Question,P1,P4,P5 CONFIRM SEX,Yes,Yes,No Address correct?,Yes,No,No Marital status?,Yes,Yes,No Type of accomodation?,Yes,No,No TYPE OF CARE HOME,Yes,No,No RATE TYPE OF ACCOMODATION WITHIN HOME,Yes,No,No Who funds accomdation?,Yes,No,No "How many years lived at current address? Enter number of years or enter code, 5, All my life, 6, Less than a year , 7, Do not know, 8, No answer",Yes,No,No Accomodation owned or rented?,Yes,No,No "How many people in household? Enter number or 7, Do not know and 8, No answer",Yes,Yes,No "Relationship to household members? (0, Not related | 1, Husband, wife or partner | 2, Son and/or daughter (include step children) | 3, Brother and/or sister | 4, Mother and/or father | 5, Grandchild | 6, Other related | 7, Do not know | 8, No answer)",Yes,No,No Average total household income?,Yes,Yes,Yes Where were you born?,Yes,No,No Specify other place of birth,Yes,No,No "Year first come to live in UK? Enter number OR 7777, Do not know, 8888, No answer",Yes,No,No What was your first language?,Yes,No,No Specify other first language,Yes,No,No Have you been bilingual from birth?,Yes,No,No What was your second language?,Yes,No,No Specify other second language,Yes,No,No Ethnic group?,Yes,No,No Ethnic background - white?,Yes,No,No Ethnic background - mixed?,Yes,No,No Ethnic background - asian or asian british?,Yes,No,No Ethnic background - black or black british?,Yes,No,No Ever had paid work?,Yes,No,No "Current situation - not had paid work? (01, Looking after home and/or family | 02, Unable to work because of sickness or disability | 03, Unemployed | 04, Doing unpaid or voluntary work | 05, Student | 06, None of the above | 77, Don't know | 88, No answer | 9999, No data)",Yes,Yes,Yes "Current situation - had paid work? (01, In paid employment or self-employed | 02, Retired | 03, Looking after home and/or family | 04, Unable to work because of sickness or disability | 05, Unemployed | 06, Doing unpaid or voluntary work | 07, Student | 08, None of the above | 77, Don't know | 88, No answer)",Yes,Yes,Yes Live in Cambridge during term time only?,Yes,No,No OK to complete student IV?,Yes,No,No "Age retired? Enter number | 77, Do not know | 88, No answer | 99, Not asked",Yes,No,Yes Do/did you work as an employee or are/were you self-employed?,Yes,No,No Number of employees?,Yes,No,No Do/did you supervise any other employees?,Yes,No,No "Number of years worked in this job? Enter number OR | 77, Do not know OR | 88, No answer",Yes,No,No "Number of weekly hours? Enter number OR | 7, Do not know OR | 8, No answer",Yes,No,No Job involve shift work?,Yes,No,No Job involve night shift work?,Yes,No,No SEX OF PARTNER?,Yes,No,No "Partner's current situation? 01, In paid employment or self-employed | 02, Retired | 03, Looking after home and/or family | 04, Unable to work because of sickness or disability | 05, Unemployed | 06, Doing unpaid or voluntary work | 07, Student | 08, None of the above | 88, No answer | 9999, No data",Yes,No,No Have they ever had paid work?,Yes,No,No Age partner retired?,Yes,No,No Do/did your partner work as an employee or are/were they self employed,Yes,No,No Number of employees?,Yes,No,No Do/did they supervise any other employees?,Yes,No,No "Final situation of partner? (01, In paid employment or self-employed | 02, Retired | 03, Looking after home and/or family | 04, Unable to work because of sickness or disability | 05, Unemployed | 06, Doing unpaid or voluntary work | 07, Student | 08, None of the above | 88, No answer | 9999, No data)",Yes,No,No Were they ever in paid employment?,Yes,No,No Age partner retired?,Yes,No,No Did your partner work as an employee or were they self employed?,Yes,No,No Number of employees?,Yes,No,No Did they supervise any other employees?,Yes,No,No "Partner's situation when last lived together? (01, In paid employment or self-employed | 02, Retired | 03, Looking after home and/or family | 04, Unable to work because of sickness or disability | 05, Unemployed | 06, Doing unpaid or voluntary work | 07, Student | 08, None of the above | 88, No answer | 9999, No data)",Yes,No,No Did they ever have paid employment?,Yes,No,No Age partner retired?,Yes,No,No Did your partner work as an employee or were they self employed?,Yes,No,No Number of employees?,Yes,No,No Did they supervise any other employees?,Yes,No,No "Which qualifications do you have? (0, None of the above |1, College or university degree or higher | 2, A levels/AS levels or equivalent | 3, O levels/GCSEs or equivalent | 4, CSEs or equivalent | 5, NVQ or HND or HNC or equivalent | 6, Other professional qualifications e.g.: nursing, teaching | 8, No answer)",Yes,No,No "Age completed full time education? Enter number OR | 0, Never went to school | 7, Do not know | 8, No answer",Yes,No,No Completed lifetime experience questionnaire?,Yes,No,No Practice undertaken - simple?,Yes,No,No Reason for non-completion?,Yes,No,No Real test undertaken - simple?,Yes,No,No Reason for non-completion?,Yes,No,No Simple reaction time file saved?,Yes,No,No