* 1. Have you ever applied for Medicare benefits, or not?

* 2. Has anyone in your household ever applied for Medicare benefits, or not?

* 3. Do you currently receive Medicare benefits, or not?

* 4. Does anyone in your household currently receive Medicare benefits, or not?

* 5. Do you currently receive food stamps, or not?

* 6. Does anyone in your household currently receive food stamps, or not?

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