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Questions 1 – 14

Questions 1 – 6

Complete the sentences below.

Write NO MORE THAN TWO WORDS from the text for each answer. Write your answers in boxes 1 – 6 on your answer sheet.


1        It’s important to include your                                when packing your things for your time in hospital.

2        A pre-operative assessment may be conducted face to face, by phone or by                               .

3         Part of a pre-operative assessment might include a test of a patient’s                               .

4         Patients might be told to stop their                                in their pre-operative assessment.

5         Patients might suffer negative effects if they eat or drink before their pre-operative                                is administered.

6         Removing all cosmetics allows doctors to properly assess a patient’s                               .


Questions 7 – 11

Complete the notes below.

Write NO MORE THAN THREE WORDS for each answer. Write your answers in boxes 7 – 11 on your answer sheet.


What to do When Moving Home

  • Use a (7)                     to help you remember what to do when moving home.

  • Wait until your dwelling sale or rental contracts are completed before informing anyone of your new address.

  • In order to pay the right (8)                     bills, contact the rates office.

  • You might need a new doctor and dentist if you’ve moved (9)                    .

  • A form on the Post Office website can allow you to (10)                     your post to the right address.

  • Contact organisations that bill you at your old address. For gas and electricity, make a note of the reading of the old and new properties’

(11)                    , so that you pay the correct amount. Choose the appropriate organisations and tell them of your new address.

  • Tell the DVA of your new address change (and name if relevant).

Questions 12 – 14


Do the following statements agree with the information given in the text? In boxes 12 – 14 on your answer sheet write:

TRUE                           if the statement agrees with the information

FALSE                         if the statement contradicts the information

NOT GIVEN                 if there is no information on this


12       Two projects will be carried out at the same time during the upcoming road works.

13       Alternative bus services will be free of charge during the disturbances.

14       People will not be able to use South Street in phase 4.


Advance Notice of Upcoming Road Works


Sections of the East High Street will be closed from Monday, April 6, for up to 12 weeks to allow for Campion Gas to replace and reinforce gas networks. Your local council is taking the closure as an opportunity to carry out street lighting improvements at the same time so as to minimise possible future disruption.


Campion Gas will carry out the work in four phases:


Phase 1:  Broad Avenue, from the roundabout to the junction with Winton Street, will be closed as well as one lane on the Market Square. An alternative route will be available via East High Street, Winton Street and Castle Road.

Phases 2 & 3:  East High Street, from the crossroads at Broad Avenue to the junction with Winton Street, will be closed, as will the junction at Winton Street. An alternative route will be available via Winton Street, Castle Road and Broad Avenue.

Phase 4:  Eastern Road will be closed from the junction with South Street and No. 15 on that road. One lane only on South Street will also be closed. Exact details of the closures, including dates for each phase, are still to be finalised and will be released in due course.



Questions 15 – 27

Questions 15 – 20


Answer the questions below.

Write NO MORE THAN THREE WORDS from the text for each answer. Write your answers in boxes 15 – 20 on your answer sheet.


15       What is the main challenge for the company with having homeworkers?

16       Dealing with which emotion can be a challenge for homeworkers?

17       What do homeworkers perceive they are missing out on the most when they are away from the office?

18      What will the decision depend on if an employee wishes to work part-time as well as working from home?

19       What process will have to take place before an employee can begin working from home?

20       What process can employees initiate if their application for homeworking is refused?


Working from Home – Notes for Employees


The number of employees working from home in office-type jobs, or roles involving travel, where home is used as a base, is steadily increasing. We have therefore published these notes about working for us from home.

Homeworking can present challenges to both you and us. For us, the main issue is the staff management of those who work on their own and away from the main business base. For you, it can include overcoming feelings of loneliness and managing the boundaries between home and work life. Often, being away from the managers who are responsible for promotion is felt to be the greatest disadvantage.

Home working can include:

  • Working entirely at home apart from attending regular or occasional meetings at the

office or with customers

  • Time split between office and home or with customers – for example, two days in the

office and three days at home or with customers

  • Working mainly in the office and working from home only occasionally

Homeworking can also be used in conjunction with other arrangements, such as flexible hours, working part-time, term-time working or working our core hours. The employee’s post will determine whether this is possible.

While homeworking can be seen as an attractive option, it will not suit everyone. A homeworker needs to be able to cope with working on their own with little supervision. Homeworkers ideally need to be:

  • able to spend long periods on their own and be confident working without supervision
  • self-disciplined and self-motivated
  • able to separate work from home life

As the employer of all our staff, we have a duty of care for all our employees, and the requirements of the health and safety legislation apply to homeworkers. We are responsible for carrying out a risk assessment to check whether the proposed home workplace’s ventilation, temperature, lighting, space, chair, desk and computer, or any kind of workstation, and floor are suitable for the tasks the homeworker will be carrying out. Employees will have to arrange this with us before they start homeworking.

