I can't seem to get my head around designing all the tables for this app and need some ideas.

Following are portions from the existing document.

Code:
D. Section Heading
    Sub Section Heading
                                         Pre    Post
      Date of Administration            ______  ______
        1. SSI
            1. # of Positives             ___   ___
            2. # of Negatives             ___   ___
            3. Positives - Negatives      ___   ___
            Final SSI score               ___   ___

        2. Deficits
            ... 6 questions in this section
        ...5 sections total.
I am not sure if I should denormalize and store each Pre/Post question separately. Certainly in the Answer table I would need to somehow do this in order to satisfy the following query not to mention re-displaying the Answer in the correct location on the document.

Find all documents where Post # of Positives < Pre # of Positives

But another section has questions which repeat, under multiple headings as follows

Code:
B. Section Name
    1. Current Items
        Item Description       Item Code      Item Code B
        _____________________     ____          _________
        _____________________     ____          _________
        _____________________     ____          _________

    2. Previous Items 
        Item Description       Item Code      Item Code B
        _____________________     ____          _________
        _____________________     ____          _________
        _____________________     ____          _________
By denormalizing, I would then need to store the above questions as
current item # 1 Item Description
current item # 1 Item Code
current item # 2 Item Description
etc...

Which I don't think is appropriate.

Also, there is "Short form" of this document which asks the above question in this format. It does not prompt for Item Code B.

Code:
Item Code   Item Description
   code X    ________________________
   code Y    ________________________
   code Z    ________________________
Another section has this layout.

Code:
                                    Person 1  Person 2 Person 3
1. Question
       Choice 1 ...Choice N           __        __        __
2. Question
       Choice 1 ...Choice N           __        __        __
3. Question                         ______    ______    ______
But the exact same questions are asked under a different heading which basically affects the meaning of the question. Eg. Instead of asking about a Person, the questions are asking about a "Thing" or a "Place".
I think I am confusing myself as to what belongs in "Document Layout" vs actual "Questions"

I just realized I am just rambling on and haven't really asked a question - my head hurts.