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Hello:
You are invited to participate in our Pain Research survey. We are interested in finding out about the views about physical or bodily pain, of athletes and of the general population, in particular how much people value pain relief.
The questionnaire is designed for people to answer about themselves. You cannot complete it on behalf of someone else.
This survey is the most important component of a doctoral research (PhD). The results of the survey will be published in scientific journals and be presented in specialised meetings. Future research and policies would also be informed by the understanding of what leads people to value pain in different ways. For example, this will help evaluate pain management programs and how they should be funded.
The athletes survey includes 3 steps:
- this questionnaire (the baseline questionnaire)
- a paper questionnaire to complete during 3 fitness trainings over a period of one month
- a follow-up questionnaire to complete the day after each of those 3 trainings
The baseline questionnaire will take approximately 20 minutes to complete, each training questionnaire about 5 minutes, each follow-up questionnaire about 7 minutes. We will pay £30 if you have completed ALL questionnaires. The payment will be made after we receive the third follow-up survey.
You must be 18 or over and speak English fluently to participate to this survey.
Taking part to the survey also requires that you experience pain during your fitness trainings.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project and it has been approved by Brunel Research Ethics Committee. However, if you do not want to answer any question, you can withdraw from the survey at any point. If you find any aspect of the survey distressing you can contact Brunel University Counselling Service Tel: 01895 265070 Email: [email protected].
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Prof Martin Buxton or Dr Louise Longworth, Tel (01895) 265443, e-mails [email protected] or [email protected]. If you have any complaints about the survey you may contact Dr David Anderson-Ford, Chair Brunel University Research Ethics Committee, tel (01895) 268731, e-mail [email protected] .
We suggest you print this information for future reference.
Thank you very much for your time and support. It is very important for us to learn your opinions. |
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| * If you agree to take the survey click on the 'I agree' button, otherwise click 'Exit survey' |
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| * What is your first language? |
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Instructions:
There are no right or wrong answers: please choose the answer that best reflects how you feel.
Please answer all questions. We are aware that some questions may seem repetitive and we thank you for your patience in answering all of them.
For some questions you will need to scroll down the screen to display the ‘Continue’ button.
Thank you very much for your time spent completing this questionnaire. |
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| We are now going to ask you a few questions about pain. |
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| * Have you been experiencing pain during your fitness trainings over the past 4 weeks? |
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We are sorry you cannot participate to this survey.
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| * What was the level of pain you typically experience during your trainings (at its maximum)? |
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* In addition to training pain, have you been experiencing other physical pain over the past 4 weeks?
We define pain as physical or bodily pain lasting for at least one day (during all the day or from time to time during the day) |
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| * What is the worst level of this other physical pain you have experienced during the past 4 weeks? |
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| What is the origin of the other physical pain you have experienced during the past 4 weeks? (if you have experienced pain from more than one origin please answer for the most intense pain) |
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| How long has the non-training related pain you are currently experiencing lasted? |
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| How does the non-training related pain compare with the pain related to fitness training? |
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| * What is the level of physical pain you are experiencing at the current time? |
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| Have you experienced pain in the past (before the current episode, training- and/or non training-related)? |
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| What was the worst physical pain you ever experienced in the past? |
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| Thinking about the most painful of the past episodes, how was the pain compared to your current pain? |
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| The following questions are about the pain or pains you experienced in the past 4 weeks. If you had more than one pain, answer the questions by describing your feelings of pain in general. |
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| How much bodily pain have you generally had during the past 4 weeks? |
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| During the past 4 weeks, how often have you had pain or discomfort? |
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| When you had pain during the past 4 weeks, how long did it usually last? |
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| During the past 4 weeks, how much did pain interfere with the following things?
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Please select the one number that best describes your pain on the average over the past 4 weeks.
0= No Pain
10= Pain As Bad As You Can Imagine |
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Please select the one number that best describes your pain at its worst over the past 4 weeks.
0= No Pain
10= Pain As Bad As You Can Imagine |
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Adapted from The Medical Outcomes Study Pain Measures
From Stewart AL, Ware JE Jr. Measuring functioning and well-being: the Medical Outcomes Study approach. Durham, North Carolina: Duke University Press, 1992:374,378-379. |
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| PLEASE DESCRIBE YOUR PAIN DURING THE LAST 7 DAYS
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Short-Form McGill Pain Questionnaire (SF-MPQ) UK English version
Copyright R. Melzack, 1984, 1987
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| Trading time to get rid of pain |
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PLEASE READ THESE INSTRUCTIONS CAREFULLY.
