EM108
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[PERSON'S FIRST MIDDLE AND LAST NAME] [EMPLOYER BEING ASKED ABOUT....] [JOB-ST] [JOB-ED]
[Can/Could] (PERSON) [take/have taken] paid sick leave if (PERSON) [(have/has)/had] to visit a doctor?
YES .................................... 1
NO ..................................... 2
REF ................................... -7
DK .................................... -8