<Fragment xmlns:r="ddi:reusable:3_3" xmlns="ddi:instance:3_3">
  <QuestionItem isUniversallyUnique="true" versionDate="2025-06-11T15:12:51.9822094Z" xmlns="ddi:datacollection:3_3">
    <r:URN>urn:ddi:int.example:d4107808-c0f4-4c39-a124-61639ba2307e:1</r:URN>
    <r:Agency>int.example</r:Agency>
    <r:ID>d4107808-c0f4-4c39-a124-61639ba2307e</r:ID>
    <r:Version>1</r:Version>
    <r:VersionResponsibility>fdz@dezim-institut.de</r:VersionResponsibility>
    <QuestionItemName>
      <r:String xml:lang="de">lif0039x01-lif0039x10</r:String>
      <r:String xml:lang="en">lif0039x01-lif0039x10</r:String>
      <r:String xml:lang="en-GB">lif0039x01-lif0039x10</r:String>
    </QuestionItemName>
    <r:Label>
      <r:Content xml:lang="de">Schwierig Besuch Mutter</r:Content>
      <r:Content xml:lang="en">Difficult to visit mother</r:Content>
      <r:Content xml:lang="en-GB">Difficult to visit mother</r:Content>
    </r:Label>
    <QuestionText audienceLanguage="de">
      <LiteralText>
        <Text>Bitte geben Sie an, warum es für Sie schwierig ist, Ihre Mutter zu besuchen. Sie können mehrere Gründe auswählen:</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en">
      <LiteralText>
        <Text>Please indicate why it is difficult for you to visit your mother. You may select multiple reasons:</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en-GB">
      <LiteralText>
        <Text>Please indicate why it is difficult for you to visit your mother. You may select multiple reasons:</Text>
      </LiteralText>
    </QuestionText>
    <r:ResponseCardinality minimumResponses="0" maximumResponses="0" />
  </QuestionItem>
</Fragment>