Project Lifesaver Application

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age 1
age 2
sex
spouse is
understand english
understand english more
false teeth
face shape
radio_rex
age 3
glasses
contacts
sunglasses
degree of vision
wear hearing aid
without hearing aid
mental health probs
remain oriented
current events
know name
respond to name
can communicate if hurt
overall ability to communicate
recognize faces
dress improperly sometimes
age 4
fear of1
fear of2
fear of3
fear of4
fear of5
fear of6
irregular sleep patterns
travel to locations
locations significant
stay on paths
wander in woods
during the
carry personal items
tobacco stuff
matches or lighter
carry candy stuff
cane walker
age 5
mil exp
demeanor is
prefers
talks to strangers
trouble with law
religious
religious attendance
dangerous
personality changes
suffer from delusions
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10/26/2026Click to Sign
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