Survey Text

2003
2002
2001
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2003
Survey form view entire document:  text  image

CIM.283

Has {Child's name} ever received an additional influenza shot NOT included on the shot record?
INFMOR
(1) Yes
(2) No (CIM.285)
(7) Refused (CIM.285)
(9) Don't know (CIM.285)

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2002
Survey form view entire document:  text  image

CIM.283

Has {Child's name} ever received an additional influenza shot NOT included on the shot record?
INFMOR
(1) Yes
(2) No (CIM.285)
(7) Refused (CIM.285)
(9) Don't know (CIM.285)

top
2001
Survey form view entire document:  text  image

CIM.283

Has {Child's name} ever received an additional influenza shot NOT included on the shot record?
INFMOR
(1) Yes
(2) No (CIM.285)
(7) Refused (CIM.285)
(9) Don't know (CIM.285)