Question

Name

qi_43_a

Label

43 a

Question Text

Is your sight normal in both eyes?

Type
Code List
Selection Style
SelectOne

Usage

87 questions before...

What sort of trouble do you have?

(If necessary circle more than one number)

1
difficulty in getting off to sleep
2
waking up during the night and not being able to get off to sleep again quickly
3
unpleasant dreams or nightmares
4
waking too early in the morning and staying awake
5
sleeping all right but still feeling tired in the morning
*
other, namely
Other

Is your sight normal in both eyes?

1
yes
0
no

Are you -

1
long sighted
2
short sighted
*
other, namely
Other
21 questions after...
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