L. Anthropometric Measurements and Biomarkers
Module Section L. Anthropometric Measurements and Biomarkers of MHAS 2012
Start of L. Anthropometric Measurements and Biomarkers
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If L1_1!=999 »
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L1_2
Time first blood pressure was taken
TIME FIRST BLOOD PRESSURE WAS TAKEN
[___|___] [___|___]
HOURS MINUTES
TIME FIRST BLOOD PRESSURE WAS TAKEN
[___|___] [___|___]
HOURS MINUTES
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L1_3
Result of the measure
RESULT OF THE MEASURE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Physical problem
3 No cooperation
4 Refused to provide
RESULT OF THE MEASURE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Physical problem
3 No cooperation
4 Refused to provide
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L1_4
Can the person stand unsupported?
CAN THE PERSON STAND UNSUPPORTED?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
CAN THE PERSON STAND UNSUPPORTED?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
If L1_4=1 »
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L1_5
Does the person have a visible spinal curvature?
DOES THE PERSON HAVE A VISIBLE
SPINAL CURVATURE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
DOES THE PERSON HAVE A VISIBLE
SPINAL CURVATURE?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
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If L1_5=2 »
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L1_6
Can the person get a proper upright posture?
CAN THE PERSON GET A PROPER UPRIGHT
POSTURE?
[IWER:(GET PERSON TO STAND AND MEASURE HEIGHT)]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
CAN THE PERSON GET A PROPER UPRIGHT
POSTURE?
[IWER:(GET PERSON TO STAND AND MEASURE HEIGHT)]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
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If L1_6=1 »
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L1_7
Height
HEIGHT..._____________ CENTIMETERS __________MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
HEIGHT..._____________ CENTIMETERS __________MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
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L1_7_1
To verify that I measured well, I will do it again.
TO VERIFY THAT I MEASURED WELL, I WILL DO IT AGAIN.
HEIGHT..... ____________CM ______________ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
TO VERIFY THAT I MEASURED WELL, I WILL DO IT AGAIN.
HEIGHT..... ____________CM ______________ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
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L1_8
Now I will measure your weight
NOW I WILL MEASURE YOUR WEIGHT
WEIGHT ................_________ KILOS _______GRAMS
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
NOW I WILL MEASURE YOUR WEIGHT
WEIGHT ................_________ KILOS _______GRAMS
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
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L1_8_1
To verify that I measured well, I will do it again.
TO VERIFY THAT I MEASURED
WELL, I WILL DO IT AGAIN.
WEIGHT...........___________ KILOS ___________ GRAMS
- - - - - - - - - - - - - - - - - - - - - - - - -
995.000 Tried but could not do
996.000 Did not try
997.000 Cannot stand
999.000 Refused to provide
TO VERIFY THAT I MEASURED
WELL, I WILL DO IT AGAIN.
WEIGHT...........___________ KILOS ___________ GRAMS
- - - - - - - - - - - - - - - - - - - - - - - - -
995.000 Tried but could not do
996.000 Did not try
997.000 Cannot stand
999.000 Refused to provide
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L1_9
Waist
WAIST ..._____________ CENTIMETERS __________MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
WAIST ..._____________ CENTIMETERS __________MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
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L1_9_1
To verify that I measured well, I will do it again.
TO VERIFY THAT I MEASURED
WELL, I WILL DO IT AGAIN.
WAIST...._____________ CENTIMETERS __________MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
TO VERIFY THAT I MEASURED
WELL, I WILL DO IT AGAIN.
WAIST...._____________ CENTIMETERS __________MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
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L1_10
Hip
HIP...._______ CM ____ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
HIP...._______ CM ____ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
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L1_10_1
To verify that I measured well, I will do it again
TO VERIFY THAT I MEASURED WELL, I WILL DO IT AGAIN
HIP.....__ CM ___ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
TO VERIFY THAT I MEASURED WELL, I WILL DO IT AGAIN
HIP.....__ CM ___ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
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If L1_6=1 »
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L1_11
Sitting height
SITTING HEIGHT ____ CM ___ MM
HEIGHT OF THE CHAIR ____ CM ___ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
SITTING HEIGHT ____ CM ___ MM
HEIGHT OF THE CHAIR ____ CM ___ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
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L1_11_1
To verify that I measured well, I will do it again.
