Questionnaire Text

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[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.

[H] - Answer question 19 if this person is 15 years old or over. Otherwise, skip to the questions for Person 2 on page 12.

19. Because of a physical, mental, or emotional condition, does this person have difficulty doing errands alone such as visiting a doctor's office or shopping?

[] Yes
[] No