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HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %3. How often did your child ask his/her doctor or nurse questions about their illness, medicines or medical care? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %4. How often did your child make their own appointments? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %5. How often did your child need someone to remind him/her to take their medicines? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %6. How often did your child use things likes pillboxes, schedules, or alarm clocks to help him/her take their medicines when they were supposed to? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %7. How often did your child use the internet, books or other guides to find out more about his/her illness? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %8. How often did your child forget to take his/her medicines? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %9. How often did your child work with his/her doctor to take care of new health problems that came up? 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How much does your child know about taking care of his/her illness?% HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %12. How much does your child know about what will happen if he/she does not take their medicines?% HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 % Section 3 Directions: Some patients may find it hard to do certain things. Please check what best describes how easy or hard you feel this is/will be for your child. Very HardSomewhat HardNeither hard nor easySomewhat EasyVery EasyNot needed for my child s care13. How easy or hard is it for your child to talk to his/her doctor? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 % HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %14. How easy or hard is it for your child to make a plan with his/her doctor to care for his/her health? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 % HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %15. How easy or hard is it for your child to see his/her doctor by himself or herself? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 % HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %16. How easy or hard is it for your child to take his/her medicines like they are supposed to? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 % HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %17. How easy or hard is it for your child to take care of himself/herself? HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 % HTMLCONTROL Forms.HTML:Option.1  HTMLCONTROL Forms.HTML:Option.1 %18. How easy or hard do you think it will be for your child to move from pediatrics to adult-focused care? 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S&\fJ.?F=2ݗ~{ǃo [~+Wovi0]^=ba'l4& ʧ-5?>^ ̴ 9Ŝ#|:|*MqHѴѶ|EkMihȏ;ƶ#W"_v!g~C ' ??فؾ,C^;{6(winsm;jWjqrwwڟGOw ao>2~p@ H{ߍ)[n[G7[G9ŧwܥm?GS騇Hl5x83=ncQ=»>iS'I u+xvyj}96E;c5o v>ryV2.ڷ}MOIv=&'q͸#%ۙ8RScalovk(Nmm;yhtwi^.= n8.PZF@)|v 'n ih"(0ˍ<6gF#p s9'̒tY{Lb"-En˹oZ)Wp]kC׈\7"FрfҮINȣ-ጡR1NJh !hx~Ul琉Reۤ$(=̓v.@x!v)W%ҥbVoj +{tqꯌγilAFyђ %&';a?5S?ώ@LI To7 DSEw`%viO\m*0pb6UЪUЮ@sSohjuL-W噊<(KZC$;ܔbHee(Z&7w vi(#nf2wݦ =1/bSSMjJ,-c8B̾g>>7:մ&ն >>Bb @vBvv٫ev n̂n]v ٷ&8(( 3FP$Xkj``aQX` al]X"waATEHT&BAPED&FZ=w /93%>1,OcpU\qVpL\S `EhD-lTnuףPiMO}':x| nnX?'BpFiNF0 &jJX%F`f38_q+PWqxC=&I3k;GBFJpJF\"xE7G-]ͬ[#TQh6fxP.ؓjA^%s=;O઄1j5fL^Y|;uCP/FiQ`>~%\Yڣa8;%'EҲ9[皐ҵp \,e)d9a6}G%_T/%Tk&JT yܩ͠v;U:~IˉUs:Ӡ27@Xj:nS铎*4 U`A3I;_%(';iN}Xكۋj &v:.ԄDd hb  c $A? ?  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRTUVWXYZ[\]^_`abcdefghijklmnopqrstuEx|{}~Root Entry FzData SAWordDocument7ObjectPool@[}_1583220526U\g@[}@[}PRINTCompObjqObjInfo  !"%&'()*+,-./012478;<=>?@ABCDEFGHJMNQRSTUVWXYZ[\]^`cdghijklmnopqrstvyz}~ {   `- !_ !_- ! !^- !^ !]iii- ! !\  `. 