Question

Name

qi_10

Label

10

Question Text

Check whether they have brought their regular medicines with them and ask: Have you taken any medicines, prescribed or non-prescribed, in the last 24 hours?

Type
Code List
Selection Style
SelectOne

Usage

39 questions before...

Where do you get this pain or discomfort? Mark the place(s) with an X on the diagram.

Check whether they have brought their regular medicines with them and ask: Have you taken any medicines, prescribed or non-prescribed, in the last 24 hours?

1
Yes
0
No
please give details in the table below. Use one row for each medication. Be sure to include use of puffer or inhaler or any medication for breathing, and any medications bought from a pharmacy.Use spare medication sheets if necessary and attach to questionaire
Name of medicine How many hours ago did you last take the medicine? Do you take this medicine regularly? Is this medicine prescribed by your GP or consultant?
Generic textHow many

1 - Yes

0 - No

1 - Yes

0 - No

How many

1 - Yes

0 - No

1 - Yes

0 - No

Generic text

1 - Yes

0 - No

How many

1 - Yes

0 - No

Generic text

1 - Yes

0 - No

How manyGeneric text

1 - Yes

0 - No

Generic textHow many

1 - Yes

0 - No

1 - Yes

0 - No

How many

1 - Yes

0 - No

1 - Yes

0 - No

Generic text

1 - Yes

0 - No

How many

1 - Yes

0 - No

Generic text

1 - Yes

0 - No

How manyGeneric text

1 - Yes

0 - No

Generic textHow many

1 - Yes

0 - No

1 - Yes

0 - No

How many

1 - Yes

0 - No

1 - Yes

0 - No

Generic text

1 - Yes

0 - No

How many

1 - Yes

0 - No

Generic text

1 - Yes

0 - No

How manyGeneric text

1 - Yes

0 - No

Generic textHow many

1 - Yes

0 - No

1 - Yes

0 - No

How many

1 - Yes

0 - No

1 - Yes

0 - No

Generic text

1 - Yes

0 - No

How many

1 - Yes

0 - No

Generic text

1 - Yes

0 - No

How manyGeneric text

1 - Yes

0 - No

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305 questions after...