Name

qg_A6

Label

A6

Question Text

Please list all the medicines and pills that you have taken in the past month:

What did you take: About how many days did you take or use it? How often per day?
Generic textHow manyHow many Generic textHow manyHow many Generic textHow manyHow many
1
2
3
4
5
6
14 questions before...
A5

If you are ill do you take any homeopathic medicine?

1
yes usually
2
yes sometimes
3
yes occasionally
4
yes, only once or twice
5
no, never
A6
Please list all the medicines and pills that you have taken in the past month:
What did you take: About how many days did you take or use it? How often per day?
Generic textHow manyHow many Generic textHow manyHow many Generic textHow manyHow many
1
2
3
4
5
6
If you need more space, please continue on a spare sheet.
402 questions after...
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Caring for a Toddler

Code Dimension

Multiple Choice Response Options

Selection Style
SelectOne
Display Code
False
Display Label
False

Code Dimension

Multiple Choice Response Options

Selection Style
SelectOne
Display Code
False
Display Label
False

Text Response Options

Maximum Length
255

Numeric Response Options

Type
Integer
Variable is a Weight
False

Numeric Response Options

Type
Integer
Variable is a Weight
False