2018 health and lifestyles survey questionnaire

95
2018 Health and Lifestyles Survey Questionnaire November 2018

Upload: others

Post on 04-Nov-2021

3 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: 2018 Health and Lifestyles Survey Questionnaire

2018 Health and Lifestyles Survey Questionnaire

November 2018

Page 2: 2018 Health and Lifestyles Survey Questionnaire

ISBN: 978-0-478-44942-6

Citation: Health Promotion Agency (2018). 2018 Health and Lifestyles Survey Questionnaire. Wellington: Health Promotion Agency Research Unit.

Prepared for the Health Promotion Agency by:

Neil Tee, CBG Health Research Sarah Rendall, Health Promotion Agency Denise Grealish, Health Promotion Agency

Copyright The copyright owner of this publication is HPA. HPA permits the reproduction of material from this publication without prior notification, provided that fair representation is made of the material and HPA is acknowledged as the source.

This document is available at: https://www.hpa.org.nz/research-library/research-publications

Any queries regarding this report should be directed to HPA at the following address: Health Promotion Agency PO Box 2142 Wellington 6140 New Zealand www.hpa.org.nz [email protected] November 2018

Page 3: 2018 Health and Lifestyles Survey Questionnaire

2

CONTENTS

LIST OF CHANGES FROM 2016 QUESTIONNAIRE 3

QUESTIONNAIRE 6

Section B: Core Demographics and Selecting the Nominated Child 6

Section L: Lifestyle Factors 10

Section T: Tobacco 14

Section G: Minimising Gambling Harm 24

Section S: Skin Cancer Prevention 41

Section A: Alcohol 47

Section F: Food and Drinks 53

Section P: Physical Activity 63

Section C: Child / Family Health 64

Section M: Mental Health, Wellbeing and Connectedness 69

Section H: General Health 78

Section X: Demographics 80

Section R: Recontact 86

Respondent Burden Assessment 88

Computer-assisted personal interviewing (CAPI) screen shots 90

Page 4: 2018 Health and Lifestyles Survey Questionnaire

3

LIST OF CHANGES FROM 2016 QUESTIONNAIRE

The 2018 HLS questionnaire is based on the questionnaire used in the 2016 HLS questionnaire,

with some revisions. The main revisions made to the questionnaire are listed below, but some

other minor wording or response option changes have not been included in the list.

The following questions were not included in the 2016 HLS, but used for the first time in 2018

(question numbers refer to the 2018 questionnaire):

Section Questions

T: Tobacco T25, T27

G: Gambling G38b, G38c

S: Skin cancer S11

A: Alcohol A2, A2a, A4, A5, A7, A9, A10, A11, A12, A13, A14

F: Food & drinks F1, F2, F3, F4, F6, F7, F14, F16

C: Child/family

health

C4

M: Mental

Health

M14, M20, M21, M22, M23, M24, M29

H: General

Health

H2

X:

Demographics

X4

The following questions were used in the 2016 HLS but the wording was revised in 2018 (question

numbers refer to the 2018 questionnaire):

Section Questions

B: Core

demographics

and selecting

the nominated

child

B3, B5, B12

Page 5: 2018 Health and Lifestyles Survey Questionnaire

4

L: Lifestyle

Factors

L1, L2, L3, L4, L5, L6

T: Tobacco T6, T11, T28, T29, T31

G: Gambling G3, G7, G12c, G14, G17, G18 , G19a, G33, G34, G36, G37, G38a

S: Skin cancer S2, S3, S9, S10, S12, S16

A: Alcohol A3

F: Food & drinks F5, F10, F8, F13, F15, F17, F21, F23, F24,

P: Physical

Activity

C: Child/family

health

C2, C5, C7, C9

M: Mental

Health

M11, M14, M16, M18

X:

Demographics

X5

The following questions were asked in 2016 but removed from the 2018 HLS questionnaire. This

was in order to reduce respondent burden (question numbers refer to the 2016 HLS). The

Gambling and Alcohol sections were substantially removed:

Section Questions

B: Core

demographics

and selecting

the nominated

child

B10

T: Tobacco T7, T13, T15, T16, T24, T25, T26, T27, T29, T30, T31, T32, T34

G: Gambling G IJ, G5, G7a, G8a, G7b, G8b, G9, G10, G11,G13,G24,G25, G26, G27, G28,

G30, G35, G36, G37, G38, G39, G40, G42, G44, G45, G49, G50, G51, G52,

G53, G54, G55, G56, G58

S: Skin cancer

Page 6: 2018 Health and Lifestyles Survey Questionnaire

5

A: Alcohol A1, A3, A4b, A5a, A5b, A6, A7, A8, A9, A10, A11, A12, A12a, A13, A14, A15,

A16, A17, A18

F: Food & drinks F1, F2, F5a, F5b, F10, F12, F14a, F14b

P: Physical

Activity

P1, P2, P3, P4, P5, P6, P7, P8, P9

C: Child/family

health

C6, C7a, C7b, C12

M: Mental

Health

M2, M13, M14, M15, M16, M17, M18_I, M18, M19

H: General

Health

H2, H3, H4, H7

X:

Demographics

X9, X10, X11, X12, X13

Page 7: 2018 Health and Lifestyles Survey Questionnaire

6

QUESTIONNAIRE

Section B: Core Demographics and Selecting the Nominated Child

B1_I Thank you for agreeing to take part in this survey. It covers a number of topics relating to health and lifestyles, including physical activity, food and drinks, smoking and gambling. There are no right or wrong answers; we simply ask you what you think about certain topics, and we ask about your daily life, such as what you eat, and how often you go out into the sun. The first few questions are to make sure that we ask you the right questions. B1

[If necessary:] I need to record whether you are male or female?

Enter the gender of the respondent.

Male ..................................................................... 1

Female ................................................................. 8

B2

Showcard B2

Looking at Showcard B2, which of these age groups do you belong to?

15–17 years ......................................................... 1

18–19 years ......................................................... 2

20–24 years ......................................................... 3

25–34 years ......................................................... 4

35–44 years ......................................................... 5

45–54 years ......................................................... 6

55–64 years ......................................................... 7

65–69 years ......................................................... 8

70–74 years ......................................................... 9

75+ years ........................................................... 10

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 8: 2018 Health and Lifestyles Survey Questionnaire

7

B3

Showcard B3

Looking at Showcard B3, which ethnic group or groups do you belong to?

If respondent answers with nationality rather than ethnicity, probe further and record ethnicity. Multiple responses allowed.

New Zealand European ....................................... 1

Māori .................................................................... 2

Samoan................................................................ 3

Cook Island Māori ................................................ 4

Tongan ................................................................. 5

Niuean.................................................................. 6

Tokelauan ............................................................ 7

Fijian .................................................................... 8

Tuvaluan .............................................................. 9

Chinese .............................................................. 10

Indian ................................................................. 11

Other – please specify ....................................... 12

Don’t know ......................................................... 99

Refused.............................................................. 98

IF SCREENED MĀORI/PACIFIC HOUSE AND B3≠2–9, 12, 99 OR 98, GO TO B4

IF SCREENED PACIFIC ONLY HOUSE AND B3≠3–9, 12, 99 OR 98, GO TO B5

OTHERWISE GO TO CHECK BEFORE B7

B4

Can I check, do you consider yourself to be Māori or Pasifika? When I first visited your household, I recorded that you considered yourself Māori and/or Pasifika.

Yes – go back to last question and code all ethnic groups.... 1

No.......................................................................................... 5

IF B4=1 GO TO B3, OTHERWISE GO TO B6

B5

Can I check, do you consider yourself to be Pasifika? When I first visited your household, I recorded that you considered yourself Pasifika.

Yes – go back to last question and code all ethnic groups.... 1

No.......................................................................................... 5

IF B5=1 GO TO B3, OTHERWISE GO TO B6

Page 9: 2018 Health and Lifestyles Survey Questionnaire

8

B6

This survey must be completed with someone of the correct screened ethnicity. Please terminate interview and contact survey management for assistance.

[PARENT / CAREGIVER] GO TO B7

OTHERWISE GO TO L1_I2

B7 Some of the questions ask about children, so we start by choosing one child to ask about later in the survey. How many children aged 5 to 16 years usually live in this household? Enter number: [Range 1–20]

IF B7=1 GO TO B8.

OTHERWISE GO TO B9.

B8

May I have the first name of that child, so I can refer to him or her by name throughout the interview?

Record name: ___________________________

[PROGRAMMER: DROP THIS NAME IN WHEREVER xxx APPEARS IN THE SURVEY QUESTIONS]

GO TO B10.

B9

So that I can choose one child to ask about later in the survey, may I have the first name of the child aged 5 to 16 years who has the next birthday, so I can refer to him or her by name throughout the interview? If twins, select the youngest. Record name: ____________________________

[PROGRAMMER: DROP THIS NAME IN WHEREVER xxx APPEARS IN THE SURVEY QUESTIONS]

B10

How old is xxx please?

Enter in years: [Range 5–16]

B11

And I’ll also enter boy or girl.

As needed.

Boy ....................................................................... 1

Girl ....................................................................... 8

Page 10: 2018 Health and Lifestyles Survey Questionnaire

9

B12 Showcard B12 Looking at Showcard B12, which ethnic group or groups does xxx belong to?

If respondent answers with nationality rather than ethnicity, probe further and record ethnicity. Multiple responses allowed.

New Zealand European ....................................... 1

Māori .................................................................... 2

Samoan................................................................ 3

Cook Island Māori ................................................ 4

Tongan ................................................................. 5

Niuean.................................................................. 6

Tokelauan ............................................................ 7

Fijian .................................................................... 8

Tuvaluan .............................................................. 9

Chinese .............................................................. 10

Indian ................................................................. 11

Other – please specify ....................................... 12

Don’t know ......................................................... 99

Refused.............................................................. 98

GO TO L1_I1

Page 11: 2018 Health and Lifestyles Survey Questionnaire

10

Section L: Lifestyle Factors L1_I1 The purpose of this section is to collect some information about your and xxx’s interests and lifestyle.

GO TO L1

L1_I2

The purpose of this section is to collect some information about your interests and lifestyle.

L1 Showcard L1 On a usual day, how much time do you spend sitting watching television or movies, using a gaming device or using the Internet? Please answer from Showcard L1. Watching television or movies can include downloaded or streamed content to a TV or computer. Using the Internet can include browsing, playing games, watching TV programmes and movies, listening to music, social media and online chat / instant messaging / Skype. This includes taking part in these activities on a mobile phone or smart device. This is outside of work only, but can include time spent on work-related apps, such as LinkedIn.

5 hours or more per day ..................................................... 1

3 to 4 hours per day ............................................................ 2

1 to 2 hours per day ............................................................ 3

Less than 1 hour per day .................................................... 4

Less often than once a day ................................................ 5

Never .................................................................................. 6

Don’t know .......................................................................... 9

Refused............................................................................... 8

Page 12: 2018 Health and Lifestyles Survey Questionnaire

11

L2 Showcard L2 Looking at Showcard L2, in the last 7 days, which of these have you used? [L2=20 is UNIQUE] Note, this question includes time spent during working hours. Multiple responses allowed.

Facebook or Facebook Messenger .............................................. 1

Twitter ........................................................................................... 2

Online messaging or video calling (e.g., Skype, WhatsApp,

WeChat, Viber, Google Hangouts) ............................................... 3

Online gaming communities (e.g., Game Planet, Geekzone,

Call of Duty) .................................................................................. 4

Online music communities (e.g., SoundCloud) ............................ 5

Snapchat ....................................................................................... 6

Instagram ...................................................................................... 7

Neighbourly ................................................................................... 8

Trade Me ...................................................................................... 9

Pinterest ...................................................................................... 10

Email ........................................................................................... 11

Blog (e.g., WordPress, Tumblr) .................................................. 12

Cell phone texting / iMessage .................................................... 13

YouTube ..................................................................................... 14

Work / employment-related apps / websites (e.g., LinkedIn) ..... 15

Booking apps / websites (e.g., Trip Advisor) .............................. 16

Dating forums / apps (e.g., Tinder / Grindr) ................................ 17

Social forums / apps (e.g., Reddit) ............................................ 18

Other – please specify ................................................................ 19

None of these ............................................................................. 20

Don’t know .................................................................................. 99

Refused....................................................................................... 98

[PARENT / CAREGIVER] GO TO L3 OTHERWISE GO TO L4

Page 13: 2018 Health and Lifestyles Survey Questionnaire

12

L3 Showcard L3 On a usual day, how much time does xxx spend sitting watching television or movies, using a gaming device or using the Internet? Please answer from Showcard L3. Watching television or movies can include downloaded or streamed content to a TV or computer. Using the Internet can include browsing, playing games, watching TV programmes and movies, listening to music, social media and online chat / instant messaging / Skype. This includes taking part in these activities on a mobile phone or smart device. This is only outside of school, but can include homework.

5 hours or more per day ............................................................. 1

3 to 4 hours per day .................................................................... 2

1 to 2 hours per day .................................................................... 3

Less than 1 hour per day ............................................................ 4

Less often than once a day ........................................................ 5

Never .......................................................................................... 6

Don’t know .................................................................................. 9

Refused....................................................................................... 8

L4 Showcard L4 Which mode of transport do you most regularly use to travel to your main weekday activity? If you use several modes of transport, please think about the one that you travel by for the longest amount of time each week. Please choose your answer from Showcard L4. By longest amount of time, add up the total amount of time you spend on each mode of transport over the week.

