Question

Name

qi_132_b

Label

132 b

Question Text

Before I can pass your results onto your GP, I need your written consent. Please check the details are correct, then sign and date Consent Form 8. There is just one more thing the MRC National Survey would like you to do and that is to keep this diet diary for the next 5 days and then send it back in this envelope. All the instructions are in the diary. If you'd like to talk to someone about it please call the number on the diary ask them to return your call.

Instructions

Nurse please fill in correct details on consent form 8. Check respondent has signed the form. Circle codes as appropriate on front of consent booklet. ^ Check name by which GP knows respondent. Check GP name, address and phone no. Are recorded on front of consent booklet. ^ Nurse: If pressed for further clarification say I'm sorry I don't know anything about this but if you'd to talk to someone about it, please call the number on the diary and ask them to return your call. Nurse: Enter details on front of diary and hand over with reply envelope. Date of interview: [LFF] Serial number: [LFF]

Type
Code List
Selection Style
SelectOne

Usage

452 questions before...

Would you like the results of your measurements to be sent to your GP?

1
Blood Pressure
2
Respiration
3
Standing height
4
Sitting height
5
Weight
6
Upper arm circumference
7
Chest circumference
8
Expanded chest circumference
9
Abdominal circumference
10
Hip circumference
11
Blood sample
12
None of the above

Before I can pass your results onto your GP, I need your written consent. Please check the details are correct, then sign and date Consent Form 8. There is just one more thing the MRC National Survey would like you to do and that is to keep this diet diary for the next 5 days and then send it back in this envelope. All the instructions are in the diary. If you'd like to talk to someone about it please call the number on the diary ask them to return your call.

1
Diary accepted
2
Diary refused

A few interviews on any survey are checked by a supervisor to make sure people are happy with the way the interview was carried out. In case my supervisor needs to contact you ...

1
Telephone number obtained
2
Telephone number refused
3
No telephone number available
1 questions after...
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