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FLWALK3BNHEL
Need help walking 1/4 of mile

Survey Text

1991
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1991
Survey form view entire document:  text  image
Ask 21b for each activity marked "Yes" in 21a.
b. Do you need help from another person (activity in 21a)?

(3) Walking a quarter of a mile -- about 3 city blocks
1[] Yes
2[] No