Motorbike / motorscooter / moped ....................... 1

Car, truck or van .................................................. 2

Bus ....................................................................... 3

Train ..................................................................... 4

Bicycle.................................................................. 5

Walking ................................................................ 6

Jogging or running ............................................... 7

Mobility scooter / electric wheelchair .................. 8

Skateboarding or scootering ................................ 9

Ferry ................................................................... 10

Electric bicycle ................................................... 11

Other – please specify ....................................... 12

None, or little travel (I work / school from

home, I’m retired, etc.) ....................................... 13

Don’t know ......................................................... 99

Refused.............................................................. 98

[PARENT / CAREGIVER] ASK L5 OTHERWISE GO TO T1_I

Page 14: 2018 Health and Lifestyles Survey Questionnaire

13

L5 Showcard L5 Which mode of transport does xxx most regularly use to travel to school? Think about the one that they travel by for the longest amount of time each week. Please answer from Showcard L5. By longest amount of time, add up the total amount of time xxx spends on each mode of transport over the week.

Motorbike / motorscooter / moped ....................... 1

Car, truck or van .................................................. 2

Bus ....................................................................... 3

Train ..................................................................... 4

Bicycle.................................................................. 5

Walking ................................................................ 6

Jogging or running ............................................... 7

Mobility scooter / electric wheelchair .................. 8

Skateboarding or scootering ................................ 9

Ferry ................................................................... 10

Electric bicycle ................................................... 11

Other – please specify ....................................... 12

None, or little travel (homeschooled etc.) .......... 13

Don’t know ......................................................... 99

Refused.............................................................. 98

L6 Showcard L6 Is xxx allowed to go out on his/her own in the local neighbourhood? [L6 =1 is UNIQUE] Multiple responses allowed.

Yes

Allowed ........................................................................................... 1

No

Only with other children ................................................................... 2

Only with an older brother or sister.................................................. 3

Only with an adult ............................................................................ 4

Don’t know ............................................................................................ 9

Refused................................................................................................. 8

Page 15: 2018 Health and Lifestyles Survey Questionnaire

14

Section T: Tobacco

Smoking T1_I Now some questions on smoking cigarettes and tobacco. For these questions, please do not include use of e-cigarette or vaping devices. We will ask about those later. T1 Have you ever smoked cigarettes or tobacco at all, even just a few puffs? This includes if you are currently smoking. Do not include e-cigarettes or vaping devices.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

IF [PARENT / CAREGIVER] AND T1=1 GO TO T3

OTHERWISE IF T1=1 GO TO T2

OTHERWISE GO TO CHECK BEFORE T17

T2 At what age did you first try a cigarette, even just a few puffs? Enter answer in years. If respondent doesn’t know exactly, get their best estimate.

[Range 1–99] Don’t know – 999 Refused – 998

T3 Did you ever smoke daily for at least a week?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

IF [PARENT / CAREGIVER] GO TO T5

OTHERWISE IF T3=1 GO TO T4

OTHERWISE GO TO T5

T4 At what age did you first start smoking daily? Enter answer in years. If respondent doesn’t know exactly, get their best estimate.

[Range 1–99] Don’t know – 999 Refused – 998

Page 16: 2018 Health and Lifestyles Survey Questionnaire

15

T5 Showcard T5 Looking at Showcard T5, which best describes how often you smoke tobacco now?

At least once a day .............................................. 1

At least once a week ............................................ 2

At least once a month .......................................... 3

Less often than once a month ............................. 4

I do not smoke now .............................................. 5

Don't know ........................................................... 9

Refused................................................................ 8

IF [PARENT / CAREGIVER] AND T5=1–3 GO TO T7

OTHERWISE IF T5=1–3 GO TO T6

IF T5=5 GO TO T9

OTHERWISE GO TO CHECK BEFORE T17

T6 On a typical day when you are smoking, about how many cigarettes do you smoke? If respondent doesn’t know exactly, get their best estimate.

[Range 1–99] Don’t know – 999 Refused – 998

T7 Showcard T7 How soon after you wake up do you smoke your first cigarette? Please answer from Showcard T7.

Within 5 minutes .................................................. 1

6 to 30 minutes .................................................... 2

31 minutes to 1 hour ........................................... 3

More than 1 hour ................................................. 4

Don’t know ........................................................... 9

Refused................................................................ 8

Page 17: 2018 Health and Lifestyles Survey Questionnaire

16

T8

Showcard T8

Which of these products do you smoke the most? Please answer from Showcard T8.

Tailor-made cigarettes ......................................... 1

Roll your own using loose tobacco ...................... 2

Both tailor-made and roll your own ...................... 3

Pipes .................................................................... 4

Cigars................................................................... 5

Don’t know ........................................................... 9

Refused................................................................ 8

GO TO T10

T9

Showcard T9

How long ago did you stop smoking? Please answer from Showcard T9.

Within the last month ........................................... 1

1 to 6 months ago ................................................ 2

7 to 12 months ago .............................................. 3

1 to 2 years ago ................................................... 4

3 to 5 years ago ................................................... 5

6 to 10 years ago ................................................. 6

More than 10 years ago ....................................... 7

Not applicable – never started smoking .............. 8 [NOT ON SHOWCARD]

Don't know ......................................................... 99

Refused.............................................................. 98

IF T9=1–3 GO TO T10

IF [PARENT/CAREGIVER] AND T9=4–8, 99, 98 GO TO T17

IF ADULT AND T9=4–8, 99, 98 GO TO T19_I

T10 In the last 12 months, how many serious attempts to stop smoking did you make that lasted 24 hours or longer? Please include any attempt that you are currently making. If none, record 0. [PROGRAMMER: IF T9 = 1–3, then T10 cannot be 0]

[Range 0–20]

Don’t know – 99 Refused – 98

[TRIED TO QUIT IN LAST 12 MONTHS] T10=1–20 GO TO T11

OTHERWISE GO TO CHECK BEFORE T13

Page 18: 2018 Health and Lifestyles Survey Questionnaire

17

T11 Showcard T11 Please identify any help, advice, programmes and products used to help you quit, during your last quit attempt. Please say as many as apply, and answer from Showcard T11. [T11=17 is UNIQUE] Multiple responses allowed.

Stop smoking service

Quitline .............................................................................................................. 1 Local stop smoking service that provides individual face-to-face support. ....... 2

Device or medication E-cigarette or vaping device .............................................................................. 3 Nicotine Replacement Therapy (NRT). ............................................................. 4 Prescription stop smoking medication (not NRT) .............................................. 5

Health professionals

Doctor from a hospital ....................................................................................... 6 Doctor, GP ......................................................................................................... 7 Nurse ................................................................................................................. 8 Other health professional, e.g., midwife, community health worker, dentist, pharmacist ............................................................................................ 9

Friends, family and others

Friend or family member ................................................................................. 10 School counsellor ............................................................................................ 11 Other advisor not mentioned here................................................................... 12

Other

Mobile phone apps .......................................................................................... 13 Allen Carr’s book ............................................................................................. 14 Hypnotist / Hypnotherapist .............................................................................. 15 Other – please specify .................................................................................... 16

None

I didn’t use any support ................................................................................... 17

Don’t know ............................................................................................................. 99

Refused.................................................................................................................. 98

IF [PARENT / CAREGIVER] GO TO T17

OTHERWISE IF T5=1–3, GO TO T13_I

OTHERWISE GO TO CHECK BEFORE T15

Page 19: 2018 Health and Lifestyles Survey Questionnaire

18

T13_l

Please tell me how much you agree or disagree with the following statement:

T13 Showcard T13 I like the look of my current pack or pouch.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ........................................................... 9

Refused................................................................ 8

T14_l

The next few questions are about warning labels printed on cigarette packs and tobacco pouches.

T14 Showcard T14 Looking at Showcard T14, in the last month, how often, if at all, have you read or looked closely at the warning labels?

Never ................................................................... 1

Once .................................................................... 2

Two or three times ............................................... 3

About once a week .............................................. 4

Several times a week ........................................... 5

Most days ............................................................ 6

Don’t know ........................................................... 9

Refused................................................................ 8

IF T5=1–3 GO TO T15

IF T5=5 AND T9=1-2 GO TO T15

OTHERWISE GO TO CHECK BEFORE T17

Page 20: 2018 Health and Lifestyles Survey Questionnaire

19

T15 Showcard T15 In the last month, how often, if at all, have you made any effort to hide the warning labels on your pack or pouch?

Never ................................................................... 1

Once .................................................................... 2

Two or three times ............................................... 3

About once a week .............................................. 4

Several times a week ........................................... 5

Most days ............................................................ 6

Not applicable – don’t own a pack or pouch ........ 7 [NOT ON SHOWCARD]

Don’t know ........................................................... 9

Refused................................................................ 8

T16 Showcard T16 In the last month, how often, if at all, have the warning labels stopped you from having a cigarette, when you were about to smoke one?

Never ..................................................................................... 1

Once ...................................................................................... 2

Two or three times ................................................................. 3

About once a week ................................................................ 4

Several times a week ............................................................. 5

Most days .............................................................................. 6

Not applicable – didn’t attempt to smoke in past month ........ 7 [NOT ON SHOWCARD]

Don’t know ............................................................................. 9

Refused.................................................................................. 8

IF [PARENT / CAREGIVER] GO TO T17

OTHERWISE GO TO T19_I

T17 Showcard T17 During the past 7 days, on how many days have people smoked in your home, while xxx was also in the home? Please answer from Showcard T17.

None .................................................................... 1

1 to 2 days ........................................................... 2

3 to 4 days ........................................................... 3

5 to 6 days ........................................................... 4

7 days .................................................................. 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 21: 2018 Health and Lifestyles Survey Questionnaire

20

T18 During the past 7 days, did anyone smoke inside a car or van while xxx was also in the vehicle?

Yes ...................................................................................... 1

No ....................................................................................... 5

They did not travel in a car / van during the past 7 days .... 7

Don’t know .......................................................................... 9

Refused............................................................................... 8

T19_l

Looking at the Showcard, whether or not you smoke, please tell me how much you agree or disagree with the following statements:

[ROTATE T19–T25]

T19 Showcard T19 Smoking in cars should be banned when children aged under 18 years old are in them.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ........................................................... 9

Refused................................................................ 8

T20 Showcard T20 Smoking should be banned in all public outdoor dining areas. Public outdoor dining areas include bars, cafes, restaurants.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 22: 2018 Health and Lifestyles Survey Questionnaire

21

T21

Showcard T21

The number of places allowed to sell cigarettes and tobacco should be reduced to make them less easily available.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ........................................................... 9

Refused................................................................ 8

T25

Showcard T25

The legal age of purchasing cigarettes and tobacco should be raised to 21 years and older.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ........................................................... 9

Refused................................................................ 8

T26 Now I am going to ask a question about how many people you think smoke. Out of 100 adults in New Zealand, how many do you think smoke cigarettes or tobacco? By this we mean they smoke cigarettes or tobacco at least once a day.

We are looking for your best estimate only. This is a percentage. Adults are those 15 years and over.

[Range 0–100] Don’t know – 999 Refused – 998

T27

Have you heard that the government of New Zealand has a goal of becoming a smokefree country by 2025?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 23: 2018 Health and Lifestyles Survey Questionnaire

22

E-cigarettes and Vaping Devices T28_l E-cigarettes or vapes are battery-powered devices (also known as e-cigs, electronic cigarettes or personal vaporizers). They contain liquid which heats up when people inhale from them, releasing vapour, which may contain nicotine and may be flavoured.

T28

Have you ever tried an e-cigarette or vaping device?

This includes if you are currently using an e-cigarette or vaping device.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

IF T28=1 GO TO T29

OTHERWISE [PARENT/CAREGIVER] GO TO T35_I

OTHERWISE GO TO T33_I

T29

Showcard T29

Which of the options on Showcard T29, best describes how often you use an e-cigarette or vaping device now?

At least once a day .............................................. 1

At least once a week ............................................ 2

At least once a month .......................................... 3

Less often than once a month ............................. 4

Do not use one now ............................................. 5

Don’t know ........................................................... 9

Refused................................................................ 8

IF [PARENT / CAREGIVER] GO TO T35_I

OTHERWISE IF T29=1–3 GO TO T31

OTHERWISE GO TO T33_I

T31 Showcard T31 What is your main reason for using an e-cigarette or vaping device? Choose your answer from Showcard T31.

To quit smoking .......................................................................... 1 To cut down smoking ................................................................. 2 To use when I cannot or am not allowed to smoke.................... 3 To avoid returning to smoking .................................................... 4 Because I enjoy(ed) it ................................................................ 5 Curiosity / just wanted to try them .............................................. 6 Other reason – please specify ................................................... 7 Don’t know ................................................................................. 9 Refused ...................................................................................... 8

Page 24: 2018 Health and Lifestyles Survey Questionnaire

23

GO TO T33_I

T33_I Looking at the Showcard, whether or not you smoke tobacco cigarettes, e-cigarettes or vaping devices, please tell me how much you agree or disagree with the following statements: T33 Showcard T33 E-cigarettes or vaping devices are safer for your health than smoking cigarettes.

Strongly agree ................................................................................. 1

Agree ............................................................................................... 2

Neither agree nor disagree .............................................................. 3

Disagree .......................................................................................... 4

Strongly disagree ............................................................................. 5

I don’t know what an e-cigarette or vaping device is ....................... 6

Don’t know ....................................................................................... 9

Refused............................................................................................ 8

T34 Showcard T34 E-cigarettes or vaping devices can help people quit smoking tobacco.

