Survey Text

1983
1971
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1983
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c. Does -- usually wear -- plate(s) while eating?

1[] Yes
2[] No

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1971
Survey form view entire document:  text  image

11a. Is there anyone in the family who has lost ALL of his teeth?
[] Y
[] N (12)


b. Who is this? Anyone else? ____
[] No teeth


For each person with "No teeth," ask:

c. Does -- have false teeth?

[] Y
[] N (NP)


d. Does -- have an upper plate, a lower plate, or both?

[] Upper
[] Lower
[] Both


e. Does -- usually wear

[the upper
the lower
both]

plate(s) while eating?
[] Y
[] N