Catalogue of Social Care Data

In the last four weeks how many hours of help has someone you lived with usually received each week?

Up to 4 hours
5-9 hours
10-19 hours
20-34 hours
35 hours or more”

In the last four weeks who has provided the person you live with the help they have needed. Please tick all that apply

Nobody-needs were not met
Husband/wife/partner
Son or daughter or other family member (include even if not blood related)
Friend or neighbor
Voluntary helper
Paid/professional help
Other

In the last four weeks has someone you lived with needed help with personal task (washing, dressing) or domestic tasks (shopping, providing meals) because they could not manage them alone?

Yes-someone I lived with needed help
No
Not applicable-live alone

In the last four weeks how many hours of help have you usually received each week?

Up to 4 hours
5-9 hours
10-19 hours
20-34 hours
35 hours or more”

In the last four weeks who has provided you with the help you have needed. Please tick all that apply

Nobody-needs were not met
Husband/wife/partner
Son or daughter or other family member (include even if not blood related)
Friend or neighbor
Voluntary helper
Paid/professional help
Other

In the last four weeks have you needed help with personal task (washing, dressing) or domestic tasks (shopping, providing meals) because you could not manage them alone?

Yes I needed help No

In the last four weeks how many hours of help has someone you lived with usually received each week?

Up to 4 hours
5-9 hours
10-19 hours
20-34 hours
35 hours or more”

In the last four weeks who has provided the person you live with the help they have needed. Please tick all that apply

Me Nobody-needs were not met
Husband/wife/partner
Son or daughter or other family member (include even if not blood related)
Friend or neighbor
Voluntary helper
Paid/professional help
Other

Who provided this help? Please tick all that apply

“Husband/wife/partner/self
Son or daughter or other family member (include even if not blood related)
Friend or neighbor
Voluntary helper
Paid/professional help
Other “

In the past month before the Coronavirus outbreak in March, who provided you with the help you needed? Please tick all that apply.

Nobody- needs were not met Husband/wife/partner/self
Son or daughter or other family member (include even if not blood related)
Friend or neighbor
Voluntary helper
Paid/professional help
Other

Since the Coronavirus outbreak, how many hours help have you or someone you live with typically received each week?

0 hours. Up to 4 hours
5-9 hours
10-19 hours
20-34 hours
35 hours or more”

Since the Coronavirus outbreak have you or someone you live with had a change in help needed and/or received?

Yes, there has been a change to the care needed or received
No change

Altogether how many hours help have you received with these tasks in the last week

Up to 4 hours
5-9 hours
10-19 hours
20-34 hours
35 hours or more

Who provided this help? Please tick all that apply

Husband/wife/partner/self
Son or daughter or other family member (include even if not blood related)
Friend or neighbor
Voluntary helper
Paid/professional help
Other

Before the Coronavirus outbreak did you or a person you live with usually get help with regular personal tasks (washing, dressing) or domestic tasks (shopping, providing meals) that cannot be managed alone?

No help needed
No help received
Help received for myself
Help received for someone I live with

If you (and your spouse) needed help with daily activities because of sickness, frailty or disability, who would be most likely to provide help?

Son (including stepson, adopted son or son in law)
Daughter (including stepdaughter, adopted daughter or daughter in law)
Other family member
Friends or neighbor (including voluntary helper)
Paid/professional help Other

Who do you look after or help that lives with you?

Wife/husband/partner
Mother/mother-in-law
Father/father-in-law
Son/daughter
Grandchildren
Friend
other

Is there anyone living with you who is sick, frail, or has a disability whom you look after or give special help to (for example, a sick, disabled, or older relative/husband/wife/friend etc.)

No
Yes

Altogether how many hours help have you received with these tasks in the last week

No help in the past week
Less than 1 hour
1-4 hours
5-9 hours
10-19 hours
20-34 hours
35-49 hours
50-99 hours
1000 hours or more

In the past month before the Coronavirus outbreak in March did you need help with personal tasks( washing, dressing) or domestic tasks (shopping, providing meals) because you could not manage them alone?

