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DEPRESSION EVALUATION Confidential Report NAME: Mr. John Smith AGE: GENDER: ETHNICITY/RACE: DATE OF BIRTH:LAST 4 DIGITS SSN: EDUCATION: MARITAL STATUS: DATE TIE ADMINISTERED:Depression Evaluation
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Check the instructions to see if there is a specific section or question dedicated to marital status.
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Fill out the marital status section accurately based on John Smith's current status (e.g. single, married, divorced, widowed).
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John Smith is married.
John Smith is required to file his own marital status.
John Smith can fill out his marital status by providing information about his current marital status.
The purpose of John Smith's marital status is to determine his relationship status for tax or legal purposes.
John Smith must report whether he is married, single, divorced, or widowed.
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