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Tiled Question

This is an example of the Tiled Question style. Various question types can be used.

Clinical Attributes

What stage was the patient first diagnosed?

Select one

I

II

III

Date of diagnosis:

Results of test?

Select one

Positive

Negative

What you did with this information?

Select all that apply

Option 3

Option 1

Option 2

Other

I did not use this information.

Did you run another test?

Select one

Yes

No

What were the results?

Select one

Positive

Negative

Comorbidities:

Select all that apply

Cardiovascular disease

Cerebrovascular disease

Pulmonary disease

Obesity

Hypertension

Diabetes

Kidney disease

Other (specify)

None

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Tiled Question This is an example of the Tiled Question style. Various question types can be used. Clinical Attributes

What stage was the patient first diagnosed?

Select one

Date of diagnosis:

Results of test?

Select one

What you did with this information?

Select all that apply

Did you run another test?

Select one

What were the results?

Select one

Comorbidities:

Select all that apply

Tiled Question

This is an example of the Tiled Question style. Various question types can be used.

Clinical Attributes