ࡱ> z|yFs ~bjbjhh 7__7}  8d< "\]"0";$;$;$;$;$;$;>A$;" ""$;H;111"N";1"";11V^9@94&9 ;;0<9 /Bi'n/B99\/B:""1"""""$;$;,"""<""""/B""""""""" Y u: % The University of North Carolina STARx Questionnaire for Patients in Adult-focused Settings at Chapel Hill Self-management in Adulthood with Rx=Treatment Section 1 Directions: Please check the one that shows how often you have done each thing in the past 3 months. Top of Form  HTMLCONTROL Forms.HTML:Hidden.1  NeverAlmost NeverSometimesAlmost AlwaysAlwaysNot needed for my care1. How often did you make an effort to understand what your doctor told you? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 2. How often did you take your medicines on your own? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %3. How often did you ask doctors or nurses questions about your illness, medicines or medical care? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 4. How often did you make your own appointments? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 5. How often did you need someone to remind you to take your medicines? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %6. How often did you use things like pillboxes, schedules, or alarm to help you take their medicines when they were supposed to? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %7. How often did you use the internet, books or other guides to find out more about your illness? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 8. How often did you forget to take your medicines? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %9. How often did you work with your doctor to take care of new health problems that came up? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  Section 2 Directions: Some patients know a lot about their health and some patients do not. How much does you know? Please check the best answer.  NothingNot MuchA LittleSomeA LotNot needed for my care10. How much do you know about your illness?% HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %11. How much do you know about taking care of your illness?% HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %12. 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Please check what best describes how easy or hard you feel it will be for you. Very HardSomewhat HardNeither hard nor easySomewhat EasyVery EasyNot needed for my care13. How easy or hard is it for you to talk to your doctor? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 % HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %14. How easy or hard is it for you to make a plan with your doctor to care for your health? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 % HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %15. How easy or hard is it for you to see your doctor by yourself? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 % HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %16. How easy or hard is it for you to take your medicines the way they are supposed to? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 % HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %17. How easy or hard is it for you to take care of yourself? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 % HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %18. How easy or hard do you think it will be for you to find other doctors? 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OCXDATA!bOCXNAMEe"_1583220991($U\gp 4p 4PRINTf  .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2CompObj#&uqObjInfowOCXDATA%'xOCXNAME{"U\g<INPUT TYPE="radio" NAME="effortUnderstand" VALUE="Always">DefaultOcxName5a #  - !- !   .- ! =@ ( 4_1583220990*U\gp 4G4PRINT|CompObj),qObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMedsOwn" VALUE="Never">OCXDATA+-zOCXNAME"_1583220989F0U\gG4G4PRINTDefaultOcxName6a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii'CompObj/2qObjInfoOCXDATA13OCXNAME" U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMedsOwn" VALUE="Almost Never">DefaultOcxName7a #  _15832209886U\gG4G4PRINTCompObj58qObjInfo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMedsOwn" VALUE="Sometimes">DefaultOcxName8a #  - !