Example of a data collection form, created by the Large PIP project between Basildon & Thurrock University Hospital & Lumley Government Hospital, Sierra Leone. Used to gather data on the effect of epilepsy on women.

application/vnd.openxmlformats-officedocument.wordprocessingml.document icon EASL Gender_questionnaire,_Epilepsy-2.docx

— application/vnd.openxmlformats-officedocument.wordprocessingml.document, 15 KB (15737 bytes)