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A Global Response to Elder Abuse - page 64 / 149

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5. Housing

1.

Home/apartment p

2.

Low cost housing/HLM p

3.

Public housing/LTCF p

4.

Residence p

Services p

No services p

5.

Other, please specify:

Are there any difficulties or specific problems that the subject has identified re: housing conditions (salubrity, space, security, satisfaction...)?

Yes

p

No

If "Yes", explain:

p

N/A p

R/A p

A GLOBAL RESPONSE TO ELDER ABUSE AND NEGLECT

6. Country of birth:

If applicable, are you under sponsorship at this time?

Yes 0

No 0

N/A 0

R/A 0

If "Yes", what is your relationship to the sponsor?

If the subject is originally from another country, ask questions about any specific events that may have influenced their coming to this country (for example holocaust, war etc):

PAGE 49

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