Question Grid

Name

qg_50_e_i-iv

Label

50 e(i-iv)

Question Text

Below, for each accident, please give any further known details, e.g. circumstances, type of injury, site of fracture, nature of poisoning, etc.

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Generic text
Most recent accident
Next most recent
Next most recent
Next most recent

Usage

148 questions before...
Age(s) at which accident(s) occurred Please enter in the boxes in the margin the age in years at which each accident occurred. (If age less than 1, enter 00).
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Age
Most recent accident
Next most recent
Next most recent
Next most recent
Below, for each accident, please give any further known details, e.g. circumstances, type of injury, site of fracture, nature of poisoning, etc.
-
Generic text
Most recent accident
Next most recent
Next most recent
Next most recent

[Details of all earlier accidents (including burns, scalds or poisoning) if child has had more than four, i.e. where accidents(s) occurred, nature of injury, whether admitted to hospital overnight and child's age.

Generic text
64 questions after...
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Dimensions

Code Dimension

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

Code Dimension

Type
Code List
Selection Style
SelectOne
Codes
  • 1 -
Display Code
False
Display Label
False

Response Options

Type
Text
Maximum Length
255