Survey Text

1995
1994
1989
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1995

No questionnaire text is available for this sample.


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1994

No questionnaire text is available for this sample.


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1989
Survey form view entire document:  text  image
2a. During the past 12 months, did anyone in the family have any other mental or emotional disorders? Include only those disorders which seriously interfere with a person's ability to work or attend school, or to manage their day-to-day activities.

[] Yes
[] No (Check Item 1)

b. Who is this? Anyone else?
Mark box in appropriate person's column.

1[] Other