The Scottish Health Survey 2011 - volume 3: technical report

Scottish Health Survey 2011 - Nurse Interview

Household grid

PERSON to interview at stage 2 are usually transmitted directly from the interview data to the nurse CAPI program. There is also a facility for nurses to key this information directly from the Nurse Record Form, for example if the nurse visit follows too quickly from the interview to allow the automatic transmission to take place.

[Person]*
Person number of person who was interviewed
Range 01..12

[Name]*
Name of person who was interviewed

[Sex]*
Sex of person who was interviewed
1 Male
2 Female

[Age]*
Age of person who was interviewed
Range 2..120

[OC]*
Interview outcome of person who was interviewed
1 Agreed Nurse Visit
2 Refused Nurse Visit

[AdrField]*
PLEASE ENTER THE FIRST TEN CHARACTERS OF THE FIRST LINE OF THE ADDRESS TAKEN FROM N.R.F. ADDRESS LABEL.
MAKE SURE TO TYPE IT EXACTLY AS IT IS PRINTED:
Text: Maximum 10 characters

[HHDate]*
NURSE: ENTER THE DATE OF THE ORIGINAL HOUSEHOLD INTERVIEW FROM Q2 ON THE NRF (OR INTERIM APPOINTMENT RECORD).

[OpenDisp]*
HERE ARE THE PEOPLE AT THIS HOUSEHOLD WHO HAVE BEEN SEEN BY THE INTERVIEWER (NB. N/Y UNDER Nurse MEANS 'Not yet interviewed', N/E MEANS 'Not eligible for nurse visit')
No Name Sex Age Nurse
PRESS 1 AND <Enter> TO SEE WHICH NURSE SCHEDULE TO SELECT FOR EACH PERSON.

[SchDisp]*
TO INTERVIEW EACH PERSON, PRESS <Ctrl+Enter> AND SELECT THE CORRESPONDING NURSE SCHEDULE AS LISTED BELOW.
No Name Sex Age Nurse Nurse Schedule
PRESS <Ctrl+Enter> TO SELECT A NURSE SCHEDULE FOR THE PERSON YOU WANT TO INTERVIEW, OR TO QUIT THIS FORM.
NURSE: Please point out to respondents that there are a few questions that some people might find sensitive. You will be pointing this out again to respondents at the beginning of the section but give people the option to complete the whole session in private if they wish.

Introduction

IF OC = 1 'Agreed nurse visit' THEN
[Info]*
You are in the Nurse Schedule for…
Person Number:
Name:
Age:Sex:
Can you interview this person? TO LEAVE THIS SCHEDULE FOR NOW, PRESS <Ctrl Enter>
1 Yes, I will do the interview now
2 No, I will not be able to do this interview

IF OC=2 'Refused nurse visit' THEN
[RefInfo]*
NURSE: (Name of respondent) IS RECORDED AS HAVING REFUSED A NURSE VISIT. PLEASE CHECK IF (he/she)HAS CHANGED (his/her) MIND.
1 Yes, (now/this person) agrees nurse visit
2 No, (still refuses/this person will not have a) nurse visit

ASK ALL WITH A NURSE VISIT (Info = Yes OR RefInfo = Yes, agrees nurse visit)

[StrtNur]*
ENTER THE START TIME OF THE INTERVIEW IN HOURS AND MINUTES USING THE 24-HOUR CLOCK (E.G. 17:30)

[DateOK]*
NURSE: TODAY'S DATE ACCORDING TO THE LAPTOP IS (DATE)
IS THIS THE CORRECT DATE?

[Intro]*
I am going to be asking some questions and taking some measurements during my visit which some people may find sensitive, or might prefer to be carried out in private.
NURSE: You do not need to insist that the visit takes place in private but where practical it is better for the respondent to see you on (his/her) own.
Press <1> and <Enter> to continue.

[NDoBD]*
Can I just check your date of birth?
NURSE: ENTER DAY, MONTH AND YEAR OF RESPONDENT'S DATE OF BIRTH SEPERATELY
ENTER THE DAY HERE

[NDoB]*
NURSE: ENTER THE CODE FOR THE MONTH OF RESPONDENT'S DATE OF BIRTH
1 January
2 February
3 March
4 April
5 May
6 June
7 July
8 August
9 September
10 October
11 November
12 December

[NDoBD]*
NURSE: ENTER THE YEAR OF RESPONDENT'S DATE OF BIRTH.

[HHage]*
Age of respondent based on Nurse entered date of birth and date at time of household interview.
Range: 0..120

[DispAge]*
CHECK WITH RESPONDENT: So your age is (computed age)?
1 Yes
2 No

IF (Age of respondent is 16 to 49 years) AND (Sex = Female) THEN
[PregNTJ]
Can I check, are you pregnant at the moment?
1 Yes
2 No

IF (PregNTJ = Yes) THEN
[PregMes]*
RESPONDENT IS PREGNANT. NO MEASUREMENTS TO BE DONE. ENTER '1' TO
CONTINUE.
1 Continue

Prescribed Medicines and Drug Coding

ASK ALL WITH A NURSE VISIT
[MedCNJD]
Are you taking or using any medicines, pills, syrups, ointments, puffers or injections prescribed for you by a doctor or a nurse?
1 Yes
2 No

IF (MedCNJD = Yes) THEN
[MedIntro]*
Could I take down the names of the medicines, including pills, syrups, ointments, puffers or injections, prescribed for you by a doctor?
NURSE: Include the contraceptive pill
1 Continue

Questions MedBI-MedBIC repeated for up to 22 drugs

IF (MedCNJD = Yes) OR (MedBIC = Yes) THEN
[MedBI] (Variable names: Medbi01 - Medbi22)
NURSE: Enter name of drug number (number).
Ask if you can see the containers for all prescribed medicines currently being taken.
If Aspirin, record dosage as well as name.
Text: maximum 50 characters

[MedBIA] (Variable names: MedBIA-MedBIA22)
Have you taken or used (name of drug) in the last 7 days?
1 Yes
2 No

[MedBIC]*
NURSE CHECK: Any more drugs to enter?
1 Yes
2 No

IF MedCNJD = Yes THEN
[DrCod1]*
NURSE: To do the drug coding now, press <Ctrl + Enter>, select DrugCode [schedule no] with the highlight bar and press <Enter>.
Else, enter '1' to continue.
1 Continue

Drug coding block

[DIntro]*
NURSE: PLEASE COMPLETE DRUG CODING FOR
Person (person no.) (person name).
PRESS 1 AND <Enter> TO CONTINUE.
1 Continue

Repeat for up to 22 drugs coded, variable names DrCd - DrCd18

[DrC1]*
NURSE: ENTER CODE FOR (name of drug) ENTER 999999 IF UNABLE TO CODE
Text: Maximum 6 characters

FOR each drug at Medbi01 - Medbi18,
IF Drug code begins with 02 THEN
[YTake]
Do you take (name of drug) because of a heart problem, high blood pressure or for some other reason?
1 Heart problem [YTake011-YTake181]
2 High blood pressure [YTake012-YTake182]
3 Other reason [YTake013-YTake183]

IF YTake1 = Other THEN
[TakeOth1]*
NURSE: GIVE FULL DETAILS OF REASON(S) FOR TAKING (name of drug):
Text: Maximum 255 characters

Vitamin supplements

ASK ALL WITH A NURSE VISIT
[VitTake]
At present, are you taking any vitamins, fish oils, iron supplements, calcium, other minerals or anything else to supplement your diet or improve your health, other than those prescribed by your doctor?
NURSE: ONLY INCLUDE SUPPLEMENTS WHICH ARE TAKEN OVER A LONG PERIOD OF TIME. DO NOT INCLUDE ANYTHING TAKEN ON A MORE TEMPORARY BASIS. E.G. TO CURE A COLD.
1 Yes
2 No

IF VitTake=Yes THEN
[Vitamin]
What are you taking?
NURSE: CODE ALL THAT APPLY.
1 Vitamins [Vitamin1]
2 Fish oils [Vitamin2]
3 Iron supplements [Vitamin3]
4 Calcium [Vitamin4]
5 Other minerals [Vitamin5]
6 Other supplements [Vitamin6]

