14
13
WARTIME SOCIAL SURVEY
APPENDIX II
VITAMIN SUPPLEMENTS
Regional H.25
Town......... Interviewer......... Date.........
|
Expectant Mother
|
4
|
|
Nursing Mother
|
5
|
|
Neither
|
6
|
|
N.A
|
7
|
Age of Housewife
|
Up to 20
|
1
|
|
21-24
|
2
|
|
25-29
|
3
|
|
30-34
|
4
|
|
35-39
|
5
|
|
40-44
|
6
|
|
45-50
|
7
|
|
Over 50
|
8
|
|
N.A
|
9
|
Income Group
1 2 3 4 5 N.A. 6
Occupation of C.W.E..........
Non-contact substitute.........Y Relationship of C.W.E. to Housewife.........
Housewife working
:
|
Full time
|
X
|
|
Part time
|
0
|
|
Not working
|
1
|
|
N.A
|
2
|
|
Household Classification
|
M
|
F
|
Total M & F
|
|
No. of children up to 5 years
|
|
|
|
|
No. of children 5 - 14 years
|
|
|
|
|
Adults earing14 - 18 years
|
|
|
|
|
Adults earing over 18 years
|
|
|
|
|
Adults not earing
|
|
|
|
|
Domestic workers (paid)
|
|
|
|
|
Lodgers
|
|
|
|
|
TOTAL IN PRESENT HOUSEHOLD
|
|
|
|
|
Members away - in Forces
|
|
|
|
|
Other reasons
|
|
|
|
15
15
Age of children interviewed:
|
|
1st
|
2nd
|
3rd
|
|
|
Up to 6 months
|
1
|
1
|
1
|
|
|
6 months and up to 1 yr.
|
2
|
2
|
2
|
|
|
1 year - 2 years
|
3
|
3
|
3
|
|
|
2 year - 3 years
|
4
|
4
|
4
|
|
|
3 year - 4 years
|
5
|
5
|
5
|
|
|
4 year- 5 years
|
6
|
6
|
6
|
E or N
|
|
|
|
|
|
Mothers
|
|
1. Have you taken M.O.F Orange
|
1
|
1
|
1
|
1
|
|
For yourself. Other fruit juice
|
2
|
2
|
2
|
2
|
|
for your child M.O.F. C.L.O
|
3
|
3
|
3
|
3
|
|
During the M.O.F A & D Tabs
|
4
|
4
|
4
|
4
|
|
Last 4 weeks? Other C.L.O. prep.
|
5
|
5
|
5
|
5
|
|
None at all
|
6
|
6
|
6
|
6
|
|
N.A.
|
7
|
7
|
7
|
7
|
|
D.N.A
|
8
|
8
|
8
|
8
|
16
16
TO THOSE WHO TAKE M.O.F ORANGE OR
|
2. How often did take during last week?
C.L.O.
|
O.J
|
C.L.O
|
O.J
|
C.L.O
|
O.J
|
C.L.O
|
O.J
|
C.L.O
|
|
Every day
|
Y
|
4
|
Y
|
4
|
Y
|
4
|
Y
|
4
|
|
4-6 times
|
X
|
5
|
X
|
5
|
X
|
5
|
X
|
5
|
|
1-3 times
|
0
|
6
|
0
|
6
|
0
|
6
|
0
|
6
|
|
Not last week
|
1
|
7
|
1
|
7
|
1
|
7
|
1
|
7
|
|
N.A.
|
2
|
8
|
2
|
8
|
2
|
8
|
2
|
8
|
|
D.N.A.
|
3
|
9
|
3
|
9
|
3
|
9
|
3
|
9
|
3.
If less than 4 times a week
|
WHY?
|
ORANGE JUICE
|
C.L.O.
|
|
1st child
|
|
|
|
2nd child
|
|
|
|
3rd child
|
|
|
|
E or N Mother
|
|
|
4. How many bottles did you get in last 4 weeks?
4a. How many bottles have you in stock?
|
5. Where do you get?
|
Food Office
|
1
|
5
|
|
Clinic
|
2
|
6
|
|
Other, specify
|
3
|
7
|
6. Do you prefer to share O.J. and C.L.O. or to keep for yourself or children under 5?
|
|
O.J.
|
C.L.O.
|
|
Share out
|
1
|
6
|
|
Keep for self or under 5
|
2
|
7
|
|
N.A.
|
3
|
8
|
|
No one to share with
|
4
|
9
|
7. What do you
yourself
think of the taste of:
ORANGE JUICE:
C.L.O.
