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What is your marital status?
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Race
Where do you live?
Partner with alcohol problem?
Partner with drug problem?
Dependent children?
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Client Education Level
GED?
Currently Employed?
Days worked in Past 30
Wages
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Nonlegal Income
Dependents on this Income
Current Health Status
Last Year Depression
Last Year Anxiety
Last Year Hallucinations
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    Question:
Region
County
What is your marital status?
Gender
Are you Hispanic or Latino?
Race
Where do you live?
Partner with alcohol problem?
Partner with drug problem?
Dependent children?
Client in School?
Client Education Level
GED?
Currently Employed?
Days worked in Past 30
Wages
Public Assistance
Retirement
Disability Income
Nonlegal Income
Dependents on this Income
Current Health Status
Last Year Depression
Last Year Anxiety
Last Year Hallucinations
Last Year Controlling Violence
Last Year Suicide Thoughts
Last Year Suicide Attempts
Last Year Psychiatric Medications
Last month Alcohol use
Last year Alcohol use
Last month Marijuana use
Last year Marijuana use
Last month Cocaine/crack use
Last year Cocaine/crack use
Last month Opiate use
Last year Opiate use
Last month Non-prescription methadone use
Last year Non-prescription methadone use
Last month Hallucinogens/psychedelics use
Last year Hallucinogens/psychedelics use
Last month Stimulant use
Last year Stimulant use
Last month Benzodiazepine/tranquilizer use
Last year Benzodiazepine/tranquilizer use
Last month Inhalant use
Last year Inhalant use
Injected drugs
Physical Abuse
Sexual Abuse
Times in Treatment
Criminal Justice Referral
DUI Admission
Drug Court
On Probation
Self Help Users
Self Help Times
Self Help Rating
Recovery Chances