Dataset for Questionnaire - example
 Att14 Example Dataset for Questionnaire.xlsx
Poison Center Collaborations for Public Health Emergencies
Dataset for Questionnaire - example
OMB: 0920-1166
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		| ID | DateInterview | InterviewerID | PoisonCenterID | State | NpdsCaseID | Q1Name1 | Q1Name2 | Q1Name3 | Q2Source1 | Q2Source2 | Q2Source3 | Q3Location1 | Q3Location2 | Q3Location3 | Q4 | Q4b | Q5 | Q6 | Q7 | Q8 | Q9 | Q10 | Q11 | Q12 | Q13 | Q13b | Q14 | Q14b | Q15 | Q16generator | Q16PropaneHeater | Q16KeroseneHeater | Q16PropaneGrill | Q16CharcoalGrill | Q16PropaneCampStove | Q16Woodstove | Q16Fireplace | Q16BoilerOil | Q16BoilerNG | Q16FurnaceOil | Q16FurnaceNG | Q16HotWaterHeaterOil | Q16HotWaterHeaterNG | Q16gasOver | Q16GasStove | Q16KeroseneLamp | Q16Fire | Q16Vehicle | Q16Other | Q16DNK | Q16Refuse | Q17 | Q17Outside | Q17Inside | Q18 | Q19Heat | Q19HotWater | Q19Television | Q19Radio | Q19Lights | Q19refrigerator | Q19Power | Q19Medical | Q19Other | Q19DNK | Q19Refuse | Q20Symptom1 | Q20Symptom2 | Q20Symptom3 | Q20DNK | Q20Refuse | Q20None | Q21Call | Q21PoisonCenter | Q21Doctor | Q21EMS | Q21Windows | Q21Left | Q21TurnOff | Q21Hospital | Q21NoProblem | Q21Other | Q21Refuse | Q22Information | Q22Exposure | Q22Ill | Q22KnownExposure | Q22Smell | S22Other | Q22Refuse | Q23 | Q24 | Q24b | Q25Treatment1 | Q25Treatment2 | Q25Treatment3 | Q25Other | Q25DNK | Q25None | Q25Refuse | Q26Procedure1 | Q26Procedure2 | Q26Procedure3 | Q26Other | Q26DNK | Q26None | Q26Refuse | Q27 | Q27b | Q28 | Q29 | Q29b | Q30 | Q30b | Q31 | 
	
		| 1 | 8/8/2016 | 1 | 23 | GA | 12345 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | Y | NA | N | Y | DNK | Skinny vial | Red | Y | N | TV | Home | Single Family | Y | 12 | Y | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Outside | <20ft | NA | One day | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | ER | Y | ER | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | Y | DNK | Discharged | Y | Radio | DNK | N | Evacuate | 
	
		| 2 | 8/9/2016 | 2 | 23 | GA | 12346 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | N | DNK | N | Y | Refuse | bottle | Green | Y | Y | Sleeping | hotel | NA | N | NA | Y | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Inside | NA | Enclosed porch | One day | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | home | N | NA | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | N | NA | NA | N | NA | N | N | DNK | 
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet | 
| File Modified | 0000-00-00 | 
| File Created | 0000-00-00 |