Question

Name

qi_63_b

Label

63 b

Question Text

Indicate, by ringing the appropriate number(s), the member(s) of the household affected

Instructions

Please ring

Type
Code List
Selection Style
SelectOne
Type
Text
Maximum Length
255

Usage

202 questions before...
If No, or Don't know, please proceed to Question 62.

Indicate, by ringing the appropriate number(s), the member(s) of the household affected

1
Mother
2
Father
3
Other adult (specify ...)
4
Other child
Other
Please give the following details:
Diagnosis Year of onset Duration of illness Present state of condition
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Mother
Father
Other adult
Other child
10 questions after...
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