Question Grid

Name

qg_A10_d-g

Label

A10 d-g

Question Text

How many days has she had to take off school for health reasons?

A10dg In the past 12 months: For other reasons Please describe: cs_qA10_d-g_X cs_Yes How many cs_Yes How many

1 - Yes

1 - Yes

For asthma 1 No. of days off school
For asthma 1 Guess?
For asthma 2 No. of days off school
For asthma 2 Guess?
For eczema or itchy rash 1 No. of days off school
For eczema or itchy rash 1 Guess?
For eczema or itchy rash 2 No. of days off school
For eczema or itchy rash 2 Guess?
For hay fever or allergic rhinitis 1 No. of days off school
For hay fever or allergic rhinitis 1 Guess?
For hay fever or allergic rhinitis 2 No. of days off school
For hay fever or allergic rhinitis 2 Guess?

Usage

46 questions before...
How many days has she had to take off school for health reasons?
No. of days off school Guess? Please describe
How many

1 - Yes

Generic textHow many

1 - Yes

Generic text

1 - Yes

Generic textHow many
How many

1 - Yes

Generic textHow many

1 - Yes

Generic text

1 - Yes

Generic textHow many
How many

1 - Yes

Generic textHow many

1 - Yes

Generic text

1 - Yes

Generic textHow many
For one or more infections (including colds, cough, flu)
For hospital investigation including admission
For other investigation(s)
How many days has she had to take off school for health reasons?
A10dg In the past 12 months: For other reasons Please describe: cs_qA10_d-g_X cs_Yes How many cs_Yes How many

1 - Yes

1 - Yes

For asthma 1 No. of days off school
For asthma 1 Guess?
For asthma 2 No. of days off school
For asthma 2 Guess?
For eczema or itchy rash 1 No. of days off school
For eczema or itchy rash 1 Guess?
For eczema or itchy rash 2 No. of days off school
For eczema or itchy rash 2 Guess?
For hay fever or allergic rhinitis 1 No. of days off school
For hay fever or allergic rhinitis 1 Guess?
For hay fever or allergic rhinitis 2 No. of days off school
For hay fever or allergic rhinitis 2 Guess?
Please indicate below any medicines (pills, syrups, inhalers, drops, sprays, suppositories, ointments etc including homeopathic and herbal remedies) that your study child has used in the last 12 months.
In the past 12 months medicine, pills drops or ointment for: Other conditions (Please tick and describe) cs_qB1_X cs_qB1 cs_Yes Generic text cs_qB1 cs_Yes Generic text cs_Yes Generic text cs_qB1

