Instrument Variable Name: IPDATEMT
Question Text:

(book) F3 ? [F1] Was this in the beginning of [fill: ^IPDATEM (text)], the middle of [fill: ^IPDATEM (text)], or the end of [fill: ^IPDATEM (text)]?

1 Beginning
2 Middle
3 End
7 Refused
9 Don't know

Universe Text All injury/poisoning episodes where don't know was entered for day of episode
Skip Instructions:

go to IPHOW

Instrument Variable Name: IPDATEM
Question Text:

1 of 3
*Please hand the calendar card to the respondent.
{if only 1 injury/poisoning episode for the person}
When did [fill1: your/ALIAS's] [fill2: injury/poisoning] happen for which a medical professional was consulted?
{first of multiple injury/poisoning episodes for the person}
Now I'm going to ask a few questions about the [fill3: ^MTFINJ3M/^MTFPOI3M] times [fill4: you were/ALIAS was] [fill5: injured/poisoned] for which a medical professional was consulted. Starting with the most recent time, when did this [fill2: injury/poisoning] happen?
{second plus of multiple injury/poisoning episodes for the person}
You just told me about [fill1: your/ALIAS's] [fill6: (month, day of previous event)][fill7:most recent/second most recent/third most recent/fourth most recent [fill2: injury/poisoning]. What was the date of the [fill2: injury/poisoning] before that for which a medical professional was consulted?
*Enter month.

01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
97 Refused
99 Don't know

Universe Text: All injury/poisoning episodes for which a medical professional was consulted
Skip Instructions:

(1-12) [goto IPDATED]
(R) [goto IPHOW]
(D) [goto IPDATENO]

Instrument Variable Name: IPDATED
Question Text:

2 of 3
*Enter day.

01-31 1-31
97 Refused
99 Don't know

Universe Text: All injury/poisoning episodes where a valid month of episode was entered
Skip Instructions:

(1-31) [goto IPDATEY]
(R) [goto IPHOW]
(D) [goto IPDATEMT]

Instrument Variable Name: IPDATEY
Question Text:

3 of 3
*Enter year.

2003 2003
2004 2004
9997 Refused
9999 Don't know

Universe Text: All injury/poisoning episodes where a valid day of episode was enetered
Skip Instructions:

if IPDATEM, IPDATED and IPDATEY result in a future date; goto ERR_IPDATEY; else, if IPDATEM, IPDATED and IPDATEY result in a date prior to the start date of the 91 day reference period, goto ERR1_IPDATEY; else, goto IPHOW

Instrument Variable Name: IPDATENO
Question Text:

1 of 2
Can you tell me approximately how long ago [fill1: your/ALIAS's] [fill2: injury/poisoning] happened?
*Enter number for time since event.

01-91 1-91
97 Refused
99 Don't know

Universe Text: All injury/poisoning episodes where don't know was entered for month of episode
Skip Instructions:

(1-91) [goto IPDATETP]
(R,D) [goto IPHOW]

Instrument Variable Name: IPDATETP
Question Text:

2 of 2
*Enter number for time period since event.
^IPDATENO...

1 Days
2 Weeks
3 Months
7 Refused
9 Don't know

Universe Text: All injury/poisoning episodes where don't know was entered for month of episode and 1-91 was entered for the "number" part of this two-part question
Skip Instructions:

goto IPHOW

Instrument Variable Name: IPDATEMT
Question Text:

(book) F3? [F1]
Was this in the beginning of [fill: ^IPDATEM (text)], the middle of [fill: ^IPDATEM (text)], or the end of [fill:^IPDATEM (text)]?

1 Beginning
2 Middle
3 End
7 Refused
9 Don't know

Universe Text: All injury/poisoning episodes where don't know was entered for day of episode
Skip Instructions:

gotoIPHOW