|
563
|
Which of these best describes your worst injury during the past year?
|
|
564
|
In the past 12 months, have you suffered any serious injuries?
|
|
566
|
Have you had an injury in the last four weeks?
|
|
6098
|
In the past 12 months, how many times have you fallen? By fallen, we mean unexpectedly or unintentionally dropping to a lower surface - the floor or ground - from a standing, walking or bending position.
|
|
6099
|
For each of the following items, indicate whether or not you have ever had the injury or condition. (Head or neck injury that left you unconscious.)
|
|
6100
|
For each of the following items, indicate whether or not you have ever had the injury or condition. (Head or neck injury without losing consciousness.)
|
|
6101
|
For each of the following items, indicate whether or not you have ever had the injury or condition. (A broken nose.)
|
|
6102
|
For each of the following items, indicate whether or not you have ever had the injury or condition. (Other serious injury to the face or jaw.)
|
|
6103
|
For each of the following items, indicate whether or not you have ever had the injury or condition. (Other serious bodily injury, for example, to arms or legs.)
|
|
6104
|
For each of the following items, indicate whether or not you have ever had the injury or condition. (A seizure or history of seizures.)
|
|
6105
|
For each of the following items, indicate whether or not you have ever had the injury or condition. (A stroke.)
|
|
6106
|
For each of the following items, indicate whether or not you have ever had the injury or condition. (A problem with visual disturbances, for example, double vision, inability to focus while reading, flashes of light, tunnel vision, kaleidoscopic vision or extreme sensitivity to light.)
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