Dynamic Form

1 form
  • Created on Jun 6
    .
    Public Health Survey and Demography Survey Instructions • You should fill out this questionnaire only if you were the patient.if you need to get help from a family member or friend to answer the questions. That’s okay. • Answer all the questions by checking the box to the left of your answer. • Your response to this survey is voluntary but will provide us with important information. • You are sometimes told to skip over some questions in this survey. When this happens, you will see an arrow with a note that tells you what question to answer next, like this:  Yes  No  If No, go to Question 1
    2 entries
    2 entries
    Created on Jun 6
    Public Health Survey and Demography Survey Instructions • You should fill out this questionnaire only if you were the patient.if you need to get help from a family member or friend to answer the questions. That’s okay. • Answer all the questions by checking the box to the left of your answer. • Your response to this survey is voluntary but will provide us with important information. • You are sometimes told to skip over some questions in this survey. When this happens, you will see an arrow with a note that tells you what question to answer next, like this:  Yes  No  If No, go to Question 1