Literal question
<span class="h1">Events occurred in the household in the last 12 months</span></p>
<p><span class="em">Deaths</span>: has there been any deaths in the household since _ _ _ _ [date to fill out]</p>
<div class="i1">(Circle the applicable number)<br />[] 1 Yes<br />[] 2 No</div><div class="i1">_ _ If yes, how many?</div>