2 ^@MS Sans SerifH  - 2  ^111111' U\gForms.HTML:Hidden.1Embedded ControlForms.HTML:Hidden.19q2U\g<INPUT TYPE="hidden" NAME="patientID" VALUE="111111">DefaultOcxNamea #  - !- ! OCXDATA zOCXNAME _1583220525 U\g@[}@[}PRINT  .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2CompObj qObjInfoOCXDATA  OCXNAME#"U\g<INPUT TYPE="radio" NAME="effortUnderstand" VALUE="Never">DefaultOcxName1a #  - !- !   .- ! =@ ( 4_1583220524U\g@[}@[}PRINT$CompObj3qObjInfo5xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="effortUnderstand" VALUE="AlmosOCXDATA6OCXNAME9"_1583220523" U\g@[}P}PRINT:t Never">DefaultOcxName2a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="effortUnderstand" VALUE="Sometimes">DefaultOcxName3CompObjIqObjInfoKOCXDATALOCXNAMEO"_1583220522U\gP}P}PRINTPCompObj _qObjInfoaa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="effortUnderstand" VALUE="Almost Always">DefaultOcxName4a #  - !- ! OCXDATA!bOCXNAMEe"_1583220521($U\gP}P}PRINTf  .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2CompObj#&uqObjInfowOCXDATA%'xOCXNAME{"U\g<INPUT TYPE="radio" NAME="effortUnderstand" VALUE="Always">DefaultOcxName5a #  - !- !   .- ! =@ ( 4_1583220520*U\gP}P}PRINT|CompObj),qObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMedsOwn" VALUE="Never">OCXDATA+-zOCXNAME"_1583220519F0U\gP}P}PRINTDefaultOcxName6a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii'CompObj/2qObjInfoOCXDATA13OCXNAME" U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMedsOwn" VALUE="Almost Never">DefaultOcxName7a #  _15832205186U\gP}P}PRINTCompObj58qObjInfo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMedsOwn" VALUE="Sometimes">DefaultOcxName8a #  - !- !   .- !OCXDATA79OCXNAME"_1583220517@4<U\gP}P}PRINT =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMECompObj;>qObjInfoOCXDATA=?OCXNAME"="takeMedsOwn" VALUE="Almost Always">DefaultOcxName9a #  - !- !   .- ! =@ ( 4x_1583220516BU\gP}P}PRINTCompObjADqObjInfox#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMedsOwn" VALUE="Always">DefaultOcxName10OCXDATACE|OCXNAME$_1583220515R:HU\gP}P}PRINTa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObjGJqObjInfoOCXDATAIK|OCXNAME$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="askQuestions" VALUE="Never">DefaultOcxName11a #  - !- !   .- !_1583220514NU\gP}P}PRINTCompObjMP qObjInfo     !#&'*+,-./012345679<=@ABCDEFGHIJKLMORUVWXYZ[\]^_`abdghklmnopqrstuvwxz}~ =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATAOQOCXNAME$_1583220513XLTU\gP}P}PRINT="askQuestions" VALUE="Almost Never">DefaultOcxName12a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="askQuestions" VALUE="Sometimes">CompObjSV"qObjInfo$OCXDATAUW%OCXNAME($DefaultOcxName13a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220512ZU\gP}P}PRINT)CompObjY\8qObjInfo:iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="askQuestions" VALUE="Almost Always">DefaultOcxName14a #  OCXDATA[];OCXNAME>$_1583220511.`U\g`}`}PRINT?- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19qCompObj_bNqObjInfoPOCXDATAacQ~OCXNAMES$2U\g<INPUT TYPE="radio" NAME="askQuestions" VALUE="Always">DefaultOcxName15a #  - !- !   .- ! =@ ( 4_1583220510fU\g`}`}PRINTTCompObjehcqObjInfoexx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makeAppointments" VALUE="NeverOCXDATAgifOCXNAMEi$_1583220509pdlU\g`}`}PRINTj">DefaultOcxName16a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makeAppointments" VALUE="Almost Never">DefaultOcxName17CompObjknyqObjInfo{OCXDATAmo|OCXNAME$_1583220508rU\g`}`}PRINTCompObjqtqObjInfoa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makeAppointments" VALUE="Sometimes">DefaultOcxName18a #  - !- ! OCXDATAsuOCXNAME$_1583220507jxU\g`}`}PRINT  .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2CompObjwzqObjInfoOCXDATAy{OCXNAME$U\g<INPUT TYPE="radio" NAME="makeAppointments" VALUE="Almost Always">DefaultOcxName19a #  - !- !   .