SHARE:
b004
General information
| Question text: | Which of the following conditions or disabilities, if any, apply to ^FLRecipient? 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, mild cognitive impairment (MCI), or memory problems 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 Long-term effects of COVID-19 lasting more than 3 months 13 Frailty 14 Other, please specify: ~b004_other 15 None of the above. Please specify the reason you are assisting the person you provide care for: ~b004_none |
| Label: | conditions or disabilities care recipient |
| Empty allowed: | One-time warning |
| Error allowed: | Not allowed |
| Multiple instances: | No |