Health questionare
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Your name
Your birth date
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DD
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Sex
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Your height (cm) and weight (kgs)
Address
Occupation
Country of origin
Do you suffer or have suffered from any of the following conditions ?
Do you have any aesthetic surgery operation?
Please list any other serious illness, operations or accidents you had in the past (give dates when possible).
Please list any medicines/tablets you are currently taking
Do you have any allergies?
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Lifestyle
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Family Medical History
Do you use ...?
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