The purpose of this section is to describe in detail how the Global Asthma Network data should be formatted and structured when it is sent to the GAN Global Centre in Auckland, New Zealand. Once the data has been received and acknowledged it will be then sent to one of two data centres – London, UK(Neil Pearce) for the majority of centres or Murcia, Spain (Luis García Marcos) for Spanish and Portuguese speaking centres.(see section 21 for contact details)
The preferred method of data transfer is by email or file upload via the internet. If this is not possible, the data may be sent via a flash drive or CD-ROM, but must be sent as electronic files, not on paper forms. It is the responsibility of the principal investigator to arrange for the data to be entered onto a computer. The GAN Global Centre does not have the resources to carry out this task for any centre.
As noted in section 6.1.3, at least 10% of data should be double entered to gauge the number of mistakes being made with data entry and if a large number of errors are encountered, the full dataset should be double entered. Double entry of data, as the name suggests, involves entering the data once, followed by a second entry of the data which is compared with the first version to identify any keystroke errors. Some data entry computer software will allow the user to compare the first and second versions of the data as the operator is entering the data for the second time. Any discrepancies between the first and second versions can immediately be resolved using the paper questionnaire as a reference. Otherwise, data will need to be entered into two datasets, then compared manually.
For basic data entry, Epi-Info is a free epidemiological software package distributed by the Center for Disease Control and Prevention, and may be downloaded from http://www.cdc.gov/epiinfo/. Since 2000, Epi-Info does not compare the two versions of the data automatically however, it does include a number of useful statistical functions. If centres wish to use an Epi Info data entry package, the Epi Info package can be obtained from the GAN Global Centre or this website.
Instructions | GAN Data Entry Package | http://www.cdc.gov/epiinfo/
Some centres may wish to use questionnaire scanning software such as OMR (Optical Mark Recognition) for data entry. This is acceptable, but if so, procedures to deal with data entry errors must be documented and sent to the GAN Global Centre. The scanning software should also scan and keep an image of the questionnaire so that it can be checked when an error appears and manually corrected if necessary. The questionnaires may need specific preparations to be suitable for being read by a scanner. A copy of any paper questionnaire used must be provided to the GAN Global Centre. The name of the software and its manufacturer, and documentation describing the software should be sent to the GAN Global Centre, and/or a website address for the documentation. The software should have the ability to export the data set as a .CSV file. Adult and student questionnaires must be linked.
The minimum requirements for questionnaire scanning software are:
Please retain the paper questionnaires in secure storage, for the time specified by your Ethics Committee, following data entry. The questionnaires must be available during the data checking process for checking against the computer record. In some countries it may be a condition of ethical approval for the study that the paper questionnaires are stored for a specific period of time.
The answers to the questions provided by the student or parent should be entered onto the computer exactly as they responded. No corrections should be made to remove apparent inconsistencies between the responses to different questions. Corrections may be made to errors in the demographic information if the correct information is available from another source (i.e. the school). However, all corrections to demographic information should be made to a copy of the original data file(s). Please retain copies of the original and any amended versions of the data file(s) for a minimum period of 3 years as a safeguard against accidental loss of the data (or for the time specified by your Ethics Committee).
The data format described in this section applies to the data sent to the GAN Global Centre, not necessarily to the data held locally. The structure required of the data when being sent to the GAN Global Centre certainly can be used as the local data format but it is not necessary to do so. The locally held data must be able to be transcribed to the format given in this manual. To do this each of the responses for each question required to be sent to the GAN Global Centre must have a unique code in the local data set so that they can be translated to the appropriate GAN Global Centre code.
Data for questions that have been added to the core questionnaires to address local research hypotheses should not be sent to the GAN Global Centre. Only the data for questions from the questionnaires included in this manual should be sent to the GAN Global Centre.
If the data is sent to the GAN Global Centre on flash drive or CD-ROM, the disks need to be identified clearly. This identification is achieved using a label attached to the media and a file on the disk containing identifying information. This file is known as the DATA HEADER. The DATA HEADER file must also be included if the data is sent via email or internet upload. The structure and content of the DATA HEADER is described in detail below.
The data for a centre is sent as one or more DATA files and these files also need to be clearly identified. Each DATA file is identified by a one-line record at the beginning that gives information about that file. This single record at the beginning of each DATA file is called the FORM HEADER. The structure and content of the FORM HEADER is described in detail below.
As an additional check, each data record has identification information contained within it. This is the information on form type, form version, country and centre of survey. There is clearly considerable repetition involved in all this identification material but it is absolutely essential that the data received by the GAN Global Centre is unambiguous and the repetition allows checks to be made.
A standard form for each age group will be used to format the data sent to the GAN Global Centre. The GAN Global Centre has defined only these forms for formatting data. If any centre would prefer to send data in another format they should contact the GAN Global Centre before formatting or sending any data. (info@globalasthmanetwork.org)
The GAN Global Centre prefers that all data files are saved in plain text format using the structure described in this section. However, some centres may not be familiar with text format data files (also known as ‘flat’ files) and may prefer to send the data in a spreadsheet or database file format such as Microsoft Excel or Microsoft Access. If this is the case, the Principal Investigator should contact the GAN Global Centre to confirm that the GAN Global Centre can read the intended format. Other file formats that the GAN Global Centre can accept include, Lotus 1-2-3, Paradox, Dbase, Quattro Pro, Microsoft Works and Epi-Info. If one of these file formats is used to send data to the GAN Global Centre, please follow the data structure described in this section as closely as is feasible. Any alterations to the order of variables, variable names or format of variables described in this section should be clearly described in correspondence to the GAN Global Centre.
When creating the data files, use the format documented in the coding section of this manual for all variables (see section 19.5). The compulsory questions are noted in sections 7-9. Should centres wish to omit subsequent questions it is assumed they will re number their questions accordingly, however centres must still use the variable names and item numbers noted in section 19.5 when coding the data from their questionnaires.
Data for different subjects (adolescents, children or adults) must be written in different records (lines). A new file should be created for each age group. The files must contain only items of the questionnaires and preferably saved as a .CSV (Comma Separated Value) file. Each variable (numeric or character) must be delimited by a comma (for .CSV files) or semicolon (for other ASCII text files). Hence character variables should not contain semicolons or commas as text values. The decimal separator must be a point. Do not use commas as a decimal separator as this can interfere with the format of .CSV files and other export routines for conversion to ASCII text files that use commas as a variable delimiter.
An example of these file format specifications is given below:
1,text response,2.15,next text response, etc.
Note: Most data entry or database programmes will use the comma as default field delimiter or allow you to specify it, if you export and save your data as an ASCII text and/or .CSV file. If you have any problems to code or convert your data to the requested format, do not hesitate to contact the GAN Global Centre.
In most cases blank spaces are not allowed in the DATA file records (except in the DATA HEADER file). Leading zeros are to be used where necessary to pad fields to avoid blanks. Most variables in the questionnaire use numeric codes (e.g. 1 for ‘Yes’, 2 for ‘No’). If there was no response, you should use the code ‘9’ or ‘99’ to indicate that there was no response from the respondent.
