Question Grid

Name

qg_50_d

Label

50 d

Question Text

Age(s) at which accident(s) occurred Please enter in the boxes in the margin the age in years at which each accident occurred. (If age less than 1, enter 00).

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Age
Most recent accident
Next most recent
Next most recent
Next most recent

Usage

147 questions before...
Type of injury For each accident recorded in b) above, please show the type of injury which resulted. Ring more than one number against each accident, if necessary.
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Y - Type of injury not known

X - No injury detected

0 - Unconsciousness

1 - Fracture of skull

2 - Fracture of other bone

3 - Eye injury

4 - Burn or scald

5 - Flesh wound requiring 10+ stitches

6 - Poisoning or suspected poisoning

7 - In danger of drowning

8 - Other injury

Most recent accident
Next most recent
Next most recent
Next most recent
Age(s) at which accident(s) occurred Please enter in the boxes in the margin the age in years at which each accident occurred. (If age less than 1, enter 00).
-
Age
Most recent accident
Next most recent
Next most recent
Next most recent
Below, for each accident, please give any further known details, e.g. circumstances, type of injury, site of fracture, nature of poisoning, etc.
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Generic text
Most recent accident
Next most recent
Next most recent
Next most recent
65 questions after...
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Dimensions

Code Dimension

Type
Code List
Selection Style
SelectOne
Display Code
False
Display Label
False

Code Dimension

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

Response Options

Type
Numeric
Type
Integer
Minimum
0
Variable is a Weight
False