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Date of birth [when were you born?]
Recording: 
relationship to patient [how are you related to h/s?]
Recording: 
patient name [what are you called?]
Recording: 
date [what is it today?]
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employer [where do you work at?]
Recording: 
employment [where do you work at?]
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Tribal affiliation [where are you enrolled at?]
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address [where do you live at?]
Recording: