1 - ESDS
1 - ESDS 1 - ESDS
Questionnaire Ref Question No Q1O QIOi Qll Qll(i) Q12 Q12(i) Q13 Coding Sheet Reference Q1O QIOi Qll Qlli Q12 Q12i Q13 No of Boxes/ Characters 2 2 2 2 2 2 2 Coding Instructions/Remarks Values -3-02 (Applies only if coded 1 at Check A/B) Any children have longstanding illness? Yes (any child ) ...........Ol No (none of them) ........02 Values -3-10 Enter number of children affected Values -3-02 Children have to ..cut-down on things due to illness? Yes (any child) ..........01 No (none of them) ........02 Values -3-10 Enter number of children affected Values -3-02 Any children talk to doctor Yes (any child) ..........01 No (none of them) ........02 Values -3-10 Enter number of children for whom contact was made Values -3-02 Any children outpatients at hospital ? Yes (any child) ..........01 No (none of them) ........02 lJ4 f“
Q13(L) Q14 Q14(1) Codxng Sheat Rmf ●rmC- Q13i Q14 Q14L No of E9x*s/ Characters 2 2 2 Coding InstructIons/Remarks ~qs .- U Enter number of childen who attended mpat iants Y-S (anv child) ........ .01 No (none of tham) ........02 Valuas -3-1o Enter nutiar of childran who wara Ln hospital 135
- 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 178 and 179: Questionnaire Re f Question No Q2(A
- Page 180 and 181: Q.estaonnaire Ref Question No Q4(C)
- Page 182 and 183: Questionnaire Ref Question No Codin
- Page 186 and 187: CHILD HEALTH TSE FOLLOWING QUESTION
- Page 188 and 189: Questionnaire Ref Question No QIO(A
- Page 190 and 191: Quest ionnaire Re f Question No Q12
- Page 193 and 194: Quast>onnalr. Ref —. Quastlon No
- Page 195 and 196: Questlonna~r9 R-f Q1(A) Qumstaon No
- Page 197 and 198: Q2(C) Q3 Q3 Q3A Q3B Q3C -i Cadang S
- Page 199 and 200: Questaonnaxrm Ref Qu-st>on No Q4A Q
- Page 201 and 202: Qu8staonnaxrm Raf Qumstmn No Q8A Q8
- Page 203 and 204: cHSCK F CHECK G Q13 Q13A Q13A CHX F
- Page 205 and 206: Questxonnalra Raf Q14C Quest.on No
- Page 207 and 208: Quastlonnaare R-f Qu6st~on No Q17 Q
- Page 209: — Questuannaxre Ref Coding Shaat
- Page 213 and 214: Q.est.m.n~.r= Rmf Quastaon No Q3 Q4
- Page 215 and 216: Quastionnaara Ref Questzon No Q1O R
- Page 217 and 218: Questaonnalrm Raf Coding Shoot No o
- Page 219 and 220: Q29 Q30 Q31 Q32 Q33 Q34 Ref ●r*nc
- Page 221 and 222: Quastaonnaara Raf I Codang Shmat I
- Page 223 and 224: Q43 Q43 Q43 Q43 Q44 Q44 Q43 (1) Q43
- Page 225 and 226: Qu9sta0nnaar* Raf Qu*staon No Q46 Q
- Page 227 and 228: Q51 Q51 Q51 Q52 Q53 Q51 (2) Q51 (3)
- Page 229: Q56 Q56 Q57 Q58 Q58 Q58 Q58 Codang
- Page 232 and 233: *.. r
Q13(L)<br />
Q14<br />
Q14(1)<br />
Codxng Sheat<br />
Rmf ●rmC-<br />
Q13i<br />
Q14<br />
Q14L<br />
No of<br />
E9x*s/<br />
Characters<br />
2<br />
2<br />
2<br />
Coding InstructIons/Remarks<br />
~qs .- U<br />
Enter number of childen who<br />
attended<br />
mpat iants<br />
Y-S (anv child) ........ .01<br />
No (none of tham) ........02<br />
Valuas -3-1o<br />
Enter nutiar of childran<br />
who wara Ln hospital<br />
135