IF AGE 18-49 AND SEX= female THEN
[Folic]
At present, are you taking any folic acid supplements such as Solgar folic acid, Pregnacare tablets,
Sanatogen Pronatal, or Healthy Start, to supplement your diet or improve your health?
1 Yes
2 No

IF PreNTJ = Yes AND Folic = Yes THEN
[FolPreg]
Did you start taking folic acid supplements before becoming pregnant?
1 Yes
2 No

IF FolPreg = Yes THEN
[FolPrg12]
Have you been taking folic acid supplements for the first 12 weeks of your pregnancy?
1 Yes
2 No

IF PreNTJ = No AND Folic = Yes THEN
[FolHelp]
People can take folic acid for various health reasons.
Are you taking folic acid supplements because you hope to become pregnant?
1 Yes
2 No

Nicotine Replacements

ASK ALL WITH A NURSE VISIT
[Smoke]
Can I ask, do you smoke cigarettes, cigars or a pipe at all these days?
CODE ALL THAT APPLY.
IF RESPONDENT USED TO SMOKE BUT DOES NOT ANY MORE, CODE 'NO'.
1 Yes, cigarettes [Smoke1]
2 Yes, cigars [Smoke2]
3 Yes, pipe [Smoke3]
4 No [Smoke4]

IF (Smoke = Yes, cigarettes) OR (Smoke = Yes, cigars) OR (Smoke = Yes, pipe) THEN
[LastSmok]
How long is it since you last smoked a (cigarette, (and/or a) cigar, (and/or a) pipe)?
1 Within the last 30 minutes
2 Within the last 31-60 minutes
3 Over an hour ago, but within the last 2 hours
4 Over two hours ago, but within the last 24 hours
5 More than 24 hours ago

IF (Smoke = No) THEN
[SmokeYr]
Have you smoked in the last 12 months?
1 Yes
2 No

ASK ALL CURRENT CIGARETTE/CIGAR/PIPE SMOKERS AND EX-SMOKERS WHO HAVE SMOKED IN PAST 12 MONTHS
[UseNRT]
SHOWCARD A
We are also interested in whether people use any of the nicotine replacement products that are now available, such as nicotine chewing gum or patches. First, in the last seven days have you used any of the following nicotine replacement products?
CODE ALL THAT APPLY
1 Yes, nicotine gum [UseNRT1]
2 Yes, nicotine patches that you stick on your skin [UseNRT2]
3 Yes, nasal spray/ nicotine inhaler [UseNRT3]
4 Yes, other [UseNRT4]
5 No [UseNRT5]

IF UseNRT = Yes, Other THEN
[NRTOth]*
What other nicotine product did you use?

IF UseNRT = Yes, gum, patches, nasal spray or other THEN
[NRTSupp]
Was this accompanied by smoking cessation support?
NURSE: IF YES: From Whom?

1 Yes, pharmacy [NRTSupp1]
2 Yes, GP practice nurse [NRTSupp2]
3 Yes, other [NRTSupp3]
4 No [NRTSupp4]

IF NRTSupp = Yes, other THEN
[SuppOth]*
What other type of support did you receive?

Blood Pressure

ALL WITH NURSE VISIT
IF (PregNTJ = Yes) THEN
[NoCodeB]*
NURSE: NO MEASUREMENTS REQUIRING CONSENTS TO BE TAKEN
CIRCLE CODES 02, 04, 06, 08, 10, 12, 14 AND 16 ON THE FRONT OF THE CONSENT BOOKLET.
1 Continue

ALL WITH NURSE VISIT (EXCEPT PREGNANT WOMEN)
[BPMod]*
NURSE: NOW FOLLOWS THE BLOOD PRESSURE MODULE. ENTER '1' TO CONTINUE:
1 Continue

[BPIntro]*
(As I mentioned earlier) We would like to measure your blood pressure. The analysis of blood pressure readings will tell us a lot about the health of the population.
ENTER '1' TO CONTINUE
1 Continue

[BPConst]
NURSE: Does the respondent agree to blood pressure measurement?
1 Yes, agrees
2 No, refuses
3 Unable to measure BP for reason other than refusal

IF BPConst = Yes, agrees THEN

[ConSubX]
May I just check, have you eaten, smoked, drunk alcohol or done any vigorous exercise in the past 30 minutes?
CODE ALL THAT APPLY.
1 Eaten [ConSubX1]
2 Smoked [ConSubX2]
3 Drunk alcohol [ConSubX3]
4 Done vigorous exercise [ConSubX4]
5 (None of these) [ConSubX5]

[DINNo]
NURSE: RECORD BLOOD PRESSURE EQUIPMENT SERIAL NUMBER:
Range:001..999

[CufSize]
SELECT CUFF AND ATTACH TO THE RESPONDENT'S RIGHT ARM. ASK THE RESPONDENT TO SIT STILL FOR FIVE MINUTES.
RECORD CUFF SIZE CHOSEN.
1 Small adult (17-25 cm)
2 Adult (22-32 cm)
3 Large adult (32-42 cm)

[AirTemp]
ENTER AMBIENT AIR TEMPERATURE IN CELSIUS.
Range: 00.0..40.0

[BPClear]*
NURSE: ONCE ERSPONDENT HAS SAT STILL FOR 5 MINUTES YOU ARE READY TO TAKE THE MEASUREMENTS.
PRESS M AND START ON THE OMRON AT THE SAME TIME TO CLEAR THE MEMORY
1 Continue

Sys to BPWait repeated for up to 3 blood pressure measurements
[Sys] (variable names sys1om - sys3om)
NURSE: Take three measurements from right arm.
ENTER (FIRST/SECOND/THIRD) SYSTOLIC READING (mmHg).
IF READING NOT OBTAINED, ENTER 999.
IF YOU ARE NOT GOING TO GET ANY BP READINGS AT ALL, ENTER 996
Range:001..999

[Dias] (variable names dias1om - dias3om)
ENTER (FIRST/SECOND/THIRD) DIASTOLIC READING (mmHg).
IF READING NOT OBTAINED, ENTER 999.
Range:001..999

[Pulse] (variable names pulse1om -pulse3om)
ENTER (FIRST/SECOND/THIRD) PULSE READING (bpm).
IF READING NOT OBTAINED, ENTER 999.
Range:001..999

[MAP] (variable names map1om -map3om)

[BPWait]*
NURSE: Wait for 1 minute then take the next reading.
Press enter to continue.

IF NO FULL MEASUREMENT OBTAINED (at least one '999' reading in all 3 sets of 3 readings) THEN
[YNoBP]
ENTER REASON FOR NOT RECORDING ANY FULL BP READINGS
1 Blood pressure measurement attempted but not obtained
2 Blood pressure measurement not attempted
3 Blood pressure measurement refused

ALL WITH NURSE VISIT (EXCEPT PREGNANT WOMEN)
[RespBPS]
Response to Blood Pressure measurements:
1 Three Blood pressure measurements
2 Two Blood pressure measurements
3 One Blood pressure measurements
4 Tried
5 Not tried
6 Refused

IF BLOOD PRESSURE MEASUREMENT REFUSED OR NOT ATTEMPTED, OR FEWER THAN THREE FULL READINGS OBTAINED (IF RespBPS in [Two … Refused]) THEN
[NAttBPD]
RECORD WHY (ONLY TWO READINGS OBTAINED/ONLY ONE READING OBTAINED/READING NOT OBTAINED/READING NOT ATTEMPTED/READING REFUSED/UNABLE TO TAKE READING).
CODE ALL THAT APPLY.
0 Problems with PC [NAttBPD0]
1 Respondent upset/anxious/nervous [NAttBPD1]
2 Error reading [NAttBPD2]
5 Other reason(s) (specify at next question) [NAttBPD5]
6 Problems with cuff fitting/painful [NAttBPD6]
7 Problems with equipment (not error reading) [NAttBPD7]

IF NattBP = Other THEN
[OthNBP]*
ENTER FULL DETAILS OF OTHER REASON(S) FOR NOT OBTAINING/ATTEMPTING THREE BP READINGS:
Text: Maximum 140 characters

