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From Persecution to Prison - Bellevue/NYU Program for Survivors of ...

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2. After you began experiencing difficulties or persecution in your country, butbe<strong>for</strong>e you arrived in the United States did you have any other serious physicalor health problems (besides any health problems that you have alreadymentioned)?Yes ...........1 No............2If Yes, Please SpecifyNature <strong>of</strong> Health Problem a. Have you experienced b. Are you experiencingthis health problem this health problemwhile in Detention? now?2.1 Yes No Yes No2.2 Yes No Yes No2.3 Yes No Yes No3. Have you experienced any serious health problems that started while youwere in INS Detention (besides any health problems that you have alreadymentioned)?Yes ...........1 No............2If Yes, Please SpecifyNature <strong>of</strong> Health Problemb. Are you experiencingthis health problemnow?3.1 Yes No3.2 Yes No3.3 Yes No4. During the time that you have been in INS detention have you ever needed orwanted <strong>to</strong> see a doc<strong>to</strong>r?Yes ...........1No............25. Among the health problems mentioned in questions 1-3, what are the 3 mostserious <strong>of</strong> these health problems that you have experienced while in INSdetention?5.1__________________________________5.2__________________________________5.3__________________________________note: if subject mentions mental health related problems as a “serious” healthproblem, it should be listed above. Do not complete remainder <strong>of</strong> question 5 <strong>for</strong>mental health related problems. Mental health care will be asked about in Part VAPPENDIX B 207

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