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G. Answer question 17 only if this person is 15 years old or over. Otherwise, skip to the questions for Person 2 on page 10.

17. Because of a physical, mental, or emotional condition lasting 6 months or more, does this person have any difficulty in doing any of the following activities:
a) Going outside the home alone to shop or visit a doctor's office?

[] Yes
[] No


b) Working at a job or business?

[] Yes
[] No