Survey Text

1988
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1988
Survey form view entire document:  text  image
INSTRUCTIONS- Please circle "Yes" or "No" if any of these things have or have not ever happened to you IN YOUR ENTIRE LIFE. If you need any help ask me for assistance.

In your entire life have you ever....

14. Had a spouse or someone you lived with threaten to leave you because of your drinking?

1[] Yes
2[] No

Column 2: In you Entire Life have you ever.....

14. Had a spouse or someone you lived with threaten to leave you because of your drinking?

1[] Yes
2[] No

INSTRUCTIONS- Please circle "Yes" or "No" if any of these things have or have not ever happened to you IN YOUR ENTIRE LIFE. If you need any help ask me for assistance.

In your entire life have you ever....

14. Had a spouse or someone you lived with threaten to leave you because of your drinking?

1[] Yes
2[] No

Column 2: In your Entire Life have you ever.....

14. Had a spouse or someone you lived with threaten to leave you because of your drinking?

1[] Yes
2[] No