11 lb. IF YES - how?
12. Have you taken anything instead of - say what
TO ALL WITH CHILD UNDER 5
13. Does child go to School or Day Nursery?
If so, does it get O.J. or C.L.O. there?
14. Have you had your child immunised against diphtheria?
|
|
1st child
|
2nd child
|
3rd child
|
Expectant or Nursing Mother
|
|
ORANGE JUICE
|
|
|
|
|
|
COD LIVER OIL
|
|
|
|
|
|
M.O.F. ORANGE JUICE
|
No
|
No
|
No
|
No
|
|
M.O.F. COD LIVER OIL
|
No
|
No
|
No
|
No
|
|
|
Go to
|
Go to
|
Go to
|
|
|
|
D.N.
|
O.J.
|
C.L.O.
|
D.N.
|
O.J.
|
C.L.O.
|
D.N.
|
O.J.
|
C.L.O.
|
|
Yes
|
Y
|
2
|
6
|
Y
|
2
|
6
|
Y
|
2
|
6
|
|
No
|
X
|
3
|
7
|
X
|
3
|
7
|
X
|
3
|
7
|
|
D.K.
|
0
|
4
|
8
|
0
|
4
|
8
|
0
|
4
|
8
|
|
N.A.
|
1
|
5
|
9
|
1
|
5
|
9
|
1
|
5
|
9
|
|
Yes
|
1
|
1
|
1
|
|
No
|
2
|
2
|
2
|
|
N.A.
|
3
|
3
|
3
|
17
17
TO ALL
15. What do you think O.J. and C.L.O. do for you and your children?
O.J.
C.L.O..........
16. How far is the nearest Distribution Centre for M.O.F. Preparations from your house? How long does it take and is it convenient?
|
|
|
|
|
|
|
|
|
|
|
|
|
Convenient
|
|
1/4 mile
|
1/2 mile
|
1 mile
|
3 1/2 mls.
|
Over
|
N.A.
|
D.K.
|
Up to 12 mins.
|
13-22 mins.
|
23-40 mins.
|
Over 40 mins.
|
N.A.
|
Yes
|
No
|
N.A.
|
|
|
Y
|
X
|
0
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
9
|
Y
|
X
|
0
|
17. How do you feel about this distance?.........
18. Do you attend a Clinic or Welfare Centre for any other purpose than getting O.J. or C.L.O.? Yes 1 No 2 N.A. 3
8. How does your child like-
9. What do you find the best way of giving it?
TO THOSE WHO HAVE NOT TAKEN M.O.F. PREPARATIONS DURING LAST 4 WEEKS
10. Have you ever given or taken M.O.F. Orange Juice or Cod Liver Oil?
|
|
1st child
|
2nd child
|
3rd child
|
|
|
|
ORANGE JUICE
|
|
|
|
|
|
|
COD LIVER OIL
|
|
|
|
|
|
|
ORANGE JUICE
|
|
|
|
|
|
|
COD LIVER OIL
|
|
|
|
|
|
Expectant or Nursing Mother
|
|
|
O.J.
|
C.L.O.
|
O.J.
|
C.L.O.
|
O.J.
|
C.L.O.
|
O.J.
|
C.L.O.
|
|
Yes
|
1
|
6
|
1
|
6
|
1
|
6
|
1
|
6
|
|
No
|
2
|
7
|
2
|
7
|
2
|
7
|
2
|
7
|
|
N.A.
|
3
|
8
|
3
|
8
|
3
|
8
|
3
|
8
|
|
D.N.A
|
4
|
9
|
4
|
9
|
4
|
9
|
4
|
9
|
11. Why is it not taken now? (PROMPT)
-
(a) Child dislikes .........
-
(b) Mother dislikes .........
-
(c) Does not agree .........
-
(d) Too difficult to get .........
-
(e) Is not considered important .........
-
(f) Others - specify .........
THOSE WHO MENTION DISLIKE
11a. Have you tried to help yourself or children over this dislike?
|
Yes
|
1
|
6
|
1
|
6
|
1
|
6
|
1
|
6
|
|
No
|
2
|
7
|
2
|
7
|
2
|
7
|
2
|
7
|
|
N.A.
|
3
|
8
|
3
|
8
|
3
|
8
|
3
|
8
|
|
D.N.A.
|
4
|
9
|
4
|
9
|
4
|
9
|
4
|
9
|
