______________________ 7: Can't remember8: No answer9: Not asked

Q12. "Which shop did you buy most of your food from?" (open)

Q13. "Why did you chose to shop there ?" (open)

Q14. "Do you usually shop there ?" 0: No 1: Yes 8: No answer 9: Not askedQ15. "Did you use any of these other shops FOR FOOD SHOPPING in that week ?"HAND THE RESPONDENT SHOWCARD NUMBER 60: No 1: Yes 7: Can't remember 8: No answer 9: Not asked

Farm shop Pick your own farmButcher Bakery/ ConfectionersGreen grocer FishmongerGeneral corner store Mini-marketOff- license NewsagentMarket Frozen food store e.g. Iceland/ Farm Foods

Kwik Save Aldi Lo-Cost SparNetto Happy ShopperMarks and Spencer Asda Sainsbury Tesco Safeway Cooperative Morrisons Chemist e.g. BootsOther (specify)

MOBILITY"I would like to now ask you a few questions about how you get around on foot"

Q1. "Do you use a walking aid?" 0:No 1: Yes 8: No answer 9: Not askedIf 0, 8 or 9 skip to Q3

Q2. "What is this ?" 1: Frame 2: Stick 3: Other 4: More than one (If 3 or 4 specify which)__________________________________

Q3. "Do you have any kind of ailment which affects your walking ?" 0: No 1: Yes 8: No answer 9: Not asked(If 0, 8 or 9 skip to Q5)

Q4. "What is this ?"__________________________________

Q5. "Which of the following would you say best describes your walking speed ?"If respondent is obviously severely disabled do not show card - fill in as '1'

HAND SHOWCARD NUMBER 7 TO THOSE WHO ARE NOT OBVIOUSLY SEVERELY DISABLED

1: Severely disabled/extremely slow2: Very slow 3: Stroll at an easy pace4: Normal speed5: Fairly briskly6: Fast7: Don't know 8: No answer9: Not asked

Q6. Could you walk to the nearest food shop if you needed to (using a walking aid if necessary)? 0: No 1: Yes 2: No food shop within walking distance 7: Don't know 8: No answer 9: Not asked

TRANSPORT AND ACCESSIBILITY

"I'd like to ask you a few questions on transport and how you get around, particularly when you are going shopping"

Q1. "Do you own a car ?" 0: No 1: Yes 8: No answer 9: Not asked (If 0,8 or 9 skip to Q9)

Q2. "Do you drive it ?" 0: No 1: Yes 8: No answer 9: Not asked (If 1, 8 or 9 skip to Q12)

Q3. "Does anyone else drive it for you ?" 0: No 1: Yes 8: No answer 9: Not asked (If 0, 8 or 9 skip to Q9)

Q4. "Who is this ?" 1: Spouse/partner 2: Friend or neighbour 3: Son or daughter 4: Son or daughter in law 5: Sibling 6: Someone else 7: More than one person 8: No answer 9: Not asked Q5. "Does this affect when (which day/week) you can go shopping ?" 0: No 1: Yes 7: Don't know 8: No answer 9: Not askedIf 0, 7, 8 or 9 skip to Q7

Q6. "How is this ?" (open)

Q7. "Does this affect how often (how many times) you can go shopping ?" 0: No 1: Yes 7: Don't know 8: No answer 9: Not askedIf 0, 7 8, or 9 skip to Q9

Q8. "How is this ?"

Q9. "Are you able to use someone else's car?" 0: No 1: Yes 7: Not sure 8: No answer 9: Not asked(If 0, 7, 8 or 9 skip to Q14)

Q10. " And are you limited as to when (which day/week) you can use their car ?" 0: No 1: Yes 7: Don't know 8: No answer 9: Not asked

Q11. "Are you limited as to how often (how many times) you can use their car?" 0: No 1: Yes 7: Don't know 8: No answer 9: Not asked

Q12. "Do you use the car for food shopping ?" 0: No 1: Yes 8: No answer 9: Not asked(If 1, 8 or 9 skip to Q14)

Q13. "Why do you not use the car to shop ?" 0: No 1: Yes 8: No answer 9: Not asked Shops are close enough to go on footPetrol too expensive Cheaper to use public transport Can't park easily Car is unreliable Other (specify)______________________________________Don't do the food shop If yes skip to Q20

Q14. "Do you ever use other forms of transport for food shopping?" 0: No 1: Yes 8: No answer 9: Not asked(If 0, 8 or 9 skip to Q20)

