(1) How would you describe your ethnic origin?
UK White
White - Other
UK Black
Black African
Black Caribbean
Black - Other
Indian
Pakistani
Bangledeshi
Chinese Other Asian
Other please tell the interviewer what this is (2) Do you have any of these appliances ?
Gas cooker
Electric cooker
Refrigerator
Hot running water
Car
Telephone
Electric kettle
Larder or pantry
Food mixer or processor
Television AND a radio set Microwave oven
Freezer (this might just be an ice box) What do you have delivered ? (3) Complete meals e.g. meals on wheels Meal items - e.g. pies, stews
Milk Fruit Juice
Eggs Yoghurt Cream Cheese
Potatoes Other vegetables Fruit Fresh fish Bread
Fish and chips Other takeaway food
Tinned food
Other food - please tell the interviewer what this is (4) Are you also troubled by any of the following?
Fainting spells High blood pressure
A mild or full stroke
Hearing loss Chest pains
A hiatus hernia Diabetes
Coeliac disease CrÖhns disease
A stomach ulcer Bowel cancer
Constipation Diarrhoea
Nausea Vomiting
Shortness of breath or breathing difficulties (5) Do you ever take any of these drinks or tablets?
A meal replacement drink such as Complan A tonic drink such as Sanatogen
Multivitamin tablets
Iron tablets
Mineral supplements like Calcium or Zinc
Vitamin C tablets or drinks
Garlic capsules
Cod liver oil (either liquid or capsules)
Fibre tablets or bran
Lecithin
Other - please tell the interviewer what this is
Did you use any of these other shops? (6)
Farm shop
Pick your own farm
Butcher
Bakery / Confectioners
Greengrocer
Fishmonger
General corner store
Mini-market
Off-license
Newsagent Market
Frozen food store such as Iceland
Kwik Save (please turn the card over) Aldi
Lo-Cost
Spar
Netto
Happy Shopper
Marks and Spencer
Asda
Sainsburys Tesco
Safeway
The Co-op
Morrisons
Chemist e.g. Boots
Other - please tell the interviewer what this was
(7) Which of the following would you say best describes your walking speed?
Very slow
Stroll at an easy pace
Normal speed Fairly brisk
Fast
(8a) Households with one person only -
Which of the following would you say best describes your income per week?
Please tell the interviewer the number of the category which applies to you. Your answer is completely confidential.
1: Up to ,55 per week
2: ,55 - ,64.99
3: ,65 - ,74.99
4: ,75 - ,99.99
5: ,100 - ,149.99
6: ,150 - ,199.99
7: ,200 - ,299.99
8: ,300 - ,500
9: More than ,500 per week (8b)
Households with more than one person only - Which of the following would you say best describes your HOUSEHOLD income each week?
Please tell the interviewer the number of the category that applies to you. Your answer is completely confidential.
1: Up to ,85 per week
2: ,85 - ,99.99
3: ,100 - ,129.99
4: ,130 - ,149.99
5: ,150 - ,199.99
6: ,200 - ,299.99
7: ,300 - ,499.99 8: ,500 - ,599.99
9: More than ,600 per week (9)
Leaving out the value of your home if you own it, what would you say is the value of your (or your household) savings ?
Please tell the interviewer the number of the category which applies to you. Your answer is completely confidential. 0: No savings
1: Up to ,2,999.99
2: ,3,000 - ,4,999.99
3: ,5,000 - ,7,999.99
4: ,8,000 - ,9,999.99
5: ,10,000 - ,14,999.99 6: ,15,000 - ,24,999.99
7: ,25,000 - ,49,999.99
8: Over ,50,000
(10)
How would you describe your financial situation?
Please tell the interviewer the number of the category which applies to you. Your answer is completely confidential.
1: Well off
2: Comfortable
3: Enough to get by on
4: A bit hard pressed 5: Hard up
6: Very hard up
(11) Which ONE of these items is the most important in your budget?
Rent or mortgage
Fuel bills- gas, electricity, oil or coal
Food Telephone
Going out
Clothes for yourself
Television
Alcohol / cigarettes
Clothes for your family
Transport
Hire purchase or payments for other loans
(12) Life satisfaction index
Q1 As I grow older things seem better than I thought they would be
Q2 I have had more chances in life than most people I know
Q3 This is the dreariest time of my life
Q4 I am just as happy as when I was younger
Q5 These are the best years of my life
Q6 Most of the things I do are boring or monotonous Q7 The things I do are as interesting as they ever were
Q8 As I look back on my life I am fairly well satisfied pto Q9 I have made plans for things I'll be doing in a month or year from now
Q10 When I look back on my life I didn't get most of the important things I wanted Q11 Compared with other people I get down in the dumps too often Q12 I've got pretty much what I expected out of life
Q13 In spite of what people say the life of the average person is getting worse not better
(follow up 2)
Which ONE of the following concerns you most about the food you eat?
Getting a dose of food poisoning
Residues of chemicals on food such as pesticides
Manufacturers putting artificial additives such as colourings and flavourings in food
Getting heart disease or cancer from eating the wrong foods
Becoming overweight
Animal diseases like mad cow disease spreading to people
None of the above (follow up 3)
The interviewer will read out a series of statements to you.
After each statement please tell the interviewer which of the following represents your view.
Do you : Strongly agree
Agree
Neither agree nor disagree
Disagree Strongly disagree
(follow up 4)
The interviewer will read out a list of sources of nutrition information. After each one, please tell them which answer you think applies.
Is the source :
Very reliable Fairly reliable
Neither reliable nor unreliable
Fairly unreliable
Very unreliable ( follow up 7) Marks and Spencer
Sainsburys
Tesco
Asda
Kwik Save
Aldi
Corner shop The Co-op
Market