1381449385 Age 5 Data Directory.Pdf

PHASE V DATA

(Includes home visit by Public Health Nurse, School Questionnaire, and Medical Examination by Dr A.C. Stewart)

INTRODUCTION

The Phase V data collection was designed by P.A. Silva, J. Bradshaw, - I.A. Stewart, D.G. Geddis, and A.C. Stewart. The data collected at Knox are set c ! out as A, B, C, and D variables (see Phase I11 data for an explanation). Data were also collected by Public Health Nurses in a home visit, school questionnaires 1 were filled in and an examination was conducted by A.C. Stewart. Shese data are numbered Variables 1 to 158. There were also 57 research tasks carried out and special forms filled in for special medical problems, hospital isations, accidents, poisonings, and loss of consciousness (see page V-60).

Other data were collected by J. Birkbeck (anthropometry, nutrition), R.H. Brown (dental), and P. Mahalski (attachment objects). These are looked after by those people and data soecifications are available from the unit on request.

NUMBER OF CHILDREN

A. Knox Assessments

Seen at Knox N-917; Seen at School/Home N=22; Seen by Psych. Service N=52 Total Seen N=991 (96% of 1037)

Not seen N=33; Refusals N.12; Died N=l; Total not seen N=46 (4% of 1037)

B. Home Visits by Public Health Nurses N=988

C. Medical Examination at School by Dr A.C. Stewart N=989

INDEX TO DATA (Total observations 835)

Card Data Variable Numbers Paqe

1 Experiences and Activities A1-61; 81-2, Dl 'I-1

2 General Parent Interview - I A62-92; 83-10; C1-3 V-4 Number of children Address changes Mothers working Child care use and opinions Preschool attendance Attitudes to preschool and age of commencement School child will attend Additional experiences TV watching Hospital isations Accidents Poisonings Loss of consciousness Enuresis Breast feeding advice Preschool codes School codes Special forms General Parent Interview - I1 A93-110, 815-30 V-17 Sleeping and sleeoinq problems Feeding and feeding prohlems Medicines Teeth cleaning Under care of a doctor or soecialist Medical prohlems Use of services Marriage counselling Plunket Evaluation Questionnaire Alll-156; 031-34 Discipline Questionnaire I A157-178; R35-4P Types of had behaviour Obedience Temper tantrums Parents' attitudes to their discipline methods Discipline Questionnaire I1 A179-198; 050-68 Type of punishment Strictness Differences in discipline between parents Rewarding Health Questionnaire for Mothers 069-128 Child Behaviour Questionnaire A19P-218

Psychometric Assessment I A21.9-247; 8129-140 V-79 Time taken Reynell Developmental Language Scales Goodenouqh-Harris Draw-a-Man Test Stanford-Rinet Intelligence Scale Psychometrists' codes Psychometric Assessment I1 Remainder of Stanford-Binet Items Psychometric Assessment 111 Speech (DASS) Motor co-ordination Behaviour observations Behaviour definitions Progress questionnaire (Social Maturity) A352-385 1. Greeting 2. Co-operation 3. Conversations 4. Language 5. "Personality" 6. Concentration 7. Relationships with peers 8. Sharing 9. Conversing with peers 10. Separations 11. Confidence 12. Reaction to new situations 13. Activities 14. Management of the child 15. Influences on development 16. Health 17. School expectations 18. Marriage changes w w c c 3rnw nxxw m30n3u 03m 333- mmo3m- ccm c002. 5w2.3 w 2. m 2. u (U -3 c -0 2.055n C rt'n 3 rt 303wcmm1 2.5 2. 5 1 ui 3 mui m ac~m0 rtm m 3 m m 3uifn w c owmw om ~mmm-7 rtm - -3 rtn 3 rt m2.7rt w rto 2.rtO 0 5 no 2.5 mw m -h-h 53 m -0 m z Z omnz 2. 5 2.3mc a me -h72. *en7 m7 2.m - 57 sm - nu a mom WO 5 2.0 rt7a m3-1 -.rtm a o 0 < - 53 3 rtm m m 5 smw 0 7 -< u wcrt-. 3 3-.5m m an -. 3 mmrt rt zmm 7 n m m cn -h Fwna~m-. YS

EXPERIENCES AND ACTIVITIES* (Card 1 - V)

Series No. Dl

(Score 0 = No, 1 = Yes)

Experiences (Last 2 years) Activities (At home - 5 months) (N.8.- Yust be at home not elsewhere) Bus A1 1 Colours in 31 Train 2 2 Draws Large boat (ship) 3 3 Cuts, sticks Small boat 4 4 Plasticine dough Water play 5 5 Water play Horse 6 6 Construction tovs Large store 7 7 Dolls, trucks Restaurant meal 8 8 Dress UD zoo 9 9 ~antasy'games Farm 10 10 Huts Factory 11 11 Listens records Concert 12 12 Watches TV Puppet show 13 13 "Hel~s"mother Pictures 14 14 "~el~s"father Museum 15 15 ~usicalinstrument 45 Santa Claus 16 16 Pets 46 Art Gallery 17 17 Swims or paddles in a pool 47 Sports Event 18 18 Does puzzles 48 Ships at harbour 19 19 climbs trees, fences 49 Trains at station 20 20 Digs holes or plays in dirt 50 Beach 21 21 Rides vehicle (trike, etc) 51 Long trip (200+ miles) 22 22 Ball games 52 Camping holiday 23 23 Picks or plants flowers 53 Staying friend or 24 24 Collects things 54 relatives Hike or tramp (3+ miles) 25 25 Plays in sandpit 55 Circus 26 26 Plays on swing, bars 56 Church 27 27 Reads or is read to 57 Show (Agricultural) 28 28 Listens radio 58 Watched TV 29 29 Plays table games (e.g. 59 snakes & ladders, cards, etc) 30 Listened radio 30 30 Goes out in the car 60

Total 81 Total 82

If read to, N books read in last 61 7 davs

Notes: * This scale was developed by P.A. Silva

Reference: R08 GENERAL PARENT INTERVIEW QUESTIONNAIRE* (Card 2 - V)

Date (Day & Month) ...... B3-B4 I am sure you will understand that for a large study like this to be of most value, we need to gather detailed information about the hundreds of children and their families. Although the psycholoaist will be asking more later, it would help us save time if you would let us have some preliminary information. Naturally, all information is comp1etel.v confidential.

Coding Conventions: 0 = no; 1 = yes; R = not applicable; 9 = not known)

1. How many children do you have living at home now? 85 2. What is ...... position in the family? (Code 1st = 1; 2nd = 2; etc.) 3. Since you were here when ... was 3, how many time have you changed 63 your address?

