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29
1
THE SOCIAL SURVEY
DEFENCE MEDAL
NEW SERIES 78
Interviewer............Town............Date
Region 1 2 3 4 5 6 7 8 9 10 11 12 Urban...............Y Rural........................ X
|
Occupation
|
SEX
|
Age
|
Economic Group
|
|
Housewife
|
1
|
Male
|
Y
|
18-24
|
1
|
(Wage rate of C.W.E.)
|
|
|
Agriculture
|
2
|
Female
|
X
|
25-34
|
2
|
Up to £ 3
|
1
|
|
Mining
|
3
|
|
|
35-44
|
3
|
Over £3-£4
|
2
|
|
Factory
|
4
|
Status
|
|
45-54
|
4
|
Over £4-£5.10
|
3
|
|
Blg. Trans. Pub. Util
|
5
|
Single
|
7
|
55-64
|
5
|
Over £5.10-£10
|
4
|
|
Clerical
|
6
|
Married
|
8
|
65 & over
|
6
|
Over £10
|
5
|
|
Distributive
|
7
|
Widowed & Divorced
|
9
|
Occupation of C.W.E
|
|
Miscellaneous
|
8
|
|
Prof. & Manag.
|
9
|
|
|
Ret. & Unocc.
|
0
|
|
SECTION I
1. Have you seen or heard anything about the Defence Medal?
2. Do you think you have the qualifications required for one?
|
Yes
|
4
|
Uncertain
|
5
|
3
|
|
|
|
No
|
6
|
9
|
SECTION II
3. Have you obtained the forms to be used in submitting a claim?
4. Have you completed them?
|
Completed and sent in
|
1
|
Stop
|
|
Completed but not sent in
|
2
|
|
Not completed - difficulties with form
|
3
|
9
|
|
(Specify)
|
|
|
Not completed - other reasons
|
4
|
|
(Specify)
|
|
|
5. Do you intend to obtain them?
|
Yes
|
6
|
6
|
|
Uncertain
|
7
|
9
|
|
No
|
8
|
8
|
6. When do you intend to obtain them?
|
Any definite intention
|
1
|
7
|
|
No definite intention
|
2
|
7. Where would you go to get the forms?
|
Post office
|
4
|
9
|
|
Any definite intention
|
5
|
8. Why aren't you going to obtain them? Stop
9. Would you mind discussing what qualifications for the Defence Medal you have?
|
Agree to discuss and is convinced of sufficient qualifications
|
1
|
10
|
|
Agree to discuss but is not sure if sufficient qualifications
|
2
|
|
Is convinced of insufficient qualifications
|
3
|
Stop
|
|
Blankly refuses to discuss
|
4
|
1
30
2
SECTION III
|
10. Which of these services were you in during the war? When did you join? When did you leave? (List in order - starting with most recent).
|
11. Do you know the present address of these authorities?
|
12. Do you think they will have a record of your services?
|
13. Will it be easy to get them to certify to your qualifications?
|
|
|
No.
|
Service
|
FROM Month Year
|
TO Month Year
|
TOTAL Months Years
|
Yes
|
Uncertain
|
No
|
Yes
|
Uncertain
|
No
|
Easy
|
Difficult
|
Impossible
|
|
A.
|
|
|
|
|
|
Y
|
X
|
0
|
2
|
3
|
4
|
6
|
7
|
8
|
|
B.
|
|
|
|
|
|
Y
|
X
|
0
|
2
|
3
|
4
|
6
|
7
|
8
|
|
C.
|
|
|
|
|
|
Y
|
X
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0
|
2
|
3
|
4
|
6
|
7
|
8
|
|
D.
|
|
|
|
|
|
Y
|
X
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0
|
2
|
3
|
4
|
6
|
7
|
8
|
|
E.
|
|
|
|
|
|
Y
|
X
|
0
|
2
|
3
|
4
|
6
|
7
|
8
|
|
F.
|
|
|
|
|
|
Y
|
X
|
0
|
2
|
3
|
4
|
6
|
7
|
8
|
4. Do you think you will have any difficult in filling up these forms?
If Yes or Uncertain
. What difficulties?
15. How many people would you guess are likely to be qualified for a Defence Medal?
|
Under 1 million
|
1
|
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1 - 2 million
|
2
|
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2 - 5 million
|
3
|
|
5 - 10 million
|
4
|
|
10 million and over
|
5
|
16. About how many of them do you think will go to the trouble of completing the necessary forms?
|
¼ or less
|
6
|
|
Over ¼ - ½
|
7
|
|
Over ½ - ¾
|
8
|
|
Over ¾
|
9
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17. Will you do so?
