VA-ECOE QOLIE TEXT3 (2150)    REMINDER DIALOG (801.41)

Name Value
NAME VA-ECOE QOLIE TEXT3
CLASS NATIONAL
EDIT HISTORY
  • EDIT DATE:   2013-09-30 10:20:15
    EDIT BY:   USER,SEVENTEEN
    EDIT COMMENTS:   
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DIALOG/PROGRESS NOTE TEXT 
\\
During the past 4 weeks...\\
Not at all                                Extremely\\
bothersome                                bothersome
   (1)      (2)        (3)         (4)       (5)
TYPE dialog element
SUPPRESS CHECKBOX SUPPRESS