Do you currently smoke any tobacco products such as cigarettes, cigars, or pipes?
For how many years are you been smoking daily?
On average, how many manufactured cigarettes do you smoke each day?
On average, how many hand-rolled cigarettes do you smoke each day?
On average, how many pipefuls of tobacco do you smoke each day?
On average, how many other tobacco products do you smoke each day? (excluding manufactured cigarettes, hand-rolled cigarettes, pipefuls of tobacco)
Have you ever consumed a drink that contains alcohol (such as beer, wine, etc.)?
How many standard drinks of any alcoholic beverage did you have on Monday?
How many standard drinks of any alcoholic beverage did you have on Tuesday?
How many standard drinks of any alcoholic beverage did you have on Wednesday?
Please tell me the kind of care you provided to this person(s)? You helped with household activities such as meal preparation, shopping, cleaning, laundry.
Please tell me the kind of care you provided to this person(s)? You watched over them since their behaviour can be upsetting or dangerous to themselves or others.
Please tell me the kind of care you provided to this person(s)? You helped them to get around outside the home.
In your dealings with private health care organizations or the government, have you ever had any difficulties: Obtaining payment exemptions or the right to special rates for health care?
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