1 - ESDS

Q29
Q30
Q31
Q32
Q33
Q34
Ref ●r*nc*
Q29
Q30 NO
Q31 AGE
Q32
Q33 NNS
Q34 WNERE
No of
...
*
,
I
Saxmj
Cbaract*rs I
Codxng Inetructaon8fRemarks
2
2
I
I
I
ValUaS -3-02
On the whola, think you WL1l
hava any childrmn.
Code as Q16 .
values --
Q
How many childran in all?
Enter nuamhr.
2 ~u,s -- Q
2
2
2
Aga at first birth.
En’tar agc.
v
--
I alu*’ 302
Evsr bean star~lisad?
I
I
Yes
.....................01
No .................... ...02
v
--
I ‘“’ 302
Was tha opration carrmd
out under tha NNS or not?
I
1
NNs . . . . . . . . . . . . . . . . . . . ...01
Othsr ...................02
v
--
1 -’30’
0 Ld you have tha oparat Len*
I
as a hosp Ltal ~npatient,
StayLng OVOrnLght or
10nger ...................Ol
as a hospital outpatient. .02
at your/hLs doctor’ s
sugary. . ...... ..........03
at a cl inlc ............ ...04
somewhara ●1s9 ........ ....05
165