DOCTOR VISITS PAGE
[MK Note: There are two columns to fill in information for Doctor Visit (1) and Doctor Visit (2). The same information is included in both columns.]
DOCTOR VISIT (1) (2)
2a. On what (other) dates during that 2-week period did -- visit or talk to a doctor?
 Last week
 Week before
b. Were there any other doctor visits for him during that period?
 No (As 3-8 for each visit)
If Hospital: Was it the out-patient clinic, or the emergency room?
If Clinic: Was it a hospital out-patient clinic, a company clinic, or some other kind of clinic?
01  Doctor's office
10  Telephone (7)
20  Hospital Out-Patient Clinic
30  Home (7)
40  Hospital Emergency Room
50  Company or Industry Clinic
60  Other (Specify) ____
2  No
xxx  DK
 Specialist - What kind of specialist is he? ____
2  Pre or Postnatal care (Next DV)
3  General checkup (Next DV)
4  Eye exam. (glasses) (Next DV)
5  Immunization (Next DV)
6  Other (Next DV)
If 2 or more doctor visits for person, ask:
b. For what condition did -- visit the doctor on this date? ____