Social History

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posted 2021-05-10, updated 2021-05-10
Psychiatry & Psychology
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Client grew up in [textarea name="1" default=""] and was raised by [textarea name="2" default=""]. According to [select name="variable_1" value="him|her"], the highest level of education attained was [textarea name="3" default=""]. In terms of physical development in early childhood [textarea name="4" default=""]. Client reported that growing up, there was [textarea name="5" default=""]. With regards to occupation, [textarea name="6" default=""]. The client currently resides [text name="variable_1" default=""]
[select name="variable_1" value="his|her"] marital status is [text name="variable_1" default=""] and [select name="variable_1" value="he|she"] has [text name="variable_1" default=""] children
Client grew up in and was raised by . According to , the highest level of education attained was . In terms of physical development in early childhood . Client reported that growing up, there was . With regards to occupation, . The client currently resides
marital status is and has children

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Sandbox Metrics: Structured Data Index 0.25, 12 form elements, 46 boilerplate words, 3 text boxes, 6 text areas, 3 drop downs, 12 total clicks
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