Question

Name

qi_1

Label

1

Question Text

Today is:

Instructions

(please circle)

Type
Code List
Selection Style
SelectOne
Codes

Usage

22 questions before...
(2) Do NOT write your name on any page.

Today is:

(please circle)

1
Tues.
2
Wed.
3
Thur.
4
Fri.

Your sex is (male/female)

Generic text
132 questions after...