Survey Text

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1. During the 2 weeks outlined in red on that calendar, did -- take or use any:

e. Topical steroids (such as hydrocortisone cream or valisone and the like)?
[] Y
[] N

Hand Card T
5. Which number on that card best describes how often -- took or used the (Medication) during the past 3 months?

1 Everyday
2 Nearly every day
3 Once or twice a week
4 2 or 3 times a month
5 About once a month
6 Less than once a month
7 For one episode of illness
8 Other _________