Q15. "What do you use ?" 0: No 1: Yes 8: No answer 9: Not asked Public bus service Bus service run by a supermarket Train Taxi company Dial-a-ride Other (specify) ________________

Q16. "Do you use the same form of transport to go to the shops as you do to get home after shopping ?" 0: No 1: Yes 8: No answer 9: Not asked(If 1, 8 or 9 skip to Q18)

Q17. "Why is this ?" (open)

Q18. "Are you satisfied with the mode(s) of transport you use ?" 0: No 1: Yes 8: No answer 9: Not asked(if yes skip to Q20)

Q19. "What aspect(s) are you dissatisfied with ?" (open)

Q20. "How would you usually get to your nearest post office?" 1 : walk 6 : taxi 2 : bus 7 : dial-a-ride 3 : train 8 : other 4 : car (own) 9 : someone else goes 5 : car (someone else's) 88: No answer 99: Not asked

Q21. "How long would it usually take you to get there ?" 1: Less than five minutes 2: Five to ten minutes 3: Ten to fifteen minutes 4: Fifteen - thirty minutes 5: More than thirty minutes 6: Not applicable 7: Don't know / Can't remember 8: No answer 9: Not asked

Q22. "Thinking now about the shop you get most of your food from, how would you usually get there ?"

1 : walk 2 : bus 3 : train 4 : car (own) 5 : car (someone else's) 6 : taxi 7 : dial-a-ride

8 : other 9 : someone else goes 88: no answer 99: not asked

Q23. "And how long would it take?"

1: Less than five minutes 2: Five to ten minutes 3: Ten to fifteen minutes 4: Fifteen - thirty minutes 5: More than thirty minutes 6: Not applicable 7: Don't know / Can't remember 8: No answer 9: Not asked Q24. "How would you get to your doctors' surgery ?" 1 : walk 2 : bus 3 : train 4 : car (own) 5 : car (someone else's) 6 : taxi 7 : dial-a-ride 8 : other 9 : someone else goes 10: not applicable - home visits only 88: no answer 99: not asked

Q25. "How long would it take you to get there ?"

1: Less than five minutes 2: Five to ten minutes 3: Ten to fifteen minutes 4: Fifteen - thirty minutes 5: More than thirty minutes 6: Not applicable 7: Don't know / Can't remember 8: No answer 9: Not asked

HEALTH BEHAVIOURS

SMOKING

"The next few questions are about whether you smoke and if so, how

much."

Q1. "Do you currently smoke regularly - that is at least once a day?" 0: No 1:Yes 8: No answer 9: Not askedIf 0, 8 or 9 skip to Q3

Q2. "How many cigarettes/cigars/pipes do you smoke per day?" _________________

Q3. "Have you ever smoked regularly - at least once a day ?" 0: No 1: Yes 8: No answer 9: Not askedIf 0, 8 or 9 skip to next section

Q4. "How many years ago did you stop smoking ?" _____

Q5. "Why did you stop smoking?" (open)

DRINKING

"I am now going to ask you a few questions about what you drink, that is if you do drink at all"

Q1. "Do you ever drink alcohol nowadays, including drinks that you make or brew at home?" 0: No 1: Yes 8: No answer 9: Not askedIf yes skip to Q3

Q2. "Could I just check whether you ever have an alcoholic drink nowadays, or do you have an alcoholic drink occasionally - perhaps for medicinal purposes or on social occasions like Christmas ?" 0: No 1: Yes 8: No answer 9: Not askedIf 0, 8 or 9 skip to Q5

Q3. "Do you ever drink alcohol in you tea or coffee?" 0: No 1: Yes 8: No answer 9: Not asked

Q4. "How often do you usually drink alcohol ?"Use as running prompt if necessary

1: Occasionally2: One - three times a week3: Four-six times a week4: Daily

5: Several times a day8: No answer9: Not asked

INCOME

"I realise that money is a very personal matter but it is very important for us to know how much money people have to spend on their food. It will help us to make sense of the answers you have given us earlier on your eating and shopping habits. Could I just ask a question on how much money you have coming into the house - any information you give us is strictly in confidence."

Q1. "Which of the following would you say best describes your own or your household income per week ? This includes income from earnings, your state and/or private pension, other benefits, savings and investments."

