Literal question
<svar a="all" v="BF85A032 BF85A033 BF85A034 BF85A035 BF85A036 BF85A037 BF85A038 BF85A039 BF85A040 BF85A041 BF85A042 BF85A043 BF85A044"><span class="h3">Deaths in the last 12 months</span><br /><div class="i1">[] No<br />[] Yes</div><br /><div class="i2">If yes, how many? _</div><br />First and last name of deceased ____<br />Sex of deceased ____<br />Age at death ____<br /></svar>