Strongly agree ................................................................................. 1

Agree ............................................................................................... 2

Neither agree nor disagree .............................................................. 3

Disagree .......................................................................................... 4

Strongly disagree ............................................................................. 5

I don’t know what an e-cigarette or vaping device is ....................... 6

Don’t know ....................................................................................... 9

Refused............................................................................................ 8

T35_I The last question in this section is about marijuana use. I will not see your response myself. I am going to turn the laptop towards you. I would like you to use the keyboard to select the option that applies to you. When you’re done click next, and turn the computer back towards me.

T35

During the last 30 days, have you smoked marijuana (cannabis, pot, grass, weed), even just a few puffs?

No – I have never smoked marijuana .............................................. 1

No – But I have smoked marijuana in the past ................................ 2

Yes – Once in the past 30 days ....................................................... 3

Yes – Two or three times in the past 30 days ................................. 4

Yes – About once a week ................................................................ 5

Yes – Several times a week ............................................................ 6

Don’t know ....................................................................................... 9

Refused............................................................................................ 8

Page 25: 2018 Health and Lifestyles Survey Questionnaire

24

Section G: Minimising Gambling Harm

[ADULT] GO TO G1_I

OTHERWISE GO TO S1_I

G1_I One type of entertainment that people can take part in is gambling, betting or playing games of chance; where a person spends money to try to win back more money, or to win a big prize. We would like to ask you about your gambling activities, and about your opinions on specific types of entertainment, whether you take part in gambling or not. G1

In the last 12 months, have you…

FOR EACH ANSWERED “YES”, IMMEDIATELY ASK G2

G2

Showcard G2

Looking at Showcard G2, please tell me about how often you do that. Just call out whichever number fits you best.

Numbers corresponding to gambling frequency, do not translate to acceptable or unacceptable levels of gambling. They are simply there for coding purposes.

G1 G2

Yes No DK Ref

Almost every day

More than

once a week

Once a

week

More than once

a mont

h

Once a

month

Once every three mont

hs

Less than once every three mont

hs

Once

a year

Less than once

a year

Don’t know

Ref-used

a Placed a bet on a horse or dog race with the New Zealand TAB?

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

b Placed a bet on any other sports event with the New Zealand TAB?

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

IF G1_ A OR G1_B=1 THEN ASK G3

OTHERWISE GO TO G6

G3

In the last 12 months, did you place any of those New Zealand TAB racing or sports event bets online, or by using the TAB mobile app?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 26: 2018 Health and Lifestyles Survey Questionnaire

25

IF G3=1 GO TO G4

OTHERWISE GO TO G5

G4

Showcard G2

Looking at Showcard G2, please tell me about how often you do that. Just call out whichever number fits you best.

Numbers corresponding to gambling frequency, do not translate to acceptable or unacceptable levels of gambling; they are simply there for coding purposes.

Almost every day ................................................. 1

More than once a week ....................................... 2

Once a week ........................................................ 3

More than once a month ...................................... 4

Once a month ...................................................... 5

Once every three months .................................... 6

Less than once every three months .................... 7

Once a year ......................................................... 8

Less than once a year ......................................... 9

Don’t know ......................................................... 99

Refused.............................................................. 98

G5 When you have been at a TAB venue, have you seen or noticed any information, to help someone who might have a problem with their gambling? This can include posters, pamphlets, digital screens, and wallet leaflets.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 27: 2018 Health and Lifestyles Survey Questionnaire

26

G6

In the last 12 months, have you…

FOR EACH ANSWERED 1, IMMEDIATELY ASK G7

G7

Showcard G2

Looking at Showcard G2, please tell me about how often you do that. Just call out whichever number fits you best.

Numbers corresponding to gambling frequency, do not translate to acceptable or unacceptable levels of gambling. They are simply there for coding purposes.

G6 G7

Yes No DK Ref

Almost every day

More than

once a week

Once a

week

More than once

a mont

h

Once a

month

Once every three mont

hs

Less than once every three mont

hs

Once

a year

Less than once

a year

Don’t know

Ref-used

c Bought an Instant Kiwi, Instant Play, or scratch ticket (scratchie)?

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

d Bought a Lotto, Strike, Powerball (Wednesday or Saturday) ticket?

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

e Bought a Keno, Bullseye or Play 3 ticket?

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

IF G6_C=1 or G6_D=1 or G6_E=1 THEN ASK G8

OTHERWISE GO TO G11

G8

In the last 12 months, did you buy any of these online, or by using the My Lotto mobile app?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

IF G8=1 THEN ASK G9

OTHERWISE GO TO G10

Page 28: 2018 Health and Lifestyles Survey Questionnaire

27

G9 Showcard G9 Looking at Showcard G9, please say which ones? Multiple responses allowed.

Lotto, Lotto Powerball or Strike ........................... 1

Bullseye ............................................................... 2

Play 3 ................................................................... 3

Keno…………………………………………………4

Instant Play .......................................................... 5

Instant Kiwi .......................................................... 6

Don’t know ........................................................... 9

Refused................................................................ 8

G10 When you have been at shops that sell Lotto products, have you seen or noticed any information, to help someone who might have a problem with their gambling? ‘Lotto products’ are Lotto, Powerball, Strike, Keno, Bullseye, Play 3, Instant Play, and Instant Kiwi tickets (scratchies). This can include posters, pamphlets, digital screens, and wallet leaflets.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 29: 2018 Health and Lifestyles Survey Questionnaire

28

G11

In the last 12 months, have you…

FOR EACH ANSWERED 1, IMMEDIATELY ASK G12

G12

Showcard G12

Looking at Showcard G12, please tell me about how often you do that. Just call out whichever number fits you best.

Numbers corresponding to gambling frequency, do not translate to acceptable or unacceptable levels of gambling. They are simply there for coding purposes.

G11 G12

Yes No DK Ref

Almost every day

More than

once a week

Once a

week

More than once

a mont

h

Once a

month

Once every three mont

hs

Less than once every three mont

hs

Once

a year

Less than once

a year

Don’t know

Ref-used

f Played gaming machines, or pokies, at a pub or club? i.e., not in a casino.

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

G12a

In the last 12 months, have you been to one of the six casinos in New Zealand? The six casinos are in Auckland, Hamilton, Christchurch, Dunedin, and two in Queenstown.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

IF G12a=1 THEN ASK G12b

OTHERWISE GO TO CHECK BEFORE G13

Page 30: 2018 Health and Lifestyles Survey Questionnaire

29

G12b

In the last 12 months, at one of the six casinos, have you…

The six casinos are in Auckland, Hamilton, Christchurch, Dunedin, and two in Queenstown.

FOR EACH ANSWERED 1, IMMEDIATELY ASK G12c

G12c

Showcard G12

Looking at Showcard G12, please tell me about how often you do that. Just call out whichever number fits you best.

Numbers corresponding to gambling frequency, do not translate to acceptable or unacceptable levels of gambling. They are simply there for coding purposes.

G12b G12c

Yes No DK Ref

Almost every day

More than

once a week

Once a

week

More than once

a mont

h

Once a

month

Once every three mont

hs

Less than once every three mont

hs

Once

a year

Less than once

a year

Don’t know

Ref-used

g Played gaming machines, or pokies?

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

h

Played table games, such as card games or dice, or electronic table games such as money wheel?

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

IF G11_F=1 OR G12b_G=1 GO TO G13

OTHERWISE GO TO G17

G13 Showcard G13 On average, how much do you spend in a session playing gaming machines or pokies? This can be at a pub, club or at a casino.

Numbers corresponding to amount spent, do not translate to acceptable or unacceptable levels of spending; they are simply there for coding purposes.

$10 or less ........................................................... 1

$11 – $25 ............................................................. 2

$26 – $50 ............................................................. 3

$51 – $75 ............................................................. 4

$76 – $100 ........................................................... 5

$101 – $200 ......................................................... 6

$201 – $500 ......................................................... 7

$501 – $1,000 ...................................................... 8

$1,001 or more .................................................... 9

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 31: 2018 Health and Lifestyles Survey Questionnaire

30

G14 When you have been at pokie venues, have you seen or noticed any information, to help someone who might have a problem with their gambling? This can include posters, pamphlets, digital screens, and wallet leaflets.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

IF G14=1 GO TO G15, OTHERWISE GO TO G16

G15

Showcard G15

How did you respond to this information? Please choose one answer from Showcard G15.

Ignored it…

Because it wasn’t relevant to me ................................................. 1

Read it, and…

Didn’t think it was relevant to me .................................................. 2

Thought about changing my behaviour ........................................ 3

Decided to stop gambling ............................................................. 4

Left the venue ............................................................................... 5

Talked to a staff member about my gambling .............................. 6

Talked to a friend / family member about my gambling ................ 7

Contacted a help service .............................................................. 8

Thought it would be useful for others ........................................... 9

Gave the information to someone I was concerned about ......... 10

Other

Please specify ........................................................................... 11

Don’t know ....................................................................................... 99

Refused ........................................................................................... 98

G16 Showcard G16 What interaction have you had with staff at pokie venues, when you have been there to gamble? Please answer from Showcard G16. [G16=8 is UNIQUE]

Multiple responses allowed.

They know my name / recognise me ................................................. 1

They monitor the pokie room ............................................................. 2

They have a general chat with me ..................................................... 3

They have spoken to me with a concern about my gambling ........... 4

They have given me a leaflet on gambling support services ............ 5

Changing / getting coins ................................................................... 6

Other – please specify ....................................................................... 7

I haven’t had any interaction with staff .............................................. 8

Don’t know ....................................................................................... 99

Refused............................................................................................ 98

Page 32: 2018 Health and Lifestyles Survey Questionnaire

31

G17 Please tell me if you have spent money through a website, on your mobile phone, or on a gaming console, in the last 12 months… A gaming console may be a PlayStation or Xbox.

FOR EACH ANSWERED 1, IMMEDIATELY ASK G18

G18

Showcard G18

Looking at Showcard G18, please tell me about how often you do that. Just call out whichever number fits you best.

Numbers corresponding to gambling frequency, do not translate to acceptable or unacceptable levels of gambling. They are simply there for coding purposes.

G17 G18

Yes No DK Ref

Almost every day

More than

once a week

Once a

week

More than once

a mont

h

Once a

month

Once every three mont

hs

Less than once every three mont

hs

Once

a year

Less than once

a year

Don’t know

Ref-used

i Playing online pokies? 1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

IF G17_I=1 GO TO G19

OTHERWISE GO TO G19a

G19

Showcard G19

On average, how much do you spend on each occasion when you play online pokies?

Numbers corresponding to amount spent, do not translate to acceptable or unacceptable levels of spending. They are simply there for coding purposes.

$10 or less ........................................................... 1

$11 – $25 ............................................................. 2

$26 – $50 ............................................................. 3

$51 – $75 ............................................................. 4

$76 – $100 ........................................................... 5

$101 – $200 ......................................................... 6

$201 – $500 ......................................................... 7

$501 – $1,000 ...................................................... 8

$1,001 or more .................................................... 9

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 33: 2018 Health and Lifestyles Survey Questionnaire

32

G19a

Please tell me if you have spent money through a website, on your mobile phone, or on a gaming console, in the last 12 months… A gaming console may be a PlayStation or Xbox.

G19a

Yes No DK Ref

j Playing online poker or other casino games such as blackjack or roulette? 1 5 9 8

k Placed a sports bet online through an overseas website?

Do not include placing a bet through the NZ TAB. 1 5 9 8

l Other online betting including overseas lotteries? 1 5 9 8

G20

In the last 12 months, have you…

FOR EACH ANSWERED 1, IMMEDIATELY ASK G21

G21

Showcard G21

Looking at Showcard G21, please tell me about how often you do that. Just call out whichever number fits you best.

Numbers corresponding to gambling frequency, do not translate to acceptable or unacceptable levels of gambling. They are simply there for coding purposes.

G20 G21

Yes No DK Ref

Almost every day

More than

once a week

Once a

week

More than once

a mont

h

Once a

month

Once every three mont

hs

Less than once every three mont

hs

Once

a year

Less than once

a year

Don’t know

Ref-used

m Played Housie or Bingo for money?

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

n Bought a raffle ticket, or attended a casino fundraising evening?

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

o

Participated in sweepstakes for money, with your work mates, friends or family, on events such as the Melbourne Cup?

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

p Made bets for money with family or friends, on activities such as card games?

1 5 9 8 1 2 3 4 5 6 7 8 9 99 98

IF ANY G1, G6, G11, G12b, G17, G19a OR G20=1 THEN GAMBLER

Page 34: 2018 Health and Lifestyles Survey Questionnaire

33

PGSI Scale Questions

IF GAMBLER GO TO G22

OTHERWISE GO TO G32

G22

Showcard G22

Thinking about the last 12 months, how often have you bet more than you could really afford to lose? Would you say never, sometimes, most of the time, or almost always?

Never ................................................................... 1

Sometimes ........................................................... 2

Most of the time ................................................... 3

Almost always ...................................................... 4

Don’t know ........................................................... 9

Refused................................................................ 8

G23

Showcard G23

Thinking about the last 12 months, have you needed to gamble with larger amounts of money to get the same feeling or excitement?