Yes I needed help No

In the month before the Coronavirus outbreak in March how many hours of help did you usually get each week ?

Up to 4 hours
5-9 hours
10-19 hours
20-34 hours
35 hours or more”

In the month before the Coronavirus outbreak in March did someone you lived with need help with personal tasks (washing, dressing) or domestic tasks (shopping, providing meals) because they could not manage alone?

Yes-someone you lived with needed help
No
Not applicable-live alone

In the month before the Coronavirus outbreak in March who provided the person you live with the help they needed? Please tick all that apply.

Nobody-needs were not met
Me
My Husband/wife/partner
Son or daughter or other family member (include even if not blood related)
Friend or neighbor
Voluntary helper
Paid/professional help
Other

In the month before the Coronavirus outbreak in March how many hours of help did the person you live with usually get each week?

Up to 4 hours
5-9 hours
10-19 hours
20-34 hours
35 hours or more”

In the last four weeks have you needed help with personal task (washing, dressing) or domestic tasks (shopping, providing meals) because you could not manage them alone?

Yes I needed help No

In the last four weeks who has provided you with the help you have needed. Please tick all that apply

“Nobody-needs were not met
Husband/wife/partner
Son or daughter or other family member (include even if not blood related)
Friend or neighbor
Voluntary helper
Paid/professional help
Other “

In the last four weeks how many hours of help have you usually received each week?

Up to 4 hours
5-9 hours
10-19 hours
20-34 hours
35 hours or more”

In the last four weeks has someone you lived with needed help with personal task (washing, dressing) or domestic tasks (shopping, providing meals) because they could not manage them alone?

Yes-someone I lived with needed help
No
Not applicable-live alone

Do you have difficulty with any of the following activities…: doing routine housework or laundry?

No
Yes
Not applicable

Please tell me about all the people on the list who have helped you with these tasks in the last month

No help received in past month
Husband/wife/partner
Son (including stepson, adopted son or son in law)
Daughter (including stepdaughter, adopted daughter or daughter in law)
Other family member
Friends or neighbor
Voluntary helper
Paid/professional help
Home care worker/home help/personal assistant
Member if reablement/intermediate care staff team
Occupational therapist/physiotherapist
Warden/sheltered housing manager
Cleaner
Other

Do you have difficulty with any of the following activities…: getting out of the home, for example to go to the doctors or to visit a friend?

No
Yes
Not applicable

Do you have difficulty with any of the following activities…: shopping for food including getting to the shops, choosing the items, carrying the items home, and then unpacking and putting the items away?

No
Yes
Not applicable

Do you have difficulty with any of the following activities…: doing paperwork and paying household bills?

No
Yes
Not applicable

Do you have difficulty with any of the following activities…: preparing hot meals?

No
Yes
Not applicable

Do you have difficulty with any of the following activities…: taking the right amount of medicines at the right time?

No
Yes
Not applicable (don’t take any medications)

Can you dress and undress yourself, including putting on your shoes and socks, without aids/special items or personal help?

Yes
No, uses aids/special items only
No, uses personal help only
No needs aids and personal help

Do you have difficulty with any of the following activities…: getting in or out of a chair?

No
Yes

Can you get in or out of a chair without aids or personal help?

Yes
No, uses aids only
No, uses personal help only
No needs aids and personal help

Do you have difficulty with any of the following activities…: getting in or out of bed?

No
Yes

Can you get in and out of bed without aids or personal help?

Yes
No, uses aids only
No, uses personal help only
No needs aids and personal help

Do you have difficulty with any of the following activities…: getting around indoors?

No
Yes

Can you get around indoors without aids or personal help?

Yes
No, uses aids only
No, uses personal help only
No needs aids and personal help

Do you have difficulty with any of the following activities…: using the toilet?

No
Yes
Not applicable

Can you use the toilet without aids or personal help?

Yes
No, uses aids only
No, uses personal help only
No needs aids and personal help

Do you have difficulty with any of the following activities…: feeding yourself, including cutting up food?

