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qg_B1_a-z

Label

B1 a-z

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.

Yes in past 12 months If yes, give name of substance 1 If yes, give name of substance 2 How often did you take/use this? 1 How often did you take/use this? 2

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

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

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1 - Yes

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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

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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

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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

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

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1 - Yes

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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

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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

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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

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

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1 - Yes

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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

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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

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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

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

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1 - Yes

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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

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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

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

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

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1 - Yes

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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

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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
Headache or or migraine
Backache
Groin pain
Other pain
Indigestion
Nausea
Vomiting
Diarrhoea
Piles or haemorrhoids
Constipation
Depression
Anxiety or nerves
Sleeping
Psoriasis
Eczema
Asthma
Hay fever
Other allergies
Sore throat
Cough
A cold
Flu
Other infection
Diabetes
Epilepsy
High blood pressure

Usage

29 questions before...

What type of fuel is used?

1
diesel
2
lead free petrol
3
other petrol
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 1 If yes, give name of substance 2 How often did you take/use this? 1 How often did you take/use this? 2

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 textGeneric text

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

Generic textGeneric text

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

Generic text

1 - Yes

Generic text

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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 textGeneric textGeneric text

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

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

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

Generic text

1 - Yes

Generic text

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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

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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

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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

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

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1 - Yes

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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

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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

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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

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

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1 - Yes

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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

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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

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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

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Yes

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1 - Yes

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1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

1 - Every day

2 - Most days

3 - Sometimes

4 - Once or twice

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

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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
Headache or or migraine
Backache
Groin pain
Other pain
Indigestion
Nausea
Vomiting
Diarrhoea
Piles or haemorrhoids
Constipation
Depression
Anxiety or nerves
Sleeping
Psoriasis
Eczema
Asthma
Hay fever
Other allergies
Sore throat
Cough
A cold
Flu
Other infection
Diabetes
Epilepsy
High blood pressure
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)
66 questions after...
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