1,2,9,1,99,etc
The exception to this is some variables which contain text (eg item 80 in section 19.5.3). If a respondent has not answered ‘Other’ for item 79, item 80 should be left blank. Collaborators must also ensure that delimiters are used for blank variables. In this case the coding for these variables should be:
1,,next response,9, etc
No response may occur deliberately because it was a question that was not required to be answered, or the respondent chose not to answer the question, or may occur unintentionally because the respondent did not correctly supply the information.
Some programs may also enclose text variables in double or single quotes when exporting. Eg:
1,”text response”,9,etc
Empty text variables, however, should not include these quotes. Eg:
1,,”next text response”,9,etc
COUNTRY and CENTRE codes are issued by the GAN Global Centre when Centres register and are accepted into the study. Principal Investigators should contact the GAN Global Centre if they do not know their COUNTRY or CENTRE code.
SCHOOL and SERIAL codes must be unique within each centre and are to be allocated by the centre. Centres may choose to allocate SERIAL codes for subjects (children) consecutively within the centre, or they may wish to re-start the numbering for each school. Either approach is acceptable as long as no two (or more) respondents share the same combination of SCHOOL and SERIAL codes within a centre. If the Adult questionnaire is used, it is VITAL that the adult respondents can be linked with the corresponding child or adolescent respondent in some way See section 19.5 and “identifying boxes for office use only” in section 20. If questionnaires are scanned a barcode could be used to link student and adult records. The GAN Global Centre may wish to discuss the data for individual respondents during the data checking process. Centres are therefore advised to adopt a numbering system that allows them to easily associate a record in the computer file with a paper questionnaire.
As stated above, the preferred method of data transfer is by email or file upload via the internet. If this is not possible, media that may be used to transfer data files to the GAN Global Centre include USB flash-drive, CD-ROM or DVD sent via post. At present the GAN Global Centre does not have the capability to accept other formats. Please contact the GAN Global Centre prior to data transfer if you would prefer to use other formats.
Data files may be sent as attachments to email messages. All email with data attachments should be sent to the GAN Global Centre in Auckland (info@globalasthmanetwork.org).
Each email message must contain at least two attached files: a DATA HEADER file and one or more DATA files.
The version of the data should be numbered sequentially from 01. The first copy of the data sent to the GAN Global Centre will be version 01. If, during correspondence with the GAN Global Centre, changes are made to the data and a further version of the data is sent to the GAN Global Centre, this will be version 02 and so on.
The DATA HEADER file contains information about the person preparing the disk and the data files included on the diskette.
Name the DATA HEADER file as "Hmmmrrrnn.ext", where:
| H | indicates header file |
| mmm | is the country code number, |
| rrr | is the centre code number, |
| nn | is the two digit data version number, and |
| ext | is the file type extension (e.g.txt for a flat text file). |
For example, the first DATA HEADER flat text file from Auckland (CENTRE 001), New Zealand (COUNTRY 001) will be called H00100101.txt
DATA HEADER file:
The first line of every DATA file should be the FORM HEADER. The FORM HEADER should be followed by the actual data, one line for each subject (participant), using the structure described in the data form (see section 19.5).
The data files should be named as "Dxxmmmrrrnn", where:
| D | indicates data file |
| xx | is any number identifying the DATA file being sent, |
| mmm | is the country code number, |
| rrr | is the centre code number, |
| nn | is the two digit data version number, and |
| ext | is the file type extension (e.g. .csv for a comma separated value file). |
For example, the first DATA file from Auckland (CENTRE 001), New Zealand (COUNTRY 001) will be called D0100100101.csv
DATA files:
The GAN Global Centre will acknowledge receipt of the data. If no response has been received from the GAN Global Centre two weeks after the data has been sent, please contact the GAN Global Centre by email or fax requesting confirmation that the data has been received.
USB Flash-drives and CD-ROMs should ideally be written on an MS-DOS or Microsoft Windows computer. If such a computer is not available, please clearly state the name and version number of the relevant operating system in correspondence with the GAN Global Centre and on the data label. If at all possible, please avoid using computers with country or region specific operating systems.
Each flash-drive or CD-ROM must contain at least two files: a DATA HEADER file and one or more DATA files.
The DATA HEADER and DATA files should include the same information and be named in the same manner as those described in section 19.3.1.
Flash-drives or CD-ROMS should, if possible, be sent to the GAN Global Centre via registered mail. The GAN Global Centre will acknowledge receipt of data within one working day (except for holiday periods) by return mail and fax or email if a fax number or email address has been supplied. If a centre has received no response from the GAN Global Centre two weeks after the data has been sent, please contact the GAN Global Centre (info@globalasthmanetwork.org) to request confirmation that the data has been received.
Every data CD-ROM sent from the Global Asthma Network centre to the GAN Global Centre must have a DISK LABEL affixed to it. The DISK LABEL should include the following information:
An example of a DISK LABEL:
This shows that:
It is from COUNTRY 001 (New Zealand)
It is from CENTRE 001 (Auckland)
It was written on 15 July 2015
It is version 02 of the data from Auckland
The data is from Phase One of the Global Asthma Network
The DATA HEADER file contains ten lines plus one line for every data file included on the disk. Details of each line are shown in the table below:
Line |
Name |
Specification and Codes |
Variable length |
1 |
FORM |
Identifies that this is a DATA HEADER HDGAN |
5 |
1 |
VERSION |
DATA HEADER version 02 |
2 |
2 |
NAME |
Name of person to be contacted regarding the contents of the disk. |
255 |
3 |
ADDRESS |
Address of person to be contacted regarding the contents of the disk. |
255 |
4 |
PHONE |
Telephone number, fax number and email address of the person to be contacted regarding the contents of the disk. |
255 |
5 |
DWRITTEN |
Date of writing the disk (ddmmyyyy) |
8 |
6 |
COUNTRY |
Country code number |
3 |
7 |
CENTRE |
Centre code number |
3 |
8 |
DVERSION |
Data version identification number The centre must give a sequential data version number to each different version of the data that is submitted to the GAN Global Centre. The number of the first version should be 01, the second should be 02, etc. The data version number is recorded in the DATA HEADER, and also on the DISK LABEL. This number is also part of the names of the DATA HEADER and the DATA files. |
2 |
9 |
TOTFILE |
Total number of files being transferred to the GAN Global Centre. |
3 |
10 |
PHASE1 |
A code to identify the data is from a Global Asthma Network Phase One study |
1 |
11- |
One line for each data file. The line will consist of the filename, the form type the file contains and the number of records within the file. |
||
|
DATAxx |
Data file name using the format Dxxmmmrrrnn.ext where: |
15 |
|
Blank |
2 |
||
FORMxx |
Type of form within the data file. |
2 |
|
blank |
2 |
||
NUMRECxx |
Number of data records within the data file (padded with leading zeros if necessary). |
6 |
|
DATAxx, FORMxx and NUMRECxx are repeated as many times as is necessary to describe all the data files on the disk. |
An example of a DATA HEADER:
HDGAN02
Name of Principal Investigator (e.g. Philippa Ellwood)
Department of Paediatrics: Child and Youth Health, University of Auckland, Private Bag 92019, Auckland, New Zealand.