[Code023]*
NURSE: Circle consent code 02 on the front of the Consent Booklet
1 Continue

IF ONE, TWO OR THREE FULL BLOOD PRESSURE READINGS OBTAINED (IF RespBPS in [Three … One]) THEN
[DifBPC]
RECORD ANY PROBLEMS TAKING READINGS. CODE ALL THAT APPLY.
1 No problems taking blood pressure [DifBPC1]
2 Reading taken on left arm because right arm not suitable [DifBPC2]
3 Respondent was upset/anxious/nervous [DifBPC3]
4 Other problems (SPECIFY AT NEXT QUESTION) [DifBPC4]
5 Problems with cuff fitting/painful [DifBPC5]
6 Problems with equipment (not error reading) [DifBPC6]
7 Error reading [DifBPC7]

IF DifBP=Other THEN
[OthDifBP]*
NURSE: RECORD FULL DETAILS OF OTHER PROBLEM(S) TAKING READINGS.
Text: Maximum 140 characters

[BPOffer]*
NURSE OFFER BLOOD PRESSURE RESULTS TO RESPONDENT
Systolic Diastolic Pulse
i) (First Systolic reading) (First Diastolic reading) (First Pulse reading)
ii) (Second Systolic reading) (Second Diastolic reading) (Second Pulse reading)
iii) (Third Systolic reading) (Third Diastolic reading) (Third Pulse reading)
ENTER THESE ON RESPONDENT'S MEASUREMENT RECORD CARD (COMPLETE NEW RECORD CARD IF REQUIRED).

ADVICE TO RESPONDENTS ON BLOOD PRESSURE READING:

IF Systolic reading >179 OR Diastolic reading >114 THEN:

TICK THE CONSIDERABLY RAISED BOX AND READ OUT TO RESPONDENT: Your blood pressure is high today. Blood pressure can vary from day to day and throughout the day so that one high reading does not necessarily mean that you suffer from high blood pressure. You are strongly advised to visit your GP within 5 days to have a further blood pressure reading to see whether this is a once-off finding or not.
NURSE: IF RESPONDENT IS ELDERLY, ADVISE HIM/HER TO CONTACT GP WITHIN NEXT 7-10 DAYS.

IF Systolic reading 160-179 OR Diastolic reading 100-114 THEN:

TICK THE RAISED BOX AND READ OUT TO RESPONDENT: Your blood pressure is a bit high today. Blood pressure can vary from day to day and throughout the day so that one high reading does not necessarily mean that you suffer from high blood pressure. You are advised to visit your GP within 2-3 weeks to have a further blood pressure reading to see whether this is a once-off finding or not.

IF Systolic reading 140-159 OR Diastolic reading 85-99 THEN:

TICK THE MILDLY RAISED BOX AND READ OUT TO RESPONDENT: Your blood pressure is a bit high today. Blood pressure can vary from day to day and throughout the day so that one high reading does not necessarily mean that you suffer from high blood pressure. You are advised to visit your GP within 3 months to have a further blood pressure reading to see whether this is a once-off finding or not.

IF Systolic reading <140 AND Diastolic reading <85 THEN:

TICK THE NORMAL BOX AND READ OUT TO RESPONDENT: Your blood pressure is normal.

IF ONE, TWO OR THREE FULL BLOOD PRESSURE READINGS OBTAINED (IF RespBPS in [Three … One]) THEN
[GPRegB]
Are you registered with a GP?
1 Yes
2 No

IF GPRegB = Yes THEN
[GPSend]
May we send your blood pressure readings to your GP?
1 Yes
2 No

IF GPSend = No THEN
[GPRefC]
SPECIFY REASON(S) FOR REFUSAL TO ALLOW BP READINGS TO BE SENT TO GP.
CODE ALL THAT APPLY.
1 Hardly/Never sees GP [GPRefC1]
2 GP knows respondent's BP level [GPRefC2]
3 Does not want to bother GP [GPRefC3]
4 Other (SPECIFY AT NEXT QUESTION) [GPRefC4]

IF GPRefC = Other THEN
[OthRefC]*
NURSE: GIVE FULL DETAILS OF REASON(S) FOR REFUSAL
Text: Maximum 140 characters

IF (GPRegB = No) OR (GPSend = No) THEN
[Code022]*
CIRCLE CONSENT CODE 02 ON THE FRONT OF THE CONSENT BOOKLET.
ENTER '1' TO CONTINUE
1 Continue

IF GPSend = Yes THEN
[ConsFrm1]*
a) COMPLETE 'BLOOD PRESSURE TO GP CONSENT FORM (FORM BP (A))
b) ASK RESPONDENT TO READ, SIGN AND DATE IT.
c) CHECK GP NAME, ADDRESS AND PHONE NO. ARE RECORDED ON CONSENT FORM.
d) CHECK NAME BY WHICH GP KNOWS RESPONDENT.
e) CIRCLE CONSENT CODE 01 ON FRONT OF CONSENT BOOKLET.
ENTER '1' TO CONTINUE.
1 Continue

Depression

ASK ALL WITH NURSE VISIT
[AnxInt]*
I'm now going to ask you some questions about how you've been feeling lately and if you've been feeling depressed, worried or anxious.
NURSE: This is the start of the anxiety, depression and self-harm questions. Some people might be uncomfortable answering some of the questions or might find them difficult.
If the respondent is uncomfortable answering any question or appears distressed at any point you might need to give them some time to compose themselves before carrying on with the rest of the visit.
If you need to skip a question just press <Ctrl R>. If they don't wish to answer any further questions in this section press <Ctrl R> at each question until you get to the next set of questions.
Press <1> and <Enter> to continue.

[G1]
Almost everyone becomes sad, miserable or depressed at times.
Have you had a spell of feeling sad, miserable or depressed in the past month?
1 Yes
2 No

[G2]
During the past month, have you been able to enjoy or take an interest in things as much as you usually do?
1 Yes
2 No/no enjoyment or interest

IF G1 = Yes THEN
[G4]
NURSE: PLEASE USE INFORMANTS OWN WORDS IF POSSIBLE
In the past week have you had a spell of feeling sad, miserable or depressed?
1 Yes
2 No

IF G2 = No THEN
[G5]
NURSE: PLEASE USE INFORMANTS OWN WORDS IF POSSIBLE
In the past week have you been able to enjoy or take an interest in things as much as usual?
1 Yes
2 No/no enjoyment or interest

IF (G4 = Yes) OR (G5 = No/no enjoyment or interest) THEN
[G6]
Since last [Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday] on how many days have you felt [depressed or unable to take an interest in things / sad, miserable or depressed / unable to enjoy or take an interest in things]?
1 4 days or more
2 1 to 3 days
3 None

[G7]
Have you felt [depressed or unable to take an interest in things / sad, miserable or depressed /unable to enjoy or take an interest in things] for more than 3 hours in total (on any day in the past week)?
1 Yes
2 No

[G9]
In the past week when you felt sad, miserable or depressed/unable to enjoy or take an interest in things, did you ever become happier when something nice happened, or when you were in company?
1 Yes, at least once
2 No

[G10]
SHOW CARD B
How long have you been feeling sad, miserable or depressed/unable to enjoy or take an interest in things as you have described?
1 less than 2 weeks
2 2 weeks but less than 6 months
3 6 months but less than 1 year
4 1 year but less than 2 years
5 2 years but less than 5 years
6 5 years but less than 10 years
7 10 years or more

Anxiety

ASK ALL WITH NURSE VISIT

[J1]
Have you been feeling anxious or nervous in the past month?
1 Yes, anxious or nervous
2 No

IF J1 = No THEN
[J2]
In the past month, did you ever find your muscles felt tense or that you couldn't relax?
1 Yes
2 No

ASK ALL WITH NURSE VISIT
[J3]
Some people have phobias; they get nervous or uncomfortable about specific things or situations when there is no real danger. For instance they may get extremely anxious when in confined spaces, or they may have a fear of heights. Others become nervous at the sight of things like blood or spiders.
In the past month have you felt anxious, nervous or tense about any specific things when there was no real danger?
1 Yes
2 No

