RELATIONSHIP WITH CHILDREN
12. Do you have any children? Yes p No p N/A p R/A p
If "No" go to question 14.
If "Yes" how many?
Explore the relationship between the subject and the child(ren). If there are any problems, with whom?
Please list relationship:
Describe any problems:
13. Does any child have any specific health problem or emotional problem (include illness, handicap, alcohol or drug or gambling addiction, or mental illness)?
If "Yes", explain:
If "Yes", describe the impact that it has had on you: