Question Grid

Name

qg_7_c

Label

7 c

Question Text

Please give the following details about each Clinic attended.

Name of School Clinic or Out-Patient Dept. Reason for attending Date of FIRST attendance (month and year) Date of LAST attendance (month and year) (if still attending strike through) Number of attendances Present condition

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse
1
2

Usage

48 questions before...
7 b

Has this child attended a School Clinic or Out-Patient Department of a Hospital since OCTOBER 1955?

1
Yes
0
No
7 c
Please give the following details about each Clinic attended.
Name of School Clinic or Out-Patient Dept. Reason for attending Date of FIRST attendance (month and year) Date of LAST attendance (month and year) (if still attending strike through) Number of attendances Present condition

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textGeneric textGeneric dateGeneric dateHow manyGeneric textGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic textGeneric dateGeneric dateGeneric dateGeneric textGeneric text

1 - cured

2 - improved

3 - un-changed

4 - worse

How manyGeneric textHow manyGeneric textGeneric dateGeneric date

1 - cured

2 - improved

3 - un-changed

4 - worse

1 - cured

2 - improved

3 - un-changed

4 - worse

Generic dateHow manyGeneric textGeneric textGeneric dateGeneric textGeneric textGeneric dateGeneric dateHow many

1 - cured

2 - improved

3 - un-changed

4 - worse
1
2
8
Please complete the information given below about the child's absences during the past year.

(Only absences of more than one week are recorded)

Information from School Absence Record: Period of Absence: From Information from School Absence Record: Period of Absence: To Information from School Absence Record: Reason for Absence Please give these additional details: If child was ill: Where treated Hospital I.P. Hospital O.P. Nursing Home Own Home Please give these additional details: If child was ill: If treated at home who gave treatement ? (Doctor Chemist Nurse, Other) Please give these additional details: Remarks
Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text
1
2
3
58 questions after...
View the complete questionnaire
1957 School Nurse's Interview with Mother

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