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* 1. How would you rate your overall health?

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* 2. What type of home do you currently live in?

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* 3. Do you feel you have enough money for food, shelter, and clothing expenses?

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* 4. Do you have any difficulties paying your utility bills including gas (heat), electric, water, trash, telephone, internet utilities

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* 5. Do you have difficulty with transportation to medical care?

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* 6. Indicate if you have ever used any of the following services:

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