1 - ESDS

1 - ESDS 1 - ESDS

24.08.2013 Views

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

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

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