Any application for homeworking should be made in writing and sent to your line manager. Any refusal will be accompanied by an explanation and employees can make an appeal if they are not satisfied.


Questions 21 – 27

Complete the summary using the words in the box below. Write your answers in boxes 21 – 27 on your answer sheet.

Staying Healthy at Work


Workers can improve their health and fitness at work. Avoiding stress is important and (21)                               is better than dealing with it after its arrival. Workers should prioritise work and not over-work. Back pain is a common workplace health problem and is caused in different ways. Workers should stay active, use analgesic if necessary, and avoid (22)                              . RSI is a threat and can be caused by poor posture, poor equipment or poor (23)                               using equipment. Sitting badly can also cause problems. Workers should be assessed and take regular (24)                               if they use a computer a lot.

A long (25)                               and working hours are tiring, but workers can exercise at work in different ways or work at lunchtimes. Developing (26)                               and getting lighter will help workers in all areas of health. As people eat a lot at work, how they eat affects their health, fitness and (27)                              .


commute                            vacations performance                       breaks driving                              prevention bed                                     surgery

fitness                                  technique


Staying Healthy at Work


Most of our waking hours are spent at work, which means the working environment can play a big part in our health and well-being.


About 131 million working days were lost through absences due to sickness or injury in 2013. There are many things that workers can do not only to reduce their risk of work-related ill health, but also to use their time at work to boost their health.

Stress :-About 15.2 million days were lost last year because of work-related stress, depression and anxiety. While not all stress is work-related, knowing how to deal with a lot of pressure at work is vital. Learn to identify the symptoms of stress. Don’t wait for it to make you

ill before you do something about it. One of the best ways of dealing with stress is knowing how to prioritise your workload and not taking on more than you can handle.

Back Pain :- About 30.6 million working days were lost due to work-related back, neck and muscle pain and other musculoskeletal disorders in 2013. The main causes are poor posture or an awkward twisting movement (bending or reaching), or a combination of the two. In most cases, the best treatment is to stay active and, if necessary, use over-the-counter painkillers. You may feel like lying down, but this won’t help and could make things worse. The longer you stay immobile, the weaker your back muscles will be and the more they’ll hurt in the long term.

RSI :- Repetitive strain injury (RSI) is more likely to occur if you spend long periods of work without a break, or if you sit on an uncomfortable chair or at a poorly arranged workstation. Incorrect procedure when using a computer keyboard and mouse, mobile phone

or hand-held device can all cause RSI. Modern technology isn’t solely responsible. Anyone who uses certain muscles repeatedly can get RSI.

Sitting  :-  If you spend a lot of your time at work sitting at a desk, make sure you’re sitting in the right position in relation to your computer. If you’re unsure about correct posture, ask your line manager for a workplace assessment. If you work on a computer a lot, it’s important to leave the computer periodically. That means for every hour at your keyboard, you should rest for at least five to ten minutes.

Exercise :-Many of us spend long hours at work and may have long and tiring journeys to and from work. But getting active at work is easier than you may think. Try and cycle or walk

to work, take stairs rather than the lift or use your lunch break as an exercise slot. Working out

and losing weight will also benefit your posture and help prevent injury.

Eating :- Most people consume over 35 per cent of their daily calorie intake while at work. What we eat and drink affects not just our health, but our efficiency and success too. If we don’t eat regular well-balanced meals or drink enough water, we may get headaches, feel sluggish or have difficulty concentrating.



Questions 28 – 40


Read the following passage and answer Questions 28 – 40.

The Golden Gate Bridge


Paragraph A

Nothing identifies a city more than the Golden Gate Bridge does San Francisco. Completed just six months after its neighbour, the San Francisco Oakland Bay Bridge, the Golden Gate Bridge is painted a striking hue known as international orange, a reddish colour that was chosen to compliment the bridge’s natural surroundings. Spanning the San Francisco bay the Golden

Gate is a suspension bridge, held up by massive steel cables strung between towers. Its central span, at 4,200 feet, remained the longest in the world until 1964. This bridge represents the city it serves probably more than any other bridge in the world and possibly more than any man- made structure.

Paragraph B

The idea of bridging the mile-wide Golden Gate channel was proposed as early as the 1870’s,

but it was not until the San Francisco Call Bulletin began an editorial campaign in 1916 that

the plan received popular backing. Rocky terrain and difficult weather conditions made the task appear impossible and the bridge’s detractors publicised this. However, following feasibility studies in 1923, the California legislature passed the Golden Gate Bridge and Highway District Act. The only problem was the funding, which was considerable, as the planning time was following the 1929 stock market crash. Then the Great Depression followed and of course money was hard to come by. It was decided to underwrite a major bond issue of $35,000,000 to fund the bridge. The idea was that tolls paid to cross the bridge would redeem the bond issue, pay the interest and maintenance, and probably make a profit.

