Question

Name

qi_6_b

Label

6 b

Question Text

Has this child been an IN-PATIENT in a HOSPITAL or NURSING HOME since OCTOBER 1954.

Type
Code List
Selection Style
SelectOne

Usage

42 questions before...
(If nothing recorded there has been no admission before OCTOBER, 1954)

Has this child been an IN-PATIENT in a HOSPITAL or NURSING HOME since OCTOBER 1954.

1
Yes
0
No
Please give the following details about each admission including any accidents or infectious diseases noted in Sections I or II.
Nature of illness Nature of operation performed (if any) Date of admission
Generic textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric text Generic textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric text Generic textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric textGeneric dateGeneric text
1
2
47 questions after...
View the complete instrument