Question

Name

qi_B1_ze

Label

B1 ze

Question Text

Please indicate below if you have used any medicines (pills, syrups, inhalers, drops, sprays, suppositories, pessaries, ointments etc including homeopathic and herbal remedies) in the last 12 months. Took no medicines, pills, drops or ointment

Type
Code List
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SelectUpToN
Select up to
1
Codes

Usage

31 questions before...
Please indicate below if you have used any medicines (pills, syrups, inhalers, drops, sprays, suppositories, pessaries, ointments etc including homeopathic and herbal remedies) in the last 12 months.
Yes in past 12 months If yes, give name of substance How often did you take/use this?
Generic text

1 - Yes

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

Generic text

1 - Yes

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

Generic text
Generic text

1 - Yes

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

Generic text

1 - Yes

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

Generic text
Generic text

1 - Yes

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

Generic text

1 - Yes

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

Generic text
Other condition (please tick & describe)
Other condition (please tick & describe)
Other condition (please tick & describe)
Other condition (please tick & describe)

Please indicate below if you have used any medicines (pills, syrups, inhalers, drops, sprays, suppositories, pessaries, ointments etc including homeopathic and herbal remedies) in the last 12 months. Took no medicines, pills, drops or ointment

1
Yes
Please include medicines prescribed by your doctor and also those you may have purchased over the counter. ( Do not include vitamins and supplements unless taken for a specific medical condition, as these are covered in the next section).
64 questions after...
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