Survey Text

2003 2000 1997 1994
2002 1999 1996 1993
2001 1998 1995 1992
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2003
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CIM.240

How many additional Hepatitis B shots has {Child's name} received?

FR: ENTER 96 IF "ALL" IS REPORTED.
HEPMNO
(01-08) 1-8 Shots
(96) All
(97) Refused
(99) Don't know

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2002
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CIM.240

How many additional Hepatitis B shots has {Child's name} received?

FR: ENTER 96 IF "ALL" IS REPORTED.
HEPMNO
(01-08) 1-8 Shots
(96) All
(97) Refused
(99) Don't know

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2001
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CIM.240

How many additional Hepatitis B shots has {Child's name} received?

FR: ENTER 96 IF "ALL" IS REPORTED.
HEPMNO
(01-08) 1-8 Shots
(96) All
(97) Refused
(99) Don't know

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2000
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CIM.240

How many additional Hepatitis B shots has {Child's name} received?

FR: ENTER 96 IF "ALL" IS REPORTED.
HEPMNO
(01-08) 1-8 Shots
(96) All
(97) Refused
(99) Don't know

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1999
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CIM.240

How many additional Hepatitis B shots has {Child's name} received?

FR: ENTER 96 IF "ALL" IS REPORTED.
HEPMNO
(01-08) 1-8 Shots
(96) All
(97) Refused
(99) Don't know

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1998
Survey form view entire document:  text  image
CIM.240

How many additional Hepatitis B shots has {Child's name} received?

FR: ENTER 96 IF "ALL" IS REPORTED.
HEPMNO
(01-08) 1-8 Shots
(96) All
(97) Refused
(99) Don't know

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1997
Survey form view entire document:  text  image
CIM.240

How many additional Hepatitis B shots has {Child's name} received?

FR: ENTER 96 IF "ALL" IS REPORTED.
HEPMNO
(01-08) 1-8 Shots
(96) All
(97) Refused
(99) Don't know

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1996
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b. How many additional Hepatitis B shots has -- received?

______ Shots (11)
(Number)
8[] All (11)
9[] DK (11)

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1995
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b. How many additional Hepatitis B shots has -- received?

Shots ______ (Number) (11)
8[] All (11)
9[] DK (11)

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1994
Survey form view entire document:  text  image
b. How many additional Hepatitis B shots has -- received?

____ Shots (11)
(Number )
[] 8 All (11)
[] 9 DK (11)

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1993
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b. How many additional Hepatitis B shots has -- received?

____ Shots (Number) (10)
8 [] All (10)
9 [] DK (10)

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1992
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b. How many additional Hepatitis B shots has -- received?

____ Shots (Number) (10)
8 [] All (10)
9 [] DK (10)