The last time you had the pelvic examination, did you have a PAP smear test? (By PAP smear test, I mean did a doctor or nurse use a swab or stick to wipe from inside your vagina, take a sample and send it to a laboratory?)
When was the last time you had a mammography, if ever? (This is an x-ray of your breasts to detect breast cancer at an early stage).
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
In the last 30 days, how much bodily discomfort did [name of person] have?
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationship or participation in the community?
In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others?
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
In the last 30 days, how much bodily discomfort did [name of person] have?
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationship or participation in the community?
In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others?
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
In the last 30 days, how much bodily discomfort did [name of person]have?
Overall in the last 30 days, how much difficulty did [name of person] have with personal relationships or participation in the community?
In the last 30 days, how much difficulty did [name of person] have in dealing with conflicts and tensions with others?
Overall in the last 30 days, how much of bodily aches or pains did [name of person] have?
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