- !   .- !OCXDATA79OCXNAME"_1583220987@4<U\gG4G4PRINT =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMECompObj;>qObjInfoOCXDATA=?OCXNAME"="takeMedsOwn" VALUE="Almost Always">DefaultOcxName9a #  - !- !   .- ! =@ ( 4x_1583220986BU\gG4G4PRINTCompObjADqObjInfox#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMedsOwn" VALUE="Always">DefaultOcxName10OCXDATACE|OCXNAME$_1583220985R:HU\gG4G4PRINTa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObjGJqObjInfoOCXDATAIK|OCXNAME$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="askQuestions" VALUE="Never">DefaultOcxName11a #  - !- !   .- !_1583220984NU\gG4G4PRINTCompObjMP qObjInfo     !#&'*+,-./012345679<=@ABCDEFGHIJKLMORUVWXYZ[\]^_`abdghklmnopqrstuvwxz}~ =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATAOQOCXNAME$_1583220983XLTU\gG4G4PRINT="askQuestions" VALUE="Almost Never">DefaultOcxName12a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="askQuestions" VALUE="Sometimes">CompObjSV"qObjInfo$OCXDATAUW%OCXNAME($DefaultOcxName13a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220982ZU\gG4G4PRINT)CompObjY\8qObjInfo:iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="askQuestions" VALUE="Almost Always">DefaultOcxName14a #  OCXDATA[];OCXNAME>$_1583220981.`U\gG4n4PRINT?- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19qCompObj_bNqObjInfoPOCXDATAacQ~OCXNAMES$2U\g<INPUT TYPE="radio" NAME="askQuestions" VALUE="Always">DefaultOcxName15a #  - !- !   .- ! =@ ( 4_1583220980fU\gn4n4PRINTTCompObjehcqObjInfoexx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makeAppointments" VALUE="NeverOCXDATAgifOCXNAMEi$_1583220979pdlU\gn4n4PRINTj">DefaultOcxName16a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makeAppointments" VALUE="Almost Never">DefaultOcxName17CompObjknyqObjInfo{OCXDATAmo|OCXNAME$_1583220978rU\gn4n4PRINTCompObjqtqObjInfoa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makeAppointments" VALUE="Sometimes">DefaultOcxName18a #  - !- ! OCXDATAsuOCXNAME$_1583220977jxU\gn4n4PRINT  .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2CompObjwzqObjInfoOCXDATAy{OCXNAME$U\g<INPUT TYPE="radio" NAME="makeAppointments" VALUE="Almost Always">DefaultOcxName19a #  - !- !   .- ! =@ ( 4_1583220976~U\gn4n4PRINTCompObj}qObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makeAppointments" VALUE="AlwayOCXDATAOCXNAME$_1583220975|U\gn4n4PRINTs">DefaultOcxName20a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="remindMeds" VALUE="Never">DefaultOcxName21a #  CompObjqObjInfoOCXDATAxOCXNAME$_1583220974U\gn44PRINTCompObjqObjInfo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="remindMeds" VALUE="Almost Never">DefaultOcxName22a #  - !- !   .- !OCXDATAOCXNAME$_1583220973vU\g44PRINT =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMECompObjqObjInfoOCXDATAOCXNAME$      !"#$%&(+./0123456789:;=@CDEFGHIJKLMNOPRUVYZ[\]^_`abcdefhknopqrstuvwxyz{}="remindMeds" VALUE="Sometimes">DefaultOcxName23a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220972U\g44PRINTCompObjqObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="remindMeds" VALUE="Almost Always">DefaultOcxName24OCXDATAOCXNAME$_1583220971U\g44PRINTa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObj'qObjInfo)OCXDATA*zOCXNAME,$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="remindMeds" VALUE="Always">DefaultOcxName25a #  - !- !   .- !_1583220970U\g44PRINT-CompObj<qObjInfo> =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATA?tOCXNAMEA$_1583220969U\g44PRINTB="useTools" VALUE="Never">DefaultOcxName26a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useTools" VALUE="Almost Never">DefaultOcxName27CompObjQqObjInfoSOCXDATATOCXNAMEW$_1583220968U\g44PRINTXCompObjgqObjInfoia #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useTools" VALUE="Sometimes">DefaultOcxName28a #  - !