4. Do you have a job away from home? If you have a job, how many hours 85 a week do you work? (If no job code 88, otherwise code hours weekly)

5. If you work away from home, what arrangements do you make to care for 54 the child? (8 = not working, does not apply; 1 = cared for by father figure; 2 = cared for by relatives; 3 = cared for by friends or neighbours; 4 = attends preschool; 5 = attends creche, day care or nursery not provided by work; 6 = as for 5 but provided by work; 7 = accompanies...... mother to work; 9 = other) Specify if other See Research Task V-1 6. Has ...... ever been to a child care centre or creche while you have C 1 worked? (If no code 00, if ,yes code number of times)

7. If there had been child care facilities available, would you have used 65 them for ...... while you worked? (Code 0 = no; 1 = yes; 8 = not applicable; 9 = uncertain or not known) 8. Does ...... attend preschool? (0 = no; 1 = yes, kindy; 2 = yes, 66 play centre; 3 = other) Specify ...... 9. Is ...... enrolled at kindy or play centre? (8 = doesn't apply, 67 already attends; 1 = no, not enrolled; 2 = enrolled kindy; 3 = enrolled play centre) 10. What kindy or play centre is ...... attending or enrolled at? 87 Since ...... (See code on notice board)** 11. How many half day sessions has ...... attended any preschool C2 althogether? (not day care) ...... 12. How old was ...... when he began play centre or kindy? (Code in 88 months) (If didn't attend code 88)

-Notes: * These questions were developed by P.A. Silva ** See coding sheet at end of this card for preschool codes Some children get into play centre or kindy early because thev have 68 special needs. Did ... get into a preschool early? (0 = no; 1 = with a doctor's note; 2 = with help from P.A. Silva; 3 = help from other (specify) ...... 9 = not known See Research Task V-2

Now we would like your opinion as to the value of preschool for 69 of a child. For ...... was preschool of no value? (code 0), some value (code 1); of a great deal of value? (code 2); (unknown = 9)

Now we would like your opinion as to the value of preschool education 70 is general. Would you say preschool is of no value? (code 0); of some value? (code 1); of a great deal of value? (code 2); (unknown code 9)

What do you think is the best age for most children to start 39 preschool? (Code 00 = no age, otherwise code age in months)

Were you or your husband on a committee for your preschool? (0 = 71 no; 1 = yes. Don't ask if child did not attend and code 8 = not applicable) What school will ...... be going to? ...... C3 (see code for number*) Is ...... a member of a library? (0 = no; 1 = yes) 72 If a member of a library, how many books have been borrowed (if any) 810 in the last 4 weeks? (Code number) Not applicable, not a nember code 8) Do you live beyond Dunedin? (If no ask 21-26; if yes code 21-24 as 3) Has ...... been to the Botanical Gardens? (0 = no; 1 = yes) 73 Has ...... been to the Moana pool to visit? (0 = no; 1 = yes) 74 Has ...... been to the Moana pool to swim? (0 = no; 1 = yes) 75 Has ...... been to the St Kilda Playground (0 = no; 1 = yes) 76 (Code 8 if lives beyond Dunedin City) hrs mins Did ...... watch TV yesterday? (If no code 0 00, if yes code 77-811 hours and minutes). If no TV at home code 888 What is the average length of time ...... watches TV during 78-312 week nights? (Code hours and minutes. If no TV code 888) Do you have a TV at home? (0 = No, 1 = Yes)

Some of these questions were asked last time we saw you but we now 79 need to know more details as these are very important for our study. We want to ask about some health aspects. Has ...... ever been to hos~italover night? (Code number of SO occasions no = 0) If hospitalised once only, fill in a hospital sheet. If hospitalised twice or more - to see the doctor who will fill in the relevant sheets.** (Exclude Karitane Hospital)

Notes: * See coding sheet at end of this card for school codes ** See Hospitalisation Form at end of this card. These are filed with research tasks 16. Has ...... ever been to the Casualty Department or seen a doctor 8 1 following an accident? (not poisoning). (Code number of occasions. If any accidents, fill in accident questionnaires*, one for each accident) 16. Has ...... ever taken any poison that has resulted in your seeking 82 medical advice? (Code number of occasions). If any poisonings, fill in a poisoning sheet for each time. (Includes phoning Poisons Centre)** 17. Has ...... ever been rendered unconscious for any period? (Code 83 number of occasions) If 1, or 2 occasions, fill in a loss of consciousness sheet for each time. (If 3 or more, consider this a "special medical problem" to be seen by the doctor and don't fill in a sheet)*** 18. Is ...... dry all through the day? (6 out of 7 days) (Code 0 = no; 1 = yes) 19. During the last month has ...... usually been dry in the morning? 85 (3 out of 4 days) 0 = no; 1 = yes 20. During the last 4 mornings has ...... been wet? (Code o = No 86 number of times) 21. (If dry) When did ...... begin to be dry each morning? (Code in B13 months - if not dry code 88) 22. (If not dry over last month) Was ...... ever regularly (314) dry 87 for a month or more? (0 = no; 1 = yes; 8 = dry therefore not applicable) If yes, refer to Doctor.

Just to finish the questionnaire, we would like to ask you again about breast feeding, particularly about any help or advice you might have had.

24. Did you breast feed for more than a week? (Code number of weeks 00 did not feed more than a week)

Did you get any helpful advice from any of the following:

Family Doctor Plunket Nurse La Leche League Nurse at Queen Mary Other (including 1i terature) Detai 1s ...... See Research Task V-3

(Code 0 = no helpful advice; 1 = helpful advice; 2 = very helpful advice; 8 = did not seek advice; 9 = not known)

Notes: * See Accidents Form at end of this card. ** See Poisonings Form at end of this card. These are filed with research tasks. *** See Loss of Consciousness forms at end of this card.