Ph: +649236451, Fax:+64 9 373 7602,Email: p.ellwood@auckland.ac.nz
27/08/2015
001
001
02
004
1
D0100100102.csv 01 000435
D0200100102.csv 02 000416
D0300100102.csv 03 002516
This shows that:
Note that the line containing the address information and the line containing the telephone, fax and email information have wrapped to a second line in this example. In the actual DATA HEADER each would occupy a single line of up to 255 characters.
The FORM HEADER is the first line of information in each text format data file. If a centre sends the data as a spreadsheet, the FORM HEADER should occupy the top left cell of the spreadsheet with the remaining cells on the first row left blank. If a centre sends the data as a database file, the FORM HEADER should be omitted from the file but the information contained in the FORM HEADER, including identification of the file to which it applies, should be included in correspondence to the GAN Global Centre.
The FORM HEADER includes the following information:
Name |
Specification and Codes |
Columns |
FORM |
Identifies that this is a FORM HEADER HDRFORM |
1 to 7 |
VERSION |
FORM HEADER version 02 |
8 to 9 |
HDFORM |
Form identification of the following forms 01, 02, or 03 |
10 to 11 |
HDVERSN |
Form version of the following forms 1 |
12 |
HDNMFRM |
Number of records of type HDFORM in this file |
13 to 18 |
None of the characters in the FORM HEADER should be left blank.
HDFORM is the code that identifies the form used to structure the data in the file. For all data this will be 01, 02, or 03 unless the principal collaborator and the GAN Global Centre have agreed to use a different, centre specific form.
The number of records (HDNMFRM) included in the FORM HEADER should be consistent with the number of records included in the DATA HEADER for the data file.
An example of a FORM HEADER:
HDRFORM02011002557
This shows that:
This is a FORM HEADER
This is version 02 of the FORM HEADER
The DATA file uses FORM 01 version 1 to structure the data
The DATA file contains 2557 records (with leading zeros)
DATA COLLECTION
QUESTIONNAIRE DATA FOR THE ADOLESCENT GROUP
Form: 01
Version 1
Item |
Name |
Specification and Codes |
Question # |
|
1 |
FORM |
Questionnaire age group THIS IS FORM TYPE 01 |
||
2 |
VERSION |
Form version 1 |
||
3 |
COUNTRY |
Country code |
||
4 |
CENTRE |
Centre code |
||
5 |
SCHOOL |
School identification number |
||
6 |
SERIAL |
Serial number of respondent |
||
7 |
SERIALA1 |
Serial number of adult caregiver 1 |
||
8 |
SERIALA2 |
Serial number of adult caregiver 2 |
||
9 |
DINT |
Date of interview / receiving response |
||
10 |
AGE |
The actual age of the child / respondent (years) |
||
11 |
DBIRTH |
Date of birth of the child / respondent. |
||
12 |
SEX |
Sex of the child / respondent |
||
13 |
WEIGHT |
Weight of the respondent |
||
14 |
WGTUNIT |
Measurement used for respondent weight. |
||
15 |
HEIGHT |
Height of the respondent |
||
16 |
HGTUNIT |
Measurement used for respondent height. |
||
17 |
LANGUAGE |
Language of the questionnaire Use a three digit code for each language used in the centre from the list in section 20.3. If an appropriate language code is not available, please contact the GAN Global Centre (contact number section 21) to request a code number for your language. |
||
18 |
WHEZEV |
Have you ever had wheezing or whistling in the chest at any time in the past? |
1 |
|
19 |
WHEZ12 |
Have you had wheezing or whistling in the chest in the past 12 months? |
2 |
|
20 |
NWHEZ12 |
How many attacks of wheezing have you had in the past 12 months? |
3 |
|
21 |
AWAKE12 |
In the past 12 months, how often, on average, has your sleep been disturbed due to wheezing? |
4 |
|
22 |
SPEECH12 |
In the past 12 months, has wheezing ever been severe enough to limit your speech to only one or two words at a time between breaths? |
5 |
|
23 |
ASTHMAEV |
Have you ever had asthma? |
6 |
|
24 |
ASTHDOC |
Was asthma confirmed by a doctor? |
7 |
|
25 |
ASTHPLAN |
Do you have a written plan which tells you how to look after your asthma? |
8 |
|
26 |
MEDPUFF |
Have you used any inhaled medicines e.g. puffers (use local terminology) to help your breathing problems at any time in the past 12 months? (when you didn’t have a cold)
|
9 |
|
27 |
SABAFREQ |
Please indicate how often you used of each of the inhaled medicines listed below in the past 12 months: Short Acting β-Agonists (SABA): |
9a |
|
28 |
LABAFREQ |
Long Acting β-Agonists (LABA): |
||
29 |
ICSFREQ |
Inhaled Corticosteroids (ICS): |
||
30 |
COMBFREQ |
Combination ICS and LABA: |
||
31 |
MEDPILL |
Have you used any tablets, capsules, liquids or other medicines e.g. pills (use local terminology) that you swallowed to help your breathing at any time in the past 12 months? (when you didn’t have a cold) |
10 |
|
Please indicate how often you used of each of the tablets, capsules, liquids or other medicines e.g. pills (use local terminology) listed below in the past 12 months: |
10a |
|||
32 |
MEDPIL1a |
Name [1] |
||
33 |
MEDPIL1b |
Frequency [1] |
||
34 |
MEDPIL2a |
Name [2] |
||
35 |
MEDPIL2b |
Frequency [2] |
||
36 |
MEDPIL3a |
Name [3] |
||
37 |
MEDPIL3b |
Frequency [3] |
||
38 |
MEDPIL4a |
Name [4] |
||
39 |
MEDPIL4b |
Frequency [4] |
||
Note: If you require more columns to accommodate more medicine names, please follow the naming convention above where MEDPILxa is the name of the medicine and MEDPILxb is the frequency of that medicine, and x is a sequential number uniquely identifying each variable. Use the existing codes to code each question: |
||||
40 |
DOCBRT12 |
In the past 12 months, how many times have you urgently been to a doctor because of breathing problems? |
11 |
|
41 |
ERBRTH12 |
In the past 12 months, how many times have you urgently been to an Emergency Department without being admitted to hospital because of breathing problems? |
12 |
|
42 |
HOSBRT12 |
In the past 12 months how many times have you been admitted to hospital because of breathing problems. |
13 |
|
43 |
SCHOOL12 |
In the past 12 months, how many days (or part days) of school have you missed because of breathing problems? |
14 |
|
44 |
EXWHEZ12 |
In the past 12 months, has your chest sounded wheezy during or after exercise? |
15 |
|
45 |
COUGH12 |
In the past 12 months, have you had a dry cough at night, apart from a cough associated with a cold or chest infection? |
16 |
|
46 |
PNOSEEV |
Have you ever had a problem with sneezing or a runny or blocked nose when you DID NOT have a cold or the flu? |
17 |
|
47 |
PNOSE12 |
In the past 12 months, have you had a problem with sneezing or a runny or blocked nose when you DID NOT have a cold or the flu? |
18 |
|
48 |
IITCH12 |