Please scroll down to read all the instructions and then click on 'Continue'.
For the following set of questions:
We are measuring pain on a 0-10 pain scale: 0 is no pain, 10 is pain as bad as you can imagine.
We will describe a level of pain and ask you imagine that you will experience that level of pain constantly for the next 20 years, after which time you will die.
We will also describe an alternative scenario where you would be pain-free but would have a shorter life (less than 20 years).
We will ask you to tell us how many pain-free years you think would be as good as living for 20 years in that level of constant pain.
Please assume that you would have no other health problems other than the pain described.
Examples are given on the next three screens. |
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Example of a response by respondent A:
Pain is measured on a 0-10 pain scale where 0 is no pain and 10 is pain as bad as you can imagine
If you had 20 years to live in constant pain of level 5, how many years in excellent health without the pain is the equivalent?
A ticked circle ‘16’.
Respondent A felt that 16 years in excellent health without the pain was the equivalent (no better or worse) of 20 years in constant pain of level 5. This means that A would prefer to live 17 years (or more) without pain to 20 years in pain but A would prefer to live 20 years in pain rather than 15 years (or less) without the pain. |
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Example of a response by respondent B:
Pain is measured on a 0-10 pain scale where 0 is no pain and 10 is pain as bad as you can imagine
If you had 20 years to live in constant pain of level 9, how many years in excellent health without the pain is the equivalent?
B ticked circle ‘5’.
Respondent B felt that 5 years in excellent health without the pain was the equivalent (no better or worse) of 20 years in constant pain of level 9. This means that B would prefer to live 5 years (or more) without pain to 20 years in pain but B would prefer to live 20 years in pain rather than 4 years (or less) without the pain. |
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Example of a response by respondent C:
Pain is measured on a 0-10 pain scale where 0 is no pain and 10 is pain as bad as you can imagine
If you had 20 years to live in constant pain of level 3, how many years in excellent health without the pain is the equivalent?
C ticked circle ‘19’.
Respondent C felt that 19 years in excellent health without the pain was the equivalent (no better or worse) of 20 years in constant pain of level 3. This means that C would prefer to live 19 years (or more) without pain to 20 years in pain but C would prefer to live 20 years in pain rather than 18 years (or less) without the pain. |
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As before, we are measuring pain on a 0-10 pain scale where 0 is no pain and 10 is pain as bad as you can imagine.
Imagine you live in constant pain at level 4.
If you had 20 years to live in constant pain of level 4 , how many years in excellent health without the pain is the equivalent?
Years without the pain |
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Imagine the pain is as bad as the worst pain you experienced during the past 4 weeks (training-related or not).
If you had 20 years to live in constant pain as intense as the worst pain you have experienced during the past 4 weeks, how many years in excellent health without the pain is the equivalent?
Year without the pain |
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As before, we are measuring pain on a 0-10 pain scale where 0 is no pain and 10 is pain as bad as you can imagine.
Imagine you live in constant pain at level 7.
If you had 20 years to live in constant pain of level 7 , how many years in excellent health without the pain is the equivalent?
Years without the pain |
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Imagine the pain is half as bad as the worst pain you experienced during the past 4 weeks (training-related or not).
If you had 20 years to live in constant pain half as intense as the worst pain you have experienced during the past 4 weeks, how many years in excellent health without the pain is the equivalent?
Years without the pain |
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As before, we are measuring pain on a 0-10 pain scale where 0 is no pain and 10 is pain as bad as you can imagine.
Imagine you live in constant pain at level 2.
If you had 20 years to live in constant pain of level 2 , how many years in excellent health without the pain is the equivalent?
Years without the pain |
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| Willingness to pay to get rid of pain |
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PLEASE READ CAREFULLY THE INSTRUCTIONS BELOW.
Please scroll down to read all the instructions and then click on ‘Continue’.
Again in the scenarios below you will be asked to imagine that you have some pain rated on a 0-10 scale where 0 is no pain and 10 is pain as bad as you can imagine.
You will be asked to imagine that the pain will last continuously for 20 years and then you will die. The pain is caused by a condition which is not life threatening nor has any other health effects. There is no cure for the condition.
The scenarios differ in terms of the level of pain described.
We like to know your opinion on 2 imaginary pills:
- a ‘Wonder pill’ that relieves the pain completely and immediately
- a ‘semi-Wonder pill’ that reduces the pain immediately to half of what it was.
You would take the pill once a month and its effect would start immediately and last one month exactly.