1 - Regularly

2 - Few days

3 - Odd occasions

4 - Once or twice

1 - Yes

1 - Regularly

2 - Few days

3 - Odd occasions

4 - Once or twice

1 - Yes

1 - Yes

1 - Regularly

2 - Few days

3 - Odd occasions

4 - Once or twice

Headache 1 -
Headache 1 Name of medicine etc.
Headache 1 How often?
Headache 2 -
Headache 2 Name of medicine etc.
Headache 2 How often?
Headache 3 -
Headache 3 Name of medicine etc.
Headache 3 How often?
Headache 4 -
Headache 4 Name of medicine etc.
Headache 4 How often?
Headache 5 -
Headache 5 Name of medicine etc.
Headache 5 How often?
Stomach ache 1 -
Stomach ache 1 Name of medicine etc.
Stomach ache 1 How often?
Stomach ache 2 -
Stomach ache 2 Name of medicine etc.
Stomach ache 2 How often?
Stomach ache 3 -
Stomach ache 3 Name of medicine etc.
Stomach ache 3 How often?
Stomach ache 4 -
Stomach ache 4 Name of medicine etc.
Stomach ache 4 How often?
Stomach ache 5 -
Stomach ache 5 Name of medicine etc.
Stomach ache 5 How often?
Earache 1 -
Earache 1 Name of medicine etc.
Earache 1 How often?
Earache 2 -
Earache 2 Name of medicine etc.
Earache 2 How often?
Earache 3 -
Earache 3 Name of medicine etc.
Earache 3 How often?
Earache 4 -
Earache 4 Name of medicine etc.
Earache 4 How often?
Earache 5 -
Earache 5 Name of medicine etc.
Earache 5 How often?
Other ache or pain 1 -
Other ache or pain 1 Name of medicine etc.
Other ache or pain 1 How often?
Other ache or pain 2 -
Other ache or pain 2 Name of medicine etc.
Other ache or pain 2 How often?
Other ache or pain 3 -
Other ache or pain 3 Name of medicine etc.
Other ache or pain 3 How often?
Other ache or pain 4 -
Other ache or pain 4 Name of medicine etc.
Other ache or pain 4 How often?
Other ache or pain 5 -
Other ache or pain 5 Name of medicine etc.
Other ache or pain 5 How often?
Vomiting 1 -
Vomiting 1 Name of medicine etc.
Vomiting 1 How often?
Vomiting 2 -
Vomiting 2 Name of medicine etc.
Vomiting 2 How often?
Vomiting 3 -
Vomiting 3 Name of medicine etc.
Vomiting 3 How often?
Vomiting 4 -
Vomiting 4 Name of medicine etc.
Vomiting 4 How often?
Vomiting 5 -
Vomiting 5 Name of medicine etc.
Vomiting 5 How often?
Diarrhoea 1 -
Diarrhoea 1 Name of medicine etc.
Diarrhoea 1 How often?
Diarrhoea 2 -
Diarrhoea 2 Name of medicine etc.
Diarrhoea 2 How often?
Diarrhoea 3 -
Diarrhoea 3 Name of medicine etc.
Diarrhoea 3 How often?
Diarrhoea 4 -
Diarrhoea 4 Name of medicine etc.
Diarrhoea 4 How often?
Diarrhoea 5 -
Diarrhoea 5 Name of medicine etc.
Diarrhoea 5 How often?
Constipation 1 -
Constipation 1 Name of medicine etc.
Constipation 1 How often?
Constipation 2 -
Constipation 2 Name of medicine etc.
Constipation 2 How often?
Constipation 3 -
Constipation 3 Name of medicine etc.
Constipation 3 How often?
Constipation 4 -
Constipation 4 Name of medicine etc.
Constipation 4 How often?
Constipation 5 -
Constipation 5 Name of medicine etc.
Constipation 5 How often?
Travel sickness 1 -
Travel sickness 1 Name of medicine etc.
Travel sickness 1 How often?
Travel sickness 2 -
Travel sickness 2 Name of medicine etc.
Travel sickness 2 How often?
Travel sickness 3 -
Travel sickness 3 Name of medicine etc.
Travel sickness 3 How often?
Travel sickness 4 -
Travel sickness 4 Name of medicine etc.
Travel sickness 4 How often?
Travel sickness 5 -
Travel sickness 5 Name of medicine etc.
Travel sickness 5 How often?
Insect bites 1 -
Insect bites 1 Name of medicine etc.
Insect bites 1 How often?
Insect bites 2 -
Insect bites 2 Name of medicine etc.
Insect bites 2 How often?
Insect bites 3 -
Insect bites 3 Name of medicine etc.
Insect bites 3 How often?
Insect bites 4 -
Insect bites 4 Name of medicine etc.
Insect bites 4 How often?
Insect bites 5 -
Insect bites 5 Name of medicine etc.
Insect bites 5 How often?
Bruising 1 -
Bruising 1 Name of medicine etc.
Bruising 1 How often?
Bruising 2 -
Bruising 2 Name of medicine etc.
Bruising 2 How often?
Bruising 3 -
Bruising 3 Name of medicine etc.
Bruising 3 How often?
Bruising 4 -
Bruising 4 Name of medicine etc.
Bruising 4 How often?
Bruising 5 -
Bruising 5 Name of medicine etc.
Bruising 5 How often?
