A. Have you worked a total of 5 of the past 10 years?
B. Do you have a severe physical or mental impairment or combination of both that will keep you from working for at least 12 continuous months?
C. Do you have medical or psychological documentation to support your impairment?
D. Are you able to do any of the work you have done in the past 15 years?
E. Are you able to do any other type of work?