IF RESPONDENT HAS EXPERIENCED ANXIETY AND PHOBIA ((IF J1=Yes AND J3=Yes) OR (J2=Yes AND J3=Yes)) THEN
[J5]
In the past month, when you felt anxious/nervous/tense, was this always brought on by the phobia about some specific situation or thing or did you sometimes feel generally anxious/nervous/tense?
1 Always brought on by phobia
2 Sometimes generally anxious

IF J5 = Sometimes generally anxious THEN
[J6]
The next questions are concerned with general anxiety/nervousness/tension only.
I will ask you about the anxiety which is brought on by the phobia about specific things or situations later.
On how many of the past seven days have you felt generally anxious/nervous/tense?
1 4 days or more
2 1 to 3 days
3 None

IF RESPONDENT HAS EXPERIENCED GENERAL ANXIETY ONLY (IF (J1=Yes AND J3=No) OR (J2=Yes AND J3=No)) THEN
[J7]
On how many of the past seven days have you felt generally anxious/nervous/tense?
1 4 days or more
2 1 to 3 days
3 None

IF RESPONDENT HAS EXPERIENCED ANXIETY FOR AT LEAST 1 DAY (IF J6 IN [1..2] OR J7 IN [1..2]) THEN
[J8]
In the past week, has your anxiety/nervousness/tension been:
RUNNING PROMPT
1 ...very unpleasant
2 ...a little unpleasant
3 ...or not unpleasant?

[J9]
SHOW CARD C
In the past week, when you've been anxious/nervous/tense, have you had any of the symptoms shown on this card?
1 Yes
2 No

IF RESPONDENT HAS EXPERIENCED ANY OF THE SYMPTOMS LISTED ON SHOWCARD C (IF J9=Yes) THEN
[J9A]
SHOW CARD C
Which of these symptoms did you have when you felt anxious/nervous/tense?
CODE ALL THAT APPLY
1 Heart racing or pounding [J9A1]
2 Hands sweating or shaking [J9A2]
3 Feeling dizzy [J9A3]
4 Difficulty getting your breath [J9A4]
5 Butterflies in stomach [J9A5]
6 Dry mouth [J9A6]
7 Nausea or feeling as though you wanted to vomit [J9A7]

IF RESPONDENT HAS EXPERIENCED ANXIETY FOR AT LEAST 1 DAY (IF J6 IN [1..2] OR J7 IN [1..2]) THEN
[J10]
Have you felt anxious/nervous/tense for more than 3 hours in total on any one of the past seven days?
1 Yes
2 No

[J11]
How long have you had these feelings of general anxiety/nervousness/tension as you described?
SHOW CARD B AGAIN
1 less than 2 weeks
2 2 weeks but less than 6 months
3 6 months but less than 1 year
4 1 year but less than 2 years
5 2 years or more

Self Harm

ASK ALL WITH NURSE VISIT
[DSHIntro]*
There may be times in everyone's life when they become very miserable and depressed and may feel like taking drastic action because of these feelings
1 Continue

[DSH4]
Have you ever made an attempt to take your life, by taking an overdose of tablets or in some other way?
1 Yes
2 No

IF DSH4 = Yes THEN
[DSH4a]
Was this…
CODE FIRST THAT APPLIES
1 ...in the last week?
2 in the last year?
3 or at some other time?

ASK ALL WITH NURSE VISIT
[DSH5]
Have you ever deliberately harmed yourself in any way but not with the intention of killing yourself?
1 Yes
2 No

IF DSH5 = Yes THEN
[DSH6]
Did you ...
READ OUT AND CODE ALL THAT APPLY
1 …cut yourself [DSH61]
2 or burn yourself [DSH62]
3 or swallow any objects [DSH63]
4 or harm yourself some other way? [DSH64]

[DSH9]
Have you received medical attention for deliberately harming yourself in any of these ways?
NURSE : MEDICAL ATTENTION MEANS HELP FOR PHYSICAL INJURY, NOT
SEEKING PSYCHOLOGICAL HELP
1 Yes
2 No

[DSH10]
Have you seen a psychiatrist, psychologist or counsellor because you had harmed yourself?
1 Yes
2 No

ASK IF DSH4a = 'in the last week' OR 'in the last year' THEN
[DSHExit]*
The sorts of thoughts and feelings we have talked about here are very serious and it is important that you talk to someone, for example a doctor or The Samaritains, if you find yourself thinking them.

Food Poisoning

ASK ALL WITH A NURSE VISIT
[BFInt]*
Now for a change of topic, I'd like to ask you some questions about food poisoning

[DIArr]
In the past six months, have you suffered from any illness involving diarrhoea which you believe may have been due to food poisoning?
DIARRHOEA = 3+ LOOSE BOWEL MOVEMENTS IN 24 HOURS
1 Yes
2 No
3 Can't remember

[Vomit]
In the past six months, have you suffered from any illness involving vomiting which you believe may have been due to food poisoning?
VOMITING = 3+ TIMES IN 24 HOURS
1 Yes
2 No
3 Can't remember

IF Diarr=Yes OR Vomit=Yes THEN
[NoDiaVom]
How many times did you have such an illness in the last six months? Was it ...READ OUT...
1 Once
2 Twice
3 3 Times
4 or more than 3 times?

[YDiaVom]
How long did the (diarrhoea/diarrhoea and vomiting) last?
READ OUT…
MOST RECENT ILLNESS IF MORE THAN ONE
1 …Less than one week
2 1 - 2 weeks
3 More than two weeks?
4 (Can't remember)

[ConsGP]
Did you consult your GP or another doctor about this illness, either by phone or by visiting the surgery or hospital?
1 Yes, did consult GP/doctor
2 No, GP/doctor not consulted

IF ConsGP=Yes THEN
[GPDiag]
Did your GP/doctor diagnose this illness as food poisoning, gastroenteritis, or some other illness?
CODE ONE ONLY
1 Food poisoning
2 Gastroenteritis
3 Other (SPECIFY)
4 Respondent not given diagnosis
5 Can't remember/Don't know

IF GPDiag =Other THEN
[OthDiag]*
What was the diagnosis?
INTERVIEWER: ENTER DIAGNOSIS
Text: Maximum 40 characters

IF ConsGP=Yes THEN
[Stool]
Did the doctor ask you to supply a stool for testing?
1 Yes
2 No

IF Stool=Yes THEN
[StoolTst]
And did you give the doctor a stool sample for testing?
1 Yes
2 No

IF StoolTst=Yes THEN
[GermB]
Were you told what type of germ or bacteria was causing the illness?
1 Yes
2 No
3 Told but can't remember
4 Can't remember if told

IF Diarr=Yes OR Vomit=Yes THEN
[IllDay]
What effect did this illness have on your daily routine. Were you ...
READ OUT
1 …admitted to hospital,
2 at home but took time off paid work,
3 not off work/school,
4 or not working at this time?

Waist and Hip Circumference

ASK ALL WITH NURSE VISIT (EXCEPT PREGNANT WOMEN)
[WHMod]*
NURSE: NOW FOLLOWS THE WAIST AND HIP CIRCUMFERENCE MEASUREMENT.
ENTER '1' TO CONTINUE
1 Continue

[WHIntro]
I would now like to measure your waist and hips. The waist relative to hip measurement is very useful for assessing the distribution of weight over the body.
NURSE CODE:
1 Respondent agrees to have waist/hip ratio measured
2 Respondent refuses to have waist/hip ratio measured
3 Unable to measure waist/hip ratio for reason other than refusal

IF (WHIntro=Agree) THEN

Repeat for up to three waist-hip measurements.
Third measurement taken only if difference between first two measurements is greater than 3cm.