In the past 12 months, has this nose problem been accompanied by an itchy nose? |
19 |
|
49 |
IEYES12 |
In the past 12 months, has this nose problem been accompanied by itchy-watery eyes? |
20 |
|
50 |
IACTIV12 |
In the past 12 months, how much did this nose problem interfere with your daily activities? |
21 |
|
51 |
HFEVEREV |
Have you ever had hay fever? |
22 |
|
52 |
HFEVDOC |
Was your hay fever confirmed by a doctor? |
23 |
|
53 |
RASHEV |
Have you ever had an itchy rash which was coming and going for at least six months? |
24 |
|
54 |
RASH12 |
Have you had this itchy rash at any time in the past 12 months? |
25 |
|
55 |
SITESEV |
Has this itchy rash at any time affected any of the following places: the folds of the elbows, behind the knees, in front of the ankles, under the buttocks, or around the neck, ears or eyes? |
26 |
|
56 |
RCLEAR12 |
Has this itchy rash cleared completely at any time during the past 12 months? |
27 |
|
57 |
RAWAKE12 |
In the past 12 months, how often on average, have you been kept awake at night by this itchy rash? |
28 |
|
58 |
ECZEMAEV |
Have you ever had eczema? |
29 |
|
59 |
ECZEDOC |
Was your eczema confirmed by a doctor? |
30 |
|
60 |
EXERCISE |
How many times a week do you engage in vigorous physical activity long enough to make you breathe hard? |
31 |
|
61 |
TELEVIS |
During a normal week of 7 days, how many hours a day (24 hours) do you watch television? (include DVD’s films, videos) |
32 |
|
62 |
COMPUTER |
During a normal week of 7 days, how many hours a day (24 hours) do you spend on any of the following: computer (include PlayStation, smartphone, tablet); the internet (include Chat, Facebook, games, Twitter, YouTube) and more? |
33 |
|
63 |
TWIN |
Are you a twin? |
34 |
|
64 |
OLDSIBS |
How many older brothers and/or sisters do you have? |
35 |
|
65 |
YNGSIBS |
How many younger brothers and/or sisters do you have? |
36 |
|
66 |
CNTRYBIR |
Were you born in [country of survey]? |
37 |
|
67 |
CBIROTH |
If NO, what country were you born in? |
37a |
|
68 |
YRSLIVED |
How many years have you lived in [country of survey]? |
38 |
|
69 |
TRUCFREQ |
How often do trucks pass through the street where you live on weekdays? |
39 |
|
70 |
MEAT |
In the past 12 months, how often, on average did you eat meat (e.g. beef, lamb, chicken, pork)? |
40 |
|
71 |
SEAFOOD |
In the past 12 months, how often, on average did you eat seafood (including fish)? |
||
72 |
FRUIT |
In the past 12 months, how often, on average did you eat fruit? |
||
73 |
VEGECOOK |
In the past 12 months, how often, on average did you eat cooked vegetables (green and root)? |
||
74 |
VEGERAW |
In the past 12 months, how often, on average did you eat raw vegetables (green and root)? |
||
75 |
PULSES |
In the past 12 months, how often, on average did you eat pulses (peas, beans, lentils)? |
||
76 |
CEREALS |
In the past 12 months, how often, on average did you eat cereals (excluding bread)? |
||
77 |
BREAD |
In the past 12 months, how often, on average did you eat bread? |
||
78 |
PASTA |
In the past 12 months, how often, on average did you eat pasta? |
||
79 |
RICE |
In the past 12 months, how often, on average did you eat rice? |
||
80 |
MARGARIN |
In the past 12 months, how often, on average did you eat margarine? |
||
81 |
BUTTER |
In the past 12 months, how often, on average did you eat butter? |
||
82 |
OLIVEOIL |
In the past 12 months, how often, on average did you eat Olive Oil? |
||
83 |
MILK |
In the past 12 months, how often, on average did you drink milk (including flavoured milk)? |
||
84 |
DAIRYOTH |
In the past 12 months, how often, on average did you eat other dairy products (including cheese or yoghurt)? |
||
85 |
EGGS |
In the past 12 months, how often, on average did you eat eggs? |
||
86 |
NUTS |
In the past 12 months, how often, on average did you eat nuts? |
||
87 |
POTATO |
In the past 12 months, how often, on average did you eat potatoes? |
||
88 |
SUGAR |
In the past 12 months, how often, on average did you eat sugar (including lollies, candies, sweets)? |
||
89 |
BURGER |
In the past 12 months, how often, on average did you eat fast food/burgers? |
||
90 |
FASTFOOD |
In the past 12 months, how often, on average did you eat fast food excluding burgers? |
||
91 |
SOFTDRNK |
In the past 12 months, how often, on average did you drink fizzy or soft drinks (include local terminology)? |
||
92 |
PARANOW |
In the past 12 months, how often, on average, have you taken paracetamol (use local terminology e.g. Acetaminophen, Panadol, Pamol, Tylenol) for fever? |
41 |
|
93 |
CATNOW |
In the past 12 months, have you had a cat in your home? |
42 |
|
94 |
DOGNOW |
In the past 12 months, have you had a dog in your home? |
43 |
|
95 |
TOBACEVA |
In the past, have you smoked tobacco on a daily basis, less than daily, or not at all? |
44 |
|
96 |
TOBACNOW |
Do you currently smoke tobacco on a daily basis, less than daily, or not at all? |
45 |
|
97 |
TOBACAGE |
If you have smoked tobacco ever, either daily or less than daily, at what age did you first smoke cigarettes, cigars, or pipe? |
46 |
|
98 |
TOBACNUM |
On average over the entire time you have smoked, how many cigarettes, cigars, or pipe did you smoke each day? |
47 |
|
99 |
TOBACNAR |
Do you smoke water pipe (use local terminology e.g. bong, crack pipe, hookah, hubble-bubble, narghile, shisha, vapourizer, water vapour) at home? |
48 |
|
Code 9 for the following 15 variables (items 98 to 112) if the child / respondent has not seen the video questionnaire. |
||||
100 |
BRTHEV |
Has your breathing been like this at any time in your life? |
49 |
|
101 |
BRTH12 |
Has your breathing been like this in the past year? |
||
102 |
BRTH1M |
Has your breathing been like this one or more times a month? |
||
103 |
EXBRTHEV |
Has your breathing been like the boy’s in the dark shirt following exercise at any time in your life? |
50 |
|
104 |
EXBRTH12 |
Has your breathing been like the boy’s in the dark shirt following exercise in the past year? |
||
105 |
EXBRTH1M |
Has your breathing been like the boy’s in the dark shirt following exercise one or more times a month? |
||
106 |
WWOKENEV |
Have you been woken like this at night at any time in your life? |
51 |
|
107 |
WWOKEN12 |
Have you been woken like this at night in the past year? |
||
108 |
WWOKEN1M |
Have you been woken like this at night one or more times a month? |
||
109 |
CWOKENEV |
Have you been woken like this at night at any time in your life? |
52 |
|
110 |
CWOKEN12 |
Have you been woken like this at night in the past year? |
||
111 |
CWOKEN1M |
Have you been woken like this at night one or more times a month? |
||
112 |
SABRTHEV |
Has your breathing been like this at any time in your life? |