References: Working mothers: PJ9 Hospitalisations: RNZ14, THESIS6 Accidents and Poisonings: R04, R06 V-7 PRESCHOOL CODES

KINDERGARTENS PLAY CENTRES

(Listed by number) (Listed by number)

01 Abbotsford Brighton - Ocean View 02 Andersons Ray Grockvi 1le

03 Corstophine Fairf ield

04 Brockville Halfway Rush

05 Grants Rraes Lei th Val 1ey

06 Helen Deem Lookout Point

07 Jonathon Rhodes (NEV) Yacandrew Ray

08 Kaikorai Maori Hill

09 Kelsey Yaralla Mornington

10 Mornington Ocean Grove

11 Mosgiel Central Opoho

12 Port Chalmers Pine Hill 13 Rachel Reynolds Portobello - Broad Bay 14 Reid Park Ravensbourne - Maia 15 Richard Hudson Roslyn

16 Roslyn Sawyers Bay

17 St Kilda St Leonards

18 Wakari (Lyn St) Taieri

19 Lawrence Wakari

20 Andersons Bay (Private) Waldronville

21 St Clair (Private) Dunedin Co-op. Frame St

22 Alexandra Milton

23 East Taieri

24 Balmoral (Balclutha) A1 lanton

25 Crippled Children's Free Wanaka, Nenley, Cromwell, etc. Kindergarton (known in Otago)

26 Halfway Bush Other known out of Otago

v-Y SCHOOLS AND CODE NUMBERS

Abbotsford Dunback Alexandra Duntroon A1 1 anton East Taieri Andersons Bay Enfield Ardgowan Ettrick Arthur Burns Fairfield Arthur Street Five Forks Awamoa Fernbrook Awamoko Fl agswamp Balaclava Forbury Balclutha George Street Normal Beaumont Grants Rraes Becks Green Island Benhar Goldfields Berwi ck Hakataramea Val ley Bradford Halfway Bush Brighton Hampden Broad Bay Hawea Flat Brockville Henley Casa Nova Heri ot Cat1 ins Area (Owaka) High Street Cattle Creek Hilderthorpe Caversham Hyde Clinton Kaikorai Clutha Valley Kai tangata Clyde Kakanui College Street Karitane Concord Kauru Hill Corstophine Kel so Cromwell College Kelvin Grove Occ. Centre Kurow Area Oamaru North 089

Kyeburn Oamaru South 090

Lauder Railway Ocean View 091

Lawrence Area (H) Opoho 092

Lee Stream Omakau 09 3

Macandrew Bay Omarama 094

Yacreaes-Moonlight Otekaike 096

Maheno Otematata Primary 097

Mai a Otepooo (Herbert) 098

Makarora West Oturehua 099

Maniototo Area (H) Outram 100

Maori Hill OwakaD.H./Catlins 101 Area

Matariki Cerebal Palsy 071 Paerau 102

Meldrum School 072 Palmerston (Primary) 103

Melville Park 073 Papakaio 104

Milburn (Nr Milton) 074 Paretai 105

Millers Flat 07 5 Patearoa 106

Mi1 ton 076 Pine Hill 107

Moa Creek 077 Poolburn 108

Moeraki 078 Port Chalmers 109

Momona 079 Port Molyneux 110

Mornington 081 Portobello 111

Mosgiel West 082 Pukeuri 112

Mussel burgh 083 Purakanui 113

Naseby Ravensbourne 114

Ngapara Reid Park 115

North East Harbour 086 Riselaw Road 116 (Macandrew Bay) Romahapa 117 North East Valley 08 7 Normal Rosebank 118

North Taieri 088 Rotary Park 158 IOU33XW wrn ",gii5::2a 3 5 9 2.52 w ws ID,%,,7 n m 4 -3 L m rr 3 9

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CATHOLIC SCHOOLS

Christian Brothers Junior School St Edmunds Primary St Joseph's Parish, Port Chalmers St Joseph's Parish, Rattray Street St Mary's Parish, Kaikorai St Mary's Parish, Mosgiel Sacred tieart Parish, NEV Rosary Parish School, Liberton St Patricks, South Dunedin St Bridgets, Tainui St Francis Xavier, Mornington St Bernadettes, Forbury St Peter Chanel, Green Island St Pauls, Corstophine St Patricks, Lawrence St Mary's, Milton St Joseph's, Balclutha St Gerards, Alexandra St Johns, Ranfurly

300 Other known school

999 Not known m 0 ffl '3 P. Ld- P ffl % P.

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THE DUNEDIN MULTIDISCIPLINARY CHILD DEVELOPMEXT STUDY

Poisonings Form

Name ...... -. Series No......

Numt~er of poisonings forms filled in for this child. Poison Taken: ......

UrleT Description of Circumstances: .T ...... z......

. . Where Poisoning Occurred: -.... z......

Pge When Poisoned: Months L :LA Brief Details of 'heatment: ,..:...... :.:. .;.-... ..;...... 1 . < -.s...... r ....:. ;. :. C... ;...... i. i..:......

Nas !!e Admitted to IIospital? ~/NO (1f admitted over night fill in a hospital form as well)

Did the Poisoning Affect Him One Month Later? .'ks/No

If yes give details (hit if hospitalised) , ......

(~ea.;r,ure mother that poisonings are quite common ( 7%). Avoid upsetting mother) C:d ' m, -mo : 2: 2. 0 . 2%: ab oh.. .-t.Y, : P ID 1.. o : P+ . (I),z :?.. ;' : .C.w . .o".:*- . .'a .'a 3 . .%,.-t. : 5'$ FJ m F r, :\L+ : G'O Y,O v -.z . Y(I P. L! :& 5 . 0 0 GI (I) L 2 .- :. $: : u 0 .J Po .. . v. t2r, :3 - P 2 . '. n 5' P .1. * i 00 , w YZ :?g . n dg .? \ . ec Y P v. C-'. 2c + s . ' c CI c: io 0 2.m a+ O.. d. 2 P C CI. -P -Y G7 0 GENERAL PARENT INTERVIEW QUESTIONNAIRE 11* (Card 3 - V)

We are making good orogress and are into our second questionnaire. Now we would to ask about sleeping.

Hrs Mins 1. What time did ...... go to bed yesterday? 815 816 2. What time did ...... wake up this morning? 817 818 3. Total time sleeping? 819 820

4. Were there any sleeping problems last night? (Q. settling, own bed, waking, nightmares) 0 = no; 1 = yes. If yes, details

See Research Task V-4 5. Does ...... usually have sleeping problems? (If no problems code 0, if usual code number of nights each week that there would be problems) Details of problems

See Research Task V-5 6. Did you have any problems feeding ...... yesterday 0 = no; 1 = yes. If yes, details

See Research Task V-6 7. Does ...... usually have problems eating his meals? (if no problems code 0, if usual code number of days each week that there would be problems) Details

See Research Task V-7 8. Did ...... have any medicine yesterday? 0 = no; 1 = yes. If yes, details, what and why (Specify pills or syrup)

See Research Task V-8 9. Did ...... clean his teeth yesterday? 0 = no or code number of times.

Now we want to ask some questions about any medical problems your child might have.