Never ................................................................... 1

Sometimes ........................................................... 2

Most of the time ................................................... 3

Almost always ...................................................... 4

Don’t know ........................................................... 9

Refused................................................................ 8

G24

Showcard G24

Thinking about the last 12 months, how often have you gone back another day to try and win back the money you lost?

Never ................................................................... 1

Sometimes ........................................................... 2

Most of the time ................................................... 3

Almost always ...................................................... 4

Don’t know ........................................................... 9

Refused................................................................ 8

Page 35: 2018 Health and Lifestyles Survey Questionnaire

34

G25

Showcard G25

Thinking about the last 12 months, how often have you borrowed money or sold anything to get money to gamble?

Never ................................................................... 1

Sometimes ........................................................... 2

Most of the time ................................................... 3

Almost always ...................................................... 4

Don’t know ........................................................... 9

Refused................................................................ 8

G26

Showcard G26

Thinking about the last 12 months, how often have you felt that you might have a problem with gambling?

Never ................................................................... 1

Sometimes ........................................................... 2

Most of the time ................................................... 3

Almost always ...................................................... 4

Don’t know ........................................................... 9

Refused................................................................ 8

G27

Showcard G27

Thinking about the last 12 months, how often have people criticised your betting, or told you that you had a gambling problem, regardless of whether or not you thought it was true?

Never ................................................................... 1

Sometimes ........................................................... 2

Most of the time ................................................... 3

Almost always ...................................................... 4

Don’t know ........................................................... 9

Refused................................................................ 8

G28

Showcard G28

Thinking about the last 12 months, how often have you felt guilty about the way you gamble, or about what happens when you gamble?

Never ................................................................... 1

Sometimes ........................................................... 2

Most of the time ................................................... 3

Almost always ...................................................... 4

Don’t know ........................................................... 9

Refused................................................................ 8

Page 36: 2018 Health and Lifestyles Survey Questionnaire

35

G29

Showcard G29

Thinking about the last 12 months, how often has gambling caused you any health problems, including stress or anxiety?

Never ................................................................... 1

Sometimes ........................................................... 2

Most of the time ................................................... 3

Almost always ...................................................... 4

Don’t know ........................................................... 9

Refused................................................................ 8

G30

Showcard G30

Thinking about the last 12 months, how often has your gambling caused any financial problems for you or your household?

Never ................................................................... 1

Sometimes ........................................................... 2

Most of the time ................................................... 3

Almost always ...................................................... 4

Don’t know ........................................................... 9

Refused................................................................ 8

G31 Over the last 12 months, have you had a day, or an outing, where at the end of it you looked back and thought to yourself – I really overdid that? I spent more time or money gambling than I meant to. Pause between components of the question, to allow the participant to comprehend the question.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

G32

Over the last 12 months, do you feel that someone close to you, has had a day or an occasion, where they spent much more time or money than they meant to on gambling? This can be a friend, family member, or partner. You don’t need to say who.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 37: 2018 Health and Lifestyles Survey Questionnaire

36

G33_I

In the last 12 months, have any of these ever happened in your wider family or household, whether or not you were part of it:

G33

An argument about time or money spent on betting or gambling.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

G34

Someone had to go without something they needed, or bills weren’t paid, because too much was spent on gambling by another person.

Pause between components of the question, to allow the participant to comprehend the question.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

G36

Showcard G37

In the last 12 months, have you accessed, for yourself or for someone else, any of the services on Showcard G37? Accessed includes just enquiring or talking to a service.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

IF G36=1 GO TO G37

OTHERWISE GO TO G38a

Page 38: 2018 Health and Lifestyles Survey Questionnaire

37

G37

Showcard G37 Which ones? Multiple responses allowed.

Helpline

0800 telephone helpline........................................................................................... 1

Txt a helpline service ............................................................................................... 2

Counselling / treatment / health professional

Free counselling / treatment service ........................................................................ 3

Private / paid treatment............................................................................................ 4

Help from a GP, practice nurse or other health professional .................................. 5

Internet

Choice Not Chance website .................................................................................... 6

Other Internet site / online – self-help ...................................................................... 7

Support groups

Support groups ........................................................................................................ 8

Gamblers anonymous .............................................................................................. 9

Community support

Māori health service ............................................................................................... 10

Pacific health service ............................................................................................. 11

Asian health service ............................................................................................... 12

Church or community leader ................................................................................. 13

Citizens Advice Bureau.......................................................................................... 14

Salvation Army ....................................................................................................... 15

Other

Please specify ....................................................................................................... 16

Don’t know .................................................................................................................. 99

Refused ....................................................................................................................... 98

Page 39: 2018 Health and Lifestyles Survey Questionnaire

38

G38a

Showcard G38a

Looking at Showcard G38a, in the last 12 months, have you seen or heard any advertising or promotion for any of these gambling activities?

[G38a=15 is UNIQUE]

Multiple responses allowed.

Lotto

Lotto or Lotto Powerball (Wednesday or Saturday) ........................................................ 1

Keno ................................................................................................................................ 2

Bullseye .......................................................................................................................... 3

Instant Kiwi or Instant Play .............................................................................................. 4

Betting

Horse or dog races ............................................................................................................ 5

Sports events ..................................................................................................................... 6

Gaming machines or pokies

At a pub or club .................................................................................................................. 7

At one of the six casinos .................................................................................................... 8

Table games

Such as card games or dice, at one of the six casinos ..................................................... 9

Internet

Internet games, such as online poker, blackjack, bingo for money ................................. 10

Online pokies ................................................................................................................... 11

Other activities

Fantasy / novelty betting (virtual sports or other events) ................................................. 12

Housie or Bingo ............................................................................................................... 13

Other – please specify ..................................................................................................... 14

None

I haven’t seen any advertising or promotion for any of these .......................................... 15

Don’t know ............................................................................................................................ 99

Refused ................................................................................................................................ 98

Page 40: 2018 Health and Lifestyles Survey Questionnaire

39

G38b

Showcard G38b

Looking at Showcard G38b, in the last 12 months, have you seen or heard any advertising or promotion for any of these gambling help services?

[G38b=7 is UNIQUE]

Multiple responses allowed.

Gambling Harm help

Choice Not Chance ........................................................................................................... 1

Gambling helpline ............................................................................................................. 2

Salvation Army Oasis ....................................................................................................... 3

Problem Gambling Foundation ......................................................................................... 4

Mapu Maia ........................................................................................................................ 5

Other – please specify ...................................................................................................... 6

None

I haven’t seen any advertising or promotion for any of these ............................................ 7

Don’t know .............................................................................................................................. 9

Refused .................................................................................................................................. 8

G38c

Showcard G38c

How much do you think it would cost to go to a Gambling Harm help service, like those shown on the last showcard? Gambling Harm help services include support groups, community support, helplines, websites, and help or treatment from a health professional.

Free ...................................................................... 1

Free with a Community Services Card ................ 2

$50 or less ........................................................... 3

$51 to $100 .......................................................... 4

$101 to $150 ........................................................ 5

More than $150 .................................................... 6

Don’t know ........................................................... 9

Refused................................................................ 8

G39 Showcard G39 Do you know if venues with pokie machines are required, by law, to prevent their customers’ gambling from becoming harmful? Probe for clear answer. ‘Harmful gambling’ is when someone’s gambling starts to cause problems for themselves or others: such as, problems with their relationships or putting pressure on their budget.

Yes, they are required by law .............................. 1

No, they are not required by law .......................... 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 41: 2018 Health and Lifestyles Survey Questionnaire

40

G40

Showcard G40

How concerned are you about the level of gambling in your community? Please choose your answer from Showcard G40.

Not at all concerned ............................................. 1

A little concerned ................................................. 2

Somewhat concerned .......................................... 3

Very concerned .................................................... 4

Don’t know ........................................................... 9

Refused................................................................ 8

IF GAMBLER GO TO G41

OTHERWISE GO TO S1_I

G41 The next question is about checking in with yourself about your gambling. In the last 12 months, have you had an occasion, where you thought about whether your gambling was still just for fun?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 42: 2018 Health and Lifestyles Survey Questionnaire

41

Section S: Skin Cancer Prevention

S1_I Our next questions are about spending time in the sun. S1 Showcard S1 [insert image of Sun Protection Alert] Looking at Showcard S1, this is called the Sun Protection Alert. Have you seen this image before? Once respondent has answered, close the Showcard book, or cover the eShowcard screen, before continuing to next question.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

IF S1=1 GO TO S2 OTHERWISE GO TO S3

S2 What do you think the Sun Protection Alert is telling you? Do not read out. Multiple responses allowed.

The length of time it will take to burn ....................................... 1

The strength of the sun’s (UV) rays ......................................... 2

How dangerous the sun is ....................................................... 3

When to protect from the sun / unsafe times to

be in the sun / times to stay out of the sun .............................. 4

Safe times to be in the sun ...................................................... 5

Times to stay in the shade ....................................................... 6

To cover up .............................................................................. 7

The risk of getting sunburnt ..................................................... 8

Sun protection factor of sunscreens ........................................ 9

How hot or cold it is that day ................................................. 10

To use sunscreen .................................................................. 11

Can get burnt on cloudy days ................................................ 12

To reapply sunscreen ............................................................ 13

To be sun safe (SunSmart) .................................................. 14

Other – please specify ........................................................... 15

Don’t know ............................................................................. 99

Refused.................................................................................. 98

Page 43: 2018 Health and Lifestyles Survey Questionnaire

42

S3 In the last 12 months, have you ever tried to get a sun tan? Do not include sunbeds, spray tan or self-tanning products.

Yes ....................................................................... 1

No, didn’t make any attempts .............................. 5

No, already dark-skinned ..................................... 6

Don't know ........................................................... 9

Refused................................................................ 8

S4 In the last 12 months, have you used a sunbed?

Yes ....................................................................... 1

No ........................................................................ 5

Don't know ........................................................... 9

Refused................................................................ 8

S5 Showcard S5

We are interested in all skin types, so we can understand how likely people are to burn.

Looking at Showcard S5, how would you describe your natural, untanned skin colour at the end of winter?

If respondent has recently returned from an overseas holiday and has a tan, they should answer with their skin type before going on holiday.

Very fair – always burning, never tans, sensitive to sun exposure; may have red hair, freckles ................................... 1

Fair – burns easily, tans a little; fair skinned, may have blue, green or grey eyes .................................................. 2

Medium – burns moderately, tans slowly to light brown ................... 3

Olive – burns a little, always tans to mid-brown; olive skin .............. 4

Dark – burns rarely, tans to dark brown; brown skin ........................ 5

Very dark – rarely burns; dark brown skin ........................................ 6

Black ................................................................................................. 7

Other – please specify ...................................................................... 8

Don't know ...................................................................................... 99

Refused........................................................................................... 98

S6

The next question is about the last New Zealand spring and summer. By this I mean September 2017 to February 2018. During that time, how many times did you get sunburnt, where you got blisters, or were in pain for two or more days?

Record number. If none, record ‘0’.

[Range 0–50]

Don’t know – 99 Refused – 98

Page 44: 2018 Health and Lifestyles Survey Questionnaire

43

S7

Over that same time, how many times did you get sunburnt, where you had reddening or soreness of the skin after being in the sun?

[IF S6>0] Do not include the times you got blisters or were in pain for two or more days.

Record number. If none, record ‘0’.

[Range 0–50]

Don’t know – 99 Refused – 98

S8 Showcard S8 Looking at Showcard S8, what do you do, if anything, to protect yourself from getting sunburnt? [S8=8 is UNIQUE] Multiple responses allowed.

Use sunscreen ......................................................................................................... 1

Wear a hat ............................................................................................................... 2

Cover up with clothing ............................................................................................. 3

Wear sunglasses ..................................................................................................... 4

Stay in the shade ..................................................................................................... 5

Plan outdoor activities outside of peak sun times ................................................... 6

Other – please specify ............................................................................................. 7

None of these .......................................................................................................... 8

Don't know ............................................................................................................. 99

Refused.................................................................................................................. 98

S9 In the past 12 months, while at a medical centre or a pharmacy, have you seen or received any information on preventing skin cancer? By ‘medical centre’ we mean a doctor’s practice or clinic, family practice or student health service. A doctor or a practice nurse may have given you this information, or you may have seen the information in the clinic.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

S10 In the past 12 months, has a doctor or nurse at a medical centre, talked to you about your personal risk of getting skin cancer?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 45: 2018 Health and Lifestyles Survey Questionnaire

44

S11 In the last 12 months, have you or anyone else, deliberately checked your skin for changes which could be melanoma or other skin cancer? [S11=6 is UNIQUE] Do not read out.

Multiple responses allowed.

‘Anyone else’ can include, family members / partners / friends / doctors or medical specialists.

Yes, skin checked by…

Self-examination ................................................................. 1

Family member or partners ................................................ 2

Friends ................................................................................ 3

Doctor / Medical Specialist ................................................. 4

Other – please specify ........................................................ 5

No

I have not deliberately checked my skin for changes ......... 6

Don’t know ............................................................................... 9

Refused.................................................................................... 8

S12 Showcard S12 In the past two years, have you had a skin check from a health professional? This is where a health professional checks the skin on your whole body, as well as any unusual looking spots, freckles or moles. [S12=6 is UNIQUE] Multiple responses allowed.

