SECTION 1: SOCIAL HISTORY: (occupation, marriage, divorce, grief, misfortune, education, immigration, moves, other major events.)
In this section, ask subject to tell you a personal history. During this process, gather infor- mation on the above and fill it in below:
Language used during the interview:
Occupation status (circle all that apply)
Unable to work for medical reasons
Employed full time as:
Employed part-time as:
Type of work?