Notes: * These questions were formulated by P.A. Silva 10. (a) Is ...... under the care of a doctor or other specialist for any problems? (0 = no; 1 = yes). If yes, brief details

See Research Task V-9 (Brief details only) (b) Has ...... ever had any problems of the following kinds for which special advice has been sought? (0 = no; 1 = yes)

Orthopaedic problems (feet, hands, clumsiness, etc.) 100 Asthma or wheezing 101 A1 1ergy 102 Toilet training or bed wetting 103 Speech or language problems 104 Behaviour problems (include general, sleeping, eating or other) 105 Growth problems (obesity or slow growth) 106 Skin problems 107 Heart problems 108 (c) Other problems - details ...... 109 See Research Task V-10

(d) Do you wish to discuss any problem with our children's doctor? 110 (Give hislher name) (0 = no; 1 = yes)

Reason

See Research Task V-11

(All mothers answering any of the above in the affirmative must see the doctor. Friend to tell convenor right now whether the mother is to see doctor). See Special Medical Problems Form - next page. Now we would like to ask about the use of some services in the comnunity. 11. Has ...... been to any of the following? (Code number of times) Hayward Clinic (beside Bowling Green) B2 1 Crippled Children's Kindergarten B22 Intellectually Handicapped Children's Kindergarten B23 Department of Psychological Medicine (Wakari) B24 Paediatric Department (Childrens Outpatients) B25 Other Hospital Department (details ...... ) B26 Speech Therapist 827 Psychological Service (Moray Place) 828 Social Welfare Department B29

Other helping or social agency (0 = no; 1 = yes) 111

If yes, details

See Research Task V-12

12. Have you (mother) been to a marriage counsellor (code no. of times) B30

Reference: Medical Problems PJll '. 'i- ," C 3 UCL 7 P rtmm 0 m n " 5 5. umrr o m -. =T 3 m 3 rt-m mu -mu- a-h E ?5 -

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. P 4 m m x 7- 0 P rtn art J G3 II m L I S P art 10 - sw rt '% Would you have liked more help or advice in the following areas: (a) Feeding advice (b) Immunisations f c) Patterns of development (d) Toilet training (e) Behaviour problems (e.g., tantrums, naughtiness, eating and sleeping problems, etc.) (f) Accident prevention (g) Problems of development (Code 0 = no; 1 = yes; 8 = doesn't apply; 9 = not known)

Are there any other aspects you would have liked more help or advice...... with? Report verbatim, (don't code) ...... For those who did ever visit the Plunket Rooms (but who night have had a home visit). We would like to know why you did not use the Plunket service. Report verbatim. Probes - If help obtained elsewhere, where? if previous contacts unsatisfactory, why? (don't code) ......

Have you ever attended a Plunket Mothers Club meeting? (Code 0 = no; 1 = number of times since this child was born)

(If been to one or more meetings ask) Were the meetings worthwhile? (Code 0 = no; 1= yes; 8 = not applicable, never been 9 = not known)

(If meetings found generally worthwhile ask) Why did you find the meetings...... worthwhile? Report verbatim up to 5 reasons. Don't code...... (If the meetings not found worthwhile ask) Why were the meeting not worthwhile? Report verbatim up to 5 reasons. Don't code...... (If not attended a meeting ask) Why have you not attended a meet- ting? (Code 1 = unaware of club; 2 = not invited; 3 = not able to attend because of transport; 4 = not able to attend because of children; 5 = consider it a waste of time/nothing to be gained; 7 = other; 8 = not applicable because did attend; 9 = not known) Fill all boxes - spare boxes with 8's. Other details ......

Reference: RNZ7 DISCIPLINE QUESTIONNAIRE I*(Card 5 - V)

Introduction: Now we want to ask you deal with ...... when he disbehaves. We don't think that there is a right or wrong way of doing this, so don't be embarrassed to say what you do. Every child is naughty, so again we won't think badly of him or you if he does lots of things wrong. 1. How many times yesterday was (or did) ...... Rude Obstinateldisobedient Destructive

Sillylshowed off Aggressive (fighting, cruel to animals) Demandinglwhininglnagging

Untidylmade a mess Steal something Tell a lie

Do anything dangerous Make a nuisance by being overactive Total

Below are some things children do wrong. How important are they to you? (0 = doesn't matter; 1 = does matter, try to correct; 2 = can't stand this)

Answer the question even if does not do some of these.

Rudeness Obstinacy Destructiveness Sillinesslshowing off Aggressiveness and fighting

Demandinglwhininglnagging Untidiness Steal ing Lying

Dangerous things Being continually on the movelnever settling

-Notes: * The Discipline Questionnaire was developed by J. Bradshaw

DISCIPLINE QUESTIONNAIRE I1 (Card 6 - V)

8. Yesterday how many times did you: (Code number of times - 0 = 00; 1 = 01; etc). (a) send him out of the room or to bed/bedroom, i.e. exclusion

(b) keep him indoors or make him sit still/stand in corner, i.e. restriction (c) smack him or him with something (d) stop his sweets or not allow him to do something he enjoys (e) tell him you won't love him if he behaves like that ENSURE CHILD IS NOT LISTENING: HE SHOULD BE DISTRACTED (f) say you'll send him away or that you will have to go away if he is naughty (g) try to frighten him with someone like his father or a policeman

(h) threaten to smack/ to deprive/ any threat (i) shout at him (j) look angry or disgusted (k) try to distract him/get his attention onto something else (1) talk to him about what he did wrong (m) ignorelpay no attention to the wrong behaviour (n) Change what you expected of him, e.g., bedtime amount he should eat.

(0) use any other way of disciplining - specify See Research Task V-16 Total Positive (Don't code) Total Negative (Don't code)

9. Compared with other mothers are you: 0 = very strict; 1 = fairly strict; 2 = average or not sure; 3 = fairly easy going; 4 = very easy going; 8 = n/a; 9 = n/k.