- !   .- !OCXDATAj|OCXNAMEl$_1583220967U\g44PRINTm =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMECompObj|qObjInfo~OCXDATAOCXNAME$="useTools" VALUE="Almost Always">DefaultOcxName29a #  - !- !   .- ! =@ ( 4x     3! "#$'%&(*)+,-/.021456879<:;>=A?@BDCEHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~_1583220966U\g44PRINTCompObjqObjInfox#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useTools" VALUE="Always">DefaultOcxName30OCXDATAvOCXNAME$_1583220965^U\g44PRINTa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObjqObjInfoOCXDATAzOCXNAME$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useInternet" VALUE="Never">DefaultOcxName31a #  - !- !   .- !_1583220964U\g44PRINTCompObjqObjInfo =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATAOCXNAME$_1583220963U\g44PRINT="useInternet" VALUE="Almost Never">DefaultOcxName32a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useInternet" VALUE="Sometimes">CompObjqObjInfoOCXDATAOCXNAME$DefaultOcxName33a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220962U\g44PRINTCompObjqObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useInternet" VALUE="Almost Always">DefaultOcxName34a #  OCXDATAOCXNAME$_1583220961U\g44PRINT- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19qCompObjqObjInfoOCXDATA|OCXNAME$      !"#$%&'),-0123456789:;<=?BEFGHIJKLMNOPQRTWX[\]^_`abcdefghjmpqrstuvwxyz{|}2U\g<INPUT TYPE="radio" NAME="useInternet" VALUE="Always">DefaultOcxName35a #  - !- !   .- ! =@ ( 4_1583220960U\g44PRINTCompObjqObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="forgetMeds" VALUE="Never">OCXDATAxOCXNAME$_1583220959U\g44PRINTDefaultOcxName36a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii'CompObj(qObjInfo*OCXDATA+OCXNAME.$ U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="forgetMeds" VALUE="Almost Never">DefaultOcxName37a #  _1583220958U\g44PRINT/CompObj>qObjInfo@- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="forgetMeds" VALUE="Sometimes">DefaultOcxName38a #  - !- !   .- ! =@ ( 4OCXDATAAOCXNAMEC$_1583220957U\g44PRINTDxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="forgetMeds" VALUE="Almost AlwaCompObjSqObjInfoUOCXDATAVOCXNAMEY$ys">DefaultOcxName39a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220956U\g44PRINTZCompObjiqObjInfokiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="forgetMeds" VALUE="Always">DefaultOcxName40a #  OCXDATAlzOCXNAMEn$_1583220955U\g44PRINTo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19qCompObj~qObjInfoOCXDATAzOCXNAME$2U\g<INPUT TYPE="radio" NAME="workWithDoc" VALUE="Never">DefaultOcxName41a #  - !- !   .- ! =@ ( 4_1583220954U\g44PRINTCompObjqObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="workWithDoc" VALUE="Almost NevOCXDATAOCXNAME$_1583220953U\g44PRINTer">DefaultOcxName42a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="workWithDoc" VALUE="Sometimes">DefaultOcxName43CompObj qObjInfoOCXDATA  OCXNAME$_1583220952U\g44PRINTCompObj qObjInfoa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="workWithDoc" VALUE="Almost Always">DefaultOcxName44a #  - !- ! OCXDATAOCXNAME$_1583220951 U\g44PRINT  .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2CompObjqObjInfoOCXDATA|OCXNAME$U\g<INPUT TYPE="radio" NAME="workWithDoc" VALUE="Always">DefaultOcxName45a #  - !- !   .- ! =@ ( 4x$3"`?2e$~'(.b!AE`!9Y%LK5Y` |xmQ1N@]'qD$ *"&NR$ OGx/(Y6Wp=͎g{{}8%O fDg CNCDt~q^`upS06`ل\묪Y@7ΰR:g]םSu!eYv(]xg؅`MNBnnhnHH `sO׋` ]|<Oo'W)'%_12$2 WB콀_t4_$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD$kdG$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$Dd Yb Q c $A? ?3"`?2nLkJQ`K`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb P c $A? ?3"`?2nLkJQM`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb O c $A? ?3"`?2nLkJQO`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb N c $A? ?3"`?2nLkJQQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb M c $A? ?3"`?2nLkJQS`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZCa$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t5592 <234BpFyttD kdU$$If֞$*/29fFtFFFtF  tF92 <234BapFyttD$Dd Yb L c $A? ?3"`?2nLkJQY`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb K c $A? ?3"`?2nLkJQ[`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb J c $A? ?3"`? 