Practice undertaken - choice?,Yes,No,No Reason for non-completion?,Yes,No,No Real test undertaken - choice?,Yes,No,No Reason for non-completion?,Yes,No,No Choice reaction time file saved?,Yes,No,No Have children?,Yes,Yes,No Number of living children,Yes,Yes,No Number of dead children (if volunteered),Yes,No,No Any close relatives in area?,Yes,Yes,No How often see relatives to speak to?,Yes,Yes,No How often speak to relatives over phone?,Yes,Yes,No How often text/email relatives?,Yes,Yes,No How often to friends/family visit you?,Yes,Yes,No How often speak to friends over phone?,Yes,Yes,No How often text/email friends?,Yes,Yes,No "Attend any meetings/groups/classes? Answer given as ?? : how often. (00, No clubs | 01, Political parties | 02, Trade unions (including student union) | 03, Environmental groups | 04, Tenants, residents group or neighbourhood watch | 05, Evening classes | 06, U3A | 07, Other adult learning | 08, Arts, music or singing group | 09, Charity, volunteer or community group | 11, Group for the elderly | 12, Youth group (guides, scouts, youth club) | 13, Women's Institute | 14, Social club (rotary, working men's) | 15, Sports club, gym, exercise group | 16, Church/religious group | 17, Other group or organisation | 77, Don't know | 88, No answer | 99, Not asked)",Yes,Yes,No Have friends in community?,Yes,Yes,No How often see neighbours?,Yes,Yes,No Is there someone frail or unwell that requires your help?,Yes,Yes,No Help required because?,Yes,Yes,No Smoke tobacco?,Yes,Yes,Yes "Age when first started smoking. Enter number OR | 777, Don't know | 888, No answer | 999, Not asked",Yes,No,Yes Type of tobacco smoked?,Yes,Yes,No Did you previously smoke cigarettes on most or all days?,Yes,No,No "Number cigarettes smoked on average each day - past smoker. Enter number OR | 66, Less than one a day | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No "Age when last smoked cigarettes on most days. Enter number OR | 777, Don't know | 888, No answer | 999, Not asked",Yes,Yes,No "Number cigarettes smoked on average each day - current smoker. Enter number OR | 66, Less than one a day | 77, Don't know | 88, No answer | 99, Not asked",Yes,Yes,Yes Time of first cigarette,Yes,No,No "Compared to 10 years ago, do you smoke...?",Yes,No,Yes "Why reduce smoking? (1, Illness or ill health | 2, Doctors advice | 3, Health precaution | 4, Financial reasons | 5, None of the above | 7, Do not know | 8, No answer | 9, Not asked)",Yes,No,No "In past, how often smoked tobacco?",Yes,No,Yes "In lifetime, have you smoked at least 100 cigarettes?",Yes,No,No "Age first started smoking? Enter age OR | 777, Don't know | 888, No answer | 999, Not asked",Yes,No,Yes Type of tobacco smoked?,Yes,No,No Did you smoke cigarettes on most or all days?,Yes,No,No "Number cigarettes smoked on average each day - past smoker? Enter number OR | 66, Less than one a day | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No "Age when last smoked cigarettes on most days? Enter number OR | 777, Don't know | 888, No answer | 999, Not asked",Yes,No,No "Why reduce smoking? (1, Illness or ill health | 2, Doctors advice | 3, Health precaution | 4, Financial reasons | 5, None of the above | 7, Do not know | 8, No answer | 9, Not asked)",Yes,No,Yes Anyone in household smoke?,Yes,No,No "Number of hours exposed to tobacco smoke at home. Enter number OR | 777, Don't know | 888, No answer | 999, Not asked",Yes,No,No "Number of hours exposed to tobacco smoke outside of home. Enter number OR | 777, Don't know | 888, No answer | 999, Not asked",Yes,No,No "Quantity - cooked vegetables. Enter number OR | 66, Less than one a day | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No "Quantity - salad/raw vegetables. Enter number OR | 66, Less than one a day | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No "Quantity - fresh fruit. Enter number OR | 66, Less than one a day | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No "Quantity - dried fruit. Enter number OR | 66, Less than one a day | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No How often eat oily fish?,Yes,No,No How often eat other fish?,Yes,No,No How often eat processed meats?,Yes,No,No How often eat chicken/turkey/other poultry?,Yes,No,No How often eat beef?,Yes,No,No How often eat lamb/mutton?,Yes,No,No How often eat pork?,Yes,No,No "Age when last ate meat. Enter number OR | 00, Never eaten meat | 66, Less than one a day | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No "Which do you never eat? (1, Eggs or foods containing eggs | 2, Dairy products | 3, Wheat products | 4, Sugar or foods/drinks containing sugar | 5, I eat all of the above | 7, Don't know | 8, No answer | 9, Not asked)",Yes,No,No How often eat cheese?,Yes,No,No Type of milk?,Yes,No,No Type of spread?,Yes,No,No "Number of bread slices per week. Enter number OR | 66, Less than one a week | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No "Type of bread? (1, White | 2, Brown | 3, Wholemeal (i.e.: wholegrain or granary