10. Do you and your husband handle misbehaviour differently? (0 = no; 1 = a little; 2 = a lot; 3 = n/a (e.g. no father); 9 = n/k) 11. Do you and your husband agree about the kinds of things you should do when ...... is naughty? (0 = never; 1 = often don't agree; 2 = usually agree; 3 = always agree; 8 = n/a; 9 = n/k) mu u -hV)E aIw --I, 0 0 5 10 II m -3rD I10 P. "yo 3% 3m. 0 rt 300 \m. 3 s \ ..3 s P (I. 0 5.Zyo x ". . m 33s - P -- < (Om -3 4. : m - P O(I a*. F 1 z 3 5 01n 11 yo 11 5 7 0 3-P 3Y 3 s 3 2. V) -0 0 0 1 \3 m" s x ..3 u V) 1 0 5 - m V) 2. 1s d.. ID, - m "7 3. V) -3 V)5s 3u -2.- V) m. m w ", Om kOu < 2 I1 % : I1 u msw m (I %. m -1 3 1 3 rr. a n a -. (I. 2. \ 5. 0 2. z5 Q, 2.. ". w r w V) ". 3 V) 1 CP (P rt um (P 0 P I1 1 a 2. 3 P m 3 u (I rr V) m i~ m 0 P 3 3 3 P 3 0.0 m u \< 0 2 rto xw0 m m A. S -3 n 3 rt n -rt m m 0 2. 0 .., .., 3 k a "I, ID,", ID,", m3 Y5 m ,+ 1 I1 . 5 P w 0. 3 a -I,. (I rr. m. 2. 3. C. ". . rt . 0. m5 P (I. I1 m 0 a 3 a rto LO P 3 m5m m "em CONFIDENTIAL HEALTH QUESTIONNAIRE FOR MOTHERS* (Card 7 - V)

Your answers to this confidential health questionnaire will help doc- tors involved in planning better community health services. Your co-operation is gratefully appreciated. Section A - Instructions Please put a circle around the number of any of the symptoms listed if they apply to you over the past month. If doubtful, out a circle. If there are any problems, our doctor will he pleased to advise you. Please ask.

Loss of balance Deafness or noises in the head Ear discharge, irritation, aching Vision changes Nasal blackage, irritation Changes in smell or taste Aching in the face Aching neck, shoulders or arms Teeth troubles Sore mouth or bad breath Too much or too little saliva Sore throat or neck glands Thirst Speech difficulty or hoarseness Swallowing difficulty or pain Pain in the chest Shortness of breath Cough or spit Wheezing Fainting or fits Blue or pale lips, hands or feet Vomiting Hiccup Stomach pain, swellinq- or lumps Rupture To much appetite Changes in weight Constipation Diarrhoea Changes in look of bowel motion Pain or itch in back passage Urine - change in apoearance, poor control, frequency, pain Skin - rash, infections, itch Scalo trouble

Notes: * This questionnaire was developed by J.S. Dodge. The results have been recoded and totalled on to Masterfile. On the main data base the numbers of positive s.mptorns are noted. B69=88 was not applicable (no mother) or 99 (mother did not fill in questionnaire). Otherwise 869 coded with first symptom, 870 second symptom, etc. The same system was used for psychological symptoms ( i .e. 891 onwards). Too much or too little sweating Fevers Bruising easily Lumps in armpits or groin Aching in back or legs Varicose veins Hands or feet - pain, swelling, numbness, tingling, coldness Change in walking or running Joint pain, stiffness, swelling Muscle weakness or cramp Tremour (shakes) Breast pain, tenderness, lumps Distress from heart, flushes New skin lumps Last period abnormal - unusual bleeding, discharge

Section B - Instructions* Simply put a circle around the number if your answers to the following questions are "yes". If your answer is "no" do not mark.

60. Do you often have a back ache? 61. Do you feel tired most of the time? 62. Do you often feel miserable and depressed? 63. Do you often have bad headaches? 64. Do you often get worried about thinqs? 65. Do you usually have great difficulty in falling asleep or staying asleep? B93-94 66. Do you usually wake unnecessarily early in the morning? 67. Do you wear yourself out worrying about your health? 68. Do you often get into a violent rage? 895-BP6 69. Do people often annoy and irritate you? 70. Do you at times have a twitching of the face, head or shoulders? 71. Do you often suddenly become scared for no,good reason? B97-598 72. Are you scared to be alone when there are no friends near you? 73. Are you easily upset or irritated? 74. Are you frightened or going out alone or of meeting people? 899-3128 75. Are you constantly keyed up and jittery? 76. Do you suffer from indigestion? 77. Do you often suffer from an upset stomach? 78. Is your appetite poor? 79. Does every little thing get on your nervs and wear you out? 80. Does you heart often race like mad? 81. Do you often have bad pains in your eyes? 82. Are you troubled with rheumatism or fibrositis? 83. Have you ever had a nervous breakdown?

Notes: * Questions 60 to 83 are from Rutter's "Malaise Inventory" Rutter, M.L., Tizard, J., & Whitmore, K. (eds) (1970) Education, health and Behaviour. London, Longman Green

Reference: RNZ13 CHILD ADJUSTMENT QUESTIONNAIRE' (Card 8 - V)

Instructions. This questionnaire asks about the kinds of behaviour that many children show at some time. Please give the answers accordinq to the way your child has been during the past.12 montks. There are a series of descriptions of ehaviour. often shown by children. After the statement are 3 columns - "Doesn't Apply" "Applies Somewhat" and "Certainly Applies". if your child definitely shows the behaviour described by the stat& ment a tick on the line under "Certainlv ADD~~~s".If he or she shows the behaviour described bv the statement but to"a jesser dearee or less often. olace~ took under plies Somewhat". If, as far as you a;e unaware, your chid does show the behaviour, place a tick under "Doesn't Apply". Please put one tick against each statement. Statement Doesn't Applies Certainly For Office Apply Somewhat Applies Use Only Very restless, has difficulty 199 staying seated for long Squirmy, fidgety child Often destroys own or fathers' property Frequently fights or is extremely quarrelsome with other children Not much liked by other children Often worried, worries about many things Tends to be on own - rather solitary Irritable. Is quick to "fly off the handle" Often appears miserable, unhappy, fearful or distressed Has twitches, mannerisms or tics of the face or hody Frequently sucks thumb or finger Frequently bites nails or fingers Has often disobedient Cannot settle to anything for more than a few moments Tends to be fearful or afraid of few things or new situations Fussy or over-particular child Often tells lies ...... Bullies other children ...... Do you find your child very Yes ..... difficult to manage? Are there any other problems? Yes ...... Details of other problems See Research Task V-18

Notes: * This is the Rutter Child Behaviour Scale selected by P.A. Sllva. The best reference is Rutter, M.L., Tizard, J., & Whitmore, K.(eds) (1970) Education, Health and Behaviour. London, Longmans Green Reference: R029 (and others) CONFIDENTIAL HEALTH QUESTIONNAIRE FOR MOTHERS* (Card 7 - V)

Time Finished Time Begun Total Time

Examiner's Code (see codes over)

Reynell** Receptive 8135 Structure 8136 Vocab. 8137 Content B138 Expressive Total 8139 Draw a Man Test R140 (Harris*** Criteria) Items ***** Stanford-Binet Intelliqence Scale**** Year I1 220 - 226 Code 0 = Fail Year 11 - 6 227 - 233 1 = Pass or Credit Year 111 234 - 240 9 = Not Known Year 111 - 6 241 - 247