2nLkJQ]`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb I c $A? ?3"`? 2nLkJQ``!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb H c $A? ?3"`? 2nLkJQ)b`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kd d$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$Dd Yb G c $A? ?3"`? 2nLkJQg`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb F c $A? ?3"`? 2nLkJQi`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb E c $A? ?3"`?2nLkJQl`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb D c $A? ?3"`?2nLkJQ8n`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb C c $A? ?3"`?2nLkJQ\p`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kd?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb A c $A? ?3"`?2nLkJQ#x`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb @ c $A? ?3"`?2nLkJQGz`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb ? c $A? ?3"`?2nLkJQk|`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb > c $A? ?3"`?2nLkJQ~`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kdo$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$Dd Yb = c $A? ?3"`?2nLkJQ2`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb < c $A? ?3"`?2nLkJQV`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb ; c $A? ?3"`?2nLkJQz`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb : c $A? ?3"`?2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 9 c $A? ?3"`?2nLkJQŒ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kd$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$Dd Yb 8 c $A? ?3"`?2nLkJQe`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 7 c $A? ?3"`?2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 6 c $A? ?3"`?2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 5 c $A? ?3"`?2nLkJQј`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 4 c $A? ?3"`?2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kd՜$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$Dd Yb 3 c $A? ?3"`? 2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 2 c $A? ?3"`?!2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 1 c $A? ?3"`?"2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 0 c $A? ?3"`?#2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb / c $A? ?3"`?$2nLkJQ(`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kd$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$Dd Yb . c $A? ?3"`?%2nLkJQˮ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb - c $A? ?3"`?&2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb , c $A? ?3"`?'2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb + c $A? ?3"`?(2nLkJQ7`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb * c $A? ?3"`?)2nLkJQ[`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kd;$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$Dd Yb ) c $A? ?3"`?*2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb ( c $A? ?3"`?+2nLkJQ"`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb ' c $A? ?3"`?,2nLkJQF`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb & c $A? ?3"`?-2nLkJQj`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb % c $A? ?3"`?.2n_1583220950U\g 4 4PRINTCompObjqObjInfox#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="knowledgeOf" VALUE="Not Much">DefaultOcxName46OCXDATAOCXNAME$_1583220949~ U\g 4 4PRINTa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObj"qObjInfoOCXDATA!#OCXNAME$      !"#$%&'(*-0123456789:;<=?BCFGHIJKLMNOPQRSUXY\]^_`abcdefghiknqrstuvwxyz{|}~ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="knowledgeOf" VALUE="A Little">DefaultOcxName47a #  - !- !   .- !