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Name

qg_44_b_i

Label

44 b(i)

Question Text

Please give the following details about each accident starting with the earliest:-

Type of injury (enter as BURN, SCALD, BROKEN BONE, CUT, etc.) Part or parts injured Age when injured (in years and months) Treatment Hos.I.P, Hos.O.P, Nursing Home, Own Home If treated in own home, who gave treatment? (Doctor, Nurse, other) Details of remaining scarring, disability or deformity
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First Accident 1
Second 2

Usage

99 questions before...

Since this accident or since January 1961 have you had an accident when you were BURNT or SCALDED, BROKE A BONE, were BADLY CUT or BRUISED, or INJURED by a CHEMICAL.

1
Yes
0
No
Please give the following details about each accident starting with the earliest:-
Type of injury (enter as BURN, SCALD, BROKEN BONE, CUT, etc.) Part or parts injured Age when injured (in years and months) Treatment Hos.I.P, Hos.O.P, Nursing Home, Own Home If treated in own home, who gave treatment? (Doctor, Nurse, other) Details of remaining scarring, disability or deformity
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
First Accident 1
Second 2
Please give the following details about each accident starting with the earliest:-
DETAILS of how each ACCIDENT OCCURED (if burnt by fire say whether electric, gas, open fire, or oil stove) Where it occured (own home, school, street, etc.,)
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
First Accident 1
Second 2
4 questions after...
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