| 103935-3 | Are you in a committed relationship:Find:Pt:^Patient:Ord: | |
| 103936-1 | Which household type do you live in:Find:Pt:^Patient:Ord: | |
| 103937-9 | What would you say how is the mental health of your partner is:Find:Pt:^Patient:Ord: | |
| 103938-7 | What would you say is the quality of your partnership:Find:Pt:^Patient:Ord: | |
| 103939-5 | Do you have underage persons in your household:Find:Pt:^Patient:Ord: | |
| 104078-1 | Number of underage persons in household:Num:Pt:^Patient:Qn: | |
| 103941-1 | For each underage person what would you say how is the mental health of underage person:Find:Pt:^Patient:Ord: | |
| 103942-9 | Mental health of household members comments:Imp:Pt:^Patient:Nar: | |
| 104104-5 | Mental Health Household Members panel:-:Pt:^Patient:-: | |