Survey Text

2003
1989
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2003
Survey form view entire document:  text  image

ACN.190.100

About how often do you check your feet for sores or irritations?
DIBCKNO
[ ] NUMBER:

(000) Never
(001-995) 1-995 times
(996) Unable to do this type activity
(997) Refused
(999) Don't know
DIBCKTP
[ ] TIME PERIOD:

(0) Never
(1) Day
(2) Week
(3) Month
(4) Year
(6) Unable to do this type activity
(7) Refused
(9) Don't know

[if DIBCK@NO gt (3, 28, 31, 365) and DIBCK@TP eq (1, 2, 3, 4)] respectively display

FR: NUMBER OF TIMES MAY BE EXCESSIVE FOR THE TIME PERIOD REPORTED.
PLEASE VERIFY ENTRY.

(1) Make correction
(2) Proceed

@M

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1989
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b. About how often do you check your feet for sores or irritations?

000[] Never

Times per ____
1[] Day
2[] Week
3[] Month
4[] Years
999[] DK