53 |
|
113 |
SABRTH12 |
Has your breathing been like this in the past year? |
||
114 |
SABRTH1M |
Has your breathing been like this one or more times a month? |
||
DATA COLLECTION
QUESTIONNAIRE DATA FOR THE CHILD GROUP
Form: 02
Version 1
Item |
Name |
Specification and Codes |
Question # |
|
1 |
FORM |
Questionnaire age group THIS IS FORM TYPE 02 |
||
2 |
VERSION |
Form version 1 |
||
3 |
COUNTRY |
Country code |
||
4 |
CENTRE |
Centre code |
||
5 |
SCHOOL |
School identification number |
||
6 |
SERIAL |
Serial number of respondent |
||
7 |
SERIALA1 |
Serial number of adult caregiver 1 |
||
8 |
SERIALA2 |
Serial number of adult caregiver 2 |
||
9 |
DINT |
Date of interview / receiving response |
||
10 |
AGE |
The actual age of the child / respondent (years) |
||
11 |
DBIRTH |
Date of birth of the child / respondent |
||
12 |
SEX |
Sex of the child / respondent |
||
13 |
WEIGHT |
Weight of the child / respondent |
||
14 |
WGTUNIT |
Measurement used for child / respondent weight. |
||
15 |
HEIGHT |
Height of the child / respondent |
||
16 |
HGTUNIT |
Measurement used for child / respondent height. |
||
17 |
LANGUAGE |
Language of the questionnaire |
||
18 |
WHEZEV |
Has this child ever had wheezing or whistling in the chest at any time in the past? |
1 |
|
19 |
WHEZAGE |
IF YOU ANSWERED “YES” – How old was this child when the wheezing or whistling started? |
2 |
|
20 |
WHEZ12 |
Has this child had wheezing or whistling in the chest in the past 12 months? |
3 |
|
21 |
NWHEZ12 |
How many attacks of wheezing has this child had in the past 12 months? |
4 |
|
22 |
AWAKE12 |
In the past 12 months, how often, on average, has this child’s sleep been disturbed due to wheezing? |
5 |
|
23 |
SPEECH12 |
In the past 12 months, has wheezing ever been severe enough to limit this child’s speech to only one or two words at a time between breaths? |
6 |
|
24 |
ASTHMAEV |
Has this child ever had asthma? |
7 |
|
25 |
ASTHDOC |
Was this child’s asthma confirmed by a doctor? |
8 |
|
26 |
ASTHPLAN |
Does this child have a written plan which tells you/him/her how to look after his/her asthma? |
9 |
|
27 |
MEDPUFF |
Has this child used any inhaled medicines e.g. puffers (use local terminology) to help his/her breathing problems at any time in the past 12 months? (when he/she did not have a cold) |
10 |
|
28 |
SABAFREQ |
Please indicate how often this child used each of the inhaled medicines listed below in the past 12 months: Short Acting β-Agonists (SABA): |
10a |
|
29 |
LABAFREQ |
Long Acting β-Agonists (LABA): |
||
30 |
ICSFREQ |
Inhaled Corticosteroids (ICS): |
||
31 |
COMBFREQ |
Combination ICS and LABA: |
||
32 |
MEDPILL |
Has this child used any tablets, capsules, liquids or other medicines e.g. pills (use local terminology) that he/she swallowed to help his/her breathing at any time in the past 12 months? (when he/she did not have a cold) |
11 |
|
33 |
MEDPIL1a |
Please indicate how often this child used each of the tablets, capsules, liquids or other medicines e.g. pills (use local terminology) listed below in the past 12 months: Name [1] |
11a |
|
34 |
MEDPIL1b |
Frequency [1] |
||
35 |
MEDPIL2a |
Name [2] |
||
36 |
MEDPIL2b |
Frequency [2] |
||
37 |
MEDPIL3a |
Name [3] |
||
38 |
MEDPIL3b |
Frequency [3] |
||
39 |
MEDPIL4a |
Name [4] |
||
40 |
MEDPIL4b |
Frequency [4] |
||
Note: If you require more columns to accommodate more medicine names, please follow the naming convention above where MEDPILxa is the name of the medicine and MEDPILxb is the frequency that medicine, and x is a sequential number uniquely identifying each variable. Use the existing codes to code each question: |
||||
41 |
DOCBRT12 |
In the past 12 months, how many times have you urgently taken this child to a doctor because of his/her breathing problems? |
12 |
|
42 |
ERBRTH12 |
In the past 12 months, how many times have you urgently taken this child to an Emergency Department without being admitted to hospital because of his/her breathing problems? |
13 |
|
43 |
HOSBRT12 |
In the past 12 months how many times has this child been admitted to hospital because of his/her breathing problems. |
14 |
|
44 |
SCHOOL12 |
In the past 12 months, how many days (or part days) of school has this child missed because of his/her breathing problems? |
15 |
|
45 |
EXWHEZ12 |
In the past 12 months, has this child’s chest sounded wheezy during or after exercise? |
16 |
|
46 |
COUGH12 |
In the past 12 months, has this child had a dry cough at night, apart from a cough associated with a cold or chest infection? |
17 |
|
47 |
PNOSEEV |
Has this child ever had a problem with sneezing or a runny or blocked nose when he / she DID NOT have a cold or the flu? |
18 |
|
48 |
PNOSEAGE |
IF YOU ANSWERED “YES” – How old was this child when the nose problem started? |
19 |
|
49 |
PNOSE12 |
In the past 12 months, has this child had a problem with sneezing or a runny or blocked nose when he / she DID NOT have a cold or the flu? |
20 |
|
50 |
IITCH12 |
In the past 12 months, has this child’s nose problem been accompanied by an itchy nose? |
21 |
|
51 |
IEYES12 |
In the past 12 months, has this child’s nose problem been accompanied by itchy-watery eyes? |
22 |
|
52 |
IACTIV12 |
In the past 12 months, how much did this child’s nose problem interfere with his/her daily activities? |
23 |
|
53 |
HFEVEREV |
Has this child ever had hay fever? |
24 |
|
54 |
HFEVDOC |
Was this child’s hay fever confirmed by a doctor? |
25 |
|
55 |
RASHEV |
Has this child ever had an itchy rash which was coming and going for at least six months? |
26 |
|
56 |
RASH12 |
Has this child had this itchy rash at any time in the past 12 months? |
27 |
|
57 |
SITESEV |
Has this itchy rash at any time affected any of the following places: the folds of the elbows, behind the knees, in front of the ankles, under the buttocks, or around the neck, ears or eyes? |
28 |
|
58 |
RASHAGE |
At what age did this child’s itchy rash first occur? |
29 |
|
59 |
RCLEAR12 |
Has this child’s rash cleared completely at any time during the past 12 months? |
30 |
|
60 |
RAWAKE12 |
In the past 12 months, how often on average, has this child been kept awake at night by this itchy rash? |
31 |
|
61 |
ECZEMAEV |
Has this child ever had eczema? |
32 |
|
62 |
ECZEDOC |
Was this child’s eczema confirmed by a doctor? |
33 |
|
63 |
MPARAPRG |
How often, on average, did this child’s Mother take paracetamol in the pregnancy that she had with this child? |
34 |
|
64 |
ANIMOTH |
Did this child’s mother have regular (at least once a week) contact with farm animals (e.g. cattle, pigs, goats, sheep or poultry; use local terminology) while being pregnant with this child? |
35 |
|
65 |