Yes, skin checked by a…

Doctor (GP)................................................................................. 1

Skin doctor (Dermatologist) ........................................................ 2

Specialist .................................................................................... 3

Nurse .......................................................................................... 4

Other – please specify ............................................................... 5

No

I have not had my skin checked by a health professional .......... 6

Don’t know ....................................................................................... 9

Refused............................................................................................ 8

[PARENT / CAREGIVER] GO TO S13

OTHERWISE GO TO A1_I

Page 46: 2018 Health and Lifestyles Survey Questionnaire

45

S13

Showcard S13

Thinking now about xxx’s skin type, and looking at Showcard S13, how would you describe the natural, untanned skin colour of xxx at the end of winter?

If xxx has recently returned from an overseas holiday, and has a tan, respondent should answer with xxx’s skin type before going on holiday.

Very fair – always burning, never tans, sensitive to sun exposure; may have red hair, freckles ................................... 1

Fair – burns easily, tans a little; fair skinned, may have blue, green or grey eyes .................................................. 2

Medium – burns moderately, tans slowly to light brown ................... 3

Olive – burns a little, always tans to mid-brown; olive skin ............. 4

Dark – burns rarely, tans to dark brown; brown skin ........................ 5

Very dark – rarely burns; dark brown skin ........................................ 6

Black ................................................................................................. 7

Other – please specify ...................................................................... 8

Don't know ...................................................................................... 99

Refused........................................................................................... 98

S14

The next question is about last summer. This time, I mean December 2017 to February 2018. During that time, did xxx get sunburnt while you were looking after him/her, where he/she got blisters, or was in pain for two or more days?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

IF S14=1 GO TO S16

OTHERWISE GO TO S15

S15

And over that same time, did xxx get sunburnt at all, where he/she had any amount of reddening, or soreness of the skin after being in the sun?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 47: 2018 Health and Lifestyles Survey Questionnaire

46

S16 Showcard S16

Looking at Showcard S16, what do you and xxx do, if anything, to protect xxx from getting sunburnt? [S16=8 is UNIQUE] Multiple responses allowed.

Use sunscreen ......................................................................................................... 1

Wear a hat ............................................................................................................... 2

Cover up with clothing ............................................................................................ 3

Wear sunglasses ..................................................................................................... 4

Stay in the shade .................................................................................................... 5

Plan outdoor activities outside of peak sun times ................................................... 6

Other – please specify ............................................................................................. 7

None of these .......................................................................................................... 8

Don't know ............................................................................................................. 99

Refused.................................................................................................................. 98

Page 48: 2018 Health and Lifestyles Survey Questionnaire

47

Section A: Alcohol

Alcohol Consumption

[PARENT / CAREGIVER] GO TO CHECK BEFORE F1_I OTHERWISE GO TO A1_I

A1_I I will now ask some questions about alcohol. A1 Have you had a drink containing alcohol in the last year? If asked, drinking alcohol means more than a sip.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98

IF A1=5, 98, GO TO A11_I OTHERWISE GO TO A2

A2

Showcard A2

About how often do you have a drink containing alcohol?

Rarely................................................................... 1

Monthly or less ..................................................... 2

Up to 4 times a month .......................................... 3

Up to 3 times a week ........................................... 4

4 to 6 times a week .............................................. 5

7 times a week ..................................................... 6

Don’t know ......................................................... 99

Refused.............................................................. 98

IF A2=1, 2, GO TO A2a IF A2=3, 4, 5, 6, 99, GO TO A3_I

IF A2=98, GO TO A11_I

A2a

Have you had a drink containing alcohol in the last 7 days?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98

IF A2a=1, GO TO A5_I2 OTHERWISE GO TO A11_I

Page 49: 2018 Health and Lifestyles Survey Questionnaire

48

A3_I

Showcard A3, with images of standard drinks

The next questions are about times you drank alcoholic drinks.

By a drink, I mean a standard drink, which is one can or stubbie of beer, half a large bottle of beer, one small glass of wine or one nip of spirits. Showcard A3 can help you estimate the number of standard drinks you have drunk. It shows some examples of the number of standard drinks in different alcoholic drinks.

A3 Showcard A3, with images of standard drinks

[For females:] In the last four weeks, how many times did you have five or more standard drinks on any one occasion?

[For males:] In the last four weeks, how many times did you have six or more standard drinks on any one occasion?

______________[Enter number from 1 to 28] ... 1

Not in the last four weeks .................................. 97

Don’t know ........................................................ 99

Refused ............................................................ 98

A4 Showcard A3, with images of standard drinks

In the last four weeks, what is the largest number of standard drinks you can recall having on one occasion?

Reassure the respondent that it is acceptable to only report what they remember.

______________[Enter number from 1 to 97] ... 1

Don’t know ........................................................ 99

Refused ............................................................ 98

A5_I1 Showcard A3, with images of standard drinks Now I’m going to ask you about the last 7 days, and how many standard drinks you had on each day. We want to find out how much people drink over a set time period; please don’t worry if last week wasn’t a typical week for you.

GO TO A5

Page 50: 2018 Health and Lifestyles Survey Questionnaire

49

A5_I2 Showcard A3, with images of standard drinks I’m going to ask you about the last 7 days, and how many drinks you had on each day.

By a drink, I mean a standard drink, which is one can or stubbie of beer, half a large bottle of beer, one small glass of wine or one nip of spirits. Showcard A3 can help you estimate the number of standard drinks you have drunk. It shows some examples of the number of standard drinks in different alcoholic drinks.

We want to find out how much people drink over a set time period; please don’t worry if last week wasn’t a typical week for you. A5 Between [insert day 7 days ago, e.g., “Monday”] last week and yesterday, on which days did you have an alcoholic drink: If needed: You can use Showcard A3 to help you estimate the number of standard drinks.

FOR EACH A5 ANSWERED 1, IMMEDIATELY ASK A6

A5 A6

Yes No DK Ref How many standard drinks? [Range 1 to 97] DK Ref

a [insert day 7 days ago]?

b [insert day 6 days ago]?

c [insert day 5 days ago]?

d [insert day 4 days ago]?

e [insert day 3 days ago]?

f [insert day 2 days ago]?

g [insert day 1 day ago]?

Page 51: 2018 Health and Lifestyles Survey Questionnaire

50

Cutting Back

A7_I

We are interested if people have thought about, or have cut back on, their drinking in the last 12 months, no matter how much they drink.

A7

In the last 12 months, have you looked for or been given advice, information or help, on how to cut back on your drinking?

Yes ...................................................................... 1

No ........................................................................ 5

Don’t know ........................................................ 99

Refused ............................................................ 98

A9

In the last 12 months, at any time, have you actively cut back on how much alcohol you drink?

Yes ...................................................................... 1

No ........................................................................ 5

Don’t know ........................................................ 99

Refused ............................................................ 98

IF A9=1, GO TO A10

OTHERWISE, GO TO A11_I

A10

Showcard A10

Using Showcard A10, in the last 12 months, which of these have you done to cut back on how much alcohol you drink?

Multiple responses allowed.

Reduced the number of times you drink (e.g., you have more alcohol-free days) ................ 1

Reduced the amount of alcohol you drink at any one time ................................................... 2

Switched to drinking more water, non-alcoholic or low-alcohol drinks than you used to ...... 3

Stopped drinking alcohol ...................................................................................................... 4

Found other ways to cut back on your drinking – please specify .......................................... 5

Don’t know ........................................................................................................................... 99

Refused................................................................................................................................ 98

Page 52: 2018 Health and Lifestyles Survey Questionnaire

51

Attitudes

A11_I The next few questions ask about your opinions on some different ways of preventing harm from alcohol in the community. A11 Showcard A11 Using the Showcard, please tell me how much you agree or disagree: That supermarkets, bottle shops and convenience stores should stop selling alcohol after 9 pm.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ........................................................ 99

Refused ............................................................ 98

A12

Showcard A12

Using the Showcard, please tell me how much you agree or disagree:

That the price of very cheap alcohol should be raised.

Very cheap alcohol includes things like cask wine and cheap spirit-based drinks (RTDs).

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ........................................................ 99

Refused ............................................................ 98

Page 53: 2018 Health and Lifestyles Survey Questionnaire

52

A13

Showcard A13

Using the Showcard, please tell me how much you agree or disagree:

That alcohol sponsorship should not be allowed at sporting events.

If asked: Sponsorship of sport includes advertising during sports events or at venues.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ........................................................ 99

Refused ............................................................ 98

Social Supply

A14

Showcard A14

In the last 12 months, have you bought alcohol for, or given alcohol to, someone under 18 years of age. You may choose more than one answer.

Multiple responses allowed.

No

Wasn’t asked to supply alcohol ............................................. 1

Was asked, but didn’t supply alcohol .................................... 2

Yes

Supplied alcohol – for drinking while I was present ............. 3

Supplied alcohol – for drinking while I was not present ............................................................................ 4

Don’t know .......................................................................... 99

Refused .............................................................................. 98

Page 54: 2018 Health and Lifestyles Survey Questionnaire

53

Section F: Food and Drinks

[PARENT / CAREGIVER] GO TO F1_I OTHERWISE GO TO F3_I1

Fruit and Vegetables F1_I We begin by asking about fruit and vegetables; please think about how much xxx eats per day, including when he/she isn’t at home. F1 Showcard F1 On average, how many servings of fruit does xxx eat per day? Please include all fresh, frozen, canned and stewed fruit. Do not include fruit juice or dried fruit. A ‘serving’ = 1 medium piece of fruit, or 2 small pieces of fruit, or ½ cup of stewed fruit. For example, 1 apple + 2 small apricots = 2 servings.

They don’t eat fruit ..................................................................... 1 Less than 1 serving per day ...................................................... 2 1 serving per day ....................................................................... 3 2 servings per day ..................................................................... 4 3 servings per day ..................................................................... 5 4 or more servings per day ........................................................ 6 Don’t know ................................................................................. 99 Refused ..................................................................................... 98

F2 Showcard F2 On average, how many servings of vegetables does xxx eat per day? Please include all fresh, frozen and canned vegetables. Do not include vegetable juices. A ‘serving’ = 1 medium potato / kumara, or ½ cup cooked vegetables, or 1 cup of salad vegetables. For example, 2 medium potatoes + ½ cup of peas = 3 servings.

They don’t eat vegetables ......................................................... 1 Less than 1 serving per day ...................................................... 2 1 serving per day ....................................................................... 3 2 servings per day ..................................................................... 4 3 servings per day ..................................................................... 5 4 or more servings per day ........................................................ 6 Don’t know ................................................................................. 99 Refused ..................................................................................... 98

[PARENT / CAREGIVER] GO TO F3_INTRO2 OTHERWISE GO TO F3_I1

F3_I1 We begin by asking about fruit and vegetables; please think about how much you eat per day, including when you aren’t at home.

GO TO F3

Page 55: 2018 Health and Lifestyles Survey Questionnaire

54

F3_I2 Now I want you to think about how much fruit and vegetables you eat, including when you aren’t at home. F3 Showcard F3 On average, how many servings of fruit do you eat per day? Please include all fresh, frozen, canned and stewed fruit. Do not include fruit juice or dried fruit. A ‘serving’ = 1 medium piece of fruit, or 2 small pieces of fruit, or ½ cup of stewed fruit. For example, 1 apple + 2 small apricots = 2 servings.

I don’t eat fruit ............................................................................ 1 Less than 1 serving per day ...................................................... 2 1 serving per day ....................................................................... 3 2 servings per day ..................................................................... 4 3 servings per day ..................................................................... 5 4 or more servings per day ........................................................ 6 Don’t know ................................................................................. 99 Refused ..................................................................................... 98

F4 Showcard F4 On average, how many servings of vegetables do you eat per day? Please include all fresh, frozen and canned vegetables. Do not include vegetable juices. A ‘serving’ = 1 medium potato / kumara, or ½ cup cooked vegetables, or 1 cup of salad vegetables. For example, 2 medium potatoes + ½ cup of peas = 3 servings.

I don’t eat vegetables ................................................................ 1 Less than 1 serving per day ...................................................... 2 1 serving per day ....................................................................... 3 2 servings per day ..................................................................... 4 3 servings per day ..................................................................... 5 4 or more servings per day ........................................................ 6 Don’t know ................................................................................. 99 Refused ..................................................................................... 98

Meals F5_I This section includes questions about your meals and grocery shopping, and asks for your opinions on food and nutrition. F5 Thinking about the last 7 days, that is from last [insert day] until yesterday, on how many of those days was your main meal prepared at home? If asked, ‘main meal’ means the largest meal of the day; if all meals are the same size, then ask them to refer to the evening meal. If asked, this includes meals prepared in other people’s homes as well as your own. If asked, this includes meals that have been added to with takeaways, like rice or hot chips.

_______________ [Enter number from 0 to 7] Don’t know ......................................................... 99

Refused.............................................................. 98

IF F5=0, 99, 98, GO TO F7, OTHERWISE GO TO F6

Page 56: 2018 Health and Lifestyles Survey Questionnaire

55

F6

Did you top up any of those main meals with food bought from a takeaway, for example by adding hot chips?

Yes – on how many days?_______________ [Enter number from 1 to F5 response] No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98

IF F5=7, GO TO F10, OTHERWISE GO TO F7

F7 Over the last 7 days, on how many days was your entire main meal bought outside the home, such as buying takeaways, or eating at a restaurant? If asked, ‘main meal’ means the largest meal of the day; if all meals are the same size then ask them to refer to the evening meal. ‘Bought outside the home’ means bought at a takeaway outlet, food court, cafe, pub, petrol station, dairy.

