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
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.

E. Anti-social personality, obsessive-compulsive personality, or any other severe personality disorder?
[] 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