EITHER HAND THE RESPONDENT SHOWCARD FOR SINGLE PERSON (8A)1: Up to 55 per week 2: 55 - 64.993: 65 - 74.994: 75 - 99.995: 100 - 149.996: 150 - 199.997: 200 - 299.998: 300 - 5009: 500 +If the respondent answers 9 probe to get an estimateEnter here _______________77: Don't know/not sure88: No answer99: Not asked

OR HAND THEM THE SHOWCARD FOR COUPLES/FAMILIES (8B)1 : Up to 85 per week 6 : 200 - 299.992 : 85 - 99.99 7 : 300 - 499.993 : 100 - 129.99 8 : 500 - 599.994 : 130 - 149.99 9 : 600+5 : 150 - 199.99If the respondent answers 9 probe to get an estimateEnter here __________77: Don't know/not sure88: No answer 99: Not asked

Q2. "Do you get a State pension?" 0: No 1: Yes 7:Not sure/don't know 8:No answer 9: Not asked

Q3. "Do you get any of these other benefits" 0: No 1: Yes 7: Don't know / not sure 8: No answer 9: Not asked 77: Not appropriate Use as running prompt (Skip those that are obviously inappropriate)

Income SupportHousing BenefitInvalidity BenefitSevere Disablement AllowanceInvalid Care AllowanceWidows PensionAttendance AllowanceDisability Living Allowance

Q4. "And do you have any of these other sources of income?" 0: No 1: Yes 7: Don't know/ not sure 8: No answer 9: Not asked

Use list as a running prompt

Your own occupational pensionAn occupational pension taken out by your spouseOther personal pensions such as a private schemeEarnings Income from investmentsOther regular income or gifts of money

Q5. "Leaving out the value of your home if you own it, what would you say is the value of your savings ?"HAND THE RESPONDENT SHOWCARD NUMBER 9

0 : No savings1 : Up to 2,999.992 : 3,000 - 4,999.993 : 5,000 - 7,999.994 : 8,000 - 9,999.995 : 10,000 - 14,999.996 : 15,000 - 24,999.997 : 25,000 - 49,999.998 : Over 50,00077: Respondent doesn't know or isn't sureIf the respondent answers 8. Probe to get an estimate. Enter Here ________________

Q6. "How would you describe your financial situation?"HAND THE RESPONDENT SHOWCARD NUMBER 101 : Well off2 : Comfortable

3 : Enough to get by4 : A bit hard pressed5 : Hard up 8: No answer6 : Very hard up 9: Not asked

Q7. "Do you usually have enough money for food all week?" 0: No 1: Yes 7: Don't know/not sure 8: No answer 9: Not asked

Q8. "Have you missed a meal in the past month because you have been short of money?" 0: No 1: Yes 7: Don't know/ not sure 8: No answer 9: Not askedIf 0, 7, 8 or 9 skip to Q10.

Q9. "How often did you miss a meal?" (open)

Q10. "Which one of these items is the most important in your budget?"HAND THE RESPONDENT SHOWCARD NUMBER 11

SHOWCARD 111 : Rent/mortgage2 : Fuel bills3 : Food4 : Telephone5 : Going out6 : Clothes for self10 : Television11 : Alcohol/cigarettes12 : Clothes for family13 : Transport14 : Hire purchase payments/loans7 : Don't know/not sure8 : No answer9 : Not asked15 : Other

Q11. "Do you use any of the following budgeting schemes to pay for your bills?" 0: No 1: Yes 7:Don't know/not sure 8: No answer 9: Not asked

Running promptElectricity Board Budget Scheme/Electricity StampsBritish Gas Budget Scheme/Gas StampsTelephone StampsTelevision StampsOther (specify) ________________________________

Q12. "Do you have a set amount of money that you put aside for food each week or each month?" 0: No 1: Yes 7: Don't know/not sure 8: No answer 9: Not asked

LIFE SATISFACTION INDEX

"Moving on from finance, I'd like to ask you a few questions about your satisfaction with your lifestyle. I would like you to listen to the following statements about your feelings and tell me whether you agree or disagree with them or whether you aren't sure."

