Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

go to IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

go to IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

go to IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

go to IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

go to IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

go to IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

go to IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

go to IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text: All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

goto IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text: All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

goto IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text: All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

goto IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text: All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

goto IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text: All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

goto IPSTU

Instrument Variable Name: IPWKLS
Question Text:

As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss?

1 None
2 Less than one day
3 One to five days
4 Six or more days
7 Refused
9 Don't know

Universe Text: All medically-consulted injury/poisoning episodes for persons 13 years of age or older who were employed at the time of the episode
Skip Instructions:

goto IPSTU

FR: SHOW FLASHCARD F8.

As a result of this injury/poisoning, how much work did {you/subject name} miss?

Not employed at the time of the injury/poisoning
None
Less than 1 day
One to five days
Six or more days

(1) Not employed at the time of the injury/poisoning
(2) None
(3) Less than 1 day
(4) One to five days
(5) Six or more days
(7) Refused
(9) Don't know

FR: SHOW FLASHCARD F8.

As a result of this injury/poisoning, how much work did {you/subject name} miss?

Not employed at the time of the injury/poisoning
None
Less than 1 day
One to five days
Six or more days

(1) Not employed at the time of the injury/poisoning
(2) None
(3) Less than 1 day
(4) One to five days
(5) Six or more days
(7) Refused
(9) Don't know

FR: SHOW FLASHCARD F8.

As a result of this injury/poisoning, how much work did {you/subject name} miss?

Not employed at the time of the injury/poisoning
None
Less than 1 day
One to five days
Six or more days

(1) Not employed at the time of the injury/poisoning
(2) None
(3) Less than 1 day
(4) One to five days
(5) Six or more days
(7) Refused
(9) Don't know

Check item FIJCCI1: If AGE is greater than 13, then go to FIJ.260; Else
If AGE is greater than 4 and less than 14 then go to FIJ.270; Else
If AGE is less than 5 then return to FIJ.040 for next injury/poisoning event or next person.
If there are no more persons and no more injury/poisoning events, go to FAU.010.

FR: SHOW CARD F7.

As a result of this injury/poisoning, how much work did {you/subject's name} miss?

Not employed at the time of the injury/poisoning
None
Less than 1 day
1 to 5 days
6 or more days

(1) Not employed at the time of the injury/poisoning
(2) None
(3) Less than 1 day
(4) 1 to 5 days
(5) Six or more days
(7) Refused
(9) Don't know

Check item FIJCCI1:
If AGE is greater than 13 then go to FIJ.260; Else
If AGE is greater than 4 and less than 14 then go to FIJ.270; Else
If AGE is less than 5 then return to FIJ.040 for next injury event or next person.
If there are no more persons and no more injuries-events, go to FIJ.300.

As a result of this injury/these injuries, how much work did{you/subject's name} miss?

FR: HAND CARD F7.

Not employed at the time of the injury/poisoning
None
Less than 1 day
1 to 5 days
6 or more days

(0) None
(1) Less than 1 day
(2) 1 to 5 days
(3) Six or more days
(6) Not employed at the time of the injury
(7) Refused
(9) DK