Document a45p9zZ3k9wXB2Njj4a08g6Rb

35 21a. Have you been bothered by loss of coordination or balance at any time during the past 12 months? Yes................................................................................................ 1 No (Skip to Q.21e) Don't know/Can't recall (Skip to Q.21c) . . 8 b. In what month and year did this occur most recently? (month) / 19 (year) c. Have you ever been affected by such a condition iYT the past? Yes................................................................................................ 1 No (Skip to Q.22a)..................................... 2 Don't know/Can't recall (Skip to Q.22a) . . 8 d. How many times have you had this condition in the past? 2 Don't know/Can't recall . . 98 e. In what year did (this/each of these episodes) begin? (Record first two episodes.) 1st: 19 Don't know/Can't recall . . 98 2nd: 19 Don't know/Can't recall . . 98 DSW 476038.1257 STLCOPCB4043408