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Undue Influence: Definitions and Applications - California Courts ...

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Borchard grant file review<br />

15. Gender<br />

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Male<br />

Female<br />

16. Race/ethnicity<br />

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White, non-Hispanic<br />

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Asian or Pacific Isl<strong>and</strong>er<br />

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Hispanic or Latino<br />

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Mixed race/ethnicity<br />

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Black or African American<br />

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Unable to determine<br />

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Other (please specify)<br />

17. Marital/relationship status<br />

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Currently married<br />

nmlkj<br />

Domestic partner<br />

nmlkj<br />

Never married<br />

nmlkj<br />

Significant other<br />

nmlkj<br />

Widowed<br />

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Unable to determine<br />

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Divorced<br />

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Other (please specify)<br />

18. Residence or placement at time of petition<br />

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Private residence (i.e., home or apartment)<br />

Nursing home<br />

Assisted living facility<br />

Congregate living<br />

Unable to determine<br />

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Other (please specify)<br />

19. Living situation, if in private residence<br />

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Alone<br />

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With a roommate/friend<br />

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With spouse or partner<br />

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Unable to determine<br />

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With other family<br />

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Not applicable (not in private residence)<br />

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With a caregiver/attendant<br />

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Other (please specify)<br />

143<br />

Page 4

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