During [NAME]'s last episode of illness, did [NAME] have diarrhea?
During [NAME]'s last episode of illness, did [NAME] have blood in their stools?
During [NAME]'s last episode of illness, did [NAME] have persistant vomiting?
During [NAME]'s last episode of illness, was [NAME] unable to eat/drink?
During [NAME]'s last episode of illness, did [NAME] have convulsions?
During [NAME]'s last episode of illness, did [NAME] have other symptoms?
During [NAME]'s last episode of illness, did [NAME] have other symptoms? Please specify.
During [NAME]'s last illness, was [NAME] given more than usual to drink, about the same amount, or less than usual to drink, including breastmilk?
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?
In the last 30 days, how much bodily discomfort did [name of person]have?
In the last 30 days, how much difficulty did you think [name of person]have in seeing and recognizing a person she knows across the road ( i.e.from a distance of about 20 meters)?
In the last 30 days, how much difficulty did you think [name of person] have in seeing and recognizing an object at arm’s length or in reading?
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