Control Questionnaire:

Thank you for taking the time to visit this page.

I am trying to undertake some research into a specific section of the community and require some "control" data with which to compare responses from members of that community. The following questions should not take you more than a couple of minutes to complete.

Question	Thanks for taking the time to answer these questions:
1	are you male female
2	How old are you? under 16 years old 16-20 21-25 26-30 31-35 36-40 41-50 51- 60 over 60
3	Marital status: are you single married/ living together in a significant relationship but not married/ living together separated/ divorced widowed
4	do you have children, if so how many at what age are they? no children under 5 years old 5-10 years old 11-15 years old 16-20 years old 21 or more years old
5	Family Background - do you have sisters or brothers? no sister(s) only brother(s) only both sister(s) and brother(s)
6	If you have sister(s) and brother(s) (or had brothers/ sisters while growing up), how many: sisters are older than you sisters are younger than you brothers are older than you brothers are younger than you
7	Were your parents still together while you were growing up? yes no - they separated when I was years old no - my mother died when I was years old no - my father died when I was years old no - both my parents are dead my mother died when I was years old my father died when I was years old
8	If your parents separated or died, did you live with father mother both at different times but mainly mother father other relation if other relation, who was it? other if other, who was it?
9	did the parent you live with have multiple partners while you were living with them? no yes father had partners yes mother had partners
10	Did you suffer any abuse as a child? yes no
11	Was your childhood stable? yes no
12	Was your childhood happy? yes no
13	Did you move home more than 3 times during your childhood? yes no
14	Was your father absent for long periods (more than 3 months at a time) yes frequently (more than 3 times) yes - but on less than 3 occasions of less than 3 months yes on less than 3 occasions but for more than 3 months no he was not away from home for long periods; but worked long hours so he was hardly ever around
15	Was your mother absent for long periods (more than 3 months at a time) yes frequently (more than 3 times) yes - but on less than 3 occasions of less than 3 months yes on less than 3 occasions but for more than 3 months no she was not away from home for long periods; but worked long hours so she was hardly ever around
16	Was the influence in your home female dominated mainly female more female than male equally female & male more male than female mainly male male dominated
17	As far as you are aware, did your mother have problems while pregnant with you? no yes
18	Schooling What level of education did you reach left without qualifications minimum high school qualifications (UK-GCSE) advanced high school qualifications (UK-A Levels) College/University
19	Type of School Attended Single Sex - day Single Sex - Boarding Co-educational - day Co-educational - Boarding
20	Which were your favourite subjects (tick all that apply)? English Language English Literature Foreign Languages Mathematics Sciences History Geography Arts Computing Practical
21	Childhood Friends how readily did you make friends as a child? I had no problem making friends I found it difficult to make friends
22	Would you: be part of a mixed group of friends have a group of mainly female friends have a group of mainly male friends tend to have only one main friend at a time - usually male tend to have only one main friend at a time - usually female
23	Girl/ Boyfriends - did you have: several (5 or more) (not necessarily at the same time!) fewer than 5 none
24	Ethnic Background; are you: Asian Afro-caribbean White Other
25	Religious Background; are you: Christian - Roman Catholic Christian - Anglican Christian - Non Conformist/Other Jewish Buddhist Muslim Other None
26	Employment are you: (if unemployed or retired - state usual/ previous employment) Homemaker/ housewife/ househusband Social Services/ Nursing/ Teaching Managerial/Professional/Administrative Military/ Police/ Fire Service or similar Skilled/ Technical Unskilled Student Other
27	Have you ever worked in what is considered a very "macho" environment (military/ police/ fire/ construction/ oil rigs/ forestry/ ranching etc)? yes no
28	Sports - do you prefer: competitive team sports - football, hockey etc competitive partnership sports - doubles tennis, dinghy sailing etc competitive individual sports - singles tennis, athletics etc non competitive sports I don't like any sports
29	Have you ever sought professional counselling yes no if yes: was the counselling at your own instigation because of pressure from others to seek "help" how long did your counselling last sessions over years months did the counselling achieve what you hoped it would (partly or completely)? yes no did it help in ways which you had not expected yes no Did you consider the counselling to be no use at all some minimal benefit quite useful very useful extremely beneficial
30	Do you masturbate ? No rarely sometimes frequently decline to answer
31	Sexuality - are you heterosexual gay/ lesbian bisexual a-sexual (no interest in sex)

Thank you very much for your patience. Your assistance in responding will be of very great value for my research.

Helen Dale

I am also interested in obtaining the views of the general public on the section of the community for which I am researching. If you would like to provide your input, please use the "back" button on your browser after submitting this form - then clicking on the link below:
Provide your views on the subject