Survey Text

1999
1998
1997
top
1999
Survey form view entire document:  text  image

FIJ.300

The next questions are about POISONING, which includes coming into contact with harmful substances, and overdose or wrong use of any drug or medication. Do not include any illnesses such as poison ivy or food poisoning.

FR: HAND CALENDAR CARD.

DURING THE PAST THREE MONTHS, that is since {91 days before today's date}, did {you/anyone in the family} have a poisoning that caused someone to seek medical advice or treatment, including calls to a poison control center?
FPOIS3M
(1) Yes (FIJ.310)
(2) No (FAU.010)
(7) Refused (FAU.010)
(9) Don't know (FAU.010)

FIJ.310

Who was this? (Anyone else?)
PPOIS3MR
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
1998
Survey form view entire document:  text  image

FIJ.300

The next questions are about POISONING, which includes coming into contact with harmful substances, and overdose or wrong use of any drug or medication. Do not include any illnesses such as poison ivy or food poisoning.

FR: HAND CALENDAR CARD.

DURING THE PAST THREE MONTHS, that is since {91 days before today's date}, did {you/anyone in the family} have a poisoning that caused someone to seek medical advice or treatment, including calls to a poison control center?
FPOIS3M
(1) Yes (FIJ.310)
(2) No (FAU.010)
(7) Refused (FAU.010)
(9) Don't know (FAU.010)

FIJ.310

Who was this? (Anyone else?)
PPOIS3MR
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

top
1997
Survey form view entire document:  text  image

FIJ.300

The next questions are about POISONING, which includes coming into contact with harmful substances, and overdose or wrong use of any drug or medication. Do not include any illnesses such as poison ivy or food poisoning.

FR: HAND CALENDAR CARD.

DURING THE PAST THREE MONTHS, that is since {91 days before today's date}, did {you/anyone in the family} have a poisoning that caused someone to seek medical advice or treatment, including calls to a poison control center?
FPOIS3M
(1) Yes (FIJ.310)
(2) No (FAU.010)
(7) Refused (FAU.010)
(9) Don't know (FAU.010)

FIJ.310

Who was this? (Anyone else?)
PPOIS3MR
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]