Fig. 9.
Example of one of the questions: “Have you ever had any surgery?” The answer box is clearly ticked and can be corrected if the wrong box was selected. Specific information can be added in the free text box below
Official websites use .gov
A
.gov website belongs to an official
government organization in the United States.
Secure .gov websites use HTTPS
A lock (
) or https:// means you've safely
connected to the .gov website. Share sensitive
information only on official, secure websites.