[Waist] (variable names Waist1 to Waist3)
NURSE: MEASURE THE WAIST AND HIP CIRCUMFERENCES TO THE NEAREST MM.
ENTER (FIRST/SECOND/THIRD) WAIST MEASUREMENT IN CENTIMETRES (Remember to include the decimal point).
IF MEASUREMENT NOT OBTAINED, ENTER '999.9'.
Range: 45.0..1000.0

[Hip] (variable names Hip1 to Hip3)
NURSE: MEASURE THE WAIST AND HIP CIRCUMFERENCES TO THE NEAREST MM.
ENTER (FIRST/SECOND/THIRD) MEASUREMENT OF HIP CIRCUMFERENCE IN CENTIMETRES (Remember to include the decimal point).
IF MEASUREMENT NOT OBTAINED, ENTER '999.9'.
Range: 75.0..1000.0

IF WHIntro in [1..3] THEN
(computed from WHIntro, Waist and Hip)

[RespWH]
Response to waist/hip measurements:
1 Both measurements obtained
2 One measurement obtained
3 Refused
4 Not tried

IF (Waist1 = 999.9) OR (Waist2 = 999.9) OR (Hip1 = 999.9) OR (Hip2 = 999.9) THEN
[YNoWH]
ENTER REASON FOR NOT GETTING BOTH MEASUREMENTS
1 Both measurements refused
2 Attempted but not obtained
3 Measurement not attempted

IF NO OR ONE MEASUREMENT OBTAINED ((WHIntro=Refuse OR Unable) OR Only one waist/hip measurement obtained) THEN
[WHPNABM]
GIVE REASON(S) (FOR REFUSAL/WHY UNABLE/FOR NOT OBTAINING MEASUREMENT/FOR NOT ATTEMPTING/WHY ONLY ONE MEASUREMENT OBTAINED).CODE ALL THAT APPLY.
1 Respondent is chairbound [WHPNABM1]
2 Respondent is confined to bed [WHPNABM2]
3 Respondent is too stooped [WHPNABM3]
4 Respondent did not understand the procedure [WHPNABM4]
5 Respondent is embarrassed/sensitive about their size [WHPNABM5]
6 No time/busy/already spent enough time on this survey [WHPNABM6]
7 Other (SPECIFY AT NEXT QUESTION) [WHPNABM7]

IF WHPNABM = Other THEN
[OthWH]*
GIVE FULL DETAILS OF 'OTHER' REASON(S) FOR NOT GETTING FULL WAIST/HIP MEASUREMENT:
Text: Maximum 140 characters

IF AT LEAST ONE WAIST MEASUREMENT OBTAINED (IF (Waist1 <> 999.9 AND Waist1 <> EMPTY) OR (Waist2 <> 999.9 AND Waist2 <> EMPTY)) THEN
[WJRel]
RECORD ANY PROBLEMS WITH WAIST MEASUREMENT:
1 No problems experienced, RELIABLE waist measurement
2 Problems experienced - waist measurement likely to be RELIABLE
3 Problems experienced - waist measurement likely to be SLIGHTLY UNRELIABLE
4 Problems experienced - waist measurement likely to be UNRELIABLE

IF WJRel = Problems experienced THEN
[ProbWJ]
RECORD WHETHER PROBLEMS EXPERIENCED ARE LIKELY TO INCREASE OR DECREASE THE WAIST MEASUREMENT.
1 Increases measurement
2 Decreases measurement

IF AT LEAST ONE HIP MEASUREMENT OBTAINED (IF (Hip1 <> 999.9 AND Hip1 <> EMPTY) OR (Hip2 <> 999.9 AND Hip2 <> EMPTY)) THEN
[HJRel]
RECORD ANY PROBLEMS WITH HIP MEASUREMENT:
1 No problems experienced, RELIABLE hip measurement
2 Problems experienced - hip measurement likely to be RELIABLE
3 Problems experienced - hip measurement likely to be SLIGHTLY UNRELIABLE
4 Problems experienced - hip measurement likely to be UNRELIABLE

IF HJRel = Problems experienced THEN
[ProbHJ]
RECORD WHETHER PROBLEMS EXPERIENCED ARE LIKELY TO INCREASE OR DECREASE THE HIP MEASUREMENT.
1 Increases measurement
2 Decreases measurement

IF ONE OR TWO WAIST/HIP MEASUREMENTS OBTAINED THEN
[WHRes]*
OFFER TO WRITE RESULTS OF WAIST AND HIP MEASUREMENTS, WHERE APPLICABLE, ONTO RESPONDENT'S MEASUREMENT RECORD CARD.
Waist: (Write in waist measurements 1 and 2)
Hip: (Write in hip measurements 1 and 2)
1 Continue

Demi-span (65+)

ASK ALL AGED 65 AND OVER WITH NURSE VISIT
[SpanIntro]*
NURSE: NOW FOLLOWS THE MEASUREMENT OF DEMISPAN. ENTER '1' TO CONTINUE.
1 Continue

[SpanInt]
I would now like to measure the length of your arm. Like height, it is an indicator of size.
NURSE CODE:
1 Respondent agrees to have demi-span measured
2 Respondent refuses to have demi-span measured
3 Unable to measure demi-span for reason other than refusal

IF SpanInt=Agree THEN

Repeat for up to three demispan measurements.
Third measurement taken only if first two differ by more than 3cm.

[Span] (variable names span1-span3)
ENTER THE (FIRST/SECOND/THIRD) MEASUREMENT IN CENTIMETRES.
IF MEASUREMENT NOT OBTAINED, ENTER '999.9'.
Range: 45.0..1000.0

IF Span <> 999.9 THEN
[SpanRel] (variable names spanrel1 to spanrel3)
Is the (First/Second/Third) measurement reliable?
1 Yes
2 No

IF (Span1 = 999.9) AND (Span2 = 999.9) THEN
[YNoSpan]
NURSE: GIVE REASON FOR NOT OBTAINING AT LEAST ONE DEMISPAN MEASUREMENT.
1 Both measurements refused
2 Attempted but not obtained
3 Measurement not attempted

FOR ALL AGED 65 AND OVER WITH NURSE VISIT
(computed from YnoSpan, Span and Spanel)
[RespDS]
RESPONSE TO DEMISPAN MEASUREMENT
1 Both measurements obtained
2 One measurement obtained
3 Refused
4 Attempted not obtained
5 Not attempted

IF NO MEASUREMENT OBTAINED (IF RespDS = [3..5]) THEN
[NotAttM]
NURSE: GIVE REASON FOR (REFUSAL/NOT OBTAINING MEASUREMENT/MEASUREMENT NOT BEING ATTEMPTED).
1 Cannot straighten arms [NotAttM1]
2 Respondent confined to bed [NotAttM2]
3 Respondent too stooped [NotAttM3]
4 Respondent did not understand the procedure [NotAttM4]
5 Other [NotAttM5]

IF NotAttM = Other THEN
[OthAttM]*
NURSE: GIVE FULL DETAILS OF OTHER REASON FOR (REFUSAL/NOT OBTAINING MEASUREMENT/MEASUREMENT NOT BEING ATTEMPTED)
Text: Maximum 140 characters

IF AT LEAST ONE MEASUREMENT OBTAINED THEN
[SpnM]
NURSE CHECK: Demispan was measured with the respondent: CODE ALL THAT APPLY.
1 Standing against the wall [SpnM1]
2 Standing not against the wall [SpnM2]
3 Sitting [SpnM3]
4 Lying down [SpnM4]
5 Demi-span measured on left arm due to unsuitable right arm [SpnM5]

[DSCard]*
WRITE RESULTS OF DEMISPAN MEASUREMENT ON RESPONDENT'S MEASUREMENT RECORD CARD. Demispan : (Measurement 1 and 2 displayed)
ENTER '1' TO CONTINUE.
1 Continue

Lung Function

ASK ALL WITH A NURSE VISIT (EXCEPT PREGNANT WOMEN)
[BlInt]*
Now follows the lung function module

[HaSurg]
Can I check, have you had abdominal or chest surgery in the past three weeks?
1 Yes
2 No

IF HaSurg=No THEN
[HaEySurg]
Can I check, have you had eye surgery in the past four weeks?
1 Yes
2 No

IF HaEySurg=No THEN
[HaStro]
Have you been admitted to hospital for a heart complaint or stroke in the past six weeks?
1 Yes
2 No

