CS21
====
[PERSON'S FIRST MIDDLE AND LAST NAME]
SHOW CARD CS-4.
In the last 12 months, how much of a problem, if any, was it to get a referral to a specialist that (PERSON) needed to see?
A BIG PROBLEM .......................... 1
A SMALL PROBLEM ........................ 2
NOT A PROBLEM .......................... 3
REF ................................... -7
DK .................................... -8
[Code One]