<Fragment xmlns:r="ddi:reusable:3_2" xmlns="ddi:instance:3_2">
  <QuestionItem isUniversallyUnique="true" versionDate="2025-04-17T14:23:54.6376554Z" xmlns="ddi:datacollection:3_2">
    <r:URN>urn:ddi:int.example:3527a7ee-6393-4bcd-9059-5f37a3d1829d:1</r:URN>
    <r:Agency>int.example</r:Agency>
    <r:ID>3527a7ee-6393-4bcd-9059-5f37a3d1829d</r:ID>
    <r:Version>1</r:Version>
    <r:UserAttributePair>
      <r:AttributeKey>extension:Label</r:AttributeKey>
      <r:AttributeValue>{"de":"Verschlimmerung Beschwerden während Covid-19-Pandemie: Ja/nein","en":"Aggravation health problems during Covid-19 pandemic: yes/no","en-GB":"Aggravation health problems during Covid-19 pandemic: yes/no"}</r:AttributeValue>
    </r:UserAttributePair>
    <r:VersionResponsibility>fdz@dezim-institut.de</r:VersionResponsibility>
    <QuestionItemName>
      <r:String xml:lang="de">hlt0023</r:String>
      <r:String xml:lang="en">hlt0023</r:String>
      <r:String xml:lang="en-GB">hlt0023</r:String>
    </QuestionItemName>
    <QuestionText audienceLanguage="de">
      <LiteralText>
        <Text>Haben Sie gesundheitliche Beschwerden, die sich seit der Covid-19-Pandemie verschlimmert haben?</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en">
      <LiteralText>
        <Text>Have you experienced any health issues that have worsened since the Covid-19 pandemic?</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en-GB">
      <LiteralText>
        <Text>Have you experienced any health issues that have worsened since the Covid-19 pandemic?</Text>
      </LiteralText>
    </QuestionText>
    <r:ResponseCardinality minimumResponses="0" maximumResponses="0" />
  </QuestionItem>
</Fragment>