FIJ.171
FR: VERIFY OR ASK. SHOW FLASHCARD F4. RECORD UP TO 2 RESPONSES: ENTER (N) FOR NO MORE.
How did {you/subject name} fall? Anything else?
On or down, from or into:
Card F4
On or down from or into:
1. Stairs, steps or Escalator
2. Floor/Level ground
3. Curb, including sidewalk
4. Ladder or scaffolding
5. Playground equipment
6. Building or other structure
7. Chair, bed, sofa, or other furniture
8. Bathtub, shower, toilet or commode
9. Hole or other opening
10. Other
FALLNEW1
FALLNEW2
(01) Stairs, steps, or escalator
(02) Floor/level ground
(03) Curb, including sidewalk
(04) Ladder or scaffolding
(05) Playground equipment
(06) Building or other structure
(07) Chair, bed, sofa or other furniture
(08) Bathtub, shower, toilet, or commode
(09) Hole or other opening
(10) Other
(97) Refused
(99) Don't know
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