G Answer question 18a-c if this person is 5 years old or over. Otherwise, skip to the questions for person 2 on page 12.
18.
a. Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?
[] Yes
[] No
Questions 7-48 are a continuation of the questions for each person. Questions 7-48 are a continuation of the questions for each person. (Questions 1-6 appear on pages 2, 3, and 4 of the questionnaire.)
Answer person questions 18a through 18c if this person is 5 years old or over.
18a-18c. Mark the "yes" or "no" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.