Survey Text

1978
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1978
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There are two basic types of measles for which shots can be received: German measles, sometimes known as Rubella or 3 day measles AND Red measles, sometimes known as 8 day measles.
4a. Since the first of (month) 1978 has -- received any kind of measles shot?

1 [] Y
2 [] N (NP)
9 [] DK (NP)

b. What types of measles shots did -- receive?
(was it for German measles, sometimes known as Rubella or 3 day measles, OR was it for Red measles, sometimes known as 8 day measles, or did -- received shots for both?)

1 [] Both Red and German (6)
2 [] Red measles (8 day) only
3 [] German measles (Rubella, 3 day) only
9 [] DK kind

b. Where did -- receive the measles shot - at a clinic, hospital, school, doctor's office, or some other place? If clinic: was it a hospital outpatient clinic, a company clinic, a public health clinic, or some other kind of clinic? 1. Doctor's office (group practice or doctor's clinic). 2. Hospital outpatient clinic or emergency room. 3. Public health clinic. 4. School. 8. Other-specify

[] 1 (NP)
[] 2 (NP)
[] 3 (NP)
[] 4 (NP)
[] 8 (specify) ________