Notes: * Tests selected by P.A. Silva ** Reynel?, J. (1969) The Reynel 1 Developmental Language Scales, London, National Foundation for Educational Research *** Harris, D.8. (1963) Children's Drawings as Measures of Intellectual Maturity. New York, Harcourt, Brace and World. **** Terman, L.M. and Merrill , M.A. (1960) Stanford-Binet Intel 1 igence Scale. London, Harrop ***** The seventh variable is the alternative item and was rarely used. References: Reynell Scales: MON1, R07, R010, R033 Stanford-Binet Scale: R09 Comment: The Draw-a-Man results have not been written up, nor have item analyses been used. PHASE V

PSYCHOYETRISTS' CODES

Code Name Phil Silva Jennifer Bradshaw Marjory Gibson Clive Jackson Elsie Evans Chris Justin Rose Marriott Lola Jenkin Lyn Groves Liz Crook Marilyn Laws Pam Whitlock Jane Seddon Margaret Goulter Barbara Simmers Dorothea Stewart Phillipa Youard Richard Thomson Brian Dixon Out of Town Ps.ychologists PSYCHOMETRIC ASSESSMENT I* (Card 9 - V)

Time Finished Time Begun Total Time

Examiner's Code (see codes over)

PSYCHOYETRISTS' CODES

PSYCHOMETRIC ASSESSMENT* 5 YEARS - I1 (Card 10 - V)

Stanford-Binet - I1 Iterns*

(Code 0 = Fail Year IV 248 254 1 = Pass or Credit 9 = Not Known) Year IV - 6

Year V

Year VI

Year VII

Year VIII

Year IX

Year X

Any other successes (N)

Y Mths Stanford-Binet M.A. 305 8141

I.Q.

I.Q. (1972 Norms)

Notes: * The seventh iterns were a1 ternatives PSYCHOMETRIC ASSESSMENT 111* (Card 11 - 11)

Dunedin Articulation Screening Scale (DASS)** -Rat -Sit -Leg -Zebra 306-308 -Fish Sheep Chair -Jam 310-313 -Clown - Flag -Small -Plant 314-317 -Sweep Ski Steps Bread 318-321 -Frog Presents -Truck -Drum 322-325 DASS Total B142 Additional Speech Items*** Count one, two, -three, four, five- (Code 0 = incorrect; 1 = correct) -th -V Humpty Dumpty*** (Code 0 = incorrect - Humpy Dumpy - don't refer; Code 1 = correct; Code 2 = Hu'ee Du'ee - refer) Refer if DASS 15 or less (Code 1) Referral ifticulation inco-ordination (Code 2); if dysfunction of closure (Code 3); or if mother is concerned (Code 4); if no referral Code 0; if already under therapy Code 8. Referred to**** ...... Motor Co-ordination***** Leg Co-ordination Arm Co-ordination Imitative Action Draw-A-Design Draw-A-Chi ld Total Motor Score

Notes: * Tests selected by P.A. Silva ** Developed by P.A. Silva - See M0N3 *** Additional speech items added by C. Justin **** 11 = Caversham Speech Clinic (Mrs Brown) 12 = Forbury Speech Clinic (Mrs Lawn) 06 = George St. Speech Clinic (Mrs Anderson) 13 = George St. Speech Clinic (Viss Justin) 14 = Vosgiel West Speech Clinic (Mrs Tomkins) 15 = Green Island Speech Clinic [Mrs Silcock) 16 = Kaikorai Speech Clinic (Mrs Lovett) ***** McCarthy Motor Scales (NcCarthy, D. (1972) McCarthy Scales of Children's Abilities. New York, The Psychological Corporation) Note: only the leg co-ordination items have been reported References: Speech: MON3 Motor Development: Roll Hand Dominance (0 = right; 1 = left; 2 = not est; 9 = not known) 330 Eye Dominance (code as ahove 331

Behaviour Observations* (1 to 5) (See definitions over) (6 to 10) (11 to 15)

Child Brought Back to finish (0 = no; 1 = yes)

Does .... have any significant problems?** (0 = no; 1 = yes) 348 See Research Task V-19

Clinical Judgement 0 = "Average" 1 = "Slow" 2 = "Bright" 9 = "Don't know" Deviation from standardisation 0 = no 1 = yes Details of deviation from standardisation See Research Task V-20

Comments or remarks not covered above 0 = no; 1 = yes Details See Research Task V-21

Notes: * Reference: American Collaborative Study of Cerebal Palsy, Mental Retardation and other Sensory Disorders of Infancy and Childhood (1966) Part 111-0 Manuals, Behavioural Examinations. US Dept Health, Education and Welfare, National Institute of Health, Bethesda, Mary1 and. ** These are sorted but not yet written up. v-34 BEHAVIOUR OBSERVATIONS Separation 340(9) Attention Span No concern 1. Very brief Very little concern 2. Short time Initial reticence, appropriate 3. Adequate time More than usual concern 4. More than average time Very upset, cries, won't separate 341(10) Goal Orientation 1. Noeffort Fearfulness 2. Briefly attempts None evident 3. Keeps goal or direction in mind Very little 4. Keeps goal and question in mind Normal caution 5. Compulsive absorption Inhibited and uneasy Very fearful 342(11) Activity Level 1. Mypoactive Rapport 2. Little activity Verv shv. withdrawn 3. Normo activity shy; waits for gestures 4. Restless Initial shyness, then ease 5. Hyperactive Very friendly, at ease Extreme friendliness 343(12) Nature of Activity 1. Extreme rigidity Confidence 2. Some rigidity Lacks, extremely self- 3. Flexible, appropriate critical 4. Frequently impulsive Distrusts own ability 5. Extremely impulsive, explosive Adequately self-confident Yore than usual confidence 344(13) Nature of Communication Very self-confident 1. Little or none 2. Answers questions only Emotional Reactivity 3. Readily answers, may elaborate Extremely flat 4. Answers freely Somewhat flat 5. Difficult to follow thinking Normal responsiveness Mood more variable than average 345(14) Assertiveness Extreme lability 1. Extremely assertive 2. Quite forceful, rough materials Co-operation 3, Self-assertive but accepting Extreme negativism control Considerable 4. Passive acceptance Reasonably co-operative 5. Extremely passive Accepts directions more easily Extremely suggestible 346(15) Hostilit 1. +ery hostile, obstructive Frustration Tolerance 2. Unusually hostile 3. No unusual hostility Withdraws completely 4. Very agreeable Occasionally withdrawn 5. Ingratiating Attempts difficult tasks Becomes upset by difficulty Acting-out, crying Dependency Verv self -reliant. refuses help ~arel~needs reassurance Dependent appropriate situations Demands more attention than average Constant need of attention and help +. PROGRESS QUESTIONNAIRE (SOCIAL MATURITY) (Card 12 - V)

