B1 ze - CLOSER Discovery

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

Selection Style

SelectUpToN

Select up to

Codes

cs_Yes

1 Yes

Usage

Father and Surroundings

31 questions before...

B1 za-zd

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)

B1 ze

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).