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Choking Hazard Survey

What are the most dangerous foods and objects for children?

The international project Susy Safe (www.susysafe.org), started in 2004, aims to identify which are the objects that pose the greatest risks of injury in children aged 0 to 14 years. The questionnaire that we are proposing falls within this important international project and the data collected will be crucial to propose targeted prevention strategies and campaigns and to prevent further accidents.

patient

Personal information * 出生日期

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dd/mm/yyyy
* 性别

男女

居住国家
居住城市
What is your occupation?
Children

0 1-2 3-4 4+

What is the highest level of education you have completed?

Elementary school
Junior high school
Senior high school
College - currently enrolled
College - first level degree
College - specialist degree
College - PhD

Look at these pictures and answer the 3 questions:

1 Jewellery

2 Pop Corn

3 Batteries

4 Wurstel

5 Toys

6 Stationery

7 Candies

8 Coins

9 Nuts

10 Seeds

* A. Among the represented objects, which ones in your opinion pose the greatest risk of choking in an infant less than 1 year old? (check the number corresponding to the object, max 2)

1 2 3 4 5
6 7 8 9 10

* B. Among the represented objects, which ones in your opinion, pose the greatest risk of choking in a child of 1 or 2 years? (check the number corresponding to the object, max 2)

1 2 3 4 5
6 7 8 9 10

* C. Among the represented objects, which ones in your opinion, pose the greatest risk of choking in a child of 3, 4, 5 or 6 years? (check the number corresponding to the object, max 2)

1 2 3 4 5
6 7 8 9 10

Did any of your children already risked choking due to a foreign body?

是否

Object cause of the accident?
Was there risk of death?

是否

Thank you for your kind participation!

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