* 1. How many places have you stayed (slept) in the last month?

* 2. During the last month, the places I stayed had water and electricity.

* 3. During the last month, about how many other people were staying at the same location where you stayed?

* 4. How many times during the last year have you been to a doctor or dentist?

* 5. How many sexual partners have you had in the last 30 days?

* 6. Are you using condoms during sexual activity?

* 7. Which best describes your employment status?

* 8. How do you rate your parenting skills?

* 9. Where are you with your personal and career goals?

* 10. Are you in school, college or special training now?

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