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Table 3 Socio-demographic questionnaire

From: The implementation of an online mindfulness-based program for pediatric patients at a tertiary hospital in South America: a feasibility study protocol

1.

Date of birth

2.

Age during the program

3.

Biological gender designation

4.

Color/ethnic of the patient

5.

Color/ethnic of the caregiver family member

6.

Province of origin

7.

City of origin

8.

Education level of the caregiver family member

9.

Family income

10.

Number of people living in the household

11.

Primary diagnosis (pediatric subspecialty)