Survey Text

1995
1994
1977
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1995

No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


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1994

No questionnaire text is available for this sample.


No questionnaire text is available for this sample.


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1977
Survey form view entire document:  text  image
7. During the past 12 months, did -- receive --

A. Physical therapy?

1. Received service past 12 months
1 [] Y (Col. 2)
2 [] N (Col. 4)
2. Is -- now receiving this service?
1 [] Y (B)
2 [] N