These questions refer to (read name), and are about immunizations that -- may have received. It would be helpful if we could refer to -- shot record.

ITEM I4
Refer to shot record.

1. Ask only on initial interview. On callback, skip to 9.
We will need the shot record to complete this section of the interview.
If I called you within the next few days, would you be able to have --'s shot record available?

2. Transcribe from shot record - If telephone ask: Looking at the shot record, please tell me how many times -- has received (name of vaccines)?
Record number of times for each vaccine. What is the date on the record for (first) (vaccine)? Repeat for second, third, etc. shots.

(2) A polio vaccine by mouth (pink drops) or a polio shot?

5a. Has -- ever received an additional polio vaccine by mouth (pink drops) or a polio shot?

10a. Has -- ever received:

These questions refer to (read name), and are about immunizations that -- may have received. It would be helpful if we could refer to -- shot record.

ITEM I4
Refer to shot record.

1. Ask only on initial interview. On callback, skip to 9.
We will need the shot record to complete this section of the interview.
If I called you within the next few days, would you be able to have --'s shot record available?

2. Transcribe from shot record - If telephone ask: Looking at the shot record, please tell me how many times -- has received (name of vaccines)?
Record number of times for each vaccine. What is the date on the record for (first) (vaccine)? Repeat for second, third, etc. shots.

(2) A polio vaccine by mouth (pink drops) or a polio shot?

5a. Has -- ever received an additional polio vaccine by mouth (pink drops) or a polio shot?

10a. Has -- ever received:

These questions refer to (read name), and are about immunizations that -- may have received. It would be helpful if we could refer to [his/her] shot record.

ITEM I4
Refer to shot record.

1. Ask only on initial interview. On callback, skip to 9.
We will need the shot record to complete this section of the interview. If I called you within the next few days, would you be able to have --'s shot record available?

2. Transcribe from shot record -- If telephone ask: Looking at the shot record, please tell me how many times -- have received (names of vaccines)? Record number of times for each vaccine. What is the date on the record for (first) (vaccine)? Repeat for second, third [and other] shots.

(2) A polio vaccine by mouth (pink drops) or a polio shot?

3. Are all the immunizations that -- ever received included on this shot record?

5a. Has -- ever received an additional polio vaccine by mouth (pink drops) or a polio shot?

10a. Has -- ever received:

These questions refer to (read name), and are about immunizations that -- may have received. It would be helpful if we could refer to -- shot record.

ITEM IZ2
Refer to shot record.

Polio (Drops or shots)

4a. Has -- ever received an additional polio vaccine by mouth (pink drops) or a polio shot?

9a. Has -- ever received --

These questions refer to (read name), and are about immunizations that -- may have received. It would be helpful if we could refer to -- shot record.

ITEM IZ2
Refer to shot record.

About how often did the respondent appear to answer the questions in Immunization accurately?

ITEM IZ4
About how often did the respondent appear to answer the questions in Immunization honestly?

These questions refer to (read name), and are about various health topics, including immunizations that -- may have received. It would be helpful if we could refer to -- shot record.

Item D4
Refer to shot record