- ! =@ ( 4_1583220506~U\g`}`}PRINTCompObj}qObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makeAppointments" VALUE="AlwayOCXDATAOCXNAME$_1583220505|U\g`}`}PRINTs">DefaultOcxName20a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="remindMeds" VALUE="Never">DefaultOcxName21a #  CompObjqObjInfoOCXDATAxOCXNAME$_1583220504U\g`}`}PRINTCompObjqObjInfo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="remindMeds" VALUE="Almost Never">DefaultOcxName22a #  - !- !   .- !OCXDATAOCXNAME$_1583220503vU\g`}`}PRINT =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMECompObjqObjInfoOCXDATAOCXNAME$      !"#$%&(+./0123456789:;=@CDEFGHIJKLMNOPRUVYZ[\]^_`abcdefhknopqrstuvwxyz{}="remindMeds" VALUE="Sometimes">DefaultOcxName23a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220502U\g`}`}PRINTCompObjqObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="remindMeds" VALUE="Almost Always">DefaultOcxName24OCXDATAOCXNAME$_1583220501U\gp}p}PRINTa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObj'qObjInfo)OCXDATA*zOCXNAME,$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="remindMeds" VALUE="Always">DefaultOcxName25a #  - !- !   .- !_1583220500U\gp}p}PRINT-CompObj<qObjInfo> =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATA?tOCXNAMEA$_1583220499U\gp}p}PRINTB="useTools" VALUE="Never">DefaultOcxName26a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useTools" VALUE="Almost Never">DefaultOcxName27CompObjQqObjInfoSOCXDATATOCXNAMEW$_1583220498U\gp}p}PRINTXCompObjgqObjInfoia #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useTools" VALUE="Sometimes">DefaultOcxName28a #  - !- !   .- !OCXDATAj|OCXNAMEl$_1583220497U\gp}p}PRINTm =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMECompObj|qObjInfo~OCXDATAOCXNAME$="useTools" VALUE="Almost Always">DefaultOcxName29a #  - !- !   .- ! =@ ( 4x_1583220496U\gp}p}PRINTCompObjqObjInfox#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useTools" VALUE="Always">DefaultOcxName30     0 !$"#%'&()*,+-/.123546978;:><=?A@BCFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~OCXDATAvOCXNAME$_1583220495^U\gp}p}PRINTa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObjqObjInfoOCXDATAzOCXNAME$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useInternet" VALUE="Never">DefaultOcxName31a #  - !- !   .- !_1583220494U\gp}p}PRINTCompObjqObjInfo =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATAOCXNAME$_1583220493U\gp}p}PRINT="useInternet" VALUE="Almost Never">DefaultOcxName32a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useInternet" VALUE="Sometimes">CompObjqObjInfoOCXDATAOCXNAME$DefaultOcxName33a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220492U\gp}p}PRINTCompObjqObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="useInternet" VALUE="Almost Always">DefaultOcxName34a #  OCXDATAOCXNAME$_1583220491U\gp}p}PRINT- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19qCompObjqObjInfoOCXDATA|OCXNAME$      !"#$%&'),-0123456789:;<=?BEFGHIJKLMNOPQRTWX[\]^_`abcdefghjmpqrstuvwxyz{|}2U\g<INPUT TYPE="radio" NAME="useInternet" VALUE="Always">DefaultOcxName35a #  - !- !   .- ! =@ ( 4_1583220490U\g}}PRINTCompObjqObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="forgetMeds" VALUE="Never">OCXDATAxOCXNAME$_1583220489U\g}}PRINTDefaultOcxName36a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii'CompObj(qObjInfo*OCXDATA+OCXNAME.$ U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="forgetMeds" VALUE="Almost Never">DefaultOcxName37a #  _1583220488U\g}}PRINT/CompObj>qObjInfo@- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="forgetMeds" VALUE="Sometimes">DefaultOcxName38a #  - !- !   .- ! =@ ( 4OCXDATAAOCXNAMEC$_1583220487U\g}}PRINTDxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="forgetMeds" VALUE="Almost AlwaCompObjSqObjInfoUOCXDATAVOCXNAMEY$ys">DefaultOcxName39a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220486U\g}}PRINTZCompObjiqObjInfokiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="forgetMeds" VALUE="Always">DefaultOcxName40a #  OCXDATAlzOCXNAMEn$_1583220485U\g}}PRINTo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19qCompObj~qObjInfoOCXDATAzOCXNAME$2U\g<INPUT TYPE="radio" NAME="workWithDoc" VALUE="Never">DefaultOcxName41a #  - !