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Quastximalr. ReJf Questaon No Q2(A) C-admg Shaat Ra ferenca Q2AL No of E.oxes/ Characters 2 . Coding In8tructlona/Ramarks Valuee -3-46 Nature of 1st Lllnenm ment Lonad Alcohol ism ..... .........01 Allergles/PhObLas ........02 Appand~citis .............03 Arthritis/Lumbago/ Rhaumat iam .... ..........04 Asthma .... ..............05 Back troublas and ●ssocnted illnassas. . . .06 Blood d~sorders gan9ral/ VertLgo .............. ...07 Blood preseure ..... ......08 Bones (brokan) ...... .....09 Bronchat~s ......... ......10 Cancar (undafinad) . .....11 Choet probloms (undaf lned ) ....... ......12 Colds/f lu ................13 Circulation (bad) ... .....14 0apras8L0n/nanas ........15 O>abetea ...... ...........16 Disabled phys~cally ......17 Epil*psy ...... ...........18 Gallbladder troubla ......19 Ganctic LllnUS/ abnormalities .......... 20 Glandular troubla ........21 Gynaacological problama ..22 Hasmorrhoids ............ 23 Headaches /m~cjraLna .......24 Haaring problama .........25 Heart/ stroko/CHD (Lnc rhaumat~c fwer) ..... ...26 H*rn>a ... ................27 111 haalth ganeral ..... .28 Infections gcnaral (not colds/flu) .............29 Kldnay probl-s ..........30 LLvar complaLnta .........31 Lh trouble .. ...... .....32 Multiple sclarosls .... ...33 Muscular dystrophy .......34 Naurolog&cal Lllnmmees (by Parkinson OLsaase) ..35 Old age .. .. ............36 RespLratOry problmma (other than bronchLt LB )..37 127
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SWQ33 TO 7HOSE WHO HAvE NOT HAO A S
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sWQ41 If you (or your partner) used
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SWQ47 Please put a rtng around the
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&d7
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DWQI ~nldng of your (mast Mant) Man
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DwQi 1 Hava yOUever had a blby? NO=
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owa19 TO TWOSEwHO ARE NOT PREGNANT
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DWQ33NHS Was tie oporatinncati out
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0WQ43 Which of the tilbtig mdwd(s)
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DWQ50 WIIkh of the fallowingmdhod(s
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TO THOSE WliO 00 NOT USE A MEl1100
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Mwm Thinidngof yourpmsmt man?agg,dl
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(A) (s) (c) 1 I Child Firstbom Seco
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MWQ20N0 How many ctwdmndo youminkyo
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W241WH MWQ34PWH Oldyoumldhe hava th
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Mwau Wflcll of thd followingmethod(
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MWQ61 WIIich of ttw foibwingmethod(
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“PP]UOuf-641(b) SG CONTINUOUS HOU
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CONTINUOUS HOUSEHOLD SURVEY i Dotmm
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EOUSEEOLD TYPE A CODE (02-3) Valuas
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Y aa3 m 4 \N 4 \ z uco6 ,
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_— Employment Status ~ EHp —. Q
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— Quastlonnaare R= f Qumst~on No
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Questionnaire Ref Coding Sheet No o
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Questionnaire Ref Question No Q1 Q2
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Questionnaire Ref 1 Coding Sheet No
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Quaat,onnaxra Ref Codang Sheet No o
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Questionnaire Ref Question NO Q1l(A
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Questionnaire Ref Question No Q1l(A
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Quest ionnaire Re f Question No Q1l
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Questionnaire Ref Question No Q1l(A
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Questionnaire Ref Question No Q13 Q
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Questionnaire Ref Coding Sheet NO o
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Questionnaire Ref Coding Sheet Ques
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Questionnaire Ref Coding Sheet No O
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Questionnaire Ref Coding sheet No o
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Page 82 and 83:
Questionnaire Ref Question NO Marit
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Questionnaire Ref Question No Stand
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Questionnaire Ref Question No Posit
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All others Those persons not fallin
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Qumst.onna.re Raf — Qu88t&0rJ No
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Quastlonnaare Raf Queatxon No QID Q
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Quastlonnaara R-f Coding Shmt No of
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Quastaomaarm R-f Cod>hg Sheet No of
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Qumst .onna>r. R= f ..-* ! Codzng S
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— Qu9st~onnazre Ref Qumst,on NO Q
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Quastionnamm R-f Qumstxon No Q5(A)
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Q5(A) FRENCH Q5(C) FRENCH Q5(c) (L)
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Qu9staonnaara R-f Q5(A) GREEK Q5(C)
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(p49stn7nnaara Rmf Quostzon No Q5(A
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Quast~omaare Raf Q5(A) SPANISH Q5(C
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Quast~onnaar9 Ref Qumstmn No Q5(F)
