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Section
2 - Your Illnesses, Injuries or Conditions and How They Affect You
| |
General
Information About Section 2 |
| A. |
What
are the illnesses, injuries or conditions that limit your ability
to work? |
B.
|
How
do your illnesses, injuries or conditions limit your ability to
work? |
| C. |
Do
your illnesses, injuries, or conditions cause you pain or other
symptoms? |
| D. |
When
did your illnesses, injuries or conditions first interfere with your ability to work? |
| E. |
When
did you become unable to work because of your illnesses, injuries
or conditions? |
| F. |
Have
you ever worked? |
| G. |
Did
you work at any time after the date your illnesses, injuries or
conditions first interfered with your ability to work? |
| H. |
If
you did work after the date your illnesses, injuries, or conditions
first interfered with your ability to work, did they cause you to work fewer hours, change
your job duties, or make any other job-related changes? |
| I.
|
Are
you working now? If No, when was the last day you worked? |
| J. |
Why
did you stop working? |
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