CDEs
Forms
Difficulty imagine be someone else AQ
Enjoy planning activities AQ
Enjoy social occasions AQ
Difficult working out intentions AQ
Anxious new situations AQ
Enjoy meeting new people AQ
Good diplomat AQ
Difficulty remember birth dates AQ
Easy playing pretend games AQ
Child sick today PhenX
Child allergies PhenX
Child vaccine reaction PhenX
Child seizure brain problem PhenX
Child immune system problem PhenX
Child steroids anti-CA drugs PhenX
Child transfusion immune globulin PhenX
Child pregnant PhenX
Child vaccinations PhenX
During the last 3 months of your pregnancy, how many alcoholic drinks did you have in an average week [PhenX]
Postal code [Location] Facility
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