Injury prevention
Q1. Do you have smoke alarms installed in your home?
1. Yes
2. No → Q8
X Don't know → Q8
R Refused → Q8
Q2. Are they hard wired or battery operated?
1. Hard wired
2. Battery operated
3. Hard wired and battery operated
X Don't know
R Refused
Q3. When did you last test the battery operated smoke alarms? [READ OUT]
1. Within the last month
2. More than a month but less than 6 months ago
3. Six months to a year ago
4. More than a year ago
5. Never tested
6. No battery currently in alarm
X Don't know
R Refused
Q4. When did you last change the battery in your smoke alarms?
1. Within the last 3 months
2. More than 3 months but less than a year ago
3. More than a year ago
4. Never changed the battery
X Don't know
R Refused
Q5. When did you last test the hard wired smoke alarms?
1. Within the last month
2. More than a month but less than 6 months ago
3. Six months to a year ago
4. More than a year ago
5. Never tested
X Don't know
R Refused
Q6. How many battery operated smoke alarms do you have?
1. ______ [SPECIFY]
X Don't know
R Refused
Q7. How many hard wired smoke alarms do you have?
1. ______ [SPECIFY]
X Don't know
R Refused
Q8. Have you had a fire in your home in the last 12 months?
1. Yes
2. No → Q13
X Don't know → Q13
R Refused → Q13
Q9. Does your household have a written home escape plan?
1. Yes
2. Have a plan but it's not written down
3. No → Q10
X Don't know → Q10
R Refused → Q10
Q10. When did your household last practice your home escape plan?
1. Within the last month
2. More than a month but less than 6 months ago
3. Six months to a year ago
4. More than a year ago
5. Never practiced the plan
X Don't know
R Refused
Q11. Have you been in or on the water, at a swimming pool, beach, lake, river, creek, stream or dam in the last 4 weeks? This includes fishing.
1. Yes
2. No → END OF MODULE
X Don't know → END OF MODULE
R Refused → END OF MODULE
Q12. Did this include swimming, fishing, rock fishing, snorkelling or scuba diving?
1. Yes, swimming
2. Yes, fishing
3. Yes, rock fishing
4. Yes, snorkelling
5. Yes, scuba diving
6. Yes, other
7. No
X Don't know
> R Refused
Q13. How would you rate your swimming ability?
1. Very strong swimmer
2. Good swimmer
3. Average swimmer
4. Poor swimmer
5. Can't swim
X Don't know
R Refused
| Source: | New South Wales Population Health Survey 2006 (HOIST). Centre for Epidemiology and Research, NSW Department of Health. |
| Print version: | Although this page can be printed directly from your web browser, a higher quality version is available as a PDF file that can be printed or viewed on screen. |
| Produced by: | Centre for Epidemiology and Research, Population Health Division, NSW Department of Health. |
| Last updated on: | 1 July 2007 |