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Qucstaonnalre R= f Qu9stxon No Q5(F
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Q.@stzonnaara R-f Qwstaon No Q5(F)
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i, , ‘! Quast>onna2re R-f Codxng
Page 125 and 126: QuastlonnaLra R@f Questaon No Q5(L)
Page 127 and 128: Quast~onnaLra Rof Q5(Fs) Q5(M) Q5(M
Page 129 and 130: Qu.staonnaxrm Ref Q5(N) Q5(N) Q5(N)
Page 131 and 132: Quast>onnaLre R-f Q5(0) Q5(0) Q5(0)
Page 133 and 134: ,.. --- Quastuannmra Raf Cod>ng Sha
Page 135 and 136: QumstaonnaLra Rmf QuastLon No Q6(A)
Page 137 and 138: Q6(A) (ii) Q6(A) (11) Q6(A) (U) Q6(
Page 139: — Quastxonnaarm Ref Cod~ng sheet
Page 143 and 144: Questaonnur, R9f Questaon No Qlc Q2
Page 145 and 146: Q.astuxmaxre Ref Questaon No Q4(A)
Page 147 and 148: . . . + . Quastzonna~r= R-f Codang
Page 149 and 150: Q6 Q6 Q7[A) Q7A Q7(B) Q7B cHECK C C
Page 151 and 152: Quastuanna.ra R-f Q13 Q14 Q15 Quast
Page 153 and 154: Quastzonnaara R-f Questmn No Q18 Q1
Page 155 and 156: Qu*stmnnaLr* R-f Cod~iig Shoat No o
Page 157 and 158: Q19(B) Q19B Q19(B) (i.) Q19(C) Q19C
Page 159 and 160: — Qu8stx0nrIUr9 Raf Quwstaon No Q
Page 161: Quest ~onnalrm Rmf — QumstLOn No
Page 164 and 165: Questiomaire Ref Coding Sheet Quest
Page 166 and 167: Questionnaire Ref 1 Coding sheet No
Page 169: — Qu=stlonnalra R-f Qumstaon No P
Page 172 and 173: Questionnaire Ref Question No Q3B P
Page 175: Quastaonnalre Re f —. Quest~on No
Page 179 and 180: 1 Q3(A) Q3A Q3(B) Q’ Q4(A) Q4(B)
Page 181 and 182: .b No of SOxes/ Characters Q5 Q5 2
Page 183 and 184: QUastaonnaara Raf Q9 Q9A Q9 B Quest
Page 185 and 186: Q13(L) Q14 Q14(1) Codxng Sheat Rmf
Page 187 and 188: Quast~on No Q1O(A) (i) Codzng Shaat
Page 189 and 190: .. J’,..- Qu*staon.nana R-f Codan
Page 191: Q13(A) outpat L*nt V1.SLt S I I I N
Page 194 and 195: t’-
Page 196 and 197: Questionnaire Ref Question No PERSO
Page 198 and 199: Questionnaire Ref Question No CHECK
Page 200 and 201: Questionn.ire Ref Question No Q6 Q6
Page 202 and 203: Questionnaire Ref Question No Q9B !
Page 204 and 205: Questionnaire Ref Question No Q13A
Page 206 and 207: Questionnaire Ref Question No Q15 Q
Page 208 and 209: Questionnaire Ref Coding Sheet No o
Page 211: —. Quastxonnalre Ref Quaataon No
Page 214 and 215: Questionnaire Ref Question No Q7 Q8
Page 218 and 219: Questionnaire Ref Coding Sheet No o
Page 220 and 221: Questionnaire R.f Question No Q35 Q
Page 222 and 223: Q.estionnaire Ref Question NO Q39 Q
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Questionnaire Ref Q48 Q49 Q50 Q50 Q
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Questionnaire Ref Coding Sheet Ques
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-. Qumstaonnalre Raf Qumstmn No PER
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Questaoanaare Ref Qumstaon No Q3 Q4
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Q12 Q12 Q13 Q14 Q15 (1ST CHILD) Cod
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Q20 Q21 Q22 Q22 Q23 Q24 Quastuan No
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— Qumstaonnur8 R-f QuOStLOIi No P
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Questionnaire Ref Question No Q37 (
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I Q46 Q46 (2) (2ND-4TH METHODS) Q46
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Questionnaire Ref Coding Sheet I No
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Q57 I BABY Q57 MSNOP Q57 INFERT Q57
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~..-
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Q3 Q4 Q5 Q5 Q5 Q5 Q5 Codang Shoat N
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Quest~Oma.ra R*f Codtig Sheet No of
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Quast.omaare Ref Quastlon No !219 Q
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Q31 Q31 Q32 Q32(1) w:. No of Boxes/
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$ \- ,A Q.estxonnaara R-f Codang Sh
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Quastaonna~rm Raf >$ I Cochng Shaet
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Q38 Q38 QuestaOn No Codang Shmdc R*
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Questaonaaar= Raf Qumst~on NO Q39 Q
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Qu.stxonnure Ref Quastxon No Q41 Q4
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\ Q45 Coding Shoat Rmfaranc. Q45(1)
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\ Q46 Q46 ,Codang Sha=t R-f ●ranc
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, Questaonzmxre R-f Quaatxon No Q47
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Q50 Q50 Questmn No Codang Shaat ,-
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I Q.astzonnalro Ref Q.mataon No 052
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— \ Quastlonnaare Ref Quastlon No
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) Qu*8t10nnair9 Raf Quaataon No QIA
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m w N N N N Zc 0= *m a c ■ . ●
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Q5(B) Qs(c) Q5(C) Q5(C) Q5(D) Q5B Q
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Q5(I) Q5(J) Q6(A) Q6(B) Coda.ng Sh*
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Quastaomaar. R-f Q6(F) Q6(G) Q6(H)
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— ) Questaonnazre Ref Quastaon NO
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Questionnaire Ref I Coding sheet I
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Questionnaire Ref I Coding Sheet I
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Questionnaire Ref Question No Q3(I)
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m(c) Q2 Q2(L) CHECK A Q2 92 i CHS A
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Qu*=t20n.uaar9 R.f Quastxon No Q4 Q
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) Queataonnaara Ref Q4(B) Q4(C) CKS
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) Qu8#ta0naI~are Rmf Qu98ti0n NO Q2
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-1 *, & Qu8stx0nnaxrm R*f QuaBtaon
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