. 2019 May 10;54(2):134–139. doi: 10.1016/j.rbo.2017.12.017

Annex 1. Prestructured questionnaire.

QUESTIONNAIRE – PENETRATING WOUNDS ON UPPER LIMBS
NAME:_______________________________________________ RH:_____________________________ GENDER: __M __F DYNAMIC: __ R __L AGE WHEN THE ACCIDENT OCCURRED: _________ OCCUPATION: ______________________________ OCCUPATIONAL HAZARD? __Y __N LOCAL OF THE WOUND (WHERE ON THE BODY IS THE WOUND?) ______________________________________________________________ ETIOLOGY (HOW HAVE YOU BEEN INJURED?) ______________________________________________________________ ______________________________________________________________

QUESTIONNAIRE – PENETRATING WOUNDS ON UPPER LIMBS

NAME:_______________________________________________ RH:_____________________________
GENDER: __M __F DYNAMIC: __ R __L AGE WHEN THE ACCIDENT OCCURRED: _________
OCCUPATION: ______________________________ OCCUPATIONAL HAZARD? __Y __N
LOCAL OF THE WOUND (WHERE ON THE BODY IS THE WOUND?)
______________________________________________________________
ETIOLOGY (HOW HAVE YOU BEEN INJURED?)
______________________________________________________________
______________________________________________________________