Question Grid

Name

qg_A6_a-u

Label

A6 a-u

Question Text

In the past month, how often have you had the following:

-

1 - Almost all the time

2 - Sometimes

3 - Not at all

backache
headaches or migraines
urinary infection
nausea
vomiting
diarrhoea
haemorrhoids or piles
feeling weepy/tearful
feeling irritable
feeling exhausted
varicose veins
passing urine very often
problem holding urine when you jump, sneeze etc.
indigestion
feeling dizzy/fainting
flashing lights/spots before eyes
shoulder ache
tingling in hands/fingers
tingling in feet/toes
neck ache
feeling depressed

Usage

17 questions before...
Please describe for each admission.
How old was your study child? ... months What were the reasons for your admission? (please describe) How long did you stay? ... days Did any child stay in hospital with you? If yes, Was this your study child?
How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

How many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in monthsHow manyAge in months

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

Age in months

1 - Yes

2 - No

1 - Yes

2 - No

How manyGeneric textGeneric text

1 - Yes

2 - No

How manyAge in months

1 - Yes

2 - No

Age in monthsHow many

1 - Yes

2 - No

Generic text

1 - Yes

2 - No

1st admission
2nd admission
3rd admission
In the past month, how often have you had the following:
-

1 - Almost all the time

2 - Sometimes

3 - Not at all

backache
headaches or migraines
urinary infection
nausea
vomiting
diarrhoea
haemorrhoids or piles
feeling weepy/tearful
feeling irritable
feeling exhausted
varicose veins
passing urine very often
problem holding urine when you jump, sneeze etc.
indigestion
feeling dizzy/fainting
flashing lights/spots before eyes
shoulder ache
tingling in hands/fingers
tingling in feet/toes
neck ache
feeling depressed

In the past month, how often have you had the following: other problem (please tick and describe)

1
Almost all the time
2
Sometimes
3
Not at all
Other
323 questions after...
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