SITTING HEIGHT ____ CM ___ MM
HEIGHT OF THE CHAIR ____ CM ___ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
SITTING HEIGHT ____ CM ___ MM
HEIGHT OF THE CHAIR ____ CM ___ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
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L1_12
Measurement of knee height
MEASUREMENT OF KNEE HEIGHT
HEIGHT.....____ CM _____ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
MEASUREMENT OF KNEE HEIGHT
HEIGHT.....____ CM _____ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
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L1_12_1
To verify that I measured well, I will do it again
TO VERIFY THAT I MEASURED
WELL, I WILL DO IT AGAIN
HEIGHT....___ CM _____ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
TO VERIFY THAT I MEASURED
WELL, I WILL DO IT AGAIN
HEIGHT....___ CM _____ MM
- - - - - - - - - - - - - - - - - - - - - - - - -
995.0 Tried, but could not do
996.0 Did not try
997.0 Cannot stand
999.0 Refused to provide
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L1_13
Blood Pressure second measure
NOW I WILL TAKE YOUR BLOOD
PRESSURE AGAIN. I WILL NEED YOU TO
CONTINUE SITTING AND BE RELAXED AS
POSSIBLE TO GET THE MEASUREMENT.
SECOND MEASUREMENT
_________ SYSTOLIC/________ DIASTOLIC/________ PULSE
- - - - - - - - - - - - - - - - - - - - - - - - -
999/999 Did not get measurement
NOW I WILL TAKE YOUR BLOOD
PRESSURE AGAIN. I WILL NEED YOU TO
CONTINUE SITTING AND BE RELAXED AS
POSSIBLE TO GET THE MEASUREMENT.
SECOND MEASUREMENT
_________ SYSTOLIC/________ DIASTOLIC/________ PULSE
- - - - - - - - - - - - - - - - - - - - - - - - -
999/999 Did not get measurement
If L1_13!=999 »
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L1_14
Time second blood pressure measurement was taken
TIME SECOND BLOOD PRESSURE MEASUREMENT WAS TAKEN
____ HOURS ________ MINUTES
- - - - - - - - - - - - - - - - - - - - - - - - -
99 Hours not known
99 Minutes not known
TIME SECOND BLOOD PRESSURE MEASUREMENT WAS TAKEN
____ HOURS ________ MINUTES
- - - - - - - - - - - - - - - - - - - - - - - - -
99 Hours not known
99 Minutes not known
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L1_15
Result of the second measure
RESULT OF THE SECOND MEASURE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Physical problem
3 No cooperation
4 Refused to provide
RESULT OF THE SECOND MEASURE
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Physical problem
3 No cooperation
4 Refused to provide
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L1_16_1
Balance (right foot)
RIGHT FOOT
- - - - - - - - - - - - - - - - - - - - - - - - -
94 Missing or injured extremity
95 Tried, but could not do
96 No attempt was made to be safe
97 Cannot stand
99 Refused to do
__ Passed the test within: Time
RIGHT FOOT
- - - - - - - - - - - - - - - - - - - - - - - - -
94 Missing or injured extremity
95 Tried, but could not do
96 No attempt was made to be safe
97 Cannot stand
99 Refused to do
__ Passed the test within: Time
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L1_16_2
Left foot
LEFT FOOT
- - - - - - - - - - - - - - - - - - - - - - - - -
94 Missing or injured extremity
95 Tried, but could not do
96 No attempt was made to be safe
97 Cannot stand
99 Refused to do
__ Passed the test within: Time
LEFT FOOT
- - - - - - - - - - - - - - - - - - - - - - - - -
94 Missing or injured extremity
95 Tried, but could not do
96 No attempt was made to be safe
97 Cannot stand
99 Refused to do
__ Passed the test within: Time
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L1_17
Time for the first test
TIME FOR THE FIRST TEST - TIME TO TALK 4 METERS
__ MIN __ SEC
- - - - - - - - - - - - - - - - - - - - - - - - -
00/00 If the test was not performed, enter
TIME FOR THE FIRST TEST - TIME TO TALK 4 METERS
__ MIN __ SEC
- - - - - - - - - - - - - - - - - - - - - - - - -
00/00 If the test was not performed, enter
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L1_18
If the participant did not attempt or failed the test, indicate reason:
IF THE PARTICIPANT DID NOT
ATTEMPT OR FAILED THE TEST,
INDICATE REASON:
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Tried, but could not do
2 The participant could not maintain position without help.
3 No attempt, you did not feel safe
4 No attempt, the did not feel safe
5 The participant could not understand instructions
6 Other (specify)_________________
7 Refused to do
IF THE PARTICIPANT DID NOT
ATTEMPT OR FAILED THE TEST,
INDICATE REASON:
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Tried, but could not do
2 The participant could not maintain position without help.
3 No attempt, you did not feel safe
4 No attempt, the did not feel safe
5 The participant could not understand instructions
6 Other (specify)_________________
7 Refused to do
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L1_19
Aids used during first test
AIDS USED DURING FIRST TEST
- - - - - - - - - - - - - - - - - - - - - - - - -
1 None
2 Cane
7 Other
AIDS USED DURING FIRST TEST
- - - - - - - - - - - - - - - - - - - - - - - - -
1 None
2 Cane
7 Other
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L1_20
Time for the second test
TIME FOR THE SECOND TEST
___ MIN ___ SEC
- - - - - - - - - - - - - - - - - - - - - - - - -
00/00 If the participant did not pass the test
TIME FOR THE SECOND TEST
___ MIN ___ SEC
- - - - - - - - - - - - - - - - - - - - - - - - -
00/00 If the participant did not pass the test
If L1_20<0 »
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L1_21
If the participant did not attempt or failed the test, indicate why:
IF THE PARTICIPANT DID NOT
ATTEMPT OR FAILED THE TEST,
INDICATE WHY:
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Tried, but could not do
2 The participant could not maintain position without help
3 No attempt, you did not feel safe
4 No attempt, the participant did not feel safe
5 The participant could not understand the instructions
6 Other (specify)_________________
7 Refused to do
IF THE PARTICIPANT DID NOT
ATTEMPT OR FAILED THE TEST,
INDICATE WHY:
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Tried, but could not do
2 The participant could not maintain position without help
3 No attempt, you did not feel safe
4 No attempt, the participant did not feel safe
5 The participant could not understand the instructions
6 Other (specify)_________________
7 Refused to do
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L1_22
Aids used during second test
AIDS USED DURING
SECOND TEST
- - - - - - - - - - - - - - - - - - - - - - - - -
1 None
2 Cane
7 Other
AIDS USED DURING
SECOND TEST
- - - - - - - - - - - - - - - - - - - - - - - - -
1 None
2 Cane
7 Other
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L1_23
Hand Grip Test
DO YOU FEEL IT IS SAFE FOR YOU TO DO
THIS MEASUREMENT? PLEASE CONSIDER
WHETHER IN THE PAST SIX MONTHS YOU HAD
SURGERY OR EXPERIENCED SOME SWELLING,
INFLAMMATION, PAIN OR SERIOUS INJURY TO
ONE OR BOTH HANDS.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes, with both hands
2 Yes, only with the right hand
3 Yes, only with the left hand
4 It is not possible to do the test with any hand
DO YOU FEEL IT IS SAFE FOR YOU TO DO
THIS MEASUREMENT? PLEASE CONSIDER
WHETHER IN THE PAST SIX MONTHS YOU HAD
SURGERY OR EXPERIENCED SOME SWELLING,
INFLAMMATION, PAIN OR SERIOUS INJURY TO
ONE OR BOTH HANDS.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes, with both hands
2 Yes, only with the right hand
3 Yes, only with the left hand
4 It is not possible to do the test with any hand
If L1_23=4 »
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L1_24
INTERVIEWER: Enter the reason that the test was not performed
INTERVIEWER: ENTER THE REASON THAT THE TEST WAS NOT PERFORMED
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No attempt, you did not feel safe
2 No attempt, the participant did not feel safe
3 Participant refused to do
4 The participant could not understand the
instructions
5 The participant could not participate due to surgery, inflammation, pain, etc., or other health condition
6 Other (specify)_________________
INTERVIEWER: ENTER THE REASON THAT THE TEST WAS NOT PERFORMED
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No attempt, you did not feel safe
2 No attempt, the participant did not feel safe
3 Participant refused to do
4 The participant could not understand the
instructions
5 The participant could not participate due to surgery, inflammation, pain, etc., or other health condition
6 Other (specify)_________________
If L1_24>=1 and L1_24<=6 »
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L1_25
What is your dominant hand, with which you perform most things?
