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ADULT QUESTIONNAIRE Today's date: Who referred you to Dr. Betty Far & Associates? ABOUT YOU Name: Address: City: State: Zip code: Home phone: Work phone: Cell phone: Male Female Date of birth: What
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What is adult questionaire - home?
The adult questionnaire - home is a form that collects information about adults living in a particular household.
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Any adult living in a household is required to fill out the adult questionnaire - home.
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The purpose of the adult questionnaire - home is to collect information about the adults living in a household for various purposes such as demographic studies or resource allocation.
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The adult questionnaire - home typically asks for information such as name, age, relationship to other household members, and occupation.
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