No
Yes

Can you feed yourself, including cutting up food, without aids or personal help?

Yes
No, uses aids only
No, uses personal help only
No needs aids and personal help

Please tell me about all the people on the list who have helped you with these tasks in the last month

No help received in past month
Husband/wife/partner
Son (including stepson, adopted son or son in law)
Daughter (including stepdaughter, adopted daughter or daughter in law)
Other family member
Friends or neighbor
Voluntary helper
Paid/professional help
Home care worker/home help/personal assistant
Member if reablement/intermediate care staff team
Occupational therapist/physiotherapist
Warden/sheltered housing manager
Cleaner
Other

Altogether how many hours help have you received with these tasks in the last week

No help in the past week
Less than 1 hour
1-4 hours
5-9 hours
10-19 hours
20-34 hours
35-49 hours
50-99 hours
1000 hours or more

Is it difficult because of long term health problems for you to do any of the following activities? A) go shopping and carry a full bag of shopping in each hand? B) do heavy housework? C) prepare a hot meal

Yes
No

On your present household income do you find (as a family)

That it’s really quite hard to manage
That you manage fairly well
That you mange comfortably

Is it difficult because of long term health problems for you to do any of the following activities? A) washing hands and face? If yes can you do it without aids or personal help?

No
Yes

Yes
No, uses aid only but no personal help
No needs personal help

b) bathing or showering? If yes can you do it without aids or personal help?

No
Yes

Yes
No, uses aid only but no personal help
No needs personal help

c) dressing or undressing? If yes can you do it without aids or personal help?

No
Yes

Yes
No, uses aid only but no personal help
No needs personal help

d) getting in or out of a chair ? If yes can you do it without aids or personal help?

No
Yes

Yes
No, uses aid only but no personal help
No needs personal help

e) getting to the toilet? If yes can you do it without aids or personal help?

No
Yes

Yes
No, uses aid only but no personal help
No needs personal help

f) using the toilet? If yes can you do it without aids or personal help?

No
Yes

Yes
No, uses aid only but no personal help
No needs personal help

g) feeding yourself, including cutting up food? If yes can you do it without aids or personal help?

No
Yes

Yes
No, uses aid only but no personal help
No needs personal help

The following question asks you to indicate the level of physical and mental fatigue (i.e., tiredness, exhaustion) you expect or imagine when competing each of the ten listed activities.

Leisurely walk for 30 minutes
Brisk walk for 1 hour
Light household activity for 1 hour (cleaning, cooking, dusting, baking, making beds, watering plants)
Heavy gardening or outdoor work for 1 hour (mowing [push], raking, weeding, planting)

Have you done this activity within the last month?

0 No Fatigue
1
2
3
4
5 Extreme Fatigue

1 YES
0 NO

Do you have difficulty walking for a quarter of a mile on this level?

No
Yes
Not applicable, unable to walk

Do you have difficulty walking up and down stairs?

No
Yes
Not applicable, cannot walk up and down stairs

When walking up and down a flight of 12 stairs do you need to
a) Hold on?
b) Stop for a rest?
c) Go sideways or one step at a time?

No
Some of the time
Most/all of the time

Do you have difficulty with any of the following activities…: Cutting your toenails?

No
Yes, some difficulty
Yes, a lot of difficulty

Can you cut your toenails without personal help?

Yes
No

Do you have difficulty with any of the following activities…: Bathing and/or showering (including getting into and out of the bath or shower)?

No
Yes, difficult to bath but not shower
Yes, difficult to bath and shower

Can you bath or shower without aids or personal help?

Yes
No, uses aids only
No, uses personal help only
No needs aids and personal help

Do you have difficulty with any of the following activities…: Washing your hands and face?

No
Yes

Can you wash your hands and face without aids or personal help?

Yes
No, uses aids only
No, uses personal help only
No needs aids and personal help

Do you have difficulty with any of the following activities…: dressing and undressing yourself?

No
Yes