top

2003

Survey form view entire document: text image

CIM.450

In your opinion, has {Child's name} received all of the recommended shots for {his/her} age?

SHOTA2

(1) Yes
(2) No
(7) Refused
(9) Don't know

top

2002

Survey form view entire document: text image

CIM.450

In your opinion, has {Child's name} received all of the recommended shots for {his/her} age?

SHOTA2

(1) Yes
(2) No
(7) Refused
(9) Don't know

top

2001

Survey form view entire document: text image

CIM.450

In your opinion, has {Child's name} received all of the recommended shots for {his/her} age?

SHOTA2

(1) Yes
(2) No
(7) Refused
(9) Don't know

top

2000

Survey form view entire document: text image

CIM.450

In your opinion, has {Child's name} received all of the recommended shots for {his/her} age?

SHOTA2

(1) Yes
(2) No
(7) Refused
(9) Don't know

top

1999

Survey form view entire document: text image

CIM.450

In your opinion, has {Child's name} received all of the recommended shots for {his/her} age?

SHOTA2

(1) Yes
(2) No
(7) Refused
(9) Don't know

top

1998

Survey form view entire document: text image

CIM.450

In your opinion, has {Child's name} received all of the recommended shots for {his/her} age?

SHOTA2

(1) Yes
(2) No
(7) Refused
(9) Don't know

top

1997

Survey form view entire document: text image

CIM.450

In your opinion, has {Child's name} received all of the recommended shots for {his/her} age?

SHOTA2

(1) Yes
(2) No
(7) Refused
(9) Don't know

top

1996

Survey form view entire document: text image

12. In your opinion, has received all of the recommended shots for -- age?

1[] Yes
2[] No
9[] DK

top

1995

Survey form view entire document: text image

12. In your opinion, has received all of the recommended shots for -- age?

1[] Yes
2[] No
9[] DK

top

1994

Survey form view entire document: text image

12. In your opinion, has -- received all of the recommended shots for [his/her] age?

[] 1 Yes
[] 2 No
[] 9 DK

top

1993

Survey form view entire document: text image

11. In your opinion, has -- received all of the recommended shots for -- age?

1 [] Yes
2 [] No
9 [] DK

top

1992

Survey form view entire document: text image

11. In your opinion, has -- received all of the recommended shots for -- age?

1 [] Yes
2 [] No
9 [] DK

Survey Text