c. When did you have your last proctoscopic exam?
If 3 years ago or less (34), If more than 3 years ago (38)
Mo. ____
Year 19_ _
OR
_____
1 [] Days ago
2 [] Weeks ago
3 [] Months ago
4 [] Years ago
999 [] DK (33d)
d. Was it within the past year or a year or more ago?
1 [] Within past year (33e)
2 [] 1 year or more (33f)
9 [] DK (36)
e. Was it less than three months, or 3 or more months ago?
1 [] Less than 3 months (34)
2 [] 3 or more months (34)
9 [] DK (34)