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18.
a) Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?
[ ] Yes [ ] No
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18a-18c. Mark the "Yes" or "No" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.
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18.
a) Because of a physical, mental, or emotional condition, does this person have serious difficulty concentrating, remembering, or making decisions?
[ ] Yes [ ] No
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18a-18c. Mark the "Yes" or "No" box to indicate if the person has serious difficulty with any of the activities listed in parts a, b, and c because of a physical, mental, or emotional condition.
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16. Because of a physical, mental, or emotional condition lasting 6 months or more, does this person have any difficulty in doing any of the following activities:
a) Learning, remembering, or concentrating?
[ ] Yes [ ] No
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16.Mark the "Yes" or "No" box for parts a and b of question 16 to indicate whether the person has any difficulty doing any of the activities listed.
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17. Because of a physical, mental, or emotional condition lasting 6 months or more, does this person have any difficulty in doing any of the following activities:
a. Learning, remembering, or concentrating? [] Yes [] No