VISCI
Demonstration
Serial number:
997
Date of interview:*
First name:*
Last name:*
Nationality :
Austria
Germany
others
Marital status :
single
married
divorced
widowed
Education:
compulsory school
A-levels
universty
Custodial status:*
pretrial
sentenced
Working status:*
Year of birth:*
Sex:*
Male
Female
Children:*
Question-1:*
YES
NO
REFUSED
Question-2:*
YES
NO
REFUSED
Question-3:*
YES
NO
REFUSED
Question-4:*
YES
NO
REFUSED
Question-5:*
YES
NO
REFUSED
Question-6:*
YES
NO
REFUSED
Question-7:*
YES
NO
REFUSED
Question-8:*
YES
NO
REFUSED
Question-9:*
YES
NO
REFUSED
Question-10:*
YES
NO
REFUSED
Question-11:*
YES
NO
REFUSED
Question-12:*
YES
NO
REFUSED
Question-13:*
YES
NO
REFUSED
Question-14:*
YES
NO
REFUSED
Question-15:*
YES
NO
REFUSED
Question-16:*
YES
NO
REFUSED
Question-17:*
YES
NO
REFUSED
Question-18:*
YES
NO
REFUSED
Question-19:*
YES
NO
REFUSED
Question-20:*
YES
NO
REFUSED
Question-21:*
YES
NO
REFUSED
Question-22:*
YES
NO
REFUSED
* must field
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for | psy | con - forensic | psychiatric | consultants
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office@forpsycon.at
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