bread) | 4, Other type of bread | 7, Do not know | 8, No answer | 9, Not asked)",Yes,No,No "Number of bowls of cereal per week. Enter number OR | 66, Less than one a week | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No "Type of cereal? (1, Bran cereal (e.g.: All Bran, Branflakes) | 2, Biscuit/wheat cereal (e.g.: Weetabix, Shreddies) | 3, Oat cereal (e.g.: Ready brek, porridge) | 4, Muesli | 5, Other (e.g.: Cornflakes, Frosties) | 7, Do not know | 8, No answer | 9, Not asked)",Yes,No,No Add salt to food?,Yes,No,No "Number of cups of tea per day. Enter number OR | 66, Less than one a day | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No "Number of cups of coffee per day. Enter number OR | 66, Less than one a day | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No Type of coffee?,Yes,No,No How do you like hot drinks?,Yes,No,No "Number of glasses of water per day. Enter number OR | 66, Less than one a day | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,No Any major diet changes in past 5 years?,Yes,No,No Does diet vary week to week?,Yes,No,No How often drink alcohol?,Yes,Yes,Yes Did you previously drink alcohol?,Yes,No,No Why did you stop drinking alcohol?,Yes,No,No "Number glasses of red wine average week? Enter number OR | 66, Less than 1 | 77, Do not know | 88, No answer | 99, Not asked",Yes,No,No "Number glasses of white wine/champagne average week? Enter number OR | 66, Less than 1 | 77, Do not know | 88, No answer | 99, Not asked",Yes,No,No "Number pints of beer/cider average week? Enter number OR | 66, Less than 1 | 77, Do not know | 88, No answer | 99, Not asked",Yes,No,No "Number standard measures of spirits/liqueurs average week? Enter number OR | 66, Less than 1 | 77, Do not know | 88, No answer | 99, Not asked",Yes,No,No "Number glasses of fortified wine average week? Enter number OR | 66, Less than 1 | 77, Do not know | 88, No answer | 99, Not asked",Yes,No,No "Compared to 10 years ago, do you drink...?",Yes,No,No Reason reduced amount drank,Yes,No,No Used nonmedical drugs?,Yes,No,No Abused prescription drugs?,Yes,No,No Abuse more than 1 drug at a time?,Yes,No,No Get through week without using drugs?,Yes,No,No Able to stop using drugs when want?,Yes,No,No Had 'blackouts' or 'flashbacks'?,Yes,No,No Feel bad/guilty about drug use?,Yes,No,No Spouse/partner/parents complain?,Yes,No,No Drug abuse created problems with spouse/parents?,Yes,No,No Lost friends?,Yes,No,No Neglected family?,Yes,No,No Been in work trouble?,Yes,No,No Lost a job?,Yes,No,No Gotten into fights?,Yes,No,No Engaged in illegal activities?,Yes,No,No Arrested for possession of illegal drugs?,Yes,No,No Experience withdrawal symptoms?,Yes,No,No Medical problems as a result of drug use?,Yes,No,No Sought help for drug problem?,Yes,No,No Involved in drug use treatment program?,Yes,No,No Currently using these drugs?,Yes,No,No Estimation of health?,Yes,Yes,Yes "Over past 12 months, health has been?",Yes,Yes,Yes Any long-standing illness/disability/infirmity?,Yes,No,Yes "Receive any of the following? (1, Attendance allowance | 2, Disability living allowance | 3, Blue badge | 4, None of the above | 7, Don't know | 8, No answer | 9, Not asked)",Yes,No,Yes "Compared with 1 year ago, has weight changed?",Yes,No,Yes Wear glasses/contact lenses?,Yes,No,Yes "Age when first wore glasses/contact lenses. Enter age OR | 77, Do not know | 88, No answer | 99, Not asked",Yes,No,Yes "Any of the following problems with eyes? (1, Diabetes related eye disease | 2, Glaucoma | 3, Injury OR trauma resulting in loss of vision | 4, Cataract | 5, Macular degeneration | 6, Other serious eye condition | 0, None of the above | 7, Do not know | 8, No answer | 9, Not asked)",Yes,No,Yes Other problems with your eyesight?,Yes,No,Yes Problems interfere with day to day living?,Yes,No,Yes Consent for vision test?,Yes,No,No USING GLASSES/CONTACT LENSES,Yes,No,No Line read - Left eye,Yes,No,No Line read - Right eye,Yes,No,No Line read - Both eyes?,Yes,No,No Any difficulty with hearing?,Yes,No,Yes Problems interfere with day to day living?,Yes,No,Yes Difficulty following a conversation if background noise?,Yes,No,Yes Use a hearing aid?,Yes,No,Yes Can it be removed?,Yes,No,No Consent for hearing test?,Yes,No,No WEARING HEARING AID,Yes,No,No HEARING AID REMOVED,Yes,No,No "Number of tones - 1000Hz, Right ear?",Yes,No,No "Number of tones - 3000Hz, Right ear?",Yes,No,No "Number of tones - 1000Hz, Left ear?",Yes,No,No "Number of tones - 3000Hz, Left ear?",Yes,No,No Been diagnosed with medical conditions?,Yes,No,No High blood pressure?,Yes,No,Yes Age?,Yes,No,Yes Still awaiting specialist investigation?,Yes,No,Yes Receive medication for high blood pressure?,Yes,No,Yes Age?,Yes,No,No Is high blood pressure still uncontrolled?,Yes,No,Yes High blood cholesterol?,Yes,No,Yes Age?,Yes,No,Yes Angina?,Yes,No,Yes Age?,Yes,No,Yes Heart attack (myocardial infarction)?,Yes,No,Yes Age?,Yes,No,Yes Cardiac arrhythmia/palpitations/irregular heartbeat?,Yes,No,Yes Age?,Yes,No,Yes IF YES GIVE