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Health Survey
*
1.
Which of the following medical conditions have you been diagnosed with?
(Required.)
Cancer
Diabetes
HIV/AIDS
MS
ALS
*
2.
Have you ever participated in a clinical trial?
(Required.)
Yes
No
*
3.
Have you ever undergone chemotherapy?
(Required.)
Yes
No
*
4.
Have you ever had a CAT scan?
(Required.)
Yes
No
60%