PC08B
=====
[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD PC-1.
When did [you/[PERSON]] last use the peak flow meter? Was it within the last seven days, more than seven days ago but within the last thirty days, or more than thirty days ago?
WITHIN LAST 7 DAYS ..................... 1 [BOX_08]
MORE THAN 7, BUT WITHIN LAST 30 DAYS ... 2 [BOX_08]
MORE THAN 30 DAYS AGO .................. 3 [BOX_08]
REF ................................... -7 [BOX_08]
DK .................................... -8 [BOX_08]
[Code One]