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cg_003

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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 or other Dementia
2 Cancer
3 Stroke
4 Parkinson's disease
5 Intellectual or developmental disability
6 Traumatic injury
7 Debilitating HIV/AIDS
8 Mental health or psychiatric disability
9 Multiple Sclerosis
10 Advanced Diabetes
11 Debilitating Arthritis
12 Impaired vision, blindness
13 Other (please write in): ~cg_003_other
Label: conditions or disabilities of person helping to care for
Empty allowed: One-time warning
Error allowed: Not allowed
Multiple instances: No

Data information

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