MSMOKPRG |
Did this child’s Mother smoke during her pregnancy with this child? |
36 |
|
66 |
MPCAR01 |
Was there carpet in the house while this child’s Mother was pregnant with this child? (tick as many as are applicable) No carpet in the house |
37 |
|
67 |
MPCAR02 |
Mother’s bedroom |
||
68 |
MPCAR03 |
Living room |
||
69 |
MPCAR04 |
Other room/s |
||
70 |
CHPREM |
Was this child born prematurely (more than 3 weeks before he/she was expected)? |
38 |
|
71 |
BWEIGHT |
What was the weight of this child when he/she was born? _______kg/stone/pounds |
39 |
|
72 |
BWGTUNIT |
Measurement used for birth weight. |
||
73 |
BRSTFED |
Was this child ever breastfed? |
40 |
|
74 |
NBRSTFED |
For how long was this child breastfed? |
40a |
|
75 |
NBRSTEXC |
For how long was this child breastfed without adding other foods or liquids? |
40b |
|
76 |
MILKYNGa |
In this child’s first 12 months of life what kind of milk did this child drink most often? |
41 |
|
77 |
MILKYNGb |
7-12 months |
||
78 |
PARAYNG |
In the first 12 months of this child’s life, did you usually give paracetamol (use local terminology e.g. Acetaminophen, Panadol, Tylenol) for fever? |
42 |
|
79 |
NCHSTYNG |
How many chest infections did this child have in his/her first year of life? |
43 |
|
80 |
ANTIBIOT |
In the first 12 months of life, did this child have any antibiotics? |
44 |
|
81 |
NANTBIOT |
How many courses of antibiotics did this child have? |
44a |
|
82 |
ANTBIOCH |
Were any antibiotics taken to treat chest infections? |
44b |
|
83 |
SHEEPYNG |
Did this child lie on a sheepskin as an infant? |
45 |
|
84 |
CATYNG |
Did you have a cat in your home during the first year of this child’s life? |
46 |
|
85 |
DOGYNG |
Did you have a dog in your home during the first year of this child’s life? |
47 |
|
86 |
ANIYNG |
In this child’s first year of life did this child have regular (at least once a week) contact with farm animals (e.g. cows, cattle, pigs, goats, sheep or poultry; use local terminology)? |
48 |
|
87 |
WHEEZYNG |
Did this child suffer from wheezing or whistling in the chest during his/her first year of life? |
49 |
|
88 |
MEDYNG |
Was this child treated with inhaled and/or oral medicines to help his/her breathing during his/her first year of life? (when he/she did not have a cold) |
50 |
|
89 |
MEDYNG1 |
Please indicate how often you used of each of the inhaled and/or oral medicines listed below during his/her first year of life: Inhaled SABA: |
50a |
|
90 |
MEDYNG2 |
Inhaled ICS: |
||
91 |
MEDYNG3 |
Oral SABA: |
||
92 |
MEDYNG4 |
Oral ICS: |
||
93 |
MEDYNG5 |
Theophylline: |
||
94 |
MEDYNG6 |
Montelukast: |
||
95 |
MEDYNG7 |
Antibiotics: |
||
96 |
CHCARYNG |
Did this child ever go to out of home care (such as a child care facility or nursery school) when he/she was younger than 3 years of age? (use local terminology) |
51 |
|
97 |
CHCRYNGY |
If yes, from what age Years______________ |
51a |
|
98 |
CHCRYNGM |
Months_______________ |
||
99 |
CHCAROLD |
Did this child ever go to out of home care (such as a kindergarten/playcentre, preschool) when he/she was older than three years of age? (use local terminology) |
52 |
|
100 |
CHCROLDY |
If yes, from what age Years______________ |
52a |
|
101 |
CHCROLDM |
Months_______________ |
||
102 |
EXERCISE |
How many times a week does this child engage in vigorous physical activity long enough to make him / her / breathe hard? |
53 |
|
103 |
TELEVIS |
During a normal week of 7 days, how many hours a day (24 hours) does this child watch television? (include DVD’s films, videos) |
54 |
|
104 |
COMPUTER |
During a normal week of 7 days, how many hours a day (24 hours) does this child spend on the computer (including PlayStation, smartphone tablet), or on the internet (include Chat, Facebook, games, Twitter, YouTube)? |
55 |
|
105 |
PNEUMON |
Has this child ever been diagnosed with pneumonia or bronchopneumonia? |
56 |
|
106 |
TWIN |
Is this child a twin? |
57 |
|
107 |
OLDSIBS |
How many older brothers and/or sisters does this child have? |
58 |
|
108 |
YNGSIBS |
How many younger brothers and/or sisters does this child have? |
59 |
|
109 |
CNTRYBIR |
Was this child born in [country of survey]? |
60 |
|
110 |
CBIROTH |
If NO, what country was this child born in? |
60a |
|
111 |
YRSLIVED |
How many years has this child lived in |
61 |
|
112 |
CHFLR01 |
What kind of floor covering is or was there in this child’s bedroom at the following times (tick as many as are applicable) For each of the four options (Never, At this time, During the first year of this child, At some other time) E.g. for: "At this time" and "During the first year of this child" enter: 2122 |
62 |
|
113 |
CHFLR02 |
Smooth floor (vinyl/linoleum, tiles, wood, concrete, etc.,) without a rug For each of the four options (Never, At this time, During the first year of this child, At some other time) E.g. for: "At this time" and "During the first year of this child" enter: 2122 |
||
114 |
CHFLR03 |
Smooth floor (vinyl/linoleum, tiles, wood, concrete, etc.,) with a rug For each of the four options (Never, At this time, During the first year of this child, At some other time) E.g. for: "At this time" and "During the first year of this child" enter: 2122 |
||
115 |
CHFLR04 |
No covering – soil or dirt For each of the four options (Never, At this time, During the first year of this child, At some other time) E.g. for: "At this time" and "During the first year of this child" enter: 2122 |
||
116 |
CHHMCHNG |
Have you made any changes in your home to prevent the symptoms of allergies or asthma, or breathing problems in this child? |
63 |
|
117 |
TRUCFREQ |
How often do trucks pass through the street where you |
64 |
|
118 |
MEAT |
In the past 12 months, how often, on average did this child eat meat (e.g. beef, lamb, chicken, pork)? |
65 |
|
119 |
SEAFOOD |
In the past 12 months, how often, on average did this child eat seafood (including fish)? |
||
120 |
FRUIT |
In the past 12 months, how often, on average did this child eat fruit? |
||
121 |
VEGECOOK |
In the past 12 months, how often, on average did this child eat cooked vegetables (green and root)? |
||
122 |
VEGERAW |
In the past 12 months, how often, on average did this child eat raw vegetables (green and root)? |
||
123 |
PULSES |
In the past 12 months, how often, on average did this child eat pulses (peas, beans, lentils)? |
||
124 |
CEREALS |
In the past 12 months, how often, on average did this child eat cereals (excluding bread)? |
||
125 |
BREAD |
In the past 12 months, how often, on average did this child eat bread? |
||
126 |
PASTA |
In the past 12 months, how often, on average did this child eat pasta? |
||
127 |
RICE |
