Survey Text

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

CIM.432

[If AGE le 6 ]
What are the names of OTHER immunizations that I have NOT asked you about?

[else]
What are the names of OTHER immunizations that I have NOT asked you about AND given after {Child's name}'s 6th birthday?

FR: ENTER "N" FOR NO MORE.
OTHREV
(1) Influenza vaccine
(2) Hepatitis A vaccine (CIM.436)
(3) Other (CIM.438)
(7) Refused (CIM.440)
(9) Don't know (CIM.440)

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2002
Survey form view entire document:  text  image

CIM.432

[If AGE le 6 ]
What are the names of OTHER immunizations that I have NOT asked you about?

[else]
What are the names of OTHER immunizations that I have NOT asked you about AND given after {Child's name}'s 6th birthday?

FR: ENTER "N" FOR NO MORE.
OTHREV
(1) Influenza vaccine
(2) Hepatitis A vaccine (CIM.436)
(3) Other (CIM.438)
(7) Refused (CIM.440)
(9) Don't know (CIM.440)

top
2001
Survey form view entire document:  text  image

CIM.432

[If AGE le 6 ]
What are the names of OTHER immunizations that I have NOT asked you about?

[else]
What are the names of OTHER immunizations that I have NOT asked you about AND given after {Child's name}'s 6th birthday?

FR: ENTER "N" FOR NO MORE.
OTHREV
(1) Influenza vaccine
(2) Hepatitis A vaccine (CIM.436)
(3) Other (CIM.438)
(7) Refused (CIM.440)
(9) Don't know (CIM.440)