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A Global Response to Elder Abuse - page 72 / 149

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A GLOBAL RESPONSE TO ELDER ABUSE AND NEGLECT

RELATIONSHIP WITH OTHER FAMILY MEMBERS

18. Do you have any other family members with whom there have been problems within the past 12 months? Yes p No p N/A p R/A p

If "Yes", what are they? With whom do they occur and how often?

19. Does any other family member have any specific health problem or emotional problem (include illness, handicap, alcohol or drug or gambling addiction, or mental illness)?

Yes p

No p

N/A p

R/A p

If "Yes", explain:

If "Yes", describe the impact that it has had on you:

Does this person live with you? Yes p No p N/A p R/A p

PAGE 57

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