Paragraph C

Aesthetes and environmentalists worried the bridge would mar the natural beauty of San Francisco’s world-famed harbour. A formidable group of civic leaders objected to the financing of the span through the proposed bond measure placed on the ballot for November 1930. Also opposing the bond measure were the Pacific American Steamship Association and the Ship Owners Association of the Pacific Coast who both charged that the Bridge would be a hazard to navigation and would handicap the shipping industry. A series of other accusations followed: an enemy fleet could demolish the bridge and bottle-up the US fleet. The bridge could not be built. It would not stand. It was vulnerable to earthquakes. The floor of the Golden Gate Strait

would not support the weight of the bridge. The entire project was a hoax and sham. Only fools would buy bonds of a bridge certain to fall. Taxpayers would suffer and have to continue paying to finance the fiasco.

Paragraph D

Unions, and civic, trade and booster organisations stepped up their campaigns in support of

the bond measure. The Redwood Empire Association maintained it would promote tourism in the northern California counties. The California State Automobile Association knew the bridge would encourage auto sales. San Francisco’s Chamber of Commerce agreed that the bridge could solve unemployment problems. Voters, despite the financial uncertainty that was used as

further grounds to oppose the bridge, approved a $35 million construction bond in November


Paragraph E

Construction began on January 15, 1933 and was completed on May 27, 1937, ahead of schedule and under budget. The engineer overseeing the construction was Joseph Strauss. Strauss had originally wanted a different design for the bridge, but he was advised to accept advice from several consulting project experts. Finally, a suspension bridge was decided upon, due to various new developments in metallurgy. During the construction, Strauss instituted unprecedented protection measures including an early version of the hard hat and a fall net that stretched end-to-end under the bridge. While eleven workers died during the course of the project, nineteen others whose falls were broken by the net became known as the “Half-Way- to-Hell Club.”

Paragraph F

In 1989, the Loma Prieta earthquake shook the San Francisco area. Although the Golden Gate Bridge suffered no observed damage from it, since the epicentre was located some 60 miles

to the south, the earthquake became a catalyst for an extensive renovation program. After determining that retrofitting the Bridge would be more cost-effective than replacing it, in 1992, the district hired engineering consultants to develop seismic retrofit design criteria. Because of financial constraints, the district proceeded with phasing the construction of the seismic retrofit in a manner that reflected the degrees of structural vulnerabilities. The work still goes on today and it is estimated that it will take another two or three years to make the bridge wholly safe from earthquakes.

Paragraph G

The Golden Gate Bridge currently serves as a vital transportation link between the City and County of San Francisco and Marin County to the north. The Bridge is a fixed six-lane roadway, is 1.7 miles long (the main span is 4,200 feet long), and carries about 112,000 vehicles per day. Tolls are assessed electronically in the southbound direction only – heading into San Francisco from Marin County. Pedestrians are allowed, but only on the East Sidewalk and at certain times. Bicycles are allowed, but electric bikes or animals are not.

Questions 28-34

The text on the previous pages has 7 paragraphs (A – G).

Choose the correct heading for each paragraph from the list of headings below. Write the correct number, i – x, in boxes 28 – 34 on your answer sheet.


i          Scandal Intervenes

ii         To the Rescue

iii        The Shadow of War

iv        The Beginning of the Project v

v       Opposition

vi        Recent Vulnerability

vii       Rising Costs and Worker Strikes

viii       Building and Safety

ix        An Iconic Symbol

x         Traffic Today


28      Paragraph A

29      Paragraph

30      Paragraph C

31      Paragraph D

32      Paragraph E

33      Paragraph F

34      Paragraph G

Questions 35-40

Choose FIVE letters, A – I.

What five of the following reasons were used to oppose the construction of the Golden Gate Bridge?

Write the correct letter, A – I, in any order in boxes 35 – 39 on your answer sheet.

A        Unions would oppose the plan.

B        The weather would be too poor at the construction site.

C        The bridge would not look beautiful enough.

D        Tolls for crossing the bridge would not raise enough money to pay back the bonds and their interest.

E        The bridge would potentially threaten the operational capability of the US military forces in San Francisco Bay.

F         The bridge would be bad for tourism in the area of the bridge.

G        The seabed would not be strong enough to hold the bridge’s weight.

H        The financial uncertainty of the time would undermine the project.

I          The bridge’s construction would destroy the marine ecosystem at the construction site.


Question 40


Choose the correct letter, A, B, C or D.

Write the correct letter in box 40 on your answer sheet.

40       What is the writer’s purpose in the text in section 3?

A        To criticise construction methods of the Golden Gate Bridge.

B        To highlight the advantages of using the Golden Gate Bridge.

C        To provide an overview of the construction and use of the Golden Gate Bridge.

D        To describe the problems facing the construction of the Golden Gate Bridge.

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