Literal question
INTERVIEWER VISITS
FIRST VISIT:
DATE _____
INTERVIEWER'S NAME __________
RESULT __________
NEXT VISIT:
DATE _____
TIME _____
SECOND VISIT:
DATE _____
INTERVIEWER'S NAME __________
RESULT __________
NEXT VISIT:
DATE _____
TIME _____
THIRD VISIT:
DATE _____
INTERVIEWER'S NAME __________
RESULT __________
FINAL VISIT:
DAY ___
MONTH __________
YEAR _____
NAME __________
RESULT __________