"There are a few questions about how you see ...... We are interested in what ...... is like now and whether you have noticed any changes over the past years. All children change as they mature. We are interested in whether you think ...... is about what you would have exoected for a 5 year old or whether you think he has developed more than you have expected. We want to know what you think about ...... progress. it is important that you say exactly what ,you think. If you are uncertain about any questions just say so". Strategy Try to encourage a definite choice but don't influence. Code uncertain as 9. "Improved" means more than respondent would have expected, even allowing for maturation. l(a) How does ...... greet stangers? 352 0 = does not greet; 1 = if noticed and greeted, responds by smiling; 2 = if noticed and greeted, responds verbally; 3 = greets normally; 4 = other - details ...... See Research Task V-22 l(b) With respect to greeting strangers, have there been any changes in 353 the past year? 0 = has deteriorated; 1 = no changes; 2 = mildly improved; 3 = marked improvement; 4 = other - details ...... See Research Task V-23 2(a) Does ...... co-operate when you ask him to do something? 354 0 = does not co-operate; 1 = rarely co-operates; 2 = sometimes co-operates; 3 = always co-operates 4 = other - details ...... See Research Task V-24 2(b) Have there been any changes in co-operation over the past year? 355 0 = has deteriorated; 1 = no changes; 2 = mildly improved; 3 = marked improvement; 4 = other - details ...... See Research Task V-25 3(a) Does ...... converse with you? 0 = never converses; 1 = rarely converses - only responds; 2 = converses occasionally - initiating and responding; 3 = converses freely - initiates and responds; 4 = other details ...... See Research Task V-26

3(b) Have there been any changes in conversation patterns over the last 357 year? 0 = has deteriorated; 1 = no changes; 2 = mildly improved; 3 = marked improvements; 4 = other - details See Research Task V-27

Notes: * This questionnaire was designed by P.A. Silva to attempt to examine whether children in the Otago Preschool Project made more progress than the control groups. The data were not used. I 4(a) What sort of language does ...... use at home? 358 0 = no language; 1 = single words only; 2 = phases with nouns, verbs and some pronouns. Sentences not yet complete; 3 = complete sentences with other than nouns and verbs; 4 = other - details ...... See Research Task V-28 4(b) Has ...... language changed over the past year? 359 0 = has deteriorated; 1 = no changes; 2 = mildly improved; 3 = marked improvement; 4 = other - details ...... See Research Task V-29 5(a) How would you describe ...... "personality"? 360 0 = distant or rejecting; demanding, attention seeking; 1 = shy, withdrawn, or "offhandish"; 2 = shy, but responds with coaxing; 3 = bright, pleasant relates easily to people; 4 = other - details ...... See Research Task V-30

5(b) Have there been any changes in ...... "personalty " over the 361 last year? 0 = yes, has deteriorated; 1 = no changes; 2 = mildly improved; 3 = marked improvement; 4 = other - details ...... See Research Task V-31 6(a) How well is ...... able to concentrate on a task in his general 362 play? 0 = cannot sustain concentration for more than 3 minutes; 1 = can sustain concentration 3-10 minutes; 2 = usually sustains concentration for 10-30 minutes; 3 = often sustains concentration for greater than 30 minutes; 4 = other - details ...... See Research Task V-32

6(b) Have there been any changes in concentration over the past year? 363 0 = yes, has deteriorated; 1 = no changes; 2 = mildly improved; 3 = marked improvement; 4 = other - details ...... See Research Task V-33 7(a) How does ...... relate to other children in a play situation? 364 0 = solitary - little interest in the activities of others; 1 = observes others but does not participate with them; 2 = parallel play; 3 = co-operative play; 4 = other - details ...... See Research Task V-34

7(b) Have there been any changes in relating with other children over the 365 past year? 0 = yes, has deteriorated; 1 = no changes; 2 = mildly improved; 3 = marked improvement; 4 = other details See Research Task V-35 8(a) Does ...... normally share things with other children? 366 0 = does not share; 1 = shares occasionally; 2 = often shares; 3 = usually shares well; 4 = other - details ...... See Research Task V-36

8(b) Have there been any changes in sharing behaviour over the last year? 357 0 = yes, deteriorated; 1 = no changes; 3 = mildly improved; 3 = marked improvement; 4 = other - details ...... See Research Task V-37 9(a) How does ...... converse with other children? 0 = no conservation with other children; 1 = little conservation - does not initiate; 2 = converses occasionally - both initiates and respects 3 = converses freely 4 = other - details ...... See Research Task V-38 9(b) Have there been any changes in conversing with other children over the last year? 0 = yes, deteriorated; 1 = no changes; 2 = mildly improved; 3 = marked improvement; 4 = other - details See Research Task V-39 10(a) How does ...... separate from you? 0 = will not separate; 1 = cries and becomes upset, separation difficult; 2 = some separation problems soon overcome; 3 = separ- ates happily; 4 = other - details ...... See Research Task V-40 10(b) Have there been any changes in response to separation from you over the past year? 0 = yes, deteriorated; 1 = no changes; 2 = mildly improved; 3 = marked improvement; 4 = other - details ...... See Research Task V-41 ll(a) How would you describe ...... general confidence and courage? 0 = no confidence, timid; 1 = little confidence, needs constant help and encouragement; 2 = sometimes confident, sometimes timid; 3 = confident and courageous; 4 = other - details ...... See Research Task V-42 ll(b) Has ...... confidence changed over the past year? 0 = yes, deteriorated; 1 = no changes; 2 = mildly improved; 3 = marked improvement; 4 = other - details ...... See Research Task V-43 12(a) How does ...... generally react to a new situation such as going to visit people he has not visited before? 0 = becomes upset; 1 = does not enjoy - needs support and encouragement; 2 = sometimes upset, settles with time; 3 = enjoys changes; 4 = other - details See Research Task V-44 12(b) Has ...... reaction to changes altered to changes altered over the year? 0 = yes, deteriorated; 1 = no change; 2 = mildly improved; 3 = marked improvement; 4 = other - details ...... See Research Task V-45 13(a) How would you describe the sort of activities ...... engages in at home? 0 = does very little - not interested in much; 1 - mainly sticks to a few activities; 2 = does quite a few things; 3 = carries out a great variety of activities. Uses many things at home for play; 4 = other - details ...... See Research Task V-46 13(b) Have the number of activities ...... carries on at home changed much over the past year? 0 = yes, does fewer things; 1 = no changes; 2 = does quite a bit more; 3 = does much more; 4 - other - details ...... See Research Task V-47 14(a) How easy is ...... to manage at home? 0 = very difficult; 1 = often difficult; 2 = sometimes difficult; 3 = always easy to manage; 4 = other - details ...... See Research Task V-48 14(b) Have there been any changes in your management of ...... over the 379 past year? Is he 0 = more difficult to manage; 1 = the same; 2 = quite a lot easier; 3 = much easier; 4 = other - details ...... See Research Task V-49

