Abstract: A book containing question or other instruction pages permanently bound therein by a binding such as a spiral wire binding. A holder of small lateral dimension is also bound by the permanent binding and carries loose-leaf answer or work pages secured to the holder by a loose-leaf binding such as a bendable metal strip. The book can be laid open flat or folded back on itself. The work pages can be used up and then replaced.

Abstract: An information gathering system particularly useful for obtaining medical information from a patient, including patients which communicate in a language different from that of the doctor. The system has one or more question sheets bearing a set of questions. These questions may be medical questions written in the language of the patient. A separate answer sheet on which answers to questions on the question sheets can be indicated is provided. The answer sheet has information concerning each possible answer adjacent the location on the sheet for the answer. It is possible for this information to be in a language different from that used on the question sheet or sheets. A mechanism is preferably provided for positioning and holding the answer sheet in a predetermined position relative to the question sheets.