Name | Label | Question |
DA2 |
Compared to other children, does have any serious delay in
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COMPARED TO OTHER CHILDREN, DOES (name) HAVE ANY SERIOUS DELAY IN SITTING, STANDING OR WALKING?
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DA3 |
Compared to other children, does have difficulty seeing,
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COMPARED TO OTHER CHILDREN, DOES (name) HAVE DIFFICULTY SEEING, EITHER IN THE DAYTIME OR AT NIGHT?
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DA4 |
Does appear to have any difficulty hearing or does he/ she
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DOES (name) APPEAR TO HAVE ANY DIFFICULTY HEARING OR DOES HE/ SHE USE HEARING AID OR IS HE/ SHE COMPLETELY DEAF?
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DA5 |
When you tell to do something, does he/ she seem to understa
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WHEN YOU TELL (name) TO DO SOMETHING, DOES HE/ SHE SEEM TO UNDERSTAND WHAT YOU ARE SAYING?
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DA6 |
Does have difficulty walking or moving his/ her arms or does
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DOES (name) HAVE DIFFICULTY WALKING OR MOVING HIS/ HER ARMS OR DOES HE/ SHE HAVE WEAKNESS AND/ OR STIFFNESS IN THE ARMS OR LEGS?
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DA7 |
Does sometimes have fits, become rigid or lose consciousness
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DOES (name) SOMETIMES HAVE FITS, BECOME RIGID OR LOSE CONSCIOUSNESS?
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DA8 |
Does learn to do things like other children of his/ her age
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DOES (name) LEARN TO DO THINGS LIKE OTHER CHILDREN OF HIS/ HER AGE?
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DA9 |
Can make himself/ herself understood in words
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CAN (name) MAKE HIMSELF/ HERSELF UNDERSTOOD IN WORDS?
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DA11 |
Is speech not clear enough to be understood by people other
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IS (name)’S SPEECH NOT CLEAR ENOUGH TO BE UNDERSTOOD BY PEOPLE OTHER THAN THE IMMEDIATE FAMILY?
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DA12 |
Can name at least one object such as an animal, a toy, a cup
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CAN (name) NAME AT LEAST ONE OBJECT SUCH AS AN ANIMAL, A TOY, A CUP, A SPOON, ETC.?
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DA13 |
Compared to other children of the same age, does appear in a
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COMPARED TO OTHER CHILDREN OF THE SAME AGE, DOES (name) APPEAR IN ANY WAY MENTALLY BACKWARD, DULL OR SLOW?
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DA13A |
Does always stay in sickbed
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DOES (name) ALWAYS STAY IN SICKBED?
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DA14 |
May I proceed and note that you would be fine with
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MAY I PROCEED AND NOTE THAT YOU WOULD BE FINE WITH SUCH A VISIT, IF IT OCCURS AT ALL?
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