A 'cold' 1 -
A 'cold' 1 Name of medicine etc.
A 'cold' 1 How often?
A 'cold' 2 -
A 'cold' 2 Name of medicine etc.
A 'cold' 2 How often?
A 'cold' 3 -
A 'cold' 3 Name of medicine etc.
A 'cold' 3 How often?
A 'cold' 4 -
A 'cold' 4 Name of medicine etc.
A 'cold' 4 How often?
A 'cold' 5 -
A 'cold' 5 Name of medicine etc.
A 'cold' 5 How often?
Cough 1 -
Cough 1 Name of medicine etc.
Cough 1 How often?
Cough 2 -
Cough 2 Name of medicine etc.
Cough 2 How often?
Cough 3 -
Cough 3 Name of medicine etc.
Cough 3 How often?
Cough 4 -
Cough 4 Name of medicine etc.
Cough 4 How often?
Cough 5 -
Cough 5 Name of medicine etc.
Cough 5 How often?
Sore throat 1 -
Sore throat 1 Name of medicine etc.
Sore throat 1 How often?
Sore throat 2 -
Sore throat 2 Name of medicine etc.
Sore throat 2 How often?
Sore throat 3 -
Sore throat 3 Name of medicine etc.
Sore throat 3 How often?
Sore throat 4 -
Sore throat 4 Name of medicine etc.
Sore throat 4 How often?
Sore throat 5 -
Sore throat 5 Name of medicine etc.
Sore throat 5 How often?
'Flu' 1 -
'Flu' 1 Name of medicine etc.
'Flu' 1 How often?
'Flu' 2 -
'Flu' 2 Name of medicine etc.
'Flu' 2 How often?
'Flu' 3 -
'Flu' 3 Name of medicine etc.
'Flu' 3 How often?
'Flu' 4 -
'Flu' 4 Name of medicine etc.
'Flu' 4 How often?
'Flu' 5 -
'Flu' 5 Name of medicine etc.
'Flu' 5 How often?
Infection requiring antibiotics 1 -
Infection requiring antibiotics 1 Name of medicine etc.
Infection requiring antibiotics 1 How often?
Infection requiring antibiotics 2 -
Infection requiring antibiotics 2 Name of medicine etc.
Infection requiring antibiotics 2 How often?
Infection requiring antibiotics 3 -
Infection requiring antibiotics 3 Name of medicine etc.
Infection requiring antibiotics 3 How often?
Infection requiring antibiotics 4 -
Infection requiring antibiotics 4 Name of medicine etc.
Infection requiring antibiotics 4 How often?
Infection requiring antibiotics 5 -
Infection requiring antibiotics 5 Name of medicine etc.
Infection requiring antibiotics 5 How often?
Athlete's foot 1 -
Athlete's foot 1 Name of medicine etc.
Athlete's foot 1 How often?
Athlete's foot 2 -
Athlete's foot 2 Name of medicine etc.
Athlete's foot 2 How often?
Athlete's foot 3 -
Athlete's foot 3 Name of medicine etc.
Athlete's foot 3 How often?
Athlete's foot 4 -
Athlete's foot 4 Name of medicine etc.
Athlete's foot 4 How often?
Athlete's foot 5 -
Athlete's foot 5 Name of medicine etc.
Athlete's foot 5 How often?
Wart or verrucca 1 -
Wart or verrucca 1 Name of medicine etc.
Wart or verrucca 1 How often?
Wart or verrucca 2 -
Wart or verrucca 2 Name of medicine etc.
Wart or verrucca 2 How often?
Wart or verrucca 3 -
Wart or verrucca 3 Name of medicine etc.
Wart or verrucca 3 How often?
Wart or verrucca 4 -
Wart or verrucca 4 Name of medicine etc.
Wart or verrucca 4 How often?
Wart or verrucca 5 -
Wart or verrucca 5 Name of medicine etc.
Wart or verrucca 5 How often?
Head lice 1 -
Head lice 1 Name of medicine etc.
Head lice 1 How often?
Head lice 2 -
Head lice 2 Name of medicine etc.
Head lice 2 How often?
Head lice 3 -
Head lice 3 Name of medicine etc.
Head lice 3 How often?
Head lice 4 -
Head lice 4 Name of medicine etc.
Head lice 4 How often?
Head lice 5 -
Head lice 5 Name of medicine etc.
Head lice 5 How often?
Worms 1 -
Worms 1 Name of medicine etc.
Worms 1 How often?
Worms 2 -
Worms 2 Name of medicine etc.
Worms 2 How often?
Worms 3 -
Worms 3 Name of medicine etc.
Worms 3 How often?
Worms 4 -
Worms 4 Name of medicine etc.
Worms 4 How often?
Worms 5 -
Worms 5 Name of medicine etc.
Worms 5 How often?
Eye infection 1 -
Eye infection 1 Name of medicine etc.
Eye infection 1 How often?
Eye infection 2 -
Eye infection 2 Name of medicine etc.
Eye infection 2 How often?
Eye infection 3 -
Eye infection 3 Name of medicine etc.
Eye infection 3 How often?
Eye infection 4 -
Eye infection 4 Name of medicine etc.
Eye infection 4 How often?
Eye infection 5 -
Eye infection 5 Name of medicine etc.
Eye infection 5 How often?
Psoriasis 1 -
Psoriasis 1 Name of medicine etc.
Psoriasis 1 How often?
Psoriasis 2 -
Psoriasis 2 Name of medicine etc.