_______________ [Enter number from 0 to 7] Don’t know ......................................................... 99

Refused.............................................................. 98

F10

In the last 7 days, have you, or the person who usually prepares the meals, used the following techniques to prepare food at home?

Yes No

Don’t know

Ref-used

1 Boiling 1 5 99 98

2 Frying / stir frying (include frying on a barbeque) 1 5 99 98

3 Deep frying 1 5 99 98

4 Roasting / baking / oven cooking 1 5 99 98

5 Grilling (include grilling on a barbeque) 1 5 99 98

6 Slow cooker / casserole 1 5 99 98

7 Microwave (do not include warming up or defrosting food) 1 5 99 98

8 Steaming 1 5 99 98

9 Other – please specify 1 5 99 98

Page 57: 2018 Health and Lifestyles Survey Questionnaire

56

F11 Showcard F11

Looking at Showcard F11, how long do you, or the person who usually prepares the main meal, normally spend preparing the main meal of the day for your household?

If asked, ‘main meal’ means the largest meal of the day; if all meals are the same size, then ask them to refer to the evening meal.

5 minutes or less .................................................. 1

6 to 15 minutes .................................................... 2

16 to 30 minutes .................................................. 3

31 to 59 minutes .................................................. 4

1 to 2 hours .......................................................... 5

More than 2 hours ................................................ 6

Don’t know ......................................................... 99

Refused.............................................................. 98

[PARENT / CAREGIVER] GO TO F12 OTHERWISE GO TO F8

F12 Showcard F12 How often does xxx help with preparing or cooking food? Choose your answer from Showcard F12. If asked, this can include activities such as baking or cutting vegetables. If asked, this does not include putting cereal in a bowl or microwaving a ready-to-eat item.

Most days of the week or more often .................. 1

About 4 days a week ........................................... 2

About 2–3 days a week ....................................... 3

About once a week .............................................. 4

Once or twice a fortnight ...................................... 5

Once or twice a month ......................................... 6

Less often than once or twice a month ................ 7

Never ................................................................... 8

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 58: 2018 Health and Lifestyles Survey Questionnaire

57

F8

Showcard F8

Looking at Showcard F8, which of these do you use to get information for preparing food at home? [F8=8 is UNIQUE]

Multiple responses allowed.

Own knowledge ......................................................................................... 1

Family or friends’ knowledge ..................................................................... 2

Recipe books / recipe cards / magazines / food packaging ..................... 3

TV shows ................................................................................................... 4

Websites or apps ....................................................................................... 5

Social media e.g., Facebook, Pinterest, YouTube .................................... 6

Other – please specify ............................................................................... 7

I do not cook .............................................................................................. 8

Don’t know ............................................................................................... 99

Refused.................................................................................................... 98

IF [ADULT] SURVEY AND NO CAREGIVER SURVEY SELECTED AND ONLY ONE OCCUPANT RECORDED IN HOUSEHOLD SCREENER, GO TO F17_I, OTHERWISE GO TO F13

F13 Thinking about all main meals during the last 7 days, that is from last [insert day] until yesterday, on how many of those days did most members of your household eat the main meal of the day together? Remember to include any flatmates and other people living in your household. If asked, ‘main meal’ means the largest meal of the day; if all meals are the same size, then ask them to refer to the evening meal. If asked, ‘most’ could be that one parent is away, but the rest of the family eat together. If asked, this question is about all main meals in the last 7 days, not just those prepared at home.

______________[Enter number from 0 to 7]

Don’t know ......................................................... 99

Refused.............................................................. 98

If F13=0, 98, 99 GO TO CHECK BEFORE F15

OTHERWISE GO TO F14

F14 Out of those [insert from F13] main meals, how many were eaten without a TV or device in use? If needed: This is when most members of the household ate the main meal of the day together.

______________[Enter number from 0 to F13 response]

Don’t know ................................................................... 99

Refused........................................................................ 98

[PARENT / CAREGIVER] GO TO F15

OTHERWISE GO TO F17_I

Page 59: 2018 Health and Lifestyles Survey Questionnaire

58

F15 Thinking about all the main meals for xxx during the last 7 days, on how many days did xxx have his/her main meal of the day with at least one other person? If asked, ‘main meal’ means the largest meal of the day; if all meals are the same size, then ask them to refer to the evening meal. If asked, it could be with you or another member of the household.

______________[Enter number from 0 to 7]

Don’t know ......................................................... 99

Refused.............................................................. 98

If F15=0, 98, 99 GO TO F17_I

F16 Out of those [insert from F15] main meals, how many were eaten without a TV or device in use? If asked, ‘main meal’ means the largest meal of the day; if all meals are the same size, then ask them to refer to the evening meal. If needed: This is when your child had his/her main meal of the day with you or other members of the household.

______________[Enter number from 0 to F15 response]

Don’t know ................................................................... 99

Refused........................................................................ 98

Food Shopping

F17_I

Please note, supermarkets are not asked about in this first section.

F17

Showcard F17

Looking at Showcard F17, how often does your household buy food or drinks from:

A dairy, petrol station or other convenience store?

Household includes you, your family, flatmates etc., who live in your home with you.

At least once a day .............................................. 1

5 to 6 times a week .............................................. 2

2 to 4 times a week .............................................. 3

At least once a week ............................................ 4

At least once a fortnight ....................................... 5

At least once a month .......................................... 6

Less often than once a month ............................. 7

Never ................................................................... 8

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 60: 2018 Health and Lifestyles Survey Questionnaire

59

F18 Showcard F18 Looking at Showcard F18, how often does your household buy food or drinks from:

Takeaway outlets or food courts?

Household includes you, your family, flatmates etc., who live in your home with you.

At least once a day .............................................. 1

5 to 6 times a week .............................................. 2

2 to 4 times a week .............................................. 3

At least once a week ............................................ 4

At least once a fortnight ....................................... 5

At least once a month .......................................... 6

Less often than once a month ............................. 7

Never ................................................................... 8

Don’t know ......................................................... 99

Refused.............................................................. 98

F19 Showcard F19 Looking at Showcard F19, how often does your household buy food or drinks from: Cafes, bars, pubs or restaurants? Household includes you, your family, flatmates etc., who live in your home with you.

At least once a day .............................................. 1

5 to 6 times a week .............................................. 2

2 to 4 times a week .............................................. 3

At least once a week ............................................ 4

At least once a fortnight ....................................... 5

At least once a month .......................................... 6

Less often than once a month ............................. 7

Never ................................................................... 8

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 61: 2018 Health and Lifestyles Survey Questionnaire

60

F20 Showcard F20 Looking at Showcard F20, how often does your household buy food or drinks from:

The green grocer, fruit and vegetable shops or markets, or farmers’ markets?

Household includes you, your family, flatmates etc., who live in your home with you. Once respondent has answered, close the Showcard book, or cover the eShowcard screen, before continuing to next question.

At least once a day .............................................. 1

5 to 6 times a week .............................................. 2

2 to 4 times a week .............................................. 3

At least once a week ............................................ 4

At least once a fortnight ....................................... 5

At least once a month .......................................... 6

Less often than once a month ............................. 7

Never ................................................................... 8

Don’t know ......................................................... 99

Refused.............................................................. 98

F21

Generally, when you are buying food or drinks for yourself or for your household, what things do you think affect your choices? [F21=15 is UNIQUE]

Do not read out. Probe fully: “Anything else?” Multiple responses allowed. ‘Availability’ refers to whether the food is available or not for purchase; ‘buying what’s there’.

Cost / price ............................................................................... 1

Specials / sale goods ............................................................... 2

Availability ................................................................................ 3

Freshness ................................................................................ 4

Quality ...................................................................................... 5

Healthiness (including sugar, salt and fat content) .................. 6

Allergens…………………………………. .................................. 7

Nutrition labelling ..................................................................... 8

Presentation / packaging / brand ............................................. 9

Taste ...................................................................................... 10

What the family like / eat / need ............................................ 11

Seasonality ........................................................................... 12

Cultural / religious foods……………………………………… .. 13

Other – please specify ........................................................... 14

I do not buy food or drinks for myself or for my household ... 15

Don’t know ............................................................................. 99

Refused.................................................................................. 98

Page 62: 2018 Health and Lifestyles Survey Questionnaire

61

F22_I Please tell me how much you agree or disagree with the following statement, using Showcard F22.

F22

Showcard F22

I can tell whether food is healthy or unhealthy using the label on the packet or tin.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ......................................................... 99

Refused.............................................................. 98

F23_I

Please note, supermarkets are included in the following question.

F23

Showcard F23

How much does your household usually spend each week on food and drinks bought from the supermarket, the green grocer, fruit and vegetable shops or markets, or farmers’ markets, using

Showcard F23?

Note, if main household shop is done fortnightly or monthly, then divide appropriately.

$0 ......................................................................... 0

$1 – $50 ............................................................... 1

$51 – $100 ........................................................... 2

$101 – $150 ......................................................... 3

$151 – $200 ......................................................... 4

$201 – $250 ......................................................... 5

$251 – $300 ......................................................... 6

$301 – $350 ......................................................... 7

$351 – $400 ......................................................... 8

$401 or more ....................................................... 9

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 63: 2018 Health and Lifestyles Survey Questionnaire

62

F24

Showcard F24

How much does your household usually spend each week on food and drinks bought anywhere else, using Showcard F24?

Include food purchased at a dairy, petrol station, takeaway outlet, food court, café or pub.

$0 ......................................................................... 0

$1 – $50 ............................................................... 1

$51 – $100 ........................................................... 2

$101 – $150 ......................................................... 3

$151 – $200 ......................................................... 4

$201 – $250 ......................................................... 5

$251 – $300 ......................................................... 6

$301 – $350 ......................................................... 7

$351 – $400 ......................................................... 8

$401 or more ....................................................... 9

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 64: 2018 Health and Lifestyles Survey Questionnaire

63

Section P: Physical Activity

[PARENT / CAREGIVER] GO TO P10_I OTHERWISE GO TO C1_I

P10_I I’m now going to ask you two questions about the time xxx spent being physically active in the last 7 days, from last [insert day, 7 days ago] to yesterday. P10 During the last 7 days, how much time did xxx spend playing / practising sport outside of school hours overall? Sport is a competitive team or individual physical activity. If average time per day is given, then multiply the time spent on one average day by 7, to get a total figure for the week. Interviewer to confirm: “So that was x hours and x mins over the 7 days?”

_____ Hours [Range 0–24] _______Minutes [Range 0–59]

Don’t know / can’t remember ............................. 99

Refused.............................................................. 98

P11 Now, thinking about other physical activities, such as dance, gym, walking for fitness. During the last 7 days, how much time did xxx spend on these outside of school hours? If average time per day is given, then multiply the time spent on one average day by 7, to get a total figure for the week. Interviewer to confirm: “So that was x hours and x mins over the 7 days?”

_____ Hours [Range 0–24] _______Minutes [Range 0–59]

Don’t know / can’t remember ............................. 99

Refused.............................................................. 98

Page 65: 2018 Health and Lifestyles Survey Questionnaire

64

Section C: Child / Family Health

Immunisation

C1_I These next questions focus on immunisation.

[PARENT / CAREGIVER] GO TO C1 OTHERWISE GO TO C8

C1 Showcard C1 Which of the following best describes the vaccine history of xxx?

Received all recommended vaccines to date.................................. 1

Received some, but not all recommended vaccines ..................... 2

Not received any recommended vaccines ..................................... 3

I don’t know their vaccine history ..................................................... 4

Don’t know ..................................................................................... 99

Refused.......................................................................................... 98

IF C1=1 GO TO C3 IF C1=2 OR 3 GO TO C2 OTHERWISE GO TO C4

C2 Showcard C2 Why hasn’t xxx received all his/her vaccines? Multiple responses allowed.

Worried about vaccination safety and possible side effects ............ 1

Not 100% effective ........................................................................... 2

Chance of getting a disease is low .................................................. 3

Disease is not serious ...................................................................... 4

I support my child’s natural immunity .............................................. 5

Cost / access / hard to get to doctor ................................................ 6

Haven’t got around to it, but intend to .............................................. 7

Chosen to delay until they are older ................................................ 8

Other – please specify ..................................................................... 9

Don’t know ..................................................................................... 99

Refused.......................................................................................... 98

IF C1=2 GO TO C3 OTHERWISE GO TO C4

Page 66: 2018 Health and Lifestyles Survey Questionnaire

65

C3 Showcard C3 What are the main reasons you get xxx immunised? Multiple responses allowed.

Protects them against disease ........................................................ 1

Protects others against disease ...................................................... 2

Gives me a sense of relief ............................................................... 3

Feel pressured to do so from family and/or friends ......................... 4

Prompted by a health professional .................................................. 5

It’s free ............................................................................................. 6

So they can attend child care .......................................................... 7

So they can participate in sports activities....................................... 8

So they can travel overseas ............................................................ 9

Other – please specify ................................................................... 10

Don’t know ..................................................................................... 99

Refused.......................................................................................... 98

C4

Showcard C4

How would you describe your level of concern with childhood vaccines, if any?

Not at all concerned ............................................. 1

A little concerned ................................................. 2

Somewhat concerned .......................................... 3

Very concerned .................................................... 4

Don’t know ......................................................... 99

Refused.............................................................. 98

IF C4=2, 3, 4, GO TO C5 OTHERWISE GO TO C7

C5 What concerns do you have about recommended childhood vaccines? [C5=1 is UNIQUE] Do not read.

