14a. During the past 12 months, did anyone in the family receive any disability payments or disability benefits from -
1. Social Security Administration? ____
2. Veterans Administration? ____
3. State public welfare or assistance? ____
If "Yes," ask 14b.
b. Was this because of a disability?
1 [] SSA
2 [] VA
3 [] Welfare
If "Yes," ask 14c and d, otherwise continue with list.
c. Who was this? ____
Mark appropriate box in person's column.
d. Anyone else? ____