1010A. Do you suffer from any of the following illnesses:
Diabetes?
High blood pressure/stroke?
Cardiac illnesses?
Kidney failure?
Cancer?
Paralysis?
Asthma/Chronic bronchitis?
RECORD ALL MENTIONED.
NONE A (GO TO 1101)
DIABETES B
HIGH BLOOD PRESSURE/STROKE C
CARDIAC ILLNESSES D
KIDNEY FAILURE E
CANCER F
PARALYSIS G
OTHER (SPECIFY) ______ X