15 Some things happen to children that in some ways influence how they 380 develop. Have there been any important events or experience that have occured to influence ...... pattern of development for the better or worse? 0 = adverse influences - details ...... See Research Task V-50 1 = no influences; 2 = mildly important influences (positive) See Research Task V-51 3 = markedly important influences (positive) ...... See Research Task V-52 4 = combinations or other See Research Task V-53 16 Other comments or remarks - elaborating on any above 381 0 = none; 1 = comments - details ...... See Research Task V-54 17 How has ...... health been over the last year? 0 = good; 1 = 382 problems - details ...... See Research Task V-55 18 How well do you expect ...... to do at school? (0 = slow; 1 = average; 2 = above average) 19 Are you expecting ...... to have any special problems at school? 384 (0 = no; 1 = yes) If yes, note problem areas seen by parents. (Don't be pushed into joining in with the predication! We do not know! ) ...... See Research Task V-56

20 Finally, we would like to know if there have been any changes with the parents. As you know, we asked about this time. Incidentally, we did find that children who had solo parents or whose parents' marriage broke down were no different from others. We would again remind you that all information is given and treated as confidental.

21 Have there been any changes in your marriage situation over the 385 last two years - such as a separation, divorce, marriage, or has ...... been separated from either of his parents for 3 months or more? (0 = no; 1 = yes). (Note details after client has gone)

See Research Task V-57

Complete the interview by talking about the child, emphasising positive aspects. If the child has not appeared to do well, do not give the impression that this necessarily indicated that he will have a problem at school. Emphasise speech and motor development and give a referral note to the nearest speech clinic if appropriate. (See criteria and SASS results). THE PARENTAL ATTITUDE RESEARCH INSTRUMENT* (Card 13 - V)

1. Encouraging verbalisation (Egal.) 2. Excluding outside influences (Auth.) 3. Egalitarianism (Egal.) 4. Intrusiveness (Auth.) 5. Comradeship and Sharing (Egal.)

6. Acceleration of Development (Auth. ) 7. Res~onse Bias

Total Egal. (1 + 3 + 5 = Egal.)

Total Auth. (2 + 4 + 6 = Auth.)

Notes: * Reference: Schaeffer E.S. and Bell R.Q. (1958) The development of a parent attitude research instrument. Child Development, 29; 339. An unpublished paper describing a factor analysis of the full PAR1 and all Dunedin results by P.A. Silva and G.E. Spears is available on request. V-40 PAEDIATRIC NEUROLOGICAL FORMS* (Card 14 - V) (Only given to 228 children - See Reference RNZ24)

Scoring 0 = normal 1 = abnormal 9 = not known 1. Range of passive movements - describe any fixed abnormality on back of page

. Resistance to passive movements (tone) Neck Shoulders E 1 bows Wrists Hips Knees Ank 1 es

3. Deep reflexes 0 = weak or brick Biceps 1 = exaggerated Triceps Knee Ankle 4. Plantar response 409 5. Finger tip touching (2 of 3 attempts each side) 411 6. Di adochokinesis 413 7. Associated movements 415 8. Involuntary movements - arms elevated - Choreiform 417 Athetoid 419 Tremor 421 10. Gait - any abnormality (describe abnormali tv on back of page) 423 11. Posture of back - Kyphosis describe abnormality on back page 424 Scoliosis describe abnormality on back page 425 12. Stabismus Manifest 426 Latent 428 13. Nystagmus 430 14. Number of abnormalities noted Total

15. Comments on abnormalities (0 = no comments 1 = comments noted) 432 Comments on neurological abnormalities ...... See Neurological Forms

16. Referrals 0 = no 1 = yes 433 Details ...... 17. Examiners Code 434 Specify - See original forms

Notes: * This was only given to 228 children in the sample at Phase V. See Phase 111, page 111-17 for details, references, etc. Forms filed with research forms. OTOLOGICAL AND OPHTHALMOLOGICAL QUESTIONNAIRE* (Card 15 - V) OTOLOGICAL 1. Do you think that ...... hears normally? (0 = no; 1 = yes; 2 = unsure) 2. Has ...... ever had a real or suspected hearing problems in the 436 past? (0 = no; 1 = real (confirmed); 2 = suspected (not confirmed) If 9.2 negative, go to 9.8 and code rest 8 3. Has ...... ever seen a doctor because of a suspected hearing 437 problem? (0 = no or code N times) (8 = n/a) 4. Who has seen him? (Family doctor only code 01 or number of B150-6161 Name ...... Date ...... PubIPriv...... PuhIPriv. 5. Was the suspicion of a hearing problem over confirmed? (0 = no; 1 = yes; 8 = nla)

6. Who first suspected the hearing problem? (8 = no prob; 0 = mother; 439 1 = father; 2 = glparents; 3 = QM Study; 4 = Plunket; 5 = preschool;...... 7 = other (details below); 9 = n/k) 7. At what age was a problem first suspected (months)? 8162 8. Has ...... ever had any of the following problems? Prob. Action (code N times with 7 max.) Ear infections 440 441 Sore ears 442 443 Pus discharge 444 445 If any above positive, ask "What action did you take?" (Last time) (0 = no action; 1 = saw family doctor only - no treatment; 2 = saw family doctor, medicine or injections; 3 = saw specialist, medicine; 4 = saw specialist, other treatment; 5 = saw specialist, operation; 7 = other action - details ...... Not coded as a research task 9. Has ...... ever had an operation for tonsils, adenoids, tubes in 446 ears or other operations? (0 = no or code number of operations. If yes, who, where, when) (Not yet sorted) 10. Does ...... usually have a blocked nose? (0 = no; 1 = occasion- 447 ally; 2 = frequently; 3 = constantly; 9 = n/k) 11. How often has ...... had tonsilitis in the past year? (Code N 448 times) 12. Is ...... currently under a specialist for a hearing problem? 449 (0 = no; 1 = yes) If yes, name of specialist fnot yet sorted)

Notes: -* Questionnaire developed by I.A. Stewart. a. w. rt. m. 0. I,.