A
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B
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C
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D
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E
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F
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G
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H
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I
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J
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K
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L
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M
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N
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O
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P
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Q
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R
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S
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T
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U
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V
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W
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X
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Y
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Z
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OTHER
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Directory Results for Fol l ow up Vis it Packe t NA CC Unifo r m D ata Set ( U D S) A2: Coparticipant Demographics ADC name: Visit #: Subject ID: Form date: / / Examiners initials: INSTRUCTIONS: This form is to be completed by intake interviewer based on to Fol l ow up Vis it Packe t NA CC Unifo r m D ata Set ( U D S) B7: functional Assessment Functional Activities Questionnaire (FAQ1) ADC name: Subject ID: Form date: / / Visit #: Examiners initials: INSTRUCTIONS: This form is to be - alz

Fol l ow up Vis it Packe t NA CC Unifo r m D ata Set ( U D S) A2: Coparticipant Demographics ADC name: Visit #: Subject ID: Form date: / / Examiners initials: INSTRUCTIONS: This form is to be completed by intake interviewer based on
Fol l ow up Vis it Packe t NA CC Unifo r m D ata Set ( U D S) B7: functional Assessment Functional Activities Questionnaire (FAQ1) ADC name: Subject ID: Form date: / / Visit #: Examiners initials: INSTRUCTIONS: This form is to be - alz