General information

Question text: Which of the following conditions or disabilities, if any, apply to the person you are helping to care for? Please check all that apply, or write in an answer if it is not in the list below.
Answer type: Check boxes
Answer options: 1 Alzheimer's disease, other dementia or cognitive impairment
2 Cancer
3 Stroke
4 Intellectual or developmental disability
5 Physical disability or injury
6 Mental health or psychiatric disability
7 Diabetes
8 Heart disease
9 Other chronic illness
10 Vision impairment, blindness
11 Other age-related impairments
12 Other (please write in): ~ca004_other
13 None
Label: which conditionds or disabilities
Empty allowed: One-time warning
Error allowed: Not allowed
Multiple instances: No

Data information

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