Multiple responses allowed.

No concerns ....................................................................................... 1

Short-term reactions (e.g., fever, rash, allergic reaction) .................. 2

Long-lasting side effects (e.g., asthma, diabetes, immune system problems) ........................................................................................... 3

Number of vaccines / too many at once ............................................ 4

Insufficient research into safety of vaccines ...................................... 5

Doubts about effectiveness ............................................................... 6

Injections are painful .......................................................................... 7

Ingredients in the vaccine .................................................................. 8

Limited knowledge about vaccines and the risks .............................. 9

Other – please specify ..................................................................... 10

Don’t know ....................................................................................... 99

Refused............................................................................................ 98

Page 67: 2018 Health and Lifestyles Survey Questionnaire

66

C7 Which sources have you used to obtain vaccine information for xxx? [C7=1 is UNIQUE] Do not read. Probe: “Anywhere else?”

Multiple responses allowed.

None

I have not used any sources ............................................................ 1

Health care providers / support

Midwife ............................................................................................. 2

Other health care providers (e.g., Doctor / GP, practice nurse, paediatrician) ......................................................... 3

Pharmacists ..................................................................................... 4

Hospital ............................................................................................ 5

Plunket ............................................................................................. 6

Alternative health care providers

Such as homeopathy, traditional medicine, or reflexology .............. 7

Internet / social media / helplines

Internet – doing a search on words I choose................................... 8

Internet – looking at specific websites that I know .......................... 9

Social media (e.g., Facebook) ....................................................... 10

Immunisation Advisory Centre website ......................................... 11

0800 IMMUNE or Healthline call centre ........................................ 12

Other

Own knowledge / studies / work-related knowledge ..................... 13

Family / friends .............................................................................. 14

Government (e.g., Ministry of Health, Health Promotion Agency). 15

Religious leader or organisations .................................................. 16

Vaccine companies ........................................................................ 17

Media (e.g., TV, radio, newspapers, books, magazines), Medical journals, Books ............................................ 18

Child’s school ................................................................................. 19

Other – please specify ................................................................... 20

Don’t know .......................................................................................... 99

Refused ............................................................................................... 98

C8 Showcard C8 For the next question, we want you to consider all vaccines, not just childhood ones: Looking at Showcard C8, in the last two years, has your level of confidence in the safety of vaccines…

Increased ............................................................. 1

Stayed the same .................................................. 2

Decreased ........................................................... 3

Don’t know ........................................................... 9

Refused................................................................ 8

IF B2=1–5 GO TO C9 OTHERWISE GO TO C10_I

Page 68: 2018 Health and Lifestyles Survey Questionnaire

67

C9 If you, or your partner were pregnant, would you agree to immunisations during pregnancy, if they were recommended by your GP or midwife?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98

Oral Health

[PARENT / CAREGIVER] GO TO C10_I OTHERWISE GO TO C12

C10_I Here are a few questions about oral health.

C10 Showcard C10 How often are xxx’s teeth brushed? Please answer from Showcard C10.

Less than once a day ........................................... 1

Once a day .......................................................... 2

Twice a day .......................................................... 3

More than twice a day .......................................... 4

Don’t know ........................................................... 9

Refused................................................................ 8

C11 Showcard C11 Using Showcard C11, how long has it been since xxx last visited a dental professional, for any reason? This includes, dentists, dental nurses, oral hygienists, and other dental professionals working at private practice or government-funded services.

Within the past 12 months ................................... 1

Over 1 year ago ................................................... 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 69: 2018 Health and Lifestyles Survey Questionnaire

68

C12 Showcard C12 Looking at Showcard C12, please tell me how much you agree or disagree with the following statement:

There is a relationship between the health of baby teeth and the health of adult teeth.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ........................................................... 9

Refused................................................................ 8

Page 70: 2018 Health and Lifestyles Survey Questionnaire

69

Section M: Mental Health, Wellbeing and Connectedness

Knowledge of Depression and Anxiety

[PARENT / CAREGIVER] GO TO H3_I OTHERWISE GO TO M1_I

M1_I The following questions ask how you have been feeling over the past four weeks specifically. Please give your answers using the Showcard. M1

Showcard M1 In the past 4 weeks, about how often did you feel tired out for no good reason?

None of the time .................................................. 1

A little of the time ................................................. 2

Some of the time .................................................. 3

Most of the time ................................................... 4

All of the time ....................................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

M2

Showcard M2 In the past 4 weeks, about how often did you feel nervous?

None of the time .................................................. 1

A little of the time ................................................. 2

Some of the time .................................................. 3

Most of the time ................................................... 4

All of the time ....................................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

IF M2=2–5 GO TO M3 OTHERWISE GO TO M4

M3

Showcard M3 In the past 4 weeks, about how often did you feel so nervous that nothing could calm you down?

None of the time .................................................. 1

A little of the time ................................................. 2

Some of the time .................................................. 3

Most of the time ................................................... 4

All of the time ....................................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 71: 2018 Health and Lifestyles Survey Questionnaire

70

M4 Showcard M4 In the past 4 weeks, about how often did you feel hopeless?

None of the time .................................................. 1

A little of the time ................................................. 2

Some of the time .................................................. 3

Most of the time ................................................... 4

All of the time ....................................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

M5 Showcard M5 In the past 4 weeks, about how often did you feel restless or fidgety?

None of the time .................................................. 1

A little of the time ................................................. 2

Some of the time .................................................. 3

Most of the time ................................................... 4

All of the time ....................................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

IF M5=2–5 GO TO M6 OTHERWISE GO TO M7

M6 Showcard M6 In the past 4 weeks, about how often did you feel so restless you could not sit still?

None of the time .................................................. 1

A little of the time ................................................. 2

Some of the time .................................................. 3

Most of the time ................................................... 4

All of the time ....................................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

M7 Showcard M7 In the past 4 weeks, about how often did you feel depressed?

None of the time .................................................. 1

A little of the time ................................................. 2

Some of the time .................................................. 3

Most of the time ................................................... 4

All of the time ....................................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 72: 2018 Health and Lifestyles Survey Questionnaire

71

M8 Showcard M8 In the past 4 weeks, about how often did you feel that everything was an effort?

None of the time .................................................. 1

A little of the time ................................................. 2

Some of the time .................................................. 3

Most of the time ................................................... 4

All of the time ....................................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

M9 Showcard M9 In the past 4 weeks, about how often did you feel so sad that nothing could cheer you up?

None of the time .................................................. 1

A little of the time ................................................. 2

Some of the time .................................................. 3

Most of the time ................................................... 4

All of the time ....................................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

M10 Showcard M10 In the past 4 weeks, about how often did you feel worthless?

None of the time .................................................. 1

A little of the time ................................................. 2

Some of the time .................................................. 3

Most of the time ................................................... 4

All of the time ....................................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 73: 2018 Health and Lifestyles Survey Questionnaire

72

M11

If you or someone you know might be experiencing depression, do you know where you could get help? [M11=17 and 18 are UNIQUE]

Do not read. Probe: “Anywhere else you can think of?”

Multiple responses allowed.

Do not code ‘depression.org.nz / John Kirwan’ if the respondent just says, “John Kirwan” without referencing to a website with John Kirwan on it. List under ‘Other’.

Code Citizens Advice Bureau under Community organisation / group.

Internet

depression.org.nz / John Kirwan website ........................... 1

thelowdown.co.nz ............................................................... 2

Another website .................................................................. 3

Google search .................................................................... 4

Helplines

Telephone helpline ............................................................. 5

Professional help

A therapist / counsellor / psychologist ................................ 6

A doctor / nurse / casual medical centre ............................ 7

Community mental health services / psychiatrist / emergency department ....................................................... 8

Other help

Email / text / chat to Internet help service ........................... 9

A friend or family / whānau member ................................. 10

A self-help resource .......................................................... 11

Workplace support / counselling. ...................................... 12

Community organisation / group ....................................... 13

A cultural leader or advisor ............................................... 14

Church / spiritual help ....................................................... 15

Other – please specify ...................................................... 16

No

No, I don’t know where to get help ................................... 17

No help needed ................................................................ 18

Refused .................................................................................. 98

IF M11=3 GO TO M12 OTHERWISE GO TO M14_I

M12 Do you know what website you would go to?

Yes, please specify .............................................. 1

No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 74: 2018 Health and Lifestyles Survey Questionnaire

73

Discrimination Behaviours M14_I Now, some questions about mental health and discrimination. M14 Has anyone you know ever told you that they have experienced mental illness? Prompt: any person you know, so not yourself.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98 M15 Showcard M15 Looking at Showcard M15, if you were diagnosed with a mental illness, who would you tell?

[M15=9 is UNIQUE]

Multiple responses allowed. This refers to a person or group of people, rather than a place. ‘Diagnosed’ refers to a mental illness that has been identified by a health professional.

Family, whānau ............................................................................................. 1

Friends .......................................................................................................... 2

People you live with ...................................................................................... 3

Members of your sports team, community group or church ......................... 4

Your employer .............................................................................................. 5

Work colleagues ........................................................................................... 6

Health professional ....................................................................................... 7

Other – please specify .................................................................................. 8

No one .......................................................................................................... 9

Don’t know .................................................................................................. 99

Refused....................................................................................................... 98

M16 Have you ever personally had an experience of mental illness? If respondent is unsure if they’ve had an experience of mental illness, say “If you thought you might have had, or are perhaps currently having, mental health problems”. This can include self-defined or diagnosed by a health professional.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98

IF M16=1 GO TO M17 OTHERWISE GO TO M20_I

Page 75: 2018 Health and Lifestyles Survey Questionnaire

74

M17 Do you believe you have ever been treated unfairly, or been discriminated against, because of your experience of mental illness?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98

IF M17=1 GO TO M18 OTHERWISE GO TO M19

M18

Showcard M18

Can you please identify the settings where you were treated unfairly, or were discriminated against, using

Showcard M18.

Multiple responses allowed. This is for the setting, rather than a person. If the respondent identifies a person, probe for the setting.

Workplace ........................................................................................ 1

Education, training ........................................................................... 2

Housing ............................................................................................ 3

Health services ................................................................................ 4

Government agencies (e.g., Police, Courts, Work and Income, Oranga Tamariki—Ministry for Children, CYF) ................................ 5

Insurance ......................................................................................... 6

Sports clubs, community clubs / groups .......................................... 7

Family / whānau or friends............................................................... 8

Other – please specify ..................................................................... 9

Don’t know ..................................................................................... 99

Refused.......................................................................................... 98

M19 Have you ever not done something because you were afraid of being discriminated against, because of your experience with mental illness?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 76: 2018 Health and Lifestyles Survey Questionnaire

75

Overall Wellbeing and Connectedness M20_I Please tell me how much you agree or disagree with the following statements, regarding how you feel about your life overall. Please give your answers using the Showcard.

Rotate M20 to M24

M20 Showcard M20

In general, I lead a purposeful and meaningful life.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ......................................................... 99

Refused.............................................................. 98

M21 Showcard M21 My social relationships are supportive and rewarding.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ......................................................... 99

Refused.............................................................. 98

M22 Showcard M22

I actively contribute to the happiness and wellbeing of others.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 77: 2018 Health and Lifestyles Survey Questionnaire

76

M23 Showcard M23

Maintaining a strong connection to my culture is important to me.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ......................................................... 99

Refused.............................................................. 98

M24 Showcard M24

I get enough sleep to feel rested upon waking in the morning.

Strongly agree ..................................................... 1

Agree ................................................................... 2

Neither agree nor disagree .................................. 3

Disagree .............................................................. 4

Strongly disagree ................................................. 5

Don’t know ......................................................... 99

Refused.............................................................. 98

IF B3=2 GO TO M25_1 OTHERWISE GO TO H1_I

Māori Culture and Connectedness M25_I These next questions are about connectedness to Māori culture. We have showcards in Te Reo Māori and English. You are welcome to use either or both language versions, as suits you. Point to both Te Reo Māori and English versions of the Showcards. M25 Showcard M25 Thinking about your life as a whole, how important is it for you to be involved in, or to be a part of, Māori culture? If necessary, point to options on Showcard M25.

Very important ..................................................... 1

Quite important .................................................... 2

Somewhat important ............................................ 3

A little important ................................................... 4

Not at all important ............................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 78: 2018 Health and Lifestyles Survey Questionnaire

77

M26 Have you ever been to any of your ancestral marae? By this, I mean a marae that your parents, grandparents, tīpuna or ancestors are from.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98 M27 Showcard M27 How well are you able to speak Te Reo Māori in day-to-day conversation? If necessary, point to options on Showcard M27.

Very well – I can talk about almost anything in Te Reo Māori .... 1

Well – I can talk about many things in Te Reo Māori ................. 2

Fairly well – I can talk about some things in Te Reo Māori ........ 3

Not very well – I can only talk about simple / basic things ......... 4

No more than a few words or phrases ........................................ 5

Don’t know ................................................................................ 99

Refused..................................................................................... 98

M28 Showcard M28 Which of these do you know? Please say yes or no for each item I read out to you:

Yes No

Don’t know

Refused

1 Your iwi or tribe 1 5 99 98

2 Your hapū or sub-tribe 1 5 99 98

3 Your maunga or mountain 1 5 99 98

4 Your awa, moana, river or water 1 5 99 98

5 Your waka or canoe 1 5 99 98

6 Your tīpuna, tūpuna or ancestors 1 5 99 98

IF M28_1=1 (KNOW YOUR IWI) GO TO M29 OTHERWISE GO TO H1_I

M29 Can you tell me the name of your iwi or tribe?

