ssfl034s1
General information
Question text: | Please indicate what health diagnoses, if any, you have received since living in your current home. |
Answer type: | Check boxes |
Answer options: | 1 Autoimmune Disorder or Immunodeficiencies (e.g., arthritis, Hashimoto’s Disease, etc.) 2 Cancer (e.g., leukemia, lymphoma, etc.) 3 Cardiovascular Disorder (e.g., heart attack, stroke, etc.) 4 Respiratory Condition (e.g., asthma, COPD, etc.) 5 Metabolic or Endocrine Disorder (e.g., thyroid issues, diabetes, etc.) 6 Neurological Disorder (e.g., epilepsy, learning disabilities, etc.) 7 Other, please specify: ~ssfl034_other 8 I do not wish to disclose the health diagnoses I received. 9 I have not received a health diagnosis since living in my current home. |
Label: | health diagnoses received |
Empty allowed: | One-time warning |
Error allowed: | Not allowed |
Multiple instances: | No |