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DEVELOPMENTAL HISTORY <br /> Note: Your answers to the following questions may be verified by checks of records kept by police <br /> agencies, courts, and social service agencies, and by interviews with persons acquainted with <br /> you. If you deliberately give false or misleading answers, you may be disqualified. <br /> Ji. Who primarily raised you (that is,with whom did you live for the largest amount of time <br /> between birth and age 18)? (MARK ONE ANSWER ONLY) <br /> a. Biological parents <br /> b. Father only <br /> c. Mother only <br /> d. Father and mother alternated(joint custody) <br /> e. Father and stepmother <br /> f. Mother and stepfather <br /> g. Adoptive parents <br /> h. Foster parents <br /> i. Institutional caretakers <br /> j. Aunt and/or uncle <br /> k. Brother and/or sister <br /> I. Grandparents <br /> m. Other <br /> J2. What was the primary occupation of the head of your household when you were a child? <br /> (MARK ONE ANSWER ONLY) <br /> a. Highly-skilled laborer or service worker(e.g., plumber, airline mechanic) <br /> b. Skilled technical expert(e.g., programmer, engineer) <br /> c. Low-skilled laborer or service worker(e.g.,janitor) <br /> d. Self-employed business person <br /> e. Professional/managerial <br /> f. Clerical (e.g., secretary, bank teller) <br /> g. Retail Sales <br /> h. In the military <br /> i. Agricultural worker <br /> j. Other <br /> k. Police officer, corrections officer, or other public safety occupation <br /> J3. How many children beside yourself lived in the family you grew up in? <br /> a. None <br /> b. 1 <br /> c. 2 <br /> d. 3 <br /> e. 4 or more <br /> J4. Among the children in the family you grew up with,what was your relative age? (INCLUDE <br /> HALF-BROTHERS,HALF-SISTERS,ETC.) <br /> a. Only child <br /> b. Oldest <br /> c. Youngest <br /> d. Middle(not the oldest or youngest) <br /> J5. Did your parents or primary caretakers go through a separation or divorce, during the time <br /> you were living at home? <br /> a. No <br /> b. Yes <br /> PSS/LEPS PLLC 89 <br />