Survey Text

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

CIM.439

How many [fill OTHREVO] shots did {Child's name} ever receive?

FR: ENTER 96 IF "ALL" IS REPORTED.
OTH1ENO
(01-04) 1-4 shots
(96)All
(97) Refused
(99) Don't know

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2002
Survey form view entire document:  text  image

CIM.439

How many [fill OTHREVO] shots did {Child's name} ever receive?

FR: ENTER 96 IF "ALL" IS REPORTED.
OTH1ENO
(01-04) 1-4 shots
(96)All
(97) Refused
(99) Don't know

top
2001
Survey form view entire document:  text  image

CIM.439

How many [fill OTHREVO] shots did {Child's name} ever receive?

FR: ENTER 96 IF "ALL" IS REPORTED.
OTH1ENO
(01-04) 1-4 shots
(96)All
(97) Refused
(99) Don't know