These next questions are about accidents and injuries that caused anyone in the family to see or talk to a doctor OR cut down on the things they usually do for as much as a day.
If "Yes," ask:
c. Since _____ (date), how many different accidents resulting in . . . did -- have that caused him to see or talk to a doctor OR cut down on the things he usually does?
d. Since _____ (date), did anyone else have . . . ?
(If "Yes," reask 1b-d.)
BB. A strain or sprain? ____
CC. A burn or scald? ____
DD. A concussion or other head injury? ____
EE. A dislocation or a broken bone? ____
FF. A gunshot wound? ____
GG. An injury due to suffocation? ____
HH. An injury due to electric shock? ____
II. An animal bite? ____
JJ. A reaction to medication or cosmetics? ____
KK. Any poisoning from swallowing, breathing, or coming in contact with a poisonous substance? ____
LL. Any injury to the teeth, mouth, or jaws? ____
MM. Any injury to the neck, back, or spine? ____
NN. Any injury to the eyes, ears, or nose? ____
2  N (A)
b. What type of injury did he have? (Ask 1c, THEN reask 2a) ____
Verify that all accidents circled in item C are represented in Table I.
 1+ accidents circled in Item C and entered in Table I
1  One injury in I (Enter number of accidents in 3, then NP)
2  2+ injuries in I (3)
NOTE: Fill Accident Supplement column for each accident.