Question

Name

qi_A4_b_x

Label

A4 b(x)

Question Text

Please tick the specific problem(s) below: Other*

Type
Code List
Selection Style
SelectOne

Usage

31 questions before...

Please tick the specific problem(s) below: Developmental delay*

1
Yes now
2
In past not now
3
No

Please tick the specific problem(s) below: Other*

1
Yes now
2
In past not now
3
No

*Please describe

Generic text
73 questions after...
View the complete questionnaire