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English > Spanish: 800-word simple survey

800 word survey written in very simple English -- should be translated into very simple Spanish.

Example of text:
1. I am _____ years old. (must be over 18)

2. I am Single/Divorced; Married; Widowed; Living with Partner.
3. I have ______ (this many) people live with me in my house.
4. I have _______ (this many) children (under 18 years old).
5. I also take care of other people, my brother sister grandparent sick family member  nephew/cousin/niece grandchild  other How many?______. Specify relationships _________________________
6. How many times have you been sick/hurt and had medical help in hospital or clinic?_______ in (this many)… ____months or ____years.
7. Was it an c INJURY=(I was hurt) or c an ILLNESS= (I was sick)?
8. If you have been sick or hurt and had medical help, please explain what happened: _________________

Language pair(s)

English > Spanish

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