_1583220948&U\g 4 4PRINTCompObj%(qObjInfo =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATA')xOCXNAME$_15832209470$,U\g 4 4PRINT="knowledgeOf" VALUE="Some">DefaultOcxName48a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="knowledgeOf" VALUE="A Lot">DefaultOcxName49a #  CompObj+.)qObjInfo+OCXDATA-/,zOCXNAME.$_15832209462U\g 4 4PRINT/CompObj14>qObjInfo@- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="careOfIllness" VALUE="Not Much">DefaultOcxName50a #  - !- !   .- !OCXDATA35AOCXNAMED$_1583220945B*8U\g 4 4PRINTE =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMECompObj7:TqObjInfoVOCXDATA9;WOCXNAMEZ$="careOfIllness" VALUE="A Little">DefaultOcxName51a #  - !- !   .- ! =@ ( 4x_1583220944>U\g 4 4PRINT[CompObj=@jqObjInfolx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="careOfIllness" VALUE="Some">52?$1583220943<DU\g1414PRINTpa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObjCFqObjInfoOCXDATAEG~OCXNAME$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="careOfIllness" VALUE="A Lot">DefaultOcxName53a #  - !- !   .- !_1583220942JU\g1414PRINTCompObjILqObjInfo =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATAKMOCXNAME$_1583220941f6PU\g1414PRINT="whatHappens" VALUE="Not Much">DefaultOcxName54a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="whatHappens" VALUE="A Little">DefaultOcxName55a #  CompObjORqObjInfoOCXDATAQSOCXNAME$_1583220940VU\g1414PRINTCompObjUXqObjInfo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="whatHappens" VALUE="Some">DefaultOcxName56a #  - !- !   .- ! =@ ( 4OCXDATAWYxOCXNAME$_1583220939`T\U\g1414PRINTxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="whatHappens" VALUE="A Lot">CompObj[^qObjInfoOCXDATA]_zOCXNAME$DefaultOcxName57a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220938bU\g1414PRINTCompObjadqObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="talkToDoc" VALUE="Very Hard">DefaultOcxName58a #  - !- ! OCXDATAce~OCXNAME$_1583220937rZhU\g14X4PRINT  .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2CompObjgjqObjInfoOCXDATAikOCXNAME$      !"#$%&'(*-0123456789:;<=?BEFGHIJKLMNOPQRTWX[\]^_`abcdefghjmnqrstuvwxyz{|}~U\g<INPUT TYPE="radio" NAME="talkToDoc" VALUE="Somewhat Hard">DefaultOcxName59a #  - !- !   .- ! =@ ( 4_1583220936nU\gX4X4PRINTCompObjmpqObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="talkToDoc" VALUE="Somewhat EasOCXDATAoqOCXNAME$_1583220935xltU\gX4X4PRINTy">DefaultOcxName60a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="talkToDoc" VALUE="Very Easy">DefaultOcxName61a #  CompObjsv)qObjInfo+OCXDATAuw,~OCXNAME.$_1583220934zU\gX4X4PRINT/CompObjy|>qObjInfo@- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makePlan" VALUE="Very Hard">DefaultOcxName62a #  - !- !   .- ! =@ ( 4OCXDATA{}A|OCXNAMEC$_1583220933NU\gX4X4PRINTDxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makePlan" VALUE="Somewhat HardCompObjSqObjInfoUOCXDATAVOCXNAMEY$">DefaultOcxName63a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220932U\g44PRINTZCompObjiqObjInfokiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makePlan" VALUE="Somewhat Easy">DefaultOcxName64OCXDATAlOCXNAMEo$_1583220931U\g44PRINTpa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObjqObjInfoOCXDATA|OCXNAME$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makePlan" VALUE="Very Easy">DefaultOcxName65a #  - !- !   .- !_1583220930U\g44PRINTCompObjqObjInfo =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATAxOCXNAME$_1583220929U\g44PRINT="seeDoc" VALUE="Very Hard">DefaultOcxName66a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="seeDoc" VALUE="Somewhat Hard">DefaultOcxName67a #  CompObjqObjInfoOCXDATAOCXNAME$_1583220928U\g4 4PRINTCompObjqObjInfo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="seeDoc" VALUE="Somewhat Easy">DefaultOcxName68a #  - !- !   .- ! =@ ( 4OCXDATAOCXNAME$_1583220927U\g 4 4PRINTxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="seeDoc" VALUE="Very Easy">CompObjqObjInfoOCXDATAxOCXNAME$DefaultOcxName69a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220926U\g04PC4PRINTCompObjqObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMeds" VALUE="Very Hard">DefaultOcxName70a #  - !