DETAILS,Yes,No,Yes Varicose veins?,Yes,No,Yes Age?,Yes,No,Yes Migraine?,Yes,No,Yes Age?,Yes,No,Yes Stroke?,Yes,No,Yes Age?,Yes,No,Yes Pulmonary embolism?,Yes,No,Yes Age?,Yes,No,Yes Deep vein thrombosis?,Yes,No,Yes Age?,Yes,No,Yes Other vascular disease?,Yes,No,Yes Age?,Yes,No,Yes IF YES SPECIFY,Yes,No,Yes Diabetes (not during pregnancy)?,Yes,No,Yes Age?,Yes,No,Yes Thyroid disease?,Yes,No,Yes Age?,Yes,No,Yes "THYROID DISEASE TYPE (HYPO, HYPER, DON'T KNOW)",Yes,No,Yes Peptic ulcer?,Yes,No,Yes Age?,Yes,No,Yes PEPTIC ULCER DETAILS,Yes,No,Yes Meningitis or encephalitis?,Yes,No,Yes Age?,Yes,No,Yes Polyps in the large intestine?,Yes,No,Yes Age?,Yes,No,Yes Gallstones?,Yes,No,Yes Age?,Yes,No,Yes "Gall bladder removed? Age at gall bladder removal or 999, Not removed",Yes,No,Yes Pancreatitis?,Yes,No,Yes Age?,Yes,No,Yes Appendicitis?,Yes,No,Yes Age?,Yes,No,Yes Liver disease?,Yes,No,Yes Age?,Yes,No,Yes LIVER DISEASE SPECIFY,Yes,No,Yes Hayfever/eczema?,Yes,No,Yes Age?,Yes,No,Yes Asthma?,Yes,No,Yes Age?,Yes,No,Yes Asthma in childhood only?,Yes,No,Yes Bronchitis/emphysema?,Yes,No,Yes Age?,Yes,No,Yes Allergies?,Yes,No,Yes Age?,Yes,No,Yes SPECIFY ALLERGIES,Yes,No,Yes Arthritis?,Yes,No,Yes Age?,Yes,No,Yes ARTHRITIS DETAILS,Yes,No,Yes Currently suffering from arthritis?,Yes,No,Yes Osteoporosis?,Yes,No,Yes Age?,Yes,No,Yes Tuberculosis?,Yes,No,Yes Age?,Yes,No,Yes TUBERCULOSIS DETAILS,Yes,No,Yes [Men Only] Enlarged prostate?,Yes,No,Yes Age?,Yes,No,No Insomnia requiring treatment?,Yes,No,Yes Age?,Yes,No,Yes Depression requiring treatment?,Yes,No,Yes Age?,Yes,No,Yes Other psychiatric illness?,Yes,No,Yes Age?,Yes,No,Yes SPECIFY OTHER PSYCHIATRIC ILLNESS,Yes,No,Yes Ever receive ECT treatment?,Yes,Yes,Yes Shingles?,Yes,No,Yes Benign growths (non cancer)?,Yes,No,Yes Age?,Yes,No,Yes Specify sites,Yes,No,Yes Cancer?,Yes,No,Yes Age?,Yes,No,Yes Specify sites,Yes,No,Yes Currently receiving cancer treatment/had any in last 6 months?,Yes,No,Yes Currently in remission?,Yes,No,Yes How long been in remission?,Yes,No,Yes Intermittent claudication?,Yes,No,Yes Age?,Yes,No,Yes Parkinson's disease?,Yes,No,Yes Age?,Yes,No,Yes Motor Neurone disease?,Yes,No,Yes Age?,Yes,No,Yes Multiple Sclerosis?,Yes,No,Yes Age?,Yes,No,Yes Chronic Bronchitis?,Yes,No,Yes Age?,Yes,No,Yes Ever had fits or epilepsy?,Yes,No,Yes Age?,Yes,No,No Ever experienced sudden speech/memory/vision problems?,Yes,No,Yes Age?,Yes,No,No Ever experienced sudden weakness in an arm or leg?,Yes,No,Yes Age?,Yes,No,No Ever had a general anaesthetic?,Yes,No,Yes Age?,Yes,No,No Number of times?,Yes,No,Yes Ever had serious head injury and been unconscious afterwards?,Yes,No,Yes Age?,Yes,No,No Number of times?,Yes,No,Yes Lost consciousness for more than 2 hours?,Yes,No,Yes Fractured any bones?,Yes,No,Yes Fracture hip?,Yes,No,Yes Age?,Yes,No,No Fracture wrist after age 20?,Yes,No,Yes Age?,Yes,No,No Fracture vertabra(e)?,Yes,No,Yes Age?,Yes,No,No Fracture skull?,Yes,No,Yes Age?,Yes,No,No Had any other medical problem/operation not covered?,Yes,No,Yes Age?,Yes,No,Yes "[Women Only] Age when periods started? Enter age or | 77, Do not know | 88, No answer | 99, Not asked",Yes,Yes,Yes Had your menopause?,Yes,Yes,Yes "Age when periods stopped? Enter age or | 77, Do not know | 88, No answer | 99, Not asked",Yes,Yes,Yes "Number of days since last menstrual period? Enter number or | 77, Do not know | 88, No answer | 99, Not asked",Yes,No,Yes "Length of menstrual cycle in days? Enter number or | 66, Irregular cycles | 77, Do not know | 88, No answer | 99, Not asked",Yes,No,Yes Have an IUD or coil?,Yes,No,Yes Type?,Yes,No,Yes "Have any of the following? (1, Mouth ulcers | 2, Painful gums | 3, Bleeding gums | 4, Loose teeth | 5, Toothache | 6, Dentures | 0, None of the above | 7, Don't know | 8, No answer | 9, Not asked)",Yes,No,Yes "During past month, time gone to bed? Answer given in HH:MM or | 77:77, Don't know | 88:88, No answer | 99:99, Not asked",Yes,No,Yes "During past month, time taken to get to sleep? Answer given in minutes or, | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,Yes "During past month, time got up? Answer given in HH:MM or | 77:77, Don't know | 88:88, No answer | 99:99, Not asked",Yes,No,Yes "During past month, number of hours sleep each night? Answer given in HH:MM or | 77:77, Don't know | 88:88, No answer | 99:99, Not asked",Yes,No,Yes Cannot get to sleep within 30 minutes?,Yes,No,Yes Wake up middle of night/early morning?,Yes,No,Yes Have to use the bathroom?,Yes,No,Yes Cannot breathe comfortably?,Yes,No,Yes Cough or snore loudly?,Yes,No,Yes Feel too cold?,Yes,No,Yes Feel too hot?,Yes,No,Yes Had bad dreams?,Yes,No,Yes Have pain?,Yes,No,Yes Any other reasons?,Yes,No,Yes Rate overall sleep quality past month,Yes,No,Yes "During past month, how often taken medicine to help sleep?",Yes,No,Yes "During past month, how often had trouble staying awake?",Yes,No,Yes "During past month,any problem with keeping up enthusiasm?",Yes,No,Yes Have a bed partner/roommate?,Yes,No,Yes Feel tired during morning?,Yes,No,Yes Feel