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3a. (Excluding any operations performed on -- while -- was an overnight patient in the hospital). Has -- ever had any (other) surgery or operations? Include bone settings and stitches.

1[] Y
2[] N (Section I, page 22)

b. What are the names of these other surgeries or operations?
If name is not known describe what was done.


c. Any others?

[] Y (Reask 3b and c)
[] N