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1.
Do you get cold sores?
Yes
No
2.
How stressed are you typically?
1-3 Mildly stressed
4-6 Moderately stressed
7-8 Severely stress
9-10 Very Severely stressed
3.
How do you accommodate for your cold sores?
4.
Is it triggered by anything specific?
5.
Do you find that people avoid you? if so, in what way?
6.
What's the worst part about having a cold sore?
7.
How limited is your life because of your cold sores?
1-3 Mildly limited
4-6 Moderately limited
7-8 Severely limited
9-10 Very Severely limited
8.
In what ways is your life limited?