tired during afternoon?,Yes,No,Yes Feel tired during evening?,Yes,No,Yes Left or right handed?,Yes,No,No Handedness - writing?,Yes,No,No Handedness - drawing?,Yes,No,No Handedness - throwing?,Yes,No,No Handedness - scissors?,Yes,No,No Handedness - toothbrush?,Yes,No,No Handedness - knife (without fork)?,Yes,No,No Handedness - spoon?,Yes,No,No Handedness - broom (upper hand)?,Yes,No,No Handedness - striking a match?,Yes,No,No Handedness - opening box (lid)?,Yes,No,No Feel tense/'wound up'?,Yes,Yes,Yes Enjoy things used to?,Yes,Yes,Yes Get a sort of frightened feeling?,Yes,Yes,Yes Can laugh and see the funny side of things?,Yes,Yes,Yes Worrying thoughts through mind?,Yes,Yes,Yes Feel cheerful?,Yes,Yes,Yes Can sit at ease and feel relaxed?,Yes,Yes,Yes Feel slowed down?,Yes,Yes,Yes Get a sort of 'butterflies' feeling in the stomach?,Yes,Yes,Yes Lost interest in appearance?,Yes,Yes,Yes Feel restless?,Yes,Yes,Yes Look forward with enjoyment?,Yes,Yes,Yes Get sudden feelings of panic?,Yes,Yes,Yes Can enjoy a good book/TV/radio programme?,Yes,Yes,Yes Fallen in last year?,Yes,No,Yes Ever fallen?,Yes,Yes,Yes "When was last fall? Answer in months MM, or | 77, Don't know | 88, No answer | 99, Not asked",Yes,Yes,Yes "How many times? Number or | 77, Don't know | 88, No answer | 99, Not asked",Yes,No,Yes When - Fall 1? Month of this fall,Yes,No,Yes When - Fall 2? Month of this fall,Yes,No,Yes When - Fall 3? Month of this fall,Yes,No,Yes When - Fall 4? Month of this fall,Yes,No,Yes When - Fall 5? Month of this fall,Yes,No,Yes When - Fall 6? Month of this fall,Yes,No,Yes Most recent fall due to?,Yes,No,Yes Consent for balance test?,Yes,No,No REASON NOT UNDERTAKING BALANCE TEST,Yes,No,No Which is dominant leg?,Yes,No,No EYES OPEN - TIME IN SECONDS. Answer given as NN:NN or 99:99 means not asked,Yes,No,No EYES CLOSED - TIME IN SECONDS? Answer given as NN:NN or 99:99 means not asked,Yes,No,No Consent for single chair rise test?,Yes,No,No OUTCOME OF SINGLE CHAIR RISE,Yes,No,No REASON NOT UNDERTAKING SINGLE CHAIR RISE TEST,Yes,No,No Consent for 5 chair rise test?,Yes,No,No TIME TO COMPLETE 5 STANDS? MM:SS,Yes,No,No NUMBER OF STANDS IF LESS THAN 5?,Yes,No,No REASON TEST NOT COMPLETED,Yes,No,No Problems with shopping/meals/housework/using phone/taking medications/,Yes,No,No Manage using telephone?,Yes,No,No Manage with shopping?,Yes,No,No Manage preparing meals?,Yes,No,No Able to prepare and cook a meal?,Yes,No,No Manage with housework?,Yes,No,No Able to do light/heavy cleaning?,Yes,No,No Manage with laundry?,Yes,No,No Able to load washing machine/put things on line?,Yes,No,No Manage with walking?,Yes,No,No Use a walking stick/other aid?,Yes,No,No Able to get on bus?,Yes,No,No Able to go up and down stairs?,Yes,No,No Manage with bathing/showering?,Yes,No,No Manage with reaching to comb hair?,Yes,No,No Able to reach overhead shelf?,Yes,No,No Able to tie good knot in piece of string?,Yes,No,No Manage with dressing/undressing?,Yes,No,No Manage with getting to toilet on time?,Yes,No,No Manage taking medicines?,Yes,No,No Able to do household task such as making cup of tea?,Yes,No,No Able to manage money?,Yes,No,No Needed any help recently to check change?,Yes,No,No Able to follow TV programmes/movies and remember details?,Yes,Yes,Yes IF MEDICATION OR MONEY RATE IF PROBLEM PHYSICAL OR COGNITIVE,Yes,No,No Who helps? (MULTIPLE RESPONSES ALLOWED),No,No,No How often does each helper help?,Yes,No,No Think need more help than getting?,Yes,No,No Visited by home help/meals on wheels/community nurse in last week?,Yes,No,No Number of visits home help?,Yes,No,No Number of visits meals on wheels?,Yes,No,No Number of visits community nurse?,Yes,No,No Attend day centre/day hospital?,Yes,No,No ESTABLISH DEGREE OF MOBILITY,Yes,No,No Adopted as a child?,Yes,No,No "Twin, triplet or other multiple birth?",Yes,No,No Father still alive?,Yes,No,No "Age of father. Enter age or| 777, Do not know | 888, No answer",Yes,No,No "Father ever suffered from? (00, None of the above | 01, Heart disease | 02, Stroke | 03, High blood pressure | 04, Diabetes | 05, Chronic bronchitis/emphysema | 06, Alzheimer's disease/dementia | 07, Parkinson's disease | 08, Severe depression | 09, Lung cancer | 10, Bowel cancer | 11, Prostate cancer | 77,Do not know | 88, No answer)",Yes,No,Yes "Age father died. Enter Age or | 777,Do not know | 888, No answer",Yes,No,No "Did father ever suffer from? (00, None of the above | 01, Heart disease | 02, Stroke | 03, High blood pressure | 04, Diabetes | 05, Chronic bronchitis/emphysema | 06, Alzheimer's disease/dementia | 07, Parkinson's disease | 08, Severe depression | 09, Lung cancer | 10, Bowel cancer | 11, Prostate cancer | 77,Do not know | 88, No answer)",Yes,No,No Mother still alive? ,Yes,No,No "Age of mother. Enter Age or | 777,Do not know | 888, No answer",Yes,No,No "Mother ever suffered from? (00, None of the above | 01, Heart disease | 02, Stroke | 03, High blood pressure | 04, Diabetes | 05, Chronic bronchitis/emphysema | 06, Alzheimer's disease/dementia | 