Survey Text

1986
1984
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1986
Survey form view entire document:  text  image
1. Because of a health or physical problem, do you have ANY difficulty -
Ask if "Doesn't do":
Is this because of a HEALTH or PHYSICAL problem?
If "Yes," mark box 1; if "No," mark box 3

(6) Getting outside?
1 [] Yes
2 [] No
3 [] Doesn't do for other reason

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1984
Survey form view entire document:  text  image