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Name

qg_4_b_i

Label

4 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, Hosp. I.P., Hosp. O.P., Nursing Home, Own Home If treated in own home, who gave treatment (Doctor, Nurse, other) Details of any remaining scarring, disability or deformity
Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric text
First Accident 1
Second 2

Usage

31 questions before...

Has this child had an accident in which he was BURNT or SCALDED, BROKE A BONE, or was BADLY CUT or BRUISED ?

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, Hosp. I.P., Hosp. O.P., Nursing Home, Own Home If treated in own home, who gave treatment (Doctor, Nurse, other) Details of any remaining scarring, disability or deformity
Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric text Generic textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textAge in years and monthsGeneric textGeneric textGeneric textAge in years and monthsGeneric 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 OCCURRED (if burnt by fire, say whether electric, gas, open fire or stove) WHERE IT OCCURRED (Own Home, School, Sreet, etc.)
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
First Accident 1
Second 2
58 questions after...
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