07, Parkinson's disease | 08, Severe depression | 09, Lung cancer | 10, Bowel cancer | 11, Breast cancer | 77, Do not know | 88, No answer)",Yes,No,Yes "Age mother died. Enter Age or | 777,Do not know | 888, No answer",Yes,No,No "Did mother ever suffer from? (00, None of the above | 01, Heart disease | 02, Stroke | 03, High blood pressure | 04, Diabetes | 05, Chronic bronchitis/emphysema | 06, Alzheimer's disease/dementia | 07, Parkinson's disease | 08, Severe depression | 09, Lung cancer | 10, Bowel cancer | 11, Breast cancer | 77, Do not know | 88, No answer | 99, Not asked)",Yes,No,No "Number of brothers. Enter number or | 77, Do not know | 88, No answer | 99, Not asked",Yes,No,No "Number of sisters. Enter number or | 77, Do not know | 88, No answer | 99, Not asked",Yes,No,No "Have any brothers/sisters ever suffered from (00, None of the above | 01, Heart disease | 02, Stroke | 03, High blood pressure | 04, Diabetes | 05, Chronic bronchitis/emphysema | 06, Alzheimer's disease/dementia | 07, Parkinson's disease | 08, Severe depression | 09, Lung cancer | 10, Bowel cancer | 11, Prostate cancer | 12, Breast cancer | 77, Do not know | 88, No answer | 99, Not asked)",Yes,No,Yes Currently taking any medications/tablets/injections?,Yes,No,Yes "Number of prescribed drugs. detail each drug, including names, frequency and doses",Yes,No,Yes "Number of vitamins/over counter drugs. detail each drug, including names, frequency and doses",Yes,No,Yes OBVIOUS EVIDENCE OF PARALYSIS/STROKE,Yes,No,No OBVIOUS EVIDENCE OF OTHER PHYSICAL DISABILITY,Yes,No,No LACK OF TEETH,Yes,No,No HEARING PROBLEMS,Yes,No,No POOR/NO EYESIGHT,Yes,No,No STUTTERING,Yes,No,No POOR GRASP OF LANGUAGE,Yes,No,No INTERVIEW CONDITIONS UNFAVOURABLE,Yes,No,No MEMORY DEFECT,Yes,No,No CONFIDENCE IN DATA,Yes,No,No DOUBTFUL RELIABILITY BECAUSE,Yes,No,No SPECIFY DOUBTFUL RELIABILITY,Yes,No,No High blood pressure. Hypertension during pregnancy does not count here,Yes,No,Yes Age?,Yes,No,Yes Still awaiting specialist investigation?,Yes,No,Yes Did/do you receive medication for high blood pressure?,Yes,No,Yes Age?,Yes,No,No High blood pressure still uncontrolled?,Yes,No,Yes Stroke?,Yes,No,Yes Age?,Yes,No,Yes Meningitis or encephalitis?,Yes,No,Yes Age?,Yes,No,Yes Depression requiring treatment?,Yes,No,Yes Age?,Yes,No,Yes Other psychiatric illness?,Yes,No,Yes Age?,Yes,No,Yes SPECIFY OTHER PSYCHIATRIC ILLNESS,Yes,No,Yes Ever receive ECT treatment?,Yes,No,Yes Benign growths (non cancer)?,Yes,No,Yes Age?,Yes,No,Yes Cancer?,Yes,No,Yes Age?,Yes,No,Yes Currently receiving cancer treatment/had any in last 6 months?,Yes,No,Yes Currently in remission?,Yes,No,Yes How long been in remission?,Yes,No,Yes Parkinson's disease?,Yes,No,Yes Age?,Yes,No,Yes Motor Neurone disease?,Yes,No,Yes Age?,Yes,No,Yes Multiple Sclerosis?,Yes,No,Yes Age?,Yes,No,Yes Ever had fits or epilepsy?,Yes,No,Yes Age?,Yes,No,No Operation on heart or heart valves?,Yes,No,No What kind?,Yes,No,No Operation on blood vessels?,Yes,No,No What kind?,Yes,No,No Operation -pump/electrode/implant/pacemaker inserted?,Yes,No,No What kind?,Yes,No,No Operation on eyes?,Yes,No,No What kind?,Yes,No,No Had metal splinter in eyes?,Yes,No,No Metal splinters in head/ears not removed?,Yes,No,No Had shrapnel anywhere?,Yes,No,No Had new joints/metal plates/pins or rods/metal mesh?,Yes,No,No New hip/knee/digit joint replacement?,Yes,No,No Date of last replacement?,Yes,No,No Metal plates/metal mesh/pins or rods?,Yes,No,No Location?,Yes,No,No Do you have a non-removable prothesis?,Yes,No,No Operation on brain?,Yes,No,No Ever had/currently have brain tumor?,Yes,No,No Could you lie flat for an hour?,Yes,No,No Body piercings?,Yes,No,No Can you walk 10 metres/yards?,Yes,No,No Do you use any medication patches/other patches?,Yes,No,No Can they be removed?,Yes,No,No Have dental braces/dentures?,Yes,No,No Can they be removed?,Yes,No,No Suffer from claustrophobia?,Yes,No,No Currently receive treatment/have bipolar disorder/schizophrenia/any ps,Yes,No,No [If female] Are you pregnant/trying to become pregnant?,Yes,No,No "Have any tattoos, where?",Yes,No,No Been diagnosed with dementia/Alzheimer's disease?,Yes,No,Yes Received treatment for drug abuse/currently using drugs?,Yes,No,No Any surgery in last 8 weeks?,Yes,No,No "Date of surgery. DD/MM/YYYY or 9999, No data",Yes,No,No Head size OK?,Yes,No,No Reaction to interview?,Yes,No,No Reaction to interview?,Yes,No,No Comments? RESPONDENT COMMENTS ABOUT INTERVIEW,Yes,No,No Volunteer refusal?,Yes,No,No Consent for contact details? Contact details ,Yes,No,No Consent for contact details? Secondary contact details,Yes,No,No Reaction to interview?,Yes,No,No Consent for informant details?,Yes,No,No Consent for contact details?,Yes,No,No What is your height?,No,Yes,No What is your weight?,No,Yes,No "Which of the following best fits your current job, or (if no longer working) your last held job?",No,Yes,Yes What is the specific job title,No,Yes,Yes How many people share your total household income,No,Yes,Yes How would you rate