Notes
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\viewkind4\uc1\pard\cf1\lang1033\fs16 In the past 12 months has any member of your household received any emotional or psychological support, such as companionship, counseling from a trained counselor, or spiritual support for which you did not have to pay?
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<p><span style="font-size:8pt;color:#000000;">In the past 12 months has any member of your household received any emotional or psychological support, such as companionship, counseling from a trained counselor, or spiritual support for which you did not have to pay? </span></p>