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    زلفا نور ايدا
    8 views6 pages
    The document contains a questionnaire with questions about a patient's name, age, sex, pregnancy status, symptom onset date and time, foods eaten, and hospitalization. It includes the question, title, data type, and whether each response is required. Conditional logic is defined, such that if sex is female the next question will ask about pregnancy, while other responses will lead to questions about symptom onset.

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    The document contains a questionnaire with questions about a patient's name, age, sex, pregnancy status, symptom onset date and time, foods eaten, and hospitalization. It includes the question, title, data type, and whether each response is required. Conditional logic is defined, such that if sex is female the next question will ask about pregnancy, while other responses will lead to questions about symptom onset.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views6 pages

    Survey

    Uploaded by

    زلفا نور ايدا
    The document contains a questionnaire with questions about a patient's name, age, sex, pregnancy status, symptom onset date and time, foods eaten, and hospitalization. It includes the question, title, data type, and whether each response is required. Conditional logic is defined, such that if sex is female the next question will ask about pregnancy, while other responses will lead to questions about symptom onset.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 6

    Question Title Description

    What is the patient's name? Patient Please enter Name….


    What is the patient's age? Age Please enter Age ….
    What is the patient's sex? Sex Please enter Sex….
    Is the patient pregnant? Pregnant Please enter Pregnant...
    When did symptoms start? Symptoms Date Please enter symptoms date…
    What time did the symptoms start? Symptoms Time Please enter symptoms time…
    Select eaten foods: Foods Eaten Please select eaten foods…
    Was patient hospitalized? Hospitalization
    Variable_Name Question_Type Required List_Values If_Condition Then_Goto Else_Goto
    patient_name Text 1
    age Numeric 0
    sex Dropdown 0 Sheet3 Female pregnant onset_date
    pregnant Yes/No 0
    onset_date Date 1
    onset_time Time 0
    eaten_foods Checkbox 0 Sheet2
    hospitalized Options 0 Sheet4
    Yes
    No
    Don't know
    Fresh celery
    Grapes
    Peaches
    Apple juice
    Orange juice
    Sex
    Male
    Female
    Unknown
    Text
    Numeric
    Yes/No
    Checkbox
    Options
    Dropdown
    Date
    Time

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