your current economic standing compared to others?,No,Yes,Yes Did you have a caregiver figure during your childhood and upbringing?,No,Yes,No Please specify who your caregiver(s) were,No,Yes,No What is the highest level of education you have completed?,No,Yes,No What is the highest level of education completed by you and your caregiver(s)?,No,Yes,No "During your childhood, what were your caregiver(s)'s longest held profession?",No,Yes,No "What was your caregiver(s)’s highest attained profession, throughout their life?",No,Yes,No What was your birth weight?,No,Yes,No My specified birth weight (g),No,Yes,No My specified birth weight (lbs),No,Yes,No Were you born via Cesarean section?,No,Yes,No Were you born too early/prematurely?,No,Yes,No There was someone in my family who helped me feel that I was important or special,No,Yes,No I felt loved,No,Yes,No People in my family looked out for each other,No,Yes,No People in my family felt close to each other,No,Yes,No My family was a source of strength and support,No,Yes,No "During your childhood, how would you rate your family's economic standing compared to other families?",No,Yes,No "Overall, how satisfied are you with your life nowadays?",No,Yes,No "Overall, to what extent do you feel the things you do in your life are worthwhile?",No,Yes,No "Overall, how happy did you feel yesterday?",No,Yes,No "Overall, how anxious did you feel yesterday?",No,Yes,No "For the most recent fall, as far as you are aware, did you:",No,Yes,No Have you ever experienced back pain?,No,Yes,No When was your first experience of back pain? ,No,Yes,No Have you ever experienced episodes of back pain lasting over 3 months?,No,Yes,No Have you had back pain over the past 7 days?,No,Yes,No "In the past 7 days, how would you rate your back pain on average?",No,Yes,No "In the past 7 days, how much has this back pain interfered with your day-to-day activity?",No,Yes,No Please indicate how you are managing back pain now?,No,Yes,No "On average, how many hours of sleep do you get per night?",No,Yes,No "One hears about ""morning"" (lark) and ""evening"" (owl) types of people. Which one of these types do you consider yourself to be? ",No,Yes,No "Over the last few years, has your sleep got:",No,Yes,No Do you feel you have any problems with your memory?,No,Yes,Yes I find myself asking again and again what day of the week it is:,No,Yes,Yes I find myself repeating the same story/message again and again:,No,Yes,Yes I forget that family members or friends have died:,No,Yes,Yes I forget what month or year it is:,No,Yes,Yes "I can do something again and again, not realising I have done it before:",No,Yes,Yes I have great difficulty in finding my way around places that I once knew well:,No,Yes,Yes I have problems in knowing where things are kept in the house:,No,Yes,Yes I have great difficulty in remembering what I have read: ,No,Yes,Yes My memory difficulties have a major impact on my ability to do everyday things I was once able to do easily:,No,Yes,Yes Did you ever have any of the following treatments?,No,Yes,No "Please indicate your family history involving diagnoses (""D"") & treatments (""T"")",No,Yes,No "On the previous table, you indicated that a biological relative of yours has been diagnosed or treated for a disorder listed. Please specify who the biological relatives are in relation to you.",No,Yes,No "During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling?",No,Yes,Yes How much time did you usually spend doing vigorous physical activities on one of those days?,No,Yes,Yes "During the last 7 days, on how many days did you do moderate physical activities like carrying light loads, cycling at a regular pace, or doubles tennis? Do not include walking. ",No,Yes,Yes How much time did you usually spend doing moderate physical activities on one of those days?,No,Yes,Yes "During the last 7 days, on how many days did you walk for at least 10 minutes at a time? ",No,Yes,Yes How much time did you usually spend walking on one of those days? ,No,Yes,No "During the last 7 days, how much time did you spend sitting on a week day?",No,Yes,Yes Please specify how long you smoked for (in years):,No,Yes,No Please specify the average number of cigarettes you smoke per month:,No,Yes,No How many units of alcohol do you have on a typical day when you are drinking? ,No,Yes,Yes What is the duration of your current relationship? (In years):,No,Yes,No I consider myself as:,No,Yes,No "Ideally, I would like to be:",No,Yes,No "Traditionally, my interests would be considered as:",No,Yes,No "Traditionally, my attitudes and beliefs would be considered as:",No,Yes,No "Traditionally, my behaviour would be considered as:",No,Yes,No "Traditionally, my outer appearance would be considered as:",No,Yes,No Have you ever been on hormone replacement therapy (HRT) due to menopause?,No,Yes,Yes Did you experience any technical problems?,No,Yes,Yes Please specify:,No,Yes,Yes "Do you have any other comments about your experience doing the study? For instance, did