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Section 1 of 5
Email address
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Option 1
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Section 2 of 5
Section 3 of 5
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Female
Male
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Prefer not to say
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Email
Phone Calls
Facebook or instagram
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Section 4 of 5
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Yes
No
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NG or NJ tube
GJ tube
surgical j tube
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A lowekey button tube
Dangler tube (long kind)
I have no idea what this means
neither
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Service dog
Therapy dog
No
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