In the past 12 months, how often, on average did this child eat rice? |
||
128 |
MARGARIN |
In the past 12 months, how often, on average did this child eat margarine? |
||
129 |
BUTTER |
In the past 12 months, how often, on average did this child eat butter? |
||
130 |
OLIVEOIL |
In the past 12 months, how often, on average did this child eat Olive Oil? |
||
131 |
MILK |
In the past 12 months, how often, on average did this child drink milk (including flavoured milk)? |
||
132 |
DAIRYOTH |
In the past 12 months, how often, on average did this child eat other dairy products (including cheese or yoghurt)? |
||
133 |
EGGS |
In the past 12 months, how often, on average did this child eat eggs? |
||
134 |
NUTS |
In the past 12 months, how often, on average did this child eat nuts? |
||
135 |
POTATO |
In the past 12 months, how often, on average did this child eat potatoes? |
||
136 |
SUGAR |
In the past 12 months, how often, on average did this child eat sugar (including lollies, candies, sweets)? |
||
137 |
BURGER |
In the past 12 months, how often, on average did this child eat fast food/burgers? |
||
138 |
FASTFOOD |
In the past 12 months, how often, on average did this child eat fast food excluding burgers? |
||
139 |
SOFTDRNK |
In the past 12 months, how often, on average did this child drink fizzy or soft drinks (include local terminology)? |
||
140 |
CATNOW |
In the past 12 months, have you had a cat in your home? |
66 |
|
141 |
DOGNOW |
In the past 12 months, have you had a dog in your home? |
67 |
|
142 |
PARANOW |
In the past 12 months, how often, on average, have you given this child paracetamol (use local terminology e.g. Acetaminophen, Panadol, Pamol, Tylenol) for fever? |
68 |
DATA COLLECTION
QUESTIONNAIRE DATA FOR THE ADULT GROUP
Form: 03 or 04
Version 1
Item |
Name |
Specification and Codes |
Question # |
|
1 |
FORM |
Questionnaire age group THIS IS FORM TYPE 03 / 04 |
||
2 |
VERSION |
Form version 1 |
||
3 |
COUNTRY |
Country code |
||
4 |
CENTRE |
Centre code |
||
5 |
SCHOOL |
School identification number |
||
6 |
SERIAL |
Serial number of respondent |
||
7 |
DINT |
Date of interview / receiving response |
||
8 |
AGE |
The actual age of the respondent (years) |
||
9 |
DBIRTH |
Date of birth of the respondent |
||
10 |
SEX |
Sex of the respondent |
||
11 |
RELAT |
Relationship to the child who brought this questionnaire home from school |
||
12 |
RELATOTH |
Other relationship to the child |
||
13 |
LANGUAGE |
Language of the questionnaire |
||
14 |
ADBRTHEV |
Do you ever have trouble with your breathing? |
1 |
|
15 |
WHEZ12 |
Have you had wheezing or whistling in your chest at any time in the past 12 months? |
2 |
|
16 |
NWHEZ12 |
How many attacks of wheezing have you had in the past 12 months? |
3 |
|
17 |
AWAKE12 |
In the past 12 months, how often, on average, has your sleep been disturbed due to wheezing? |
4 |
|
18 |
ADBRTHLS |
Have you ever been breathless when the wheezing noise was present? |
5 |
|
19 |
ADWOKE12 |
In the past 12 months, how often, on average, has your sleep been disturbed due to shortness of breath? |
6 |
|
20 |
ADCOUH12 |
In the past 12 months, how often, on average, has your sleep been disturbed due to coughing? |
7 |
|
21 |
SPEECH12 |
In the past 12 months, has wheezing ever been severe enough to limit your speech to only one or two words at a time between breaths? |
8 |
|
22 |
ASTHMAEV |
Have you ever had asthma? |
9 |
|
23 |
ASTHDOC |
Was your asthma confirmed by a doctor? |
10 |
|
24 |
ASTHPLAN |
Do you have a written plan which tells you how to look after your asthma? |
11 |
|
25 |
ASTHAGE |
How old were you when you had your first attack of asthma? |
12 |
|
26 |
ASTHMA12 |
Have you had an attack of asthma in the past 12 months? |
13 |
|
27 |
MEDPUFF |
Have you used any inhaled medicines e.g. puffers (use local terminology) to help your breathing at any time in the past 12 months? (when you did not have a cold) |
14 |
|
28 |
SABAFREQ |
Please indicate how often you used of each of the inhaled medicines listed below in the past 12 months: Short Acting β-Agonists (SABA): |
14a |
|
29 |
LABAFREQ |
Long Acting β-Agonists (LABA): |
||
30 |
ICSFREQ |
Inhaled Corticosteroids (ICS): |
||
31 |
COMBFREQ |
Combination ICS and LABA: |
||
32 |
MEDPILL |
Have you used any tablets, capsules, liquids or other medicines e.g. pills (use local terminology) that you swallowed to help your breathing at any time in the past 12 months? (when you didn’t have a cold) |
15 |
|
33 |
MEDPIL1a |
Please indicate how often you used of each of the tablets, capsules, liquids or other medicines e.g. pills (use local terminology) listed below in the past 12 months: Name [1] |
15a |
|
34 |
MEDPIL1b |
Frequency [1] |
||
35 |
MEDPIL2a |
Name [2] |
||
36 |
MEDPIL2b |
Frequency [2] |
||
37 |
MEDPIL3a |
Name [3] |
||
38 |
MEDPIL3b |
Frequency [3] |
||
39 |
MEDPIL4a |
Name [4] |
||
40 |
MEDPIL4b |
Frequency [4] |
||
Note: If you require more columns to accommodate more medicine names, please follow the naming convention above where MEDPILxa is the name of the medicine and MEDPILxb is the frequency that medicine, and x is a sequential number uniquely identifying each variable. Use the existing codes to code each question: |
||||
41 |
DOCBRT12 |
In the past 12 months, how many times have you urgently been to a doctor because of your breathing problems? |
16 |
|
42 |
ERBRTH12 |
In the past 12 months, how many times have you urgently been to an Emergency Department without being admitted to hospital because of breathing problems? |
17 |
|
43 |
HOSBRT12 |
In the past 12 months how many times have you been admitted to hospital because of your breathing problems. |
18 |
|
44 |
SCHOOL12 |
In the past 12 months, how many days was your usual activity (at work or in the home) limited because you had breathing problems? |
19 |
|
45 |
JOBWHEEZ |
Have you ever worked in any job that caused wheezing or whistling in your chest? |
20 |
|
46 |
NOJOBWHZ |
Have you had to leave any of these jobs because they affected your breathing? |
20a |
|
47 |
HFEVEREV |
Have you ever had hay fever? |
21 |
|
48 |
HFEVDOC |
Was your hay fever confirmed by a doctor? |
22 |
|
49 |
ECZEMAEV |
Have you ever had eczema? |
23 |
|
50 |
ECZEDOC |
Was your eczema confirmed by a doctor? |
24 |
|
51 |
ADEDU |
What level of education have you received? (use local terminology) |
25 |
|
Does or did your home have visible moisture or mould spots on the walls or ceiling, anywhere in the home? (multiple answers are possible). |
26 |
|||
26a. Moisture or damp spots |
26a |
|||
52 |
DAMPNOW |
At this moment |
||
53 |
DAMPPREG |
During pregnancy of this child |
||
54 |
DAMPYNG |
During the first year of this child |