you have any problems paying attention or understanding how to do the tasks?",No,Yes,Yes Please specify:,No,Yes,Yes "Have you, or a person you live with, lost their job (not through retirement)?",No,No,Yes "Have you, or a person you live with, had any major financial difficulties? (e.g. unable to pay household bills)",No,No,Yes Have you separated from a partner?,No,No,Yes "Have there been any deaths, serious illnesses/injuries in your immediate family?",No,No,Yes Have you had any life-changing injuries?,No,No,Yes "Have you had a serious fall, or found your balance getting worse?",No,No,Yes Have you had any other serious illnesses (E.g. cancer)?,No,No,Yes Please type below any serious illnesses you have had since we last heard from you,No,No,Yes Have you had any other significant event you would like to inform us of? ,No,No,Yes Please type below any other significant event you would like to inform us of,No,No,Yes Are you short sighted,No,No,Yes What is your prescription for your short sighted glasses? ,No,No,Yes Are you farsighted,No,No,Yes What is your prescription for your farsighted glasses?,No,No,Yes Have you ever been diagnosed with any other neurological disorders (e.g. Parkinsons)?,No,No,Yes Asthma in childhood only - Age,No,No,Yes Did you ever receive ECT treatment - Age,No,No,Yes "If yes, give details (Stroke)",No,No,Yes "If yes, please state your age at first diagnosis (Shingles)",No,No,Yes "If you require more space than the table above, please use this box to provide details regarding other medical problem(s) or operation(s)",No,No,Yes Did you previously smoke tobacco? I.e. Ex-Smoker,No,No,Yes What was your sex assigned at birth:,No,No,Yes "Any other reasons (not listed in the table above), and if so how often?",No,No,Yes Do you think that you have or have had COVID-19?,No,No,Yes "Approximately, when were you tested positive for COVID-19/think you had COVID-19? - 1st covid occurrence",No,No,Yes "Approximately, when were you tested positive for COVID-19/think you had COVID-19? - 2nd covid occurrence",No,No,Yes "Approximately, when were you tested positive for COVID-19/think you had COVID-19? - 3rd covid occurrence",No,No,Yes "Approximately, when were you tested positive for COVID-19/think you had COVID-19? - 4th covid occurrence",No,No,Yes "Approximately, when were you tested positive for COVID-19/think you had COVID-19? - 5th covid occurrence",No,No,Yes "Approximately, when were you tested positive for COVID-19/think you had COVID-19? - 6th covid occurrence",No,No,Yes "Approximately, when were you tested positive for COVID-19/think you had COVID-19? - 7th covid occurrence",No,No,Yes "Month and year of the Covid 19 occurrence - 1st covid occurrence - MM, YYYY",No,No,Yes "Month and year of the Covid 19 occurrence - 2nd covid occurrence - MM, YYYY",No,No,Yes "Month and year of the Covid 19 occurrence - 3rd covid occurrence - MM, YYYY",No,No,Yes "Month and year of the Covid 19 occurrence - 4th covid occurrence - MM, YYYY",No,No,Yes "Month and year of the Covid 19 occurrence - 5th covid occurrence - MM, YYYY",No,No,Yes "Month and year of the Covid 19 occurrence - 6th covid occurrence - MM, YYYY",No,No,Yes "Month and year of the Covid 19 occurrence - 7th covid occurrence - MM, YYYY",No,No,Yes Did you experience any COVID-19 or LONG COVID symptoms?,No,No,Yes "Which symptoms did you experience while you were infected with COVID-19 (i.e., within 1 month of the diagnosis)? Tick all that apply",No,No,Yes "Which symptoms did you experience while you were infected with COVID-19 (i.e., within 1 month of the diagnosis)? Other symptom(s) detail",No,No,Yes Have you been hospitalised due to COVID-19?,No,No,Yes "When were you hospitalised due to COVID-19? 1st covid occurrence MM, YYYY",No,No,Yes "When were you hospitalised due to COVID-19? 2nd covid occurrence MM, YYYY",No,No,Yes "When were you hospitalised due to COVID-19? 3rd covid occurrence MM, YYYY",No,No,Yes "When were you hospitalised due to COVID-19? 4th covid occurrence MM, YYYY",No,No,Yes Do you think that you have or have had LONG COVID?,No,No,Yes "Which LONG COVID-19 symptoms did you experience (i.e., symptoms that lasted more than 1 month of the diagnosis)?",No,No,Yes Which LONG COVID-19 symptoms did you experience? Other symptom(s) detail,No,No,Yes Were you vaccinated against COVID-19? ,No,No,Yes How many doses of vaccination for COVID-19 did you have?,No,No,Yes "Approximately, when did you receive your COVID-19 vaccination(s)? 1st COVID-19 vaccination - MM, YYYY",No,No,Yes "Approximately, when did you receive your COVID-19 vaccination(s)? 2nd COVID-19 vaccination - MM, YYYY",No,No,Yes "Approximately, when did you receive your COVID-19 vaccination(s)? 3rd COVID-19 vaccination - MM, YYYY",No,No,Yes "Approximately, when did you receive your COVID-19 vaccination(s)? 4th COVID-19 vaccination - MM, YYYY",No,No,Yes Has anyone in your immediate family been hospitalised due to COVID?,No,No,Yes "Does anyone your immediate family suffer, or have suffered, from LONG COVID?",No,No,Yes