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Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never
Almost Always
Half the time
Occasionally
Never

To be answered by a family member

Yes
No
Yes
No

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