||
55 |
DAMPOTH |
At some other time |
||
26b. Mould spots |
26b |
|||
56 |
MOULDNOW |
At this moment |
||
57 |
MOULDPRG |
During pregnancy of this child |
||
58 |
MOULDYNG |
During the first year of this child |
||
59 |
MOULDOTH |
At some other time |
||
60 |
MOLDRM01 |
Where in the home do these moisture/damp/mould spots occur (more than one answer is possible) Living room |
27 |
|
61 |
MOLDRM02 |
Parent’s Bedroom |
||
62 |
MOLDRM03 |
Your child’s Bedroom |
||
63 |
MOLDRM04 |
Kitchen |
||
64 |
MOLDRM05 |
Bathroom |
||
65 |
MOLDRM06 |
Other |
27 |
|
66 |
MOLDSIZE |
Does the total area affected by all moisture/damp/mould spots exceed the size of one postcard? |
28 |
|
67 |
CFUEL01 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
29 |
|
68 |
CFUEL02 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
||
69 |
CFUEL03 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
||
70 |
CFUEL04 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
||
71 |
CFUEL05 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
||
72 |
CFUEL06 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
||
73 |
CFUEL07 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
||
74 |
CFUEL08 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
||
75 |
CFUEL09 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
||
76 |
CFUEL10 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
||
77 |
CFUEL11 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
||
78 |
CFUEL12 |
What type of fuel does your household use daily for cooking: 1 = Ticked |
||
79 |
CSTOVTYP |
What type of stove is usually used for cooking? |
30 |
|
80 |
CSTOVOTH |
What type of stove is usually used for cooking? Note: Please enter the stove name specified. Leave blank if no name was specified, or an illegible or invalid response was provided. |
||
81 |
CSTOVCHM |
Is smoke removed by hood or chimney? |
31 |
|
82 |
CHMCLEAN |
When was chimney last cleaned? |
31a |
|
83 |
CSTOVRM |
Where is the cooking usually done? |
32 |
|
84 |
CSTRMOTH |
Where is the cooking usually done? Note: Please enter the room or area specified. Leave blank if no name was specified, or an illegible or invalid response was provided |
||
85 |
CSTOVENT |
What type of ventilation is present where the stove is used? |
33 |
|
86 |
CVENTOTH |
What type of ventilation is present where the stove is used? Note: Please enter the ventilation name specified. Leave blank if no name was specified, or an illegible or invalid response was provided |
||
87 |
HEAT |
Do you heat your house when it is cold? |
34 |
|
88 |
HFUEL01 |
What type of fuel do you mainly use for heating: 1 = Ticked |
35 |
|
89 |
HFUEL02 |
What type of fuel do you mainly use for heating: 1 = Ticked |
||
90 |
HFUEL03 |
What type of fuel do you mainly use for heating: 1 = Ticked |
||
91 |
HFUEL04 |
What type of fuel do you mainly use for heating: 1 = Ticked |
||
92 |
HFUEL05 |
What type of fuel do you mainly use for heating: 1 = Ticked |
||
93 |
HFUEL06 |
What type of fuel do you mainly use for heating: 1 = Ticked |
||
94 |
HFUEL07 |
What type of fuel do you mainly use for heating: 1 = Ticked |
||
95 |
HFUEL08 |
What type of fuel do you mainly use for heating: 1 = Ticked |
||
96 |
HFUEL09 |
What type of fuel do you mainly use for heating: 1 = Ticked |
||
97 |
HFUEL10 |
What type of fuel do you mainly use for heating: 1 = Ticked |
||
98 |
HFUEL11 |
What type of fuel do you mainly use for heating: 1 = Ticked |
||
99 |
HSTOVTYP |
What type of stove is usually used for heating? |
36 |
|
100 |
HSTOVOTH |
What type of stove is usually used for heating? |
||
101 |
MEAT |
In the past 12 months, how often, on average did you eat meat (e.g. beef, lamb, chicken, pork)? |
37 |
|
102 |
SEAFOOD |
In the past 12 months, how often, on average did you eat seafood (including fish)? |
||
103 |
FRUIT |
In the past 12 months, how often, on average did you eat fruit? |
||
104 |
VEGECOOK |
In the past 12 months, how often, on average did you eat cooked vegetables (green and root)? |
||
105 |
VEGERAW |
In the past 12 months, how often, on average did you eat raw vegetables (green and root)? |
||
106 |
PULSES |
In the past 12 months, how often, on average did you eat pulses (peas, beans, lentils)? |
||
107 |
CEREALS |
In the past 12 months, how often, on average did you eat cereals (excluding bread)? |
||
108 |
BREAD |
In the past 12 months, how often, on average did you eat bread? |
||
109 |
PASTA |
In the past 12 months, how often, on average did you eat pasta? |
||
110 |
RICE |
In the past 12 months, how often, on average did you eat rice? |
||
111 |
MARGARIN |
In the past 12 months, how often, on average did you eat margarine? |
||
112 |
BUTTER |
In the past 12 months, how often, on average did you eat butter? |
||
113 |
OLIVEOIL |
In the past 12 months, how often, on average did you eat Olive Oil? |
||
114 |
MILK |
In the past 12 months, how often, on average did you drink milk (including flavoured milk)? |
||
115 |
DAIRYOTH |
In the past 12 months, how often, on average did you eat other dairy products (including cheese or yoghurt)? |
||
116 |
EGGS |
In the past 12 months, how often, on average did you eat eggs? |
||
117 |
NUTS |
In the past 12 months, how often, on average did you eat nuts? |
||
118 |
POTATO |
In the past 12 months, how often, on average did you eat potatoes? |
||
119 |
SUGAR |
In the past 12 months, how often, on average did you eat sugar (including lollies, candies, sweets)? |
||
120 |
BURGER |
In the past 12 months, how often, on average did you eat fast food/burgers? |
||
121 |
FASTFOOD |
In the past 12 months, how often, on average did you eat fast food excluding burgers? |
||
122 |
SOFTDRNK |
In the past 12 months, how often, on average did you drink fizzy or soft drinks (include local terminology)? |
||
123 |
TOBACEVA |
In the past, have you smoked tobacco on a daily basis, less than daily, or not at all? |
38 |
|
124 |
TOBACNOW |
Do you currently smoke tobacco on a daily basis, less than daily, or not at all? |
39 |
|
125 |
TOBACAGE |
If you have smoked tobacco ever, either daily or less than daily, at what age did you first smoke cigarettes, cigars, or pipe? |
40 |
|
126 |
TOBACNUM |
On average over the entire time you have smoked, how many cigarettes, cigars, or pipe did you smoke each day? |
41 |
|
127 |
TOBACNAR |
Do you smoke water pipe (use local terminology e.g. bong, crack pipe, hookah, hubble-bubble, narghile, shisha, vapourizer, water vapour) at home? |
42 |
Note: This manual has been updated as of 10 September 2015. If you visited or downloaded the manual before this date, please replace it with this latest version.
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