Psoriasis 2 How often?
Psoriasis 3 -
Psoriasis 3 Name of medicine etc.
Psoriasis 3 How often?
Psoriasis 4 -
Psoriasis 4 Name of medicine etc.
Psoriasis 4 How often?
Psoriasis 5 -
Psoriasis 5 Name of medicine etc.
Psoriasis 5 How often?
Eczema 1 -
Eczema 1 Name of medicine etc.
Eczema 1 How often?
Eczema 2 -
Eczema 2 Name of medicine etc.
Eczema 2 How often?
Eczema 3 -
Eczema 3 Name of medicine etc.
Eczema 3 How often?
Eczema 4 -
Eczema 4 Name of medicine etc.
Eczema 4 How often?
Eczema 5 -
Eczema 5 Name of medicine etc.
Eczema 5 How often?
Asthma 1 -
Asthma 1 Name of medicine etc.
Asthma 1 How often?
Asthma 2 -
Asthma 2 Name of medicine etc.
Asthma 2 How often?
Asthma 3 -
Asthma 3 Name of medicine etc.
Asthma 3 How often?
Asthma 4 -
Asthma 4 Name of medicine etc.
Asthma 4 How often?
Asthma 5 -
Asthma 5 Name of medicine etc.
Asthma 5 How often?
Hay fever 1 -
Hay fever 1 Name of medicine etc.
Hay fever 1 How often?
Hay fever 2 -
Hay fever 2 Name of medicine etc.
Hay fever 2 How often?
Hay fever 3 -
Hay fever 3 Name of medicine etc.
Hay fever 3 How often?
Hay fever 4 -
Hay fever 4 Name of medicine etc.
Hay fever 4 How often?
Hay fever 5 -
Hay fever 5 Name of medicine etc.
Hay fever 5 How often?
Other allergies 1 -
Other allergies 1 Name of medicine etc.
Other allergies 1 How often?
Other allergies 2 -
Other allergies 2 Name of medicine etc.
Other allergies 2 How often?
Other allergies 3 -
Other allergies 3 Name of medicine etc.
Other allergies 3 How often?
Other allergies 4 -
Other allergies 4 Name of medicine etc.
Other allergies 4 How often?
Other allergies 5 -
Other allergies 5 Name of medicine etc.
Other allergies 5 How often?
Diabetes 1 -
Diabetes 1 Name of medicine etc.
Diabetes 1 How often?
Diabetes 2 -
Diabetes 2 Name of medicine etc.
Diabetes 2 How often?
Diabetes 3 -
Diabetes 3 Name of medicine etc.
Diabetes 3 How often?
Diabetes 4 -
Diabetes 4 Name of medicine etc.
Diabetes 4 How often?
Diabetes 5 -
Diabetes 5 Name of medicine etc.
Diabetes 5 How often?
Epilepsy 1 -
Epilepsy 1 Name of medicine etc.
Epilepsy 1 How often?
Epilepsy 2 -
Epilepsy 2 Name of medicine etc.
Epilepsy 2 How often?
Epilepsy 3 -
Epilepsy 3 Name of medicine etc.
Epilepsy 3 How often?
Epilepsy 4 -
Epilepsy 4 Name of medicine etc.
Epilepsy 4 How often?
Epilepsy 5 -
Epilepsy 5 Name of medicine etc.
Epilepsy 5 How often?
Sleeping 1 -
Sleeping 1 Name of medicine etc.
Sleeping 1 How often?
Sleeping 2 -
Sleeping 2 Name of medicine etc.
Sleeping 2 How often?
Sleeping 3 -
Sleeping 3 Name of medicine etc.
Sleeping 3 How often?
Sleeping 4 -
Sleeping 4 Name of medicine etc.
Sleeping 4 How often?
Sleeping 5 -
Sleeping 5 Name of medicine etc.
Sleeping 5 How often?
Fever, high temperature 1 -
Fever, high temperature 1 Name of medicine etc.
Fever, high temperature 1 How often?
Fever, high temperature 2 -
Fever, high temperature 2 Name of medicine etc.
Fever, high temperature 2 How often?
Fever, high temperature 3 -
Fever, high temperature 3 Name of medicine etc.
Fever, high temperature 3 How often?
Fever, high temperature 4 -
Fever, high temperature 4 Name of medicine etc.
Fever, high temperature 4 How often?
Fever, high temperature 5 -
Fever, high temperature 5 Name of medicine etc.
Fever, high temperature 5 How often?
290 questions after...
View the complete instrument

Dimensions

Code Dimension

Display Code
False
Display Label
True

Roster

Label

For other reasons Please describe:

First Value
1
Increase Value by
1
Minimum Required
3

Code Dimension

Type
Code List
Selection Style
SelectOne
Display Code
False
Display Label
False

Response Options

Type
Code List
Selection Style
SelectOne
Codes
Rank
1
All Values
True
Rank
2
All Values
False
Specific Value
1
Type
Numeric
Type
Integer
Minimum
0
Variable is a Weight
False
Rank
1
All Values
True
Rank
2
All Values
False
Specific Value
2
Type
Code List
Selection Style
SelectOne
Codes
Rank
1
All Values
True
Rank
2
All Values
False
Specific Value
3
Type
Numeric
Type
Integer
Minimum
0
Variable is a Weight
False
Rank
1
All Values
True
Rank
2
All Values
False
Specific Value
4