IF HaStro =No THEN
[ChestInf]
In the past three weeks, have you had any respiratory infections such as influenza, pneumonia, bronchitis or a severe cold?
1 Yes
2 No

[Inhaler]
(Can I just check), have you used an inhaler, puffer or any medication for your breathing in the last 24 hours?
1 Yes
2 No

IF Inhaler=Yes THEN
[InHalHrs]
How many hours ago did you use it?
INTERVIEWER, ENTER NUMBER OF HOURS. IF LESS THAN ONE HOUR, CODE 0
Range:0..24

IF (HaSurg OR HaEySurg OR HaStro) =No THEN
[LFIntro1]*
(As I mentioned earlier). We would like to measure your lung function which will help us to find out more about the health of the population.
ENTER '1' TO CONTINUE"
1 Continue

IF (HaSurg OR HaEySurg OR HaStro) = YES THEN
[LFCODE2]*
NO LUNG FUNCTION TEST TO BE DONE
CIRCLE CONSENT CODE 04 ON FRONT OF CONSENT BOOKLET.
1 Continue

IF (HaSurg AND HaEySurg AND HaStro) =No THEN
[LFWill]
Would you be willing to have your Lung Function measured?
1 Yes, agrees
2 No, refuses
3 Unable to take lung function measurement for reason other than refusal

IF LFWill=Yes THEN
[SpirNo]
ENTER THE THREE-DIGIT SPIROMETER SERIAL NUMBER
Range: 1..999

[LFTemp]
NURSE: RECORD THE AMBIENT AIR TEMPERATURE
ENTER THE TEMPERATURE IN CENTIGRADES TO ONE DECIMAL PLACE.
Range:0..40

[LFRec]*
NURSE: EXPLAIN THE PROCEDURE AND DEMONSTRATE THE TEST
RECORD THE RESULTS OF FIVE BLOWS BY THE RESPONDENT IN THE BOXES BELOW.
RECORD EACH BLOW AS IT IS CARRIED OUT.
FOR EACH BLOW, ENTER ALL THREE MEASURES AND CODE WHETHER TECHNIQUE WAS SATIFACTORY.
1 Continue

(FVC to Technique) repeated for up to 5 blows.
[FVC] (variable names fvc1 to fvc5)
ENTER FVC READING
IF NO READING OBTAINED ENTER '0'
IF YOU ARE NOT GOING TO OBTAIN ANY READINGS AT ALL ENTER '9.95'
Range:0..10

[FEV] (variable names fev1 to fev5)
ENTER FEV READING
IF NO READING OBTAINED ENTER '0'
Range:0..10

[PF] (variable names pf1 to pf5)
ENTER PF READING
IF NO READING OBTAINED ENTER '0'
Range:0..995

[CL]*
NURSE: NOW PRESS THE CLEAR BUTTON ON THE SPIROMETER
1 Continue

[TECHNIQUE] (variable names techniq1 to techniq5)
WAS THE TECHNIQUE SATISFACTORY ?
1 Yes
2 No

[NLSatLF]
Satisfactory blows?
1 Yes
2 No

[HTFVC]
COMPUTES HIGHEST TECHNICALLY SATISFACTORY VALUE FOR FVC
Range:0..10

[HTFEV]
COMPUTES HIGHEST TECHNICALLY SATISFACTORY VALUE FOR FEV
Range:0..10

[HTPF]
COMPUTES HIGHEST TECHNICALLY SATISFACTORY VALUE FOR PF
Range:0..996

[YNoLF]
Why LF measurement not obtained?
1 Lung function measurement attempted, not obtained
2 Lung function measurement not attempted
3 Lung function measurement refused

[LFStand]
NURSE: WERE THE MEASUREMENTS TAKEN WHILE RESPONDENT WAS STANDING OR SITTING?
1 Standing
2 Sitting

[LFResp]
NURSE CHECK: CODE ONE ONLY
1 All 5 technically satisfactory blows obtained
2 Some blows, but less than 5 technically satisfactory blows obtained
3 Attempted, but no technically satisfactory blows obtained
4 All blows refused
5 None attempted

IF LFResp = 'Some blows, but less than 5 technically satisfactory blows obtained' THEN
[ProbLF]
NURSE: GIVE REASONS WHY LESS THAN 5 BLOWS OBTAINED. CODE ALL THAT APPLY.
1 Refused to continue [ProbLF1]
2 Breathlessness [ProbLF2]
3 Coughing fit [ProbLF3]
4 Equipment failure [ProbLF4]
5 Other (SPECIFY AT NEXT QUESTION) [ProbLF5]

IF ProbLF=Other THEN
[OthProb]*
NURSE: GIVE DETAILS OF WHY LESS THAN 5 BLOWS OBTAINED.
Text:Maximum 40 characters

IF (LFWill = No) OR (LFResp = Refused) OR (LFResp = None Attempted) THEN
[NoAttLF]
GIVE REASON WHY LUNG FUNCTION MEASUREMENTS WERE REFUSED, OR NOT ATTEMPTED, OR NOT OBTAINED
CODE ONE ONLY
1 Temperature of house too cold
2 Temperature of house too hot
3 Equipment failure
4 Breathlessness
5 Unwell
6 Other reason why measurements not attempted/refused (SPECIFY AT NEXT QUESTION)

IF NoAttLF = Other THEN
[OthNoAt]*
NURSE: GIVE DETAILS OF WHY LUNG FUNCTION MEASUREMENTS WERE NOT ATTEMPTED/REFUSED.
Text: Maximum 40 characters

IF (LFWill = No) OR (LFResp = Refused) OR (LFResp = None Attempted) THEN
[LFCode5]*
NURSE: CIRCLE CONSENT CODE 04 ON FRONT OF THE CONSENT BOOKLET

IF LFResp=None THEN
[LFCode3]*
NURSE: CIRCLE CONSENT CODE 04 ON FRONT OF THE CONSENT BOOKLET
1 Continue

IF NLSatLF = [1,2] AND GPRegB = [1,2] THEN
[NCGPLF]
Satisfactory blows?
1 No technically satisfactory blow
2 At least one technically satisfactory blow and GPRegB = yes
3 At least one technically satisfactory blow and GPRegB = no

IF BPConst=Refused OR BPConst=Unable THEN
[LFSam]
NURSE: IF NOT ALREADY ASKED
(Can I just check) are you registered with a GP?
1 Respondent registered with GP
2 Respondent not registered with GP

IF Registered with a Doctor AND at least one technically satisfactory blow THEN
[GPSendLF]
May we send your lung function test results to your GP?
1 Yes
2 No

IF GPSendLF=No THEN
[LFCode4]*
NURSE: CIRCLE CONSENT CODE 04 ON FRONT OF CONSENT BOOKLET
ENTER '1' TO CONTINUE
1 Continue

[GPRLFM]
SPECIFY REASON(S) FOR REFUSAL TO ALLOW LF READINGS TO BE SENT TO GP.
CODE ALL THAT APPLY.
1 Hardly/Never sees GP [GPRLFM1]
2 GP knows respondent's LF level [GPRLFM2]
3 Does not want to bother GP [GPRLFM3]
4 Other (SPECIFY AT NEXT QUESTION) [GPRLFM4]

IF GPRLFM = Other THEN
[OthRefM]*
NURSE GIVE FULL DETAILS OF REASON FOR REFUSAL:
Range: 0…140

IF GPSendLF=Yes THEN
[NCIns1]*
NURSE: COMPLETE LUNG FUNCTION TO GP CONSENT FORM LF(A)
ASK RESPONDENT TO SIGN AND DATE IT.
CHECK GP NAME, ADDRESS AND PHONE NUMBER ARE RECORDED ON FRONT OF CONSENT BOOKLET.
CHECK NAME BY WHICH GP KNOWS RESPONDENT
CIRCLE CONSENT CODE 03 ON FRONT OF CONSENT BOOKLET.
1 Continue

