1 - ESDS

Questionnaire Ref
Question No
Q1(A)
Q1(B)
Q2
Q2(A)
[PP]UDuf-642
Cs J
Coding Sheet
Ref erencq”
2nd ILL
QIS
Q2
Q2A
No of
sOxe.s/
Characters
2
2
2
Coding Instructions/Remarks
Values -3-46
Nature of 2nd illness
mentioned. Code from table
above.
Values -3-02
Does illness (any one if
two are mentioned ) limit
act ivity
Yes .......................ol
No . . . . . . . . . . . . . . . . . . . . . . ..o2
DO ........................-1
Values -3-02
GP consultation?
Yes .......................01
No ........................O2
DO ........................-1
Values -3-20
Enter number of consultations
in past two weeks.