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Questionnaire Ref I Coding Sheet I No of I<br />

Question No<br />

Reference<br />

Boxes/<br />

Characters<br />

Coding lnStluctions/Remarks<br />

I<br />

I<br />

I<br />

Q3(D) (i) I Q3Di amount I 5 ] values -.3-20000<br />

Q3(E)<br />

I<br />

Q3E<br />

I I I<br />

I<br />

3=E Z=p Only applies if coded 1<br />

above.<br />

2<br />

I<br />

Enter amount.<br />

Values -3-02<br />

PXeSently receiving sickness<br />

benefit or invalidity<br />

benefit<br />

Yes . . . . . . . . . . . . . . . . . . . . . ..01<br />

v ~ue, -3-10 J,0*(130<br />

Q3(E) (i) Q3Ei amount 5 a<br />

3=E Z=p Only applies if coded<br />

1 above.<br />

Q3(F) Q3F 2 Values -3-01<br />

Q3(F) (i) Q3Fi amount 5<br />

3=! Z=p<br />

Enter amount of sickness/<br />

invalidity benefit.<br />

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