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Open - Economic and Social Data Service (ESDS)

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40<br />

5. During the months of ...... ..... <strong>and</strong> ......<br />

(LAST 3 COMPLETE CALENDAR MONTHS) did you<br />

attend as a patient the casualty or -<br />

outpatient department of a hospital (apart<br />

from straightforward ante- or post-natal<br />

visits)? Yea ..<br />

No ...<br />

=<br />

1<br />

2<br />

. (a)-(c)<br />

*Q6<br />

(a)<br />

Which month was this?<br />

(b)<br />

How<br />

many times did you attend in that month?<br />

EARLIEST MONTH IN<br />

REFERENCE PERIOD<br />

(a)<br />

(b)<br />

MONTH<br />

NO.OF<br />

TIMES<br />

1 I<br />

SECOND MONTH IN<br />

RIFERENCE PERIOD I I<br />

THIRD MONTH IN<br />

REFERENCE PERIOD<br />

I<br />

(c<br />

Was this visit (were all these visits) made<br />

under the NIIS,or wac it (were any of them)<br />

p]id for privately?<br />

Allunder NHS .................<br />

At least one private visit:<br />

ENTER NUMBER_<br />

00<br />

.. I...<br />

-Q6<br />

- (i)<br />

(i)<br />

When you paid privately, did you go to<br />

a private hospital, or an NHS one?<br />

Private hospital(s) only ......<br />

At least one private visit<br />

to an NHS hospital:<br />

ENTER NUMBER _<br />

00<br />

.. I...<br />

t<br />

Q6

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