- !   .- ! =@ ( 4_1583220484U\g}}PRINTCompObjqObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="workWithDoc" VALUE="Almost NevOCXDATAOCXNAME$_1583220483U\g}}PRINTer">DefaultOcxName42a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="workWithDoc" VALUE="Sometimes">DefaultOcxName43CompObj qObjInfoOCXDATA  OCXNAME$_1583220482U\g}}PRINTCompObj qObjInfoa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="workWithDoc" VALUE="Almost Always">DefaultOcxName44a #  - !- ! OCXDATAOCXNAME$_1583220481 U\g}}PRINT  .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2CompObjqObjInfoOCXDATA|OCXNAME$U\g<INPUT TYPE="radio" NAME="workWithDoc" VALUE="Always">DefaultOcxName45a #  - !- !   .- ! =@ ( 4x_1583220480U\g~~PRINTCompObjqObjInfo"3"`?2dzm\XM@E/`!8zm\XM` |xmQ1N0݄AH (iB4^ $*fQ l5;٬׆ }XO gd/p<%@$Au_ 0u9ٶ-ini-CMήF'jp?Yێδ %9wn.tF&8eJq_fjX\у3Encs=-D?<֟ėآU昡Qcq-瑅~D#3_$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD$kdG$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$Dd Yb U c $A? ?3"`?2nO]G@NRRڠJQ_K/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb T c $A? ?3"`?2nO]G@NRRڠJQM/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb S c $A? ?3"`?2nO]G@NRRڠJQO/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb R c $A? ?3"`?2nO]G@NRRڠJQQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb Q c $A? ?3"`?2nO]G@NRRڠJQS/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZCa$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t5592 <234BpFyttD kdU$$If֞$*/29fFtFFFtF  tF92 <234BapFyttD$Dd Yb P c $A? ?3"`?2nO]G@NRRڠJQY/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb O c $A? ?3"`?2nO]G@NRRڠJQ[/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb N c $A? ?3"`? 2nO]G@NRRڠJQ]/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb M c $A? ?3"`? 2nO]G@NRRڠJQ`/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb L c $A? ?3"`? 2nO]G@NRRڠJQ(b/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kdd$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$Dd Yb K c $A? 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?3"`? 2nO]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 6 c $A? ?3"`?!2nO]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 5 c $A? ?3"`?"2nO]G@NRRڠJQߤ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 4 c $A? ?3"`?#2nO]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 3 c $A? ?3"`?$2nO]G@NRRڠJQ'/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kd$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$Dd Yb 2 c $A? ?3"`?%2nO]G@NRRڠJQʮ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 1 c $A? ?3"`?&2nO]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb 0 c $A? ?3"`?'2nO]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb / c $A? ?3"`?(2nO]G@NRRڠJQ6/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb . c $A? ?3"`?)2nO]G@NRRڠJQZ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kd:$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$Dd Yb - c $A? ?3"`?*2nO]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb , c $A? ?3"`?+2nO]G@NRRڠJQ!/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb + c $A? ?3"`?,2nO]G@NRRڠJQE/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb * c $A? ?3"`?-2nO]G@NRRڠJQi/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb ) c $A? ?3"`?.2nx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="knowledgeOf" VALUE="Not Much">DefaultOcxName46OCXDATAOCXNAME$_1583220479~ U\g~~PRINTa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObj"qObjInfoOCXDATA!#OCXNAME$      !"#$%&'(*-0123456789:;<=?BCFGHIJKLMNOPQRSUXY\]^_`abcdefghiknqrstuvwxyz{|}~ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="knowledgeOf" VALUE="A Little">DefaultOcxName47a #  - !- !   .