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General information
| Question text: | My medical care provider or hospital |
| Answer type: | Radio buttons |
| Answer options: | 1 Yes 2 No 3 I don't know |
| Label: | My medical care provider or hospital have children under 18 and spouse or partner has died |
| Empty allowed: | One-time warning |
| Error allowed: | Not allowed |
| Multiple instances: | No |