Survey Text

1995
1994
1989
top
1995

No questionnaire text is available for this sample.


top
1994

No questionnaire text is available for this sample.


top
1989
Survey form view entire document:  text  image

These questions are about mental and emotional disorders.
1a. During the past 12 months, did anyone in the family have --
If "Yes," ask 1b and c.

B. Paranoid or delusional disorder, other than schizophrenia?
[] Yes
[] No

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

1[] A. Schizophrenia
1[] B. Paranoid disorder
1[] C. Manic episodes
1[] C. Manic depression
1[] D. Major depression
1[] E. Personality disorder
1[] F. Senility
1[] G. Alcohol abuse
1[] H. Drug abuse
1[] I. Mental retardation