HAND THE RESPONDENT SHOWCARD NUMBER 12

SCORE Agree Disagree DK Q1. "As I grow older things seem better than I thought they would be" 2 0 1

Q2. "I have had more chances in life than most people I know" 2 0 1

Q3. "This is the dreariest time of my life" 0 2 1

Q4. "I am just as happy as when I was younger" 2 0 1

Q5. "These are the best years of my life" 2 0 1

Q6. "Most of the things I do are boring or monotonous" 0 2 1

Q7. "The things I do are as interesting as they ever were" 2 0 1

Q8. "As I look back on my life I am fairly well satisfied" 2 0 1

SCORE Agree Disagree DK Q9. "I have made plans for things I'll be doing in a month or year from now" 2 0 1

Q10. "When I look back on my life I didn't get most of the important things I wanted" 0 2 1

Q11. "Compared with other people I get down in the dumps too often" 0 2 1

Q12. "I've got pretty much what I expected out of life" 2 0 1

Q13. "In spite of what people say the life of the average person is getting worse not better" 0 2 1

Q14. Add up score from LSI and enter here later ______________

COOKING SKILLS

Q1. "Have you ever taken a cookery course ?" 0: No 1: Yes 7: Can't remember/not sure 8: No answer 9: Not asked

Q2. "Have you ever been taught to cook by a friend or relative?" 0: No 1: Yes 7: Can't remember/not sure 8: No answer 9: Not asked

Q3. "Have you ever had a job which involved cooking?" 0: No 1: Yes 7: Can't remember/not sure 8: No answer 9: Not asked Q4. "In the past month have you read or bought food magazines?" 0: No 1: Yes 7: Can't remember/not sure 8: No answer 9: Not asked

Q5. "Do you watch cooking or food programmes on television?" 0: No 1: Yes 8: No answer 9: Not asked If 0, 8 or 9 skip to Q7

Q6. "Which ones ?" (open)

Q7. "Do you use the information sheets and/or recipe sheets in food stores?" (show examples) 0: No 1: Yes 8: No answer 9: Not asked If the respondent lives alone skip to Q14

Q8. "Has anyone else in the house taken a cookery course?" 0: No 1: Yes 7: Can't remember/not sure 8: No answer 9: Not asked

Q9. "Has anyone else in the house been taught to cook by a relative or friend?" 0: No 1: Yes 7: Can't remember/not sure 8: No answer 9: Not asked

Q10. "Has anyone else in the house had a job which involved cooking?" 0: No 1: Yes 7: Can't remember/not sure 8: No answer 9: Not asked

Q11. "Does anyone else in the house read or buy food magazines?" 0: No 1: Yes 7: Can't remember/not sure 8: No answer 9: Not asked

Q12. "Does anyone else in the house watch food programmes on television?" 0: No 1: Yes 7: Can't remember/not sure 8: No answer 9: Not asked (If 0, 7, 8 or 9 skip to Q14)

Q13. "Do you know what these are?" If the respondent doesn't know write this in

Q14. "Could you make scrambled egg/cheese on toast yourself ?" 0: No 1: Yes 7: Don't know/not sure 8: No answer 9: Not asked Q15. "Could you make shepherd's/cottage pie yourself?" 0: No 1: Yes 7: Don't know/not sure 8: No answer 9: Not asked

Q16. "Could you make a main meal for yourself such as (chicken/chop/steak), boiled potatoes, (cabbage/sprouts)? 0: No 1: Yes 7: Don't know/not sure 8: No answer 9: Not asked

Q17. "Could you make a sponge cake or sponge pudding yourself?" 0: No 1: Yes 7: Don't know/not sure 8: No answer 9: Not asked

Record the time the interview finished ___________

PHYSICAL MEASURES

(weight)Record weight in kg ___________________________(use three digits i.e. 60 kg = 060)IF RESPONDENT REFUSES CODE AS 999

(span) Record demi span for BMI ________________________(code as recorded - see manual)IF RESPONDENT REFUSES CODE AS 999

REMINDER : RETRIEVE THE FRIDGE THERMOMETER(TEMP) RECORD THE TEMPERATURE IN DEGREES CENTIGRADE HERE ______IF RESPONDENT REFUSES CODE AS 99. IF FRIDGE IS NOT WORKING CODE AS 77.

NOTE HERE ANY QUERIES YOU HAVE WITH REGARD TO RESPONSESWRITE THE SECTION TITLE (E.G.'CAPE SCORE') AND THE QUESTION NUMBER BEFORE JOTTING DOWN THE QUERY.

NOTE HERE ANY ALTERATIONS YOU MADE TO THE ADMINISTRATION OF THE QUESTIONNAIRE. WRITE DOWN THE SECTION HEADING AND THE QUESTION NUMBER BEFORE ADDING DETAILS OF THE ALTERATION