IF LFResp=All OR LFResp-Some THEN
[NCIns2]*
LUNG FUNCTION MEASURED
OFFER LUNG FUNCTION RESULTS TO RESPONDENT
ENTER THEIR HIGHEST FVC AND HIGHEST FEV AND HIGHEST PF READINGS ON MRC. (COMPLETE NEW RECORD CARD IF REQUIRED).
HIGHEST READINGS LISTED BELOW
HIGHEST FVC: HTFVC
HIGHEST FEV: HTFEV
HIGHEST PF: HTPF
1 Continue

Blood sample

ASK ALL WITH A NURSE VISIT (EXCEPT PREGNANT WOMEN)
[BlIntro]*
NURSE: NOW FOLLOWS THE BLOOD SAMPLE MODULE. ENTER '1' TO CONTINUE.
1 Continue

[ClotB]
EXPLAIN PURPOSE AND PROCEDURE FOR TAKING BLOOD.
May I just check, do you have a clotting or bleeding disorder or are you currently on anti-coagulant drugs such as Warfarin?
(NB ASPIRIN THERAPY IS NOT A CONTRAINDICATION FOR BLOOD SAMPLE.)
1 Yes
2 No

IF ClotB = No THEN
[Fit]
May I just check, have you ever had a fit (including epileptic fit, convulsion, convulsion associated with high fever)?
1 Yes
2 No

[BSWill]
Would you be willing to have a blood sample taken?
1 Yes
2 No

IF (BSWill = No) THEN
[RefBS]
RECORD WHY BLOOD SAMPLE REFUSED. CODE ALL THAT APPLY.
1 Previous difficulties with venepuncture [RefBSC1]
2 Dislike/fear of needles [RefBSC2]
3 Respondent recently had blood test/health check [RefBSC3]
4 Refused because of current illness [RefBSC4]
5 Worried about HIV or AIDS [RefBSC5]
6 Other [RefBSC6]

IF RefBS = Other THEN
[OthRefBSC]*
GIVE FULL DETAILS OF OTHER REASON(S) FOR REFUSING BLOOD SAMPLE.
Text: Maximum 135 characters

IF BSWill = No THEN
[NoCodes]*
NURSE: NO BLOOD TO BE TAKEN
CIRCLE CONSENT CODES 06, 08, 10 AND 12 ON THE FRONT OF THE CONSENT BOOKLET
1 Continue

IF (BSWill = Yes) OR (NoAME <> No) THEN
[BSCons]*
FILL IN RESPONDENT'S NAME AND YOUR NAME IN BOTH THE CONSENT BOOKLET AND THE RESPONDENT COPY
ASK RESPONDENT TO READ, SIGN AND DATE THE FORM IN BOTH THE CONSENT BOOKLET AND THE RESPONDENT COPY
CIRCLE CONSENT CODE 05 ON THE FRONT OF THE CONSENT BOOKLET.
ENTER '1' TO CONTINUE.
1 Continue

IF (BSWill = Yes) AND (Blood Pressure RespBPS = [Tried..Refused]) THEN
[GPSam]
NURSE CHECK:
1 Respondent registered with GP
2 Respondent not registered with GP

IF (Blood Pressure GPRegB = Yes OR GPSam = registered with GP) THEN
[SendSam]
May we send the results of your blood sample analysis to your GP?
1 Yes
2 No

IF SendSam = Yes THEN
[BSSign]*
OBTAIN SIGNATURES IN BOTH THE CONSENT BOOKLET AND RESPONDENT COPY.
CHECK NAME BY WHICH GP KNOWS RESPONDENT.
CHECK GP NAME, ADDRESS AND PHONE NO. ARE RECORDED ON FRONT OF CONSENT BOOKLET.
CIRCLE CONSENT CODE 07 ON FRONT OF CONSENT BOOKLET.
ENTER '1' TO CONTINUE.
1 Continue

IF SendSam = No THEN
[SenSam1-4]
Why do you not want your blood sample results sent to your GP?
1 Hardly/never sees GP [SenSam1]
2 GP recently took blood sample [SenSam2]
3 Does not want to bother GP [SenSam3]
4 Other [SenSam4]

IF SenSam = Other THEN
[OthSam]*
GIVE FULL DETAILS OF REASON(S) FOR NOT WANTING RESULTS SENT TO GP.
Text: Maximum 140 characters

IF (GPSam = NoGP OR SendSam = No) THEN
[Code08]*
CIRCLE CONSENT CODE 08 ON FRONT OF CONSENT BOOKLET.
ENTER '1' TO CONTINUE
1 Continue

[ConStorB]
ASK RESPONDENT: May we have your consent to store any remaining blood for future analysis?
1 Yes, Storage consent given
2 No, Consent refused

IF ConStorB = Yes THEN
[Code09]*
OBTAIN SIGNATURE IN BOTH THE CONSENT BOOKLET AND THE RESPONDENT COPY.
CIRCLE CONSENT CODE 09 ON FRONT OF CONSENT BOOKLET.
1 Continue

IF ConStorB = No THEN
[Code10]*
CIRCLE CONSENT CODE 10 ON FRONT OF CONSENT BOOKLET.
ENTER '1' TO CONTINUE.
1 Continue

IF (BSWill = Yes) THEN
[TakeSam]*
CHECK YOU HAVE ALL APPLICABLE SIGNATURES.
TAKE BLOOD SAMPLES:FILL 1 Plain (red) tube, 1 EDTA (purple) tube, 1 citrate (blue) tube.
WRITE THE SERIAL NUMBER AND DATE OF BIRTH ONTO THE BLUE LABEL USING A BLUE BIRO (ONE LABEL PER TUBE).
Serial number: (displays serial number)
Date of birth: (displays date of birth)
CHECK THE DATE OF BIRTH AGAIN WITH THE RESPONDENT.
STICK THE BLUE LABEL OVER THE LABEL WHICH IS ALREADY ON THE TUBE.
ENTER '1' TO CONTINUE.
1 Continue

[SampF1]
CODE IF PLAIN RED TUBE FILLED (INCLUDE PARTIALLY FILLED TUBE):
1 Yes
2 No

[SampF2]
CODE IF EDTA PURPLE TUBE FILLED (INCLUDE PARTIALLY FILLED TUBE):
1 Yes
2 No

[SampF3]
CODE IF CITRATE BLUE TUBE FILLED (INCLUDE PARTIALLY FILLED TUBE):
1 Yes
2 No

[SampTak]
(Computed: Blood sample outcome)
1 Blood sample obtained
2 No blood sample obtained

IF SampTak = Yes THEN
[SampArm]
RECORD FROM WHICH ARM THE BLOOD WAS TAKEN:
1 Right
2 Left
3 (Don't use this code)

[SamDifC]
RECORD ANY PROBLEMS IN TAKING BLOOD SAMPLE.
CODE ALL THAT APPLY.
1 No problem [SamDifC1]
2 Incomplete sample [SamDifC2]
3 Collapsing/poor veins [SamDifC3]
4 Second attempt necessary [SamDifC4]
5 Some blood obtained, but respondent felt faint/fainted [SamDifC5]
6 Unable to use tourniquet [SamDifC6]
7 Other (SPECIFY AT NEXT QUESTION) [SamDifC7]

IF SamDif = Other THEN
[OthBDif]*
GIVE FULL DETAILS OF OTHER PROBLEM(S) IN TAKING BLOOD SAMPLE.
Text: Maximum 140 characters

IF SampTak = Yes THEN
[SnDrSam]
Would you like to be sent the results of your blood sample analysis?
1 Yes
2 No

IF SnDrSam = Yes THEN
[Code11]*
CIRCLE CONSENT CODE 11 ON FRONT OF CONSENT BOOKLET.
ENTER '1' TO CONTINUE.
1 Continue

IF SnDrSam = No THEN
[Code122]*
CIRCLE CONSENT CODE 12 ON FRONT OF CONSENT BOOKLET.
ENTER '1' TO CONTINUE.
1 Continue

IF SampTak = No THEN
[NoBSM]
CODE REASON(S) NO BLOOD OBTAINED. CODE ALL THAT APPLY.
1 No suitable or no palpable vein/collapsed veins [NoBSM1]
2 Respondent was too anxious/nervous [NoBSM2]
3 Respondent felt faint/fainted [NoBSM3]
4 Other [NoBSM4]

