Questionnaire for Clinic Xey Holder - Page 5
40.
What are the three most frequent types of clinic visits?
Record approximate number of clinic visits per week for each of che following:
4l.
Total visits per week on the average
42.
Infants under one year of age
43.
Children 1 - 5 years of age
44,
Children 6 ~ 15 years of age
45.
Youmg to middle age mex
46.
Young to middle age women
47.
Old men
48.
Old women
49,
Number of children per week wich diarrhea or vomitiag
50.
Number of children per week with fever
31.
Number of children per week for well child care (immmizations,
52.
Number of pragnancy care visits per veek
33.
Number of adults with fever
54.
Number of adultes with gastrointestinal probiems
atc.)