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. 2015 Mar 20;17(3):e15986. doi: 10.5812/ircmj.15986

Appendix 1. Short Form Injury Questionnaire.

Inj 1: Have you gotten any injuries or trauma (due to motor vehicle crashes, falls, burns, electrical shock, poisoning, collision to hard objects, incision with sharp and cutting objects, bites, drowning), which required any treatments (including sticking plaster, tissue, traditional therapy at home or referring to a physician or health center) since 12 months ago. Yes □
No □