- !_1583220478&U\g~~PRINTCompObj%(qObjInfo =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATA')xOCXNAME$_15832204770$,U\g~~PRINT="knowledgeOf" VALUE="Some">DefaultOcxName48a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="knowledgeOf" VALUE="A Lot">DefaultOcxName49a #  CompObj+.)qObjInfo+OCXDATA-/,zOCXNAME.$_15832204762U\g~~PRINT/CompObj14>qObjInfo@- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="careOfIllness" VALUE="Not Much">DefaultOcxName50a #  - !- !   .- !OCXDATA35AOCXNAMED$_1583220475B*8U\g~~PRINTE =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMECompObj7:TqObjInfoVOCXDATA9;WOCXNAMEZ$="careOfIllness" VALUE="A Little">DefaultOcxName51a #  - !- !   .- ! =@ ( 4x_1583220474>U\g~~PRINT[CompObj=@jqObjInfolx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="careOfIllness" VALUE="Some">52?$1583220473<DU\g~~PRINTpa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObjCFqObjInfoOCXDATAEG~OCXNAME$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="careOfIllness" VALUE="A Lot">DefaultOcxName53a #  - !- !   .- !_1583220472JU\gE~E~PRINTCompObjILqObjInfo =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATAKMOCXNAME$_1583220471f6PU\gE~E~PRINT="whatHappens" VALUE="Not Much">DefaultOcxName54a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="whatHappens" VALUE="A Little">DefaultOcxName55a #  CompObjORqObjInfoOCXDATAQSOCXNAME$_1583220470VU\gE~E~PRINTCompObjUXqObjInfo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="whatHappens" VALUE="Some">DefaultOcxName56a #  - !- !   .- ! =@ ( 4OCXDATAWYxOCXNAME$_1583220469`T\U\gE~E~PRINTxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="whatHappens" VALUE="A Lot">CompObj[^qObjInfoOCXDATA]_zOCXNAME$DefaultOcxName57a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220468bU\gE~E~PRINTCompObjadqObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="talkToDoc" VALUE="Very Hard">DefaultOcxName58a #  - !- ! OCXDATAce~OCXNAME$_1583220467rZhU\gE~E~PRINT  .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2CompObjgjqObjInfoOCXDATAikOCXNAME$      !"#$%&'(*-0123456789:;<=?BEFGHIJKLMNOPQRTWX[\]^_`abcdefghjmnqrstuvwxyz{|}~U\g<INPUT TYPE="radio" NAME="talkToDoc" VALUE="Somewhat Hard">DefaultOcxName59a #  - !- !   .- ! =@ ( 4_1583220466nU\gE~E~PRINTCompObjmpqObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="talkToDoc" VALUE="Somewhat EasOCXDATAoqOCXNAME$_1583220465xltU\gE~E~PRINTy">DefaultOcxName60a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="talkToDoc" VALUE="Very Easy">DefaultOcxName61a #  CompObjsv)qObjInfo+OCXDATAuw,~OCXNAME.$_1583220464zU\gE~l~PRINT/CompObjy|>qObjInfo@- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makePlan" VALUE="Very Hard">DefaultOcxName62a #  - !- !   .- ! =@ ( 4OCXDATA{}A|OCXNAMEC$_1583220463NU\gl~l~PRINTDxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makePlan" VALUE="Somewhat HardCompObjSqObjInfoUOCXDATAVOCXNAMEY$">DefaultOcxName63a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220462U\gl~l~PRINTZCompObjiqObjInfokiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makePlan" VALUE="Somewhat Easy">DefaultOcxName64OCXDATAlOCXNAMEo$_1583220461U\gl~l~PRINTpa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObjqObjInfoOCXDATA|OCXNAME$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="makePlan" VALUE="Very Easy">DefaultOcxName65a #  - !- !   .- !_1583220460U\gl~l~PRINTCompObjqObjInfo =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMEOCXDATAxOCXNAME$_1583220459U\gl~l~PRINT="seeDoc" VALUE="Very Hard">DefaultOcxName66a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="seeDoc" VALUE="Somewhat Hard">DefaultOcxName67a #  CompObjqObjInfoOCXDATAOCXNAME$_1583220458U\gl~l~PRINTCompObjqObjInfo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="seeDoc" VALUE="Somewhat Easy">DefaultOcxName68a #  - !- !   .