Prompt: !!,?4,"One month ago, you had an operation at the VA Medical Center. We are",!,?4,"interested in how you feel. Have you had any health problems since your",!,?4,"operation ? We would like to hear from you. Please take a few minutes"
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Prompt: !,?4,"to answer these questions and return this letter in the self-addressed",!,?4,"stamped envelope."
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Prompt: !!,?4,"Have you been to a hospital or seen a doctor for any reason since your",!,?4,"operation ? ___ Yes ___ No"
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Prompt: !!,?4,"If you answered NO, you do not need to answer any more questions. Please",!,?4,"return this sheet in the self-addressed stamped envelope."
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Prompt: !!,?4,"If you have answered YES, please answer the following questions.",!!,?7,"1) Have you been seen in an outpatient clinic or doctor's office ? "
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Prompt: !,?10,"___ Yes ___ No",!!,?10,"Why did you go to the clinic or doctor's office ? ________________"
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Prompt: !!,?10,"Where ? (name and location) _____________________ Date ? ________"
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Prompt: !!,?10,"Who was your doctor ? ____________________________________________"
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Prompt: !!!,?7,"2) Were you admitted to a hospital ? ___ Yes ___ No",!!,?10,"Why did you go to the hospital ? _________________________________"
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Prompt: !!,?10,"Where ? (name and location) _____________________ Date ? ________"
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Prompt: !!,?10,"Who was your doctor ? ____________________________________________"
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Prompt: !!!,?4,"Please return this letter whether or not you have had any medical problems.",!,?4,"Your health and opinion are important to us. Thank You.",!!,?4,"Sincerely,",!!!,?4,"Surgical Clinical Nurse Reviewer"