Question

 The question itself is displayed here, based on what is maintained in a separate maintenance document.  Questions may display conditional logic information details under them in light gray text

Answer

Required.  Click to select the radio button option for ‘yes’, ‘no’, or n/a.

Review Date

Enter the date in mm/dd/yyyy format or select it using the date selector by clicking on the calendar icon  to specify the review date.

Explanation

Type to enter up to 400 characters of text to explain the answer to the question, and use the expand text area icon as needed.

Actions

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