Question Grid

Name

qg_C3_a-p

Label

C3 a-p

Question Text

Has this teenager ever had any of the following conditions?

-

1 - Yes, in past 12 months

2 - Yes, previous to past 12 months

3 - Yes, but age not known

4 - No, never

5 - Not known

Recurrent sore throats (3 or more in past year)
Middle ear infection/glue ear
Any hearing loss, perceptive or conductive
Eczema
Hay Fever
Asthma
Wheezy bronchitis
Bronchitis
Pneumonia
Pathological heart condition
Recurrent abdominal pain
Inguinal hernia
Urinary infection
Wet bed more than occasionally since 10 years of age
Wet pants in daytime more than occasionally since 10 years of age
Soiled pants at any time since 10 years of age

Usage

80 questions before...

How intelligible have you found the teenager's speech?

Tick one box only

1
Fully intelligible
2
Almost all words are intelligible
3
Many words unintelligible
4
All, or nearly all, words unintelligible
5
Unable to assess (please give reason ...)
Generic text
Has this teenager ever had any of the following conditions?

Answer (a)-(r) and tick all that apply on each line

-

1 - Yes, in past 12 months

2 - Yes, previous to past 12 months

3 - Yes, but age not known

4 - No, never

5 - Not known

Recurrent sore throats (3 or more in past year)
Middle ear infection/glue ear
Any hearing loss, perceptive or conductive
Eczema
Hay Fever
Asthma
Wheezy bronchitis
Bronchitis
Pneumonia
Pathological heart condition
Recurrent abdominal pain
Inguinal hernia
Urinary infection
Wet bed more than occasionally since 10 years of age
Wet pants in daytime more than occasionally since 10 years of age
Soiled pants at any time since 10 years of age

Has this teenager ever had any of the following conditions? Mental or educational retardation (please specify ...)

Answer (a)-(r) and tick all that apply on each line

1
Yes, in past 12 months
2
Yes, previous to past 12 months
3
Yes, but age not known
4
No, never
5
Not known
Generic text
105 questions after...
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Dimensions

Code Dimension

Display Code
False
Display Label
False

Code Dimension

Type
Code List
Selection Style
SelectOne
Codes
  • 1 -
Display Code
False
Display Label
False

Response Options