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Dead body LTVH
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Have you ever seen or been present when another person was shot at, stabbed, struck, kicked, beaten, slapped around, or otherwise physically harmed [LTVH]
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Have you ever seen or been present when another person was raped, sexually attacked, or made to engage in unwanted sexual activity [LTVH]
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Destroyed property LTVH
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Has anyone ever stolen something from you by using force or the threat of force like in a stick-up, mugging, or car-jacking [LTVH]
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Has anyone ever tried to, but not actually, steal something from you by using force or the threat of force like in a stick-up, mugging, or car-jacking [LTVH]
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Has anyone ever stolen something directly from you without the threat or use of force (for example purse-snatching or pick-pocket)?
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Have you ever been in any other situation in which you were in danger of death or serious physical injury, or in which you felt intense fear, helplessness, or horror [LTVH]
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Have you ever been in any other situation in which you were in danger of death or serious physical injury, or in which you felt intense fear, helplessness, or horror?
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Are you sick today [PhenX]
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Allergies PhenX
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Have you ever had a serious reaction after receiving a vaccination [PhenX]
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Do you have a long-term health problem with heart disease, lung disease, asthma, kidney disease, metabolic disease (e.g., diabetes), anemia, or other blood disorder?
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Do you have cancer, leukemia, AIDS, or any other immune system problem [PhenX]
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Do you take cortisone, prednisone, other steroids, or anticancer drugs, or have you had radiation treatments [PhenX]
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Have you had a seizure, brain, or other nervous system problem [PhenX]
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During the past Y, have you received a transfusion of blood or blood products, or have you been given immune gamma globulin or an antiviral drug [PhenX]
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Are you pregnant, or is there a chance you could become pregnant during the next month [PhenX]
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Have you received any vaccinations in the past 4 weeks [PhenX]
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Hobby LIBCSP