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General information
| Question text: | Who in your household has serious difficulty dressing or bathing? Please select all that apply. |
| Answer type: | Check boxes |
| Answer options: | 1 Myself 2 Another adult in my household age 18-65 3 Another adult in my household over the age of 65 4 A child under 18 |
| Label: | who has serious difficulty dressing or bathing |
| Empty allowed: | One-time warning |
| Error allowed: | Not allowed |
| Multiple instances: | No |