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Click ‘Get Form’ to open the Lifestyle Questionnaire in the editor.
Begin with PART A, where you will enter your personal details such as surname, given names, date of birth, and DVA file number. Ensure accuracy for proper identification.
Move to PART B to assess your personal relationships. Here, tick the statements that apply to you regarding how your disabilities affect your interactions with others.
In PART C, evaluate your mobility. Answer questions about any difficulties you face while walking or using transportation. Be specific about the type of assistance you may need.
Proceed to PART D, focusing on recreation and community activities. Indicate how often you engage in various social activities and note any difficulties experienced due to disabilities.
Finally, complete PART E regarding domestic and employment activities. Assess how well you can perform household tasks and provide insights into your work situation.

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