- ! =@ ( 4OCXDATAOCXNAME$_1583220457U\gl~l~PRINTxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="seeDoc" VALUE="Very Easy">CompObjqObjInfoOCXDATAxOCXNAME$DefaultOcxName69a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220456U\gl~l~PRINTCompObjqObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMeds" VALUE="Very Hard">DefaultOcxName70a #  - !- ! OCXDATA|OCXNAME$_1583220455U\gl~l~PRINT  .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2CompObjqObjInfoOCXDATAOCXNAME$      !"#$%&'(*-0123456789:;<=?BCFGHIJKLMNOPQRSUXY\]^_`abcdefghiknorstuvwxyz{|}~U\g<INPUT TYPE="radio" NAME="takeMeds" VALUE="Somewhat Hard">DefaultOcxName71a #  - !- !   .- ! =@ ( 4_1583220454U\g~~PRINTCompObjqObjInfoxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMeds" VALUE="Somewhat EasyOCXDATAOCXNAME$_1583220453U\g~~PRINT">DefaultOcxName72a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="takeMeds" VALUE="Very Easy">DefaultOcxName73a #  CompObj)qObjInfo+OCXDATA,|OCXNAME.$_1583220452U\g~~PRINT/CompObj>qObjInfo@- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q     e !`b#$%&'()*+,-./0123456789:;<=>?2\g<INPUT TYPE="radio" NAME="careForSelf" VALUE="Very Hard">DefaultOcxName74a #  - !- !   .- !OCXDATAAOCXNAMED$_1583220451U\g~~PRINTE =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAMECompObjTqObjInfoVOCXDATAWOCXNAMEZ$="careForSelf" VALUE="Somewhat Hard">DefaultOcxName75a #  - !- !   .- ! =@ ( 4x_1583220450U\g~~PRINT[CompObjjqObjInfolx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="careForSelf" VALUE="Somewhat Easy">OCXDATAmOCXNAMEp$_1583220449U\g~~PRINTqDefaultOcxName76a #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii'CompObjqObjInfoOCXDATAOCXNAME$ U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="careForSelf" VALUE="Very Easy">DefaultOcxName77a #  _1583220448U\g~~PRINTCompObjqObjInfo- !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="pedToAdult" VALUE="Very Hard">DefaultOcxName78a #  - !- !   .- ! =@ ( 4OCXDATAOCXNAME$_1583220447U\g~~PRINTxx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="pedToAdult" VALUE="Somewhat HaCompObjqObjInfoOCXDATAOCXNAME$rd">DefaultOcxName79a #  - !- !   .- ! =@ ( 4xx#@ ( _1583220446U\g~~PRINTCompObjqObjInfoiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1Embedded ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="pedToAdult" VALUE="Somewhat Easy">DefaultOcxName80OCXDATAOCXNAME$_1583220445U\g~к~PRINTa #  - !- !   .- ! =@ ( 4xx#@ ( iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii' U\gForms.HTML:Option.1EmbeddedCompObjqObjInfoOCXDATAOCXNAME$ ControlForms.HTML:Option.19q2U\g<INPUT TYPE="radio" NAME="pedToAdult" VALUE="Very Easy">DefaultOcxName81 Oh+'0d   , 8DLT\1Table}:SummaryInformation(DocumentSummaryInformation8Macros~@O]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC[$$If!vh#v"#v#v#v#v#v:V   tF9,55t55t552 <234BpFyttD kdm$$If֞$*/29FFtFFFtF  tF92 <234BapFyttD$$If!vh#v!#v#v#v#v#v#v:V   tF&46,,5t!555b555]2 <22 <234BBpFytamH;kd$$If֞!@%(*-~04Ft!FFbFFF]  tF&462 <22 <234BBapFytamH$Dd Yb  c $A? ?3"`?/2nO]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?02nO]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?12nO]G@NRRڠJQA/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?22nO]G@NRRڠJQe/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$$If!vh#v!#v#v#v#v#v#v:V   tF&46,,5t!555b555]92 <22 <234BBpFyt;+;kdE$$If֞!@%(*-~04ft!FFbFFF]  tF&462 <22 <234BBapFyt;+$Dd Yb  c $A? ?3"`?32nO]G@NRRڠJQX/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?42nO]G@NRRڠJQ|/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?52nO]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$Dd Yb  c $A? ?3"`?62nO]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a ?HӲ*.§[؋$ǽtݰ,7Y:0ûĶٳ6>6ՌXײ\<+ekfcoUZt]D3X䪪jBRpk8nҭsDȜZr/9e8XЗ׿|ZC$$If!vh#v!#v#v#v#v#v#v:V   tF&46,,5t!555b555]2 <22 <234BBpFyt;+;kd$$If֞!@%(*-~04Ft!FFbFFF]  tF&462 <22 <234BBapFyt;+$Dd Yb  c $A? ?3"`?72nO]G@NRRڠJQ/`!BO]G@NRRڠhXxœ=n@!DH$DJu|PP!D()6$ K"#?J :a 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