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Are you blind, or do you have serious difficulty seeing, even when wearing glasses:Find:Pt:^Patient:Ord:
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Are you deaf, or do you have serious difficulty hearing:Find:Pt:^Patient:Ord:
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Do you have serious difficulty walking or climbing stairs:Find:Pt:^Patient:Ord:
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Do you have difficulty dressing or bathing:Find:Pt:^Patient:Ord:
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Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions:Find:Pt:^Patient:Ord:
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Difficulty communicating in usual language:Find:Pt:^Patient:Ord:
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Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping:Find:Pt:^Patient:Ord:
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Difficulty reading or writing:Find:Pt:^Patient:Ord:
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Do you need any additional assistance or accommodations during your visit:Find:Pt:^Patient:Ord:
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