Question

Name

qi_1

Label

1

Question Text

Is the child accompanied at this medical examination by:

Type
Code List
Selection Style
SelectOne
Codes
Type
Text
Maximum Length
255

Usage

56 questions before...
(7) Completion of questionnaire.

Is the child accompanied at this medical examination by:

1
Mother
2
Father
3
Other relative (Specify)
4
Other person (Specify)
0
Child unaccompanied
Other

Is the Parental Questionnaire in hand for reference?

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