| | 6 | |
| | 7 | * Consent |
| | 8 | * Further Contact ![ManualConsentQuestionnaire > Does the participant consent to further contact from BRU?] - Enumerated value |
| | 9 | * ''All other questions irrelevant?'' |
| | 10 | * Current Period of Care |
| | 11 | * Principle Symptoms ![DataSubmissionQuestionnaire > Principle Symptoms] |
| | 12 | * Leaf per symptom |
| | 13 | * Start Date: ![DataSubmissionQuestionnaire > When was the First Onset of Symptoms] > ? |
| | 14 | * Additional Symptoms ![DataSubmissionQuestionnaire > Please supply details of the additional symptom(s)] |
| | 15 | * ''Potential future target for NLP'' |
| | 16 | * Start Date: ![DataSubmissionQuestionnaire > When was the First Onset of Symptoms] > ? |
| | 17 | * Discharged Method ![ConclusionQuestionnaire > Discharge Method] |
| | 18 | * Enumerated Value |
| | 19 | * Start Date: ![DataSubmissionQuestionnaire > When was the First Onset of Symptoms] > ? |
| | 20 | * Drugs on Discharge ![ConclusionQuestionnaire > Drugs on Discharge] |
| | 21 | * Leaf per drug |
| | 22 | * Start Date: ![DataSubmissionQuestionnaire > When was the First Onset of Symptoms] > ? |
| | 23 | * |