Question

Name

qi_43_x

Label

43 x

Question Text

Do these specific problem(s) apply to this child? Other physical disability

Instructions

Tick one box in each row

Type
Code List
Selection Style
SelectOne

Usage

32 questions before...

Do these specific problem(s) apply to this child? Problem with hearing

Tick one box in each row

1
Yes
2
No

Do these specific problem(s) apply to this child? Other physical disability

Tick one box in each row

1
Yes
2
No

Do these specific problem(s) apply to this child? Mental illness / depression

Tick one box in each row

1
Yes
2
No
63 questions after...
View the complete questionnaire