</h:head>
<h:body>
<select1 bind="A01">
<label ref="jr:itext('A01')"/>
<item>
<label ref="jr:itext('A01_1')"/>
<value>1</value>
</item>
</select1>
<select1 bind="A02">
<label ref="jr:itext('A02')"/>
<item>
<label ref="jr:itext('A02_1')"/>
<value>1</value>
</item>
</select1>
<select1 bind="A03">
<label ref="jr:itext('A03')"/>
<item>
<label ref="jr:itext('A03_1')"/>
<value>1</value>
</item>
</select1>
<group id="A04">
<label ref="jr:itext('A04')"/>
<select1 bind="A05">
<label ref="jr:itext('A05')"/>
<item>
<label ref="jr:itext('A05_1')"/>
<value>1</value>
</item>
<item>
<label ref="jr:itext('A05_2')"/>
<value>2</value>
</item>
</select1>
<select1 bind="A06">
<label ref="jr:itext('A06')"/>
<item>
<label ref="jr:itext('A06_1')"/>
<value>1</value>
</item>
<item>
<label ref="jr:itext('A06_2')"/>
<value>2</value>
</item>
<item>
<label ref="jr:itext('A06_3')"/>
<value>3</value>
</item>
</select1>
<input bind="A07">
<label ref="jr:itext('A07')"/>
<hint ref="jr:itext('A07-hint')"/>
</input>
</group>
|
In the past 30 days how much difficulty did you have in? Mumazuva makumi matatu apfuura, mungati makanetseka zvakadini ku? |
none 1
|
mild 2 |
Moderate 3 |
Severe 4 |
extreme or cannot do 5 |
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