Don’t know ........................................................ 99

Refused ............................................................ 98

Page 79: 2018 Health and Lifestyles Survey Questionnaire

78

Section H: General Health H1_I In this section you will be asked a few general health questions. H1 Showcard H1 In general, would you say that your health is excellent, very good, good, fair or poor?

Excellent .............................................................. 1

Very good ............................................................ 2

Good .................................................................... 3

Fair ....................................................................... 4

Poor ..................................................................... 5

Don’t know ......................................................... 99

Refused.............................................................. 98

IF B1=8 AND B2=2 to 6, GO TO H2, OTHERWISE GO TO H3

H2

In the last 12 months, were you pregnant at any time?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98

GO TO H3

H3_I And now a question about primary healthcare providers. H3 Are you registered with a primary health care provider? By ‘primary health care provider’, we mean a centre that provides services by GPs (doctors) or practice nurses. This can be a medical centre, GP practice or GP clinic, family practice or student health service.

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ......................................................... 99

Refused.............................................................. 98

[PARENT / CAREGIVER] GO TO X1_I OTHERWISE GO TO H4

Page 80: 2018 Health and Lifestyles Survey Questionnaire

79

H4

Showcard H4

Looking at Showcard H4, when you have a health concern or issue, do you...

Look it up on the Internet or Google .......................................................................... 1

Go straight to a health professional ........................................................................... 2

Look it up on the Internet or Google, and then go and see a health professional..... 3

Talk to family or friends ............................................................................................. 4

Call Healthline ........................................................................................................... 5

Other – please specify .............................................................................................. 6

Take no action .......................................................................................................... 7

Don’t know ...............................................................................................................99

Refused....................................................................................................................98

Page 81: 2018 Health and Lifestyles Survey Questionnaire

80

Section X: Demographics

X1_I

We are nearing the end of the survey. The purpose of this section is to collect some general information about you and your household.

X1

Would you mind telling me what age you turned on your last birthday?

Record age.

[Range 15–110] Don’t know – 999 Refused – 998

X2 Were you born in New Zealand?

Yes ....................................................................... 1

No ........................................................................ 5

Don’t know ........................................................ 99

Refused ............................................................ 98

IF X2=5 GO TO X3

OTHERWISE GO TO X4

X3

In what year did you arrive to live in New Zealand?

[Range 1918–2018] Don’t know – 9999 Refused – 9998

X4 Showcard X4 Which of the following options best describes how you think of yourself? Takatāpui is a traditional Māori term meaning ‘intimate companion of the same sex’. Respondent can just call out the option number.

Heterosexual or straight....................................... 1 Gay or lesbian (Takatāpui) .................................. 2 Bisexual (Takatāpui) ............................................ 3 Other .................................................................... 4 Don’t know ......................................................... 99 Refused.............................................................. 98

Page 82: 2018 Health and Lifestyles Survey Questionnaire

81

X5

Showcard X5

Looking at Showcard X5, which best describes you at the moment?

Employment is considered full-time when an employee works an average of 30 hours or more each week, in any or all of their jobs, this includes Self-Employed. Working in paid employment includes students if they have any paid employment. Employment focus: whether respondent is working, not their specific role, e.g., Teacher, Nurse, etc.

In paid employment / self employed

Full time ........................................................................... 1

Part time........................................................................... 2

NOT in paid employment

Looking for a job .............................................................. 3

NOT in paid employment and NOT looking for a job

Student............................................................................. 4

Homemaker ..................................................................... 5

Beneficiary ....................................................................... 6

Retired ............................................................................ .7

Other

Please specify .................................................................. 8

Don’t know ......................................................................... 99

Refused .............................................................................. 98

Page 83: 2018 Health and Lifestyles Survey Questionnaire

82

X6 Showcard X6 Looking at Showcard X6, can you please tell me the highest qualification you have? UE / University Entrance – check which year obtained regarding answer Options 3 or 5.

None

No formal school qualification .................................................................................. 1

Secondary school

NZ School Certificate in one or more subjects, or National Certificate Level 1, or NCEA Level 1 ........................................................ 2

NZ Sixth Form Certificate in one or more subjects, or National Certificate Level 2, or NZ UE before 1986 in one or more subjects, or NCEA Level 2 .................................................................. 3

NZ Higher School Certificate, or Higher Leaving Certificate ................................... 4

University Entrance 1986 onwards .......................................................................... 5

Bursary / Scholarship, or National Certificate Level 3, or NCEA Level 3, or NZ Scholarship Level 4.......................................................... 6

Other secondary school qualification gained in NZ (please specify) ....................... 7

Other secondary school qualification gained overseas ........................................... 8

Trade / technical certificate, professional qualification

Trade or technical certificate, which took more than 3 months of full-time study .... 9

Professional qualification, for example, ACA, teachers, nurses ............................ 10

Undergraduate qualification

Undergraduate diploma ......................................................................................... 11

Bachelors degree, for example, BA, BSc .............................................................. 12

Postgraduate qualification

Postgraduate certificate / diploma ......................................................................... 13

Postgraduate degree, for example Honours, Masters or PhD .............................. 14

Other qualification

Please specify ........................................................................................................ 15

Don’t know .................................................................................................................. 99

Refused ....................................................................................................................... 98

Page 84: 2018 Health and Lifestyles Survey Questionnaire

83

X7 Showcard X7 Looking at Showcard X7, and thinking about the people in your household, who do you usually live with?

If needed: We are interested in people in different living situations. Multiple responses allowed. In-laws are recorded as ‘Other family’ – Option 13.

Live alone ................................................................................................................ 1

Partner / husband / wife ........................................................................................... 2

Own children (including step children, foster, whāngai) .......................................... 3

Mother ...................................................................................................................... 4

Father....................................................................................................................... 5

Grandparents ........................................................................................................... 6

Brother / sister ......................................................................................................... 7

Aunt / Uncle ............................................................................................................. 8

Grandson / granddaughter ...................................................................................... 9

Niece / nephew ...................................................................................................... 10

Cousins .................................................................................................................. 11

Others’ children (e.g., belonging to someone else in household) ......................... 12

Other family ........................................................................................................... 13

Friends ................................................................................................................... 14

Flatmates ............................................................................................................... 15

Other – please specify ........................................................................................... 16

Don't know ............................................................................................................. 99

Refused.................................................................................................................. 98

IF X7=1 GO TO X10

OTHERWISE GO TO X8

X8

Showcard X8

Looking at Showcard X8, including you, how many people in each age group usually live here in this house?

Record number. ‘Usually’ means the person lives in the house for four or more days per week.

Age Number

[Range 0–20]

a. 0 – 4 years

b. 5 – 7 years

c. 8 – 12 years

d. 13 – 14 years

e. 15 – 16 years

f. 17 years

g. 18 years and over

Don’t know ......................................................... 99

Refused.............................................................. 98

Page 85: 2018 Health and Lifestyles Survey Questionnaire

84

IF X8=99 OR 98, GO TO X10

OTHERWISE GO TO X9

X9

So, including you, there are [TOTAL IN X8] people usually living in this house?

Yes ....................................................................... 1

No ........................................................................ 5 [CORRECT X8 IF No]

X10 Showcard X10 What is the total income that your household got from all sources, before tax or anything was taken out of it, in the last 12 months? Please call out the option number to the left of Showcard X10, that comes closest to the group your household comes into.

$5,000 or less ...................................................... 1

$5,001 – $10,000 ................................................. 2

$10,001 – $15,000 ............................................... 3

$15,001 – $20,000 ............................................... 4

$20,001 – $25,000 ............................................... 5

$25,001 – $30,000 ............................................... 6

$30,001 – $35,000 ............................................... 7

$35,001 – $40,000 ............................................... 8

$40,001 – $50,000 ............................................... 9

$50,001 – $60,000 ............................................. 10

$60,001 – $70,000 ............................................. 11

$70,001 – $80,000 ............................................. 12

$80,001 – $90,000 ............................................. 13

$90,001 – $100,000 ........................................... 14

$100,001 – $120,000 ......................................... 15

$120,001 – $150,000 ......................................... 16

$150,001 – $250,000 ......................................... 17

$250,001 or more .............................................. 18

Don’t know ......................................................... 99

Refused.............................................................. 98

IF X10=99 OR 98, GO TO X11

OTHERWISE GO TO X12

Page 86: 2018 Health and Lifestyles Survey Questionnaire

85

X11

Would you be able to confirm if your total household annual income is roughly in one of these groups?

Read out.

$20,000 or less .................................................... 1

$20,001 – $40,000 ............................................... 2

$40,001 – $60,000 ............................................... 3

$60,001 – $80,000 ............................................... 4

$80,001 – $100,000 ............................................. 5

$100,001 – $250,000 ........................................... 6

$250,001 or more ................................................ 7

Don’t know ........................................................... 9

Refused................................................................ 8

X12 Thank you very much for answering these questions. Your answers will be very helpful in this study. There are just a few more questions and then we have finished. Any information you give me from now on will not be stored with your answers for the survey.

Page 87: 2018 Health and Lifestyles Survey Questionnaire

86

Section R: Recontact R1 Is there a landline phone number that my Supervisor can reach you on, in order to check my work, or to check you are happy with the way the interview was conducted?

Yes ..................................... 1

Don’t have a landline ......... 3

No ...................................... 5

Don’t know ......................... 99

Refused.............................. 98

IF R1=1 GO TO R2 OTHERWISE GO TO R3

R2 Could I have that number including the area code please? Enter phone number.

R3

Do you have a mobile number my Supervisor can reach you on?

Yes ............................................... 1

Don’t have a mobile number ........ 3

No ................................................ 5

Don’t know ................................... 99

Refused........................................ 98

IF R3=1 GO TO R4 OTHERWISE GO TO R5

R4 Could I have that number please? Enter phone number. R5

Do you have an email address, in case we cannot contact you by telephone?

Yes ................................... 1

No .................................... 5

Don’t know ..................... 99

Refused.......................... 98

IF R5=1 GO TO R6 OTHERWISE GO TO R7

Page 88: 2018 Health and Lifestyles Survey Questionnaire

87

R6 Could I have that email address? Enter email address.

R7

Would you be happy to be contacted again within the next five years, about the possibility of answering other health questions on behalf of the Health Promotion Agency? Saying yes to this question won’t commit you to taking part in further research, it just means they can contact you to ask.

Yes, you can contact me, and ask if I want to help again ............ 1

No, don’t contact me again .......................................................... 5

Don’t know / unsure .................................................................... 99

Refused....................................................................................... 98

IF R7=1 GO TO R8 OTHERWISE GO TO R10_I

R8

Can I record your first name, so the Health Promotion Agency can make sure they’re talking to the right person?

Yes ................................... 1

No .................................... 5

Don’t know ..................... 99

Refused.......................... 98

IF R8=1 GO TO R9 OTHERWISE GO TO R10_I

R9 What is your first name?

Name:

Refused.............................. 98

Page 89: 2018 Health and Lifestyles Survey Questionnaire

88

Respondent Burden Assessment R10_I The next questions will ask you about your experience of the survey process. I will turn the computer towards you, so you can answer the questions privately. Please click the ‘Next’ button when you are done. R10 Please rate on a scale of 1–5, where 1 is absolutely not acceptable and 5 is highly acceptable:

1 2 3 4 5

Survey length

The number of questions

Complexity of questions

Intrusiveness of questions

R11 Would you take part in the Health and Lifestyles Survey again?

Yes ............................................... 1

No ................................................ 5

IF R11=5 GO TO R12 OTHERWISE GO TO R13

R12 Please indicate why you would not take part again?

Tick all that apply.

Took too long ............................... 1

Too many questions .................... 2

Questions were too personal ....... 3

Questions were not relevant ........ 4

Survey was too repetitive............. 5

Lost interest ................................. 6

Other – please specify ................. 7

R13 Are there any other comments you would like to make about taking part in the survey?

Please click the ‘Next’ button and hand the computer back. R14_I That’s all the questions I have to ask you. Thanks again for helping with the survey.

Page 90: 2018 Health and Lifestyles Survey Questionnaire

89

R14 What level of language assistance, if any, was used for the interview? Interviewer to complete.

None ........................................................................................................ 1

The interviewer helped translate questions into a language other than English .................................................................................... 2

A friend / family member helped translate questions into a language other than English .................................................................................... 3

Official interpreter was used .................................................................... 4

Don’t know .............................................................................................99

Refused..................................................................................................98

Page 91: 2018 Health and Lifestyles Survey Questionnaire

90

Computer-assisted personal interviewing (CAPI) screen shots The screenshots below show what the Interviewer sees on their electronic devices. The 2018 Health & Lifestyle Survey Questionnaire Showcards show what the participant sees.

If the participant answers option 12. Other-please specify, the interviewer selects option 12. Other-please specify, B3a appears for the interviewer to complete

Page 92: 2018 Health and Lifestyles Survey Questionnaire

91

Page 93: 2018 Health and Lifestyles Survey Questionnaire

92

The day of the interview in the example below is a Friday

Page 94: 2018 Health and Lifestyles Survey Questionnaire

93

If the participants answers ‘Yes’ to A5, then A6 appears for the interviewer to select and the participant to answer

Page 95: 2018 Health and Lifestyles Survey Questionnaire

94