Literal question
INTERVIEW VISITS
INTERVIEW 1
DATE ____
INTERVIEWER'S NAME ____
RESULT** ____
NEXT VISIT:
DATE ____
TIME ____
INTERVIEW 2
DATE _____
INTERVIEWER'S NAME ____
RESULT** ____
NEXT VISIT:
DATE ____
TIME ____
INTERVIEW 3
DATE _____
INTERVIEWER'S NAME _____
RESULT** ____
FINAL VISIT
MONTH____
YEAR ____
INTERVIEWER'S NAME ____