The pills are legal for athletes and will have no consequences on your training (you will not be able to train harder) and performance. It will only work on your pain.
Both pills have no side effects and you cannot become addicted to them.
They are the only treatment available.
You cannot get the pills through the health service. They are available without a prescription but you need to pay for them yourself (one payment for each month’s treatment). |
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| Please READ carefully each of the following hypothetical scenarios before answering. |
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Lets imagine.
You are in a pain of level 4 on a 0-10 scale where 0 is no pain and 10 is pain as bad as you can imagine. The pain will last continuously for the rest of your life (20 years). Remember the ‘Wonder pill’ that relieves the pain completely and immediately and has no side effects.
What is the maximum amount that you would be willing to pay for a month's supply of the Wonder pill each month? |
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| * If you are willing to pay more than £200, please say how much (£) | | |
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Lets imagine.
You are in a pain of level 7 on a 0-10 scale where 0 is no pain and 10 is pain as bad as you can imagine. The pain will last continuously for the rest of your life (20 years). Remember the ‘semi-Wonder pill’ that reduces the pain immediately to half of what it was and has no side effects.
What is the maximum amount that you would be willing to pay for a month's supply of the semi-Wonder pill each month? |
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| * If you are willing to pay more than £200, please say how much (£) | | |
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Lets imagine.
You are in a pain as intense as the worst pain you have experienced during the past 4 weeks (training-related or not). The pain will last continuously for the rest of your life (20 years). Remember the ‘Wonder pill’ that relieves the pain completely and immediately and has no side effects.
What is the maximum amount that you would be willing to pay for a month's supply of the Wonder pill each month? |
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| * If you are willing to pay more than £200, please say how much (£) | | |
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Lets imagine.
You are in a pain of level 2 on a 0-10 scale where 0 is no pain and 10 is pain as bad as you can imagine. The pain will last continuously for the rest of your life (20 years). Remember the ‘semi-Wonder pill’ that reduces the pain immediately to half of what it was and has no side effects.
What is the maximum amount that you would be willing to pay for a month's supply of the semi-Wonder pill each month? |
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| * If you are willing to pay more than £200, please say how much (£) | | |
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Lets imagine.
You are in a pain of level 7 on a 0-10 scale where 0 is no pain and 10 is pain as bad as you can imagine. The pain will last continuously for the rest of your life (20 years). Remember the ‘Wonder pill’ that relieves the pain completely and immediately and has no side effects.
What is the maximum amount that you would be willing to pay for a month's supply of the Wonder pill each month? |
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| * If you are willing to pay more than £200, please say how much (£) | | |
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Lets imagine.
You are in a pain as intense as the worst pain you have experienced during the past 4 weeks (training-related or not). The pain will last continuously for the rest of your life (20 years). Remember the ‘semi-Wonder pill’ that that reduces the pain immediately to half of what it was and has no side effects.
What is the maximum amount that you would be willing to pay for a month's supply of the semi-Wonder pill each month? |
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| * If you are willing to pay more than £200, please say how much (£) | | |
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Lets imagine.
You are in a pain of level 2 on a 0-10 scale where 0 is no pain and 10 is pain as bad as you can imagine. The pain will last continuously for the rest of your life (20 years). Remember the ‘Wonder pill’ that relieves the pain completely and immediately and has no side effects.
What is the maximum amount that you would be willing to pay for a month's supply of the Wonder pill each month? |
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| * If you are willing to pay more than £200, please say how much (£) | | |
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Lets imagine.
You are in a pain of level 4 on a 0-10 scale where 0 is no pain and 10 is pain as bad as you can imagine. The pain will last continuously for the rest of your life (20 years). Remember the ‘semi-Wonder pill’ that reduces the pain immediately to half of what it was and has no side effects.
