Survey Text

2003
2002
2001
2000
1999
1998
1997
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2003
Survey form view entire document:  text  image
CIM.100

[If age LE 6]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about?

[else]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about? I am only interested in shots given after {Child's name}'s 6th birthday.
OTHRNT
(1) Yes
(2) No (CIM.140)
(7) Refused (CIM.140)
(9) Don't know (CIM.140)

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2002
Survey form view entire document:  text  image
CIM.100

[If age LE 6]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about?

[else]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about? I am only interested in shots given after {Child's name}'s 6th birthday.
OTHRNT
(1) Yes
(2) No (CIM.140)
(7) Refused (CIM.140)
(9) Don't know (CIM.140)

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2001
Survey form view entire document:  text  image
CIM.100

[ If age LE 6 ]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about?

[else]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about? I am only interested in shots given after (Child's name)'s 6th birthday.
OTHRNT
(1) Yes
(2) No (CIM.140)
(7) Refused (CIM.140)
(9) Don't know (CIM.140)

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2000
Survey form view entire document:  text  image
CIM.100

[If age LE 6]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about?

[else]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about? I am only interested in shots given after {Child's name}'s 6th birthday.
OTHRNT
(1) Yes
(2) No (CIM.140)
(7) Refused (CIM.140)
(9) Don't know (CIM.140)

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1999
Survey form view entire document:  text  image
CIM.100

[If age LE 6]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about?

[else]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about? I am only interested in shots given after {Child's name}'s 6th birthday.
OTHRNT
(1) Yes
(2) No (CIM.140)
(7) Refused (CIM.140)
(9) Don't know (CIM.140)

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1998
Survey form view entire document:  text  image
CIM.100

[If age LE 6]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about?

[else]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about? I am only interested in shots given after {Child's name}'s 6th birthday.
OTHRNT
(1) Yes
(2) No (CIM.140)
(7) Refused (CIM.140)
(9) Don't know (CIM.140)

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1997
Survey form view entire document:  text  image
CIM.100

[If age LE 6]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about?

[else]
Are there any OTHER immunizations listed on the shot record that I have NOT asked you about? I am only interested in shots given after {Child's name}'s 6th birthday.
OTHRNT
(1) Yes
(2) No (CIM.140)
(7) Refused (CIM.140)
(9) Don't know (CIM.140)