[p. 32]
FR: HAND CALENDAR CARD.
DURING THE PAST THREE MONTHS, that is since {91 days before today's date}, did {you/anyone in the family} have a poisoning that caused someone to seek medical advice or treatment, including calls to a poison control center?
(2) No (FAU.010)
(7) Refused (FAU.010)
(9) Don't know (FAU.010)
FIJ.310
[ ]
[ ]
[ ]
[ ]
[ ]
(95)95+ times
(97) Refused
(99) Don't know
When did {subject's name} poisoning happen?
POIDTED DAY: __________
POIDTEY YEAR: __________
Now I'm going to ask a few question about {subject's name} most recent poisoning. When did that happen?
POIDTED DAY: __________
POIDTEY YEAR: __________
We just talked about {subject's name} poisoning on {recent poisoning date}. When did {subject's name} poisoning BEFORE THAT happen?
POIDTEDDAY: __________
POIDTEYYEAR: __________
FIJ.340
FR: SHOW CARD F8.
FIJ.350
Card F8
2. a harmful or toxic solid or liquid substance
3. inhaling gases or vapors
4. eating a poisonous plant or other substance mistaken for food
5. a venomous animal or plant
6. something else
(2) a harmful or toxic solid or liquid substance (FIJ.360)
(3) inhaling gases or vapors (FIJ.360)
(4) eating a poisonous plant or other substance mistaken for food (FIJ.360)
(5) a venomous animal or plant (FIJ.360)
(6) something else (FIJ.350)
(7) Refused (FIJ.360)
(9) Don't know (FIJ.360)
PSPEC_2 _________________________________________
PSPEC_3 _________________________________________
PSPEC_4 _________________________________________
(2) No
(7) Refused
(9) Don't know
(2) No (Go to Check Item FIJCCI2)
(7) Refused (Go to Check Item FIJCCI2)
(9) Don't know (Go to Check Item FIJCCI2)
FR: IF "STILL IN HOSPITAL," ASK HOW MANY NIGHTS UP TO TODAY.
(95)95+ nights
(97) Refused
(99) Don't know
If AGE greater than 4 and less than 14 then go to FIJ.410; Else
If AGE less than 5 then return to FIJ.330 for the next poisoning event or the next person.
If there are no more persons and no more poisoning events, go to FAU.010.
FIJ.400
FR: SHOW CARD F6.
Less than 1 day
1 to 5 days
6 or more days
Not employed at the time of the injury/poisoning
(1) Less than 1 day
(2) One to five days
(3) Six or more days
(6) Not employed at the time of poisoning
(7) Refused
(9) Don't know
FR: SHOW CARD F7.
Less than 1 day
1 to 5 days
6 or more days
Not in school at the time of the injury/poisoning
(1) Less than 1 day
(2) One to five days
(3) Six or more days
(6) Not in school at the time of poisoning
(7) Refused
(9) Don't know
If there are no more persons and no more poison episodes, go to next section--Health Care Access and Utilization.