What is the maximum amount that you would be willing to pay for a month's supply of the semi-Wonder pill each month? |
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| * If you are willing to pay more than £200, please say how much (£) | | |
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| READ: This section of the questionnaire contains questions about how you feel and how things have been going for you over the past month. For each question choose the answer which best applies to you |
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| How have you been feeling in general during the past month? |
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| How often were you bothered by any illness, infirmity, aches or pains during the past month? |
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| Did you feel depressed during the past month? |
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| Have you been in firm control of your behaviour, thoughts, emotions or feelings during the past month? |
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| Have you been bothered by nervousness or your "nerves" during the past month? |
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| How much energy or vitality did you have or feel during the past month? |
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| I felt downhearted and low during the past month. |
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| Were you generally tense or did you feel any tension during the past month? |
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| How happy, satisfied or pleased have you been with your personal life during the past month? |
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| Did you feel healthy enough to carry out things you like to do or had to do during the past month? |
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| Have you felt so low, discouraged, hopeless, or had so many problems that you wondered if anything was worthwhile during the past month? |
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| I woke up feeling fresh and rested during the past month. |
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| Have you been concerned, worried, or had any fears about your health during the past month? |
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| Have you had any reason to wonder if you were losing your mind, your memory or losing control over the way you act, talk, think, feel during the past month? |
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| My daily life was full of things that were interesting to me during the past month. |
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| Did you feel active, vigorous, or dull, sluggish during the past month? |
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Very active, vigorous every day
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Mostly active, vigorous - never really dull, sluggish
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Fairly active, vigorous - seldom dull, sluggish
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Fairly dull, sluggish - seldom active, vigorous
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Mostly dull, sluggish - never really active, vigorous
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Very dull, sluggish every day
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| Have you been anxious, worried or upset during the past month? |
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| I was emotionally stable and sure of myself during the past month. |
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| Did you feel relaxed, at ease or agitated, on edge or wound up during the past month? |
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| I felt cheerful, lighthearted during the past month. |
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| I felt tired, worn out, used up or exhausted during the past month. |
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| Have you been under of felt you were under any strain, stress or pressure during the past month? |
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THE GENERAL WELL-BEING SCHEDULE
PGWBI© 1984 Harold J. Dupuy, All rights reserved
PGWBI contact information and permission to use: MAPI Research Trust, Lyon, France. E-mail: [email protected] – Internet: www.mapi-trust.org |
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| In general, would you say your health is: |
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| Item 1 from RAND 36-item short form Health Survey developed at RAND as part of the Medical Outcomes Study |
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| To which of these ethnic groups do you consider you belong? |
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| What is your citizenship? |
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How many people live in your household?
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| What is your education level? |
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| * To help us analyse your responses can you tell me which of the following best describes your total annual household income, before tax and other deductions? If you are not sure, please give your best estimate. |
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£1,500 to £6,499 per year
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£6,500 to £9,499 per year
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£9,500 to £14,400 per year
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£14,401 to £19,500 per year
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£19,501 to £22,000 per year
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£22,001 to £30,000 per year
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£30,001 to £50,000 per year
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£50,001 to £75,000 per year
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More than £75,000 per year
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* Are you working, not working or studying at the moment?
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Please indicate to which occupational group the Chief Income Earner in your household belongs, or which group fits best. (Please scroll down to see the complete list)
This could be you: the Chief Income Earner is the person in your household with the largest income.
If the Chief Income Earner is retired and has an occupational pension please answer for their most recent occupation.
If the Chief Income Earner is not in paid employment but has been out of work for less than 6 months, please answer for their most recent occupation. |
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Semi or unskilled manual work. (e.g. Manual workers, all apprentices to be skilled trades, Caretaker, Park keeper, non-HGV driver, shop assistant)
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Skilled manual worker (e.g. Skilled Bricklayer, Carpenter, Plumber, Painter, Bus/ Ambulance Driver, HGV driver, AA patrolman, pub/bar worker,etc)
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Supervisory or clerical/ junior managerial/ professional/ administrative (e.g. Office worker, Student Doctor, Foreman with 25+ employees, salesperson, etc)
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Intermediate managerial/ professional/ administrative (e.g. Newly qualified (under 3 years) doctor, Solicitor, Board director small organisation, middle manager in large organisation, principle officer in civil service/local government)
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Higher managerial/ professional/ administrative (e.g. Established doctor, Solicitor, Board Director in a large organisation (200+ employees, top level civil servant/public service employee)
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Casual worker – not in permanent employment
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Retired and living on state pension
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Unemployed or not working due to long-term sickness (more than 6 months)
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Full-time carer of other household member
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Many thanks for completing this survey.
When you will have completed ALL questionnaires, as a thank you for your time we will either give you £30 or donate £30 to the Hillingdon Hospital Charitable Trust. For administration of the payment direct to you we need some personal information in particular your e-mail address. Your personal information will be kept separated from your answers to the survey that will remain anonymous. You will be able to choose whether you would like to receive the money or whether you prefer that it is given to Hillingdon Hospital Charitable Trust.
Donations to Hillingdon Hospital Charitable Trust are used to help the hospital provide a little bit extra such as additional medical equipment, medical research, specialist training and improvements to patient facilities.
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