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.)