WHAT IS YOUR DOMINANT
HAND, WITH WHICH YOU PERFORM
MOST THINGS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Right
2 Left
3 Both Hands
WHAT IS YOUR DOMINANT
HAND, WITH WHICH YOU PERFORM
MOST THINGS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Right
2 Left
3 Both Hands
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L1_26_1
We will do two measurements with the left hand. FIRST MEASUREMENT
WE WILL DO TWO MEASUREMENTS WITH THE LEFT HAND. FIRST MEASUREMENT
- - - - - - - - - - - - - - - - - - - - - - - - -
993.0 Tried, but could not do
999.0 Did not try
WE WILL DO TWO MEASUREMENTS WITH THE LEFT HAND. FIRST MEASUREMENT
- - - - - - - - - - - - - - - - - - - - - - - - -
993.0 Tried, but could not do
999.0 Did not try
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L1_26_2
We will do two measurements with the left hand. SECOND MEASUREMENT
WE WILL DO TWO
MEASUREMENTS WITH
THE LEFT HAND. SECOND MEASUREMENT
- - - - - - - - - - - - - - - - - - - - - - - - -
993.0 Tried but could not do
999.0 Did not try
WE WILL DO TWO
MEASUREMENTS WITH
THE LEFT HAND. SECOND MEASUREMENT
- - - - - - - - - - - - - - - - - - - - - - - - -
993.0 Tried but could not do
999.0 Did not try
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L1_27_1
We will do two measurements with the right hand. FIRST MEASUREMENT
WE WILL DO TWO
MEASUREMENTS WITH
THE RIGHT HAND. FIRST MEASUREMENT
- - - - - - - - - - - - - - - - - - - - - - - - -
993.0 Tried, but could not do
999.0 Did not try
WE WILL DO TWO
MEASUREMENTS WITH
THE RIGHT HAND. FIRST MEASUREMENT
- - - - - - - - - - - - - - - - - - - - - - - - -
993.0 Tried, but could not do
999.0 Did not try
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L1_27_2
We will do two measurements with the right hand. SECOND MEASUREMENT
WE WILL DO TWO
MEASUREMENTS WITH
THE RIGHT HAND. SECOND MEASUREMENT
- - - - - - - - - - - - - - - - - - - - - - - - -
993.0 Tried, but could not do
999.0 Did not try
WE WILL DO TWO
MEASUREMENTS WITH
THE RIGHT HAND. SECOND MEASUREMENT
- - - - - - - - - - - - - - - - - - - - - - - - -
993.0 Tried, but could not do
999.0 Did not try
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L1_28
Completed the handgrip test
COMPLETED THE HANDGRIP TEST
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
COMPLETED THE HANDGRIP TEST
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
2 No
========================================================================
L1_29
Record the result of sampling venous blood (red top tube)
RECORD THE RESULT OF SAMPLING
VENOUS BLOOD (RED TOP TUBE)
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Does not understand instructions
3 Has hemophilia
4 Tried but it was not possible to obtain sample
5 Not enough sample was obtained
6 Refused
7 Other (specify)_____________________________
RECORD THE RESULT OF SAMPLING
VENOUS BLOOD (RED TOP TUBE)
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Does not understand instructions
3 Has hemophilia
4 Tried but it was not possible to obtain sample
5 Not enough sample was obtained
6 Refused
7 Other (specify)_____________________________
========================================================================
L1_30
Record the result of sampling venous blood (EDTA lavender)
RECORD THE RESULT OF SAMPLING VENOUS BLOOD (EDTA LAVENDER)
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Does not understand instructions
3 Has hemophilia
4 Tried but it was not possible to obtain sample
5 Not enough sample was obtained
6 Refused
7 Other (specify)_____________________________
RECORD THE RESULT OF SAMPLING VENOUS BLOOD (EDTA LAVENDER)
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Does not understand instructions
3 Has hemophilia
4 Tried but it was not possible to obtain sample
5 Not enough sample was obtained
6 Refused
7 Other (specify)_____________________________
========================================================================
L1_31
Result of glycosylated hemoglobin
RESULT OF GLYCOSYLATED
HEMOGLOBIN
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Does not understand instructions
3 Tried but it was not possible to obtain sample
4 Not enough sample was obtained
5 Refused
6 Other (specify)____________________
RESULT OF GLYCOSYLATED
HEMOGLOBIN
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Does not understand instructions
3 Tried but it was not possible to obtain sample
4 Not enough sample was obtained
5 Refused
6 Other (specify)____________________
If L1_31=1 »
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========================================================================
L1_33
Hemoglobin result
HEMOGLOBIN RESULT
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Does not understand instructions
3 Tried but it was not possible to obtain sample
4 Not enough sample was obtained
5 Refused
6 Other (specify)____________________
HEMOGLOBIN RESULT
- - - - - - - - - - - - - - - - - - - - - - - - -
1 No issue
2 Does not understand instructions
3 Tried but it was not possible to obtain sample
4 Not enough sample was obtained
5 Refused
6 Other (specify)____________________
If L1_33=1 »
| ========================================================================
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L1_35_A
L1_35_A
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L1_35_B
L1_35_B
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L1_35_C
L1_35_C
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L1_35_D
L1_35_D
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L1_35_E
L1_35_E
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L1_35_F
L1_35_F
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L1_35_G
L1_35_G
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L1_35_H
L1_35_H
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L1_36
L1_36
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L1_36
L1_36
End of L. Anthropometric Measurements and Biomarkers