IF NoBSM = Other THEN
[OthNoBSM]*
GIVE FULL DETAILS OF REASON(S) NO BLOOD OBTAINED.
Text: Maximum 140 characters

IF SampTak = No THEN
[Code12]*
NURSE: Cross out consent codes 05, 07, 09 and 11 if already circled on the front of the Consent Booklet.
Replace with consent codes 06, 08, 10 and 12 on the front of the Consent Booklet.
Press <1> and <Enter> to continue.
1 Continue

Venepunture checklist

IF BLOOD SAMPLE TAKEN (SampTak = Yes) THEN
[VpSys]
NURSE: Which system did you use to take blood?
1 Vacutainer needle
2 Butterfly needle

[VpHand]
NURSE: Was the respondent left handed or right handed?
1 Left handed
2 Right handed

[VpSkin]
NURSE: Code the skin condition of the arm used.
1 Skin intact
2 Skin not intact

[VpAlco]
NURSE: Did you use an alcohol wipe?
1 Yes
2 No

[VpSam]
NURSE: Code the number of attempts made to take blood.
1 Sample taken on first attempt
2 Sample taken on second attempt
3 Both attempts failed

[VPPress]
NURSE: Code who applied pressure to the puncture site.
1 Nurse [VPPress1]
2 Respondent, [VPPress2]
3 Partner or spouse [VPPress3]

[VpSens]
NURSE: Was the respondent sensitive to the tape or plaster?
1 Sensitive to tape/plaster
2 Not sensitive to tape/plaster
3 (Did not check)

[VpProb]
NURSE: Was there any abnormality noted after 5 minutes?
Please remember to recheck the site after completion of the blood sample module.)
1 Sensory deficit [VpProb1]
2 Haematoma [VpProb2]
3 Swelling [VpProb3]
95 Other (describe at next question) [VpProb95]
96 None [VpProb96]

IF VpProb=OTHER THEN
[VpOther]*
NURSE: Record the details of the other abnormality fully.

IF VpProb = NOT none THEN
[VpDetail]*
NURSE: You have coded that an abnormality was noted after 5 minutes.
Please record the action you took when you noticed this abnormality in the Office Consent Booklet.
There is space at the back of the Office Consent Booklet for you to write up these details fully.
Press <1> and <Enter> to continue.
1 Continue

IF SampTake = Yes THEN
[VpCheck]
NURSE: Did you re-check the puncture site after completion of the blood sample module?
1 Yes, site was re-checked
2 No, site was not re-checked

Saliva sample

ASK ALL WITH A NURSE VISIT (EXCEPT PREGNANT WOMEN)
[SalInt1]*
NURSE: NOW FOLLOWS THE SALIVA SAMPLE.
1 Continue

[SalIntr1]
NURSE: ASK RESPONDENT FOR A SALIVA SAMPLE.
READ OUT: I would like to take a sample of saliva (spit). This simply involves dribbling saliva down a straw into a tube. The sample will be analysed for cotinine, which is related to the intake of tobacco smoke and is of particular interest to see if non-smokers may have raised levels as a result of 'passive' smoking
1 Respondent agrees to give saliva sample
2 Respondent refuses to give saliva sample
3 Unable to obtain saliva sample for reason other than refusal

IF SalIntr1=Agree THEN
[SalWrit]*
OBTAIN SIGNATURE IN BOTH THE OFFICE AND PERSONAL CONSENT BOOKLETS
CIRCLE CODE 13 ON FRONT OF THE CONSENT BOOKLET
1 Continue

[SalInst]*
ASK RESONDENT TO DRIBBLE THROUGH STRAW INTO TUBE (OR USE THE DENTAL ROLL)
WRITE THE SERIAL NUMBER AND DATE OF BIRTH ON THE BLUE LABEL USING A BLUE BIRO
SERIAL NO (Displays serial number)
DATE OF BIRTH (Displays date of birth)
1 Continue

[SalObt1]
NURSE CHECK
1 Saliva sample obtained
2 Saliva sample refused
3 Saliva sample not attempted
4 Attempted but not obtained

IF SalObt1 = Obtained THEN
[SalHow]
NURSE: Code the method used to obtain the saliva sample.
1 Dribbled into tube
2 Dental Roll

IF (SalObt1= Not attempted or Attempted, not obtained) OR (SalIntr1=Unable) THEN
[SalNObt]
RECORD WHY SALIVA SAMPLE NOT OBTAINED. CODE ALL THAT APPLY.
3 Respondent not able to produce any saliva [SalNObt3]
4 Other (SPECIFY AT NEXT QUESTION) [SalNObt4]

IF SalNObt = Other THEN
[OthNObt]*
GIVE FULL DETAILS OF REASON(S) WHY SALIVA SAMPLE NOT OBTAINED.
Text: Maximum 140 characters

IF SalIntr1=Refused THEN
[SalCode]*
NURSE: Circle code 14 on front of the Consent Booklet
1 Continue

Urine Sample ASK ALL WITH A NURSE VISIT (EXCEPT PREGNANT WOMEN)
[UriDisp]*
NURSE: NOW FOLLOWS THE URINE SAMPLE.

[UriIntro]
NURSE READ OUT: I would like to take a sample of your urine. This simply involves you collecting a small amount of urine (mid-flow) in this container. The sample will be analysed for sodium (salt), so we can measure the amount of salt in people's diets. High dietary salt levels are related to high blood pressure, so this is important information for assessing the health of the population.
1 Respondent agrees to give urine sample
2 Respondent refuses to give urine sample
3 Unable to obtain urine sample for reason other than refusal

IF UriIntr1=Agree THEN
[SalWrit]*
OBTAIN SIGNATURE IN BOTH THE OFFICE AND PERSONAL CONSENT BOOKLETS
CIRCLE CODE 15 ON FRONT OF THE CONSENT BOOKLET

[UriSamp]*
ASK RESPONDENT TO TAKE CONTAINER AND PROVIDE URINE SAMPLE.
WRITE THE SERIAL NUMBER AND DATE OF BIRTH ON A BLOOD LABEL USING A BLUE BIRO.
WHEN THE URINE SAMPLE HAS BEEN PROVIDED, ATTACH LABEL TO URINE SAMPLE TUBE OVER THE GREEN LABEL.
SERIAL NO: (Displays serial no)
DATE OF BIRTH: (Displays date of birth)

[UriObt1]
NURSE CHECK
1 Urine sample obtained
2 Urine sample refused
3 Urine sample not attempted
4 Attempted but not obtained

IF (UriObt1=Refused or Not attempted or Attempted, not obtained) OR (UriIntr1=Unable) THEN
[UriNObt]
RECORD WHY URINE SAMPLE NOT OBTAINED. CODE ALL THAT APPLY.
1 Respondent not able to produce any urine [UriNObt3]
2 Other (SPECIFY AT NEXT QUESTION) [UriNObt4]

IF UriNObt = Other THEN
[OthNObt]*
GIVE FULL DETAILS OF REASON(S) WHY URINE SAMPLE NOT OBTAINED.
Text: Maximum 140 characters

IF UriIntr1=Refused THEN
[UriCode]*
NURSE: CIRCLE CODE 16 ON FRONTOF THE CONSENT BOOKLET

Final

[AllCheck]*
Check before leaving the respondent:
# That all respondents have a Consent Booklet.
# That full GP details are entered on front of the Consent Booklet.
# The name by which GP knows respondent.
# That all details are completed on front of the Consent Booklet.
# That all necessary signatures have been collected.
# That there are eight appropriate consent codes ringed on front of the Consent Booklet.
Press <1> and <Enter> to continue.
1 Continue

[LeafChk]*
NURSE: Check before leaving respondent:
That you have left behind a helpful contacts leaflet.
Please stress to respondents that this is given to all respondents who take part in the nurse visit.
Press <1> and <Enter> to continue.
1 Continue

[EndReach]*
NURSE: End of questionnaire reached.
Press <1> and <Enter> to continue.
1 Continue

[Thank]*
NURSE: Thank respondent for his/her co-operation.
Then press <1> and <Enter> to finish.
1 Continue