- ! OCXDATA|OCXNAME$_1583220925U\gPC4PC4PRINT  .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2CompObjqObjInfoOCXDATAOCXNAME$      !"#$%&'(*-0123456789:;<=?BCFGHIJKLMNOPQRSUXY\]^_`abcdefghiknorstuvwxyz{|}~U\g<INPUT TYPE="radio" NAME="takeMeds" VALUE="Somewhat Hard">DefaultOcxName71a #  - !- !   .- ! =@ ( 4_1583220924U\gPC4PC4PRINTCompObjqObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMeds" VALUE="Somewhat EasyOCXDATAOCXNAME$_1583220923U\gPC4PC4PRINT">DefaultOcxName72a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMeds" VALUE="Very Easy">DefaultOcxName73a #  CompObj)qObjInfo+OCXDATA,|OCXNAME.$     g "!#bc%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`aedfqhijklmnopruvwxyz{|}~_1583220922U\gPC4PC4PRINT/CompObj>qObjInfo@- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="careForSelf" VALUE="Very Hard">DefaultOcxName74a #  - !- !   .- !OCXDATAAOCXNAMED$_1583220921U\g`j4`j4PRINTE =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMECompObjTqObjInfoVOCXDATAWOCXNAMEZ$="careForSelf" VALUE="Somewhat Hard">DefaultOcxName75a #  - !- !   .- ! =@ ( 4x_1583220920U\g`j4`j4PRINT[CompObjjqObjInfolx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="careForSelf" VALUE="Somewhat Easy">OCXDATAmOCXNAMEp$_1583220919U\g`j4`j4PRINTqDefaultOcxName76a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii'CompObjqObjInfoOCXDATAOCXNAME$ U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="careForSelf" VALUE="Very Easy">DefaultOcxName77a #  _1583220918U\g`j4`j4PRINTCompObjqObjInfo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="pedToAdult" VALUE="Very Hard">DefaultOcxName78a #  - !- !   .- ! =@ ( 4OCXDATAOCXNAME$_1583220917U\g`j4`j4PRINTxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="pedToAdult" VALUE="Somewhat HaCompObjqObjInfoOCXDATAOCXNAME$rd">DefaultOcxName79a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220916U\g`j4`j4PRINTCompObjqObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="pedToAdult" VALUE="Somewhat Easy">DefaultOcxName80OCXDATAOCXNAME$_1583220915U\g`j4`j4PRINTa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObjqObjInfoOCXDATAOCXNAME$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="pedToAdult" VALUE="Very Easy">DefaultOcxName81Oh+'0|  8 D P\dlt'LkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kdn$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$$If!vh#v!#v#v#v#v#v#v:V   tF&46,,5t!555b555]2 <22 <234BBpFytamH;kd$$If֞!@%(*-~04Ft!FFbFFF]  tF&462 <22 <234BBapFytamH$Dd Yb $ c $A? ?3"`?/2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb # c $A? ?3"`?02nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb " c $A? ?3"`?12nLkJQB`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb ! c $A? ?3"`?22nLkJQf`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$$If!vh#v!#v#v#v#v#v#v:V   tF&46,,5t!555b555]92 <22 <234BBpFyt;+;kdF$$If֞!@%(*-~04ft!FFbFFF]  tF&462 <22 <234BBapFyt;+$Dd Yb   c $A? ?3"`?32nLkJQY`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?42nLkJQ}`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?52nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?62nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$$If!vh#v!#v#v#v#v#v#v:V   tF&46,,5t!555b555]2 <22 <234BBpFyt;+;kd$$If֞!@%(*-~04Ft!FFbFFF]  tF&462 <22 <234BBapFyt;+$Dd Yb  c $A? ?3"`?72nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?82nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?92nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?:2nLkJQ`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$$If!vh#v!#v#v#v#v#v#v:V   tF&46,,5t!555b555]2 <22 <234BBpFyt;+;kd$$If֞!@%(*-~04Ft!FFbFFF]  tF&462 <22 <234BBapFyt;+$$If!vh#v[##v}#v#v#v8#vS#v:V 4p  tF6)v,,5.#5_55f55552 <22 <234BBf4pFytsBkd$$If4p֞=#%|)-812~6F.#F_F fFF5F  tF62 <22 <234BBaf4pFyts$Dd Yb  c $A? 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