Questionnaire

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Flu or Cold Inflammation Fever Infection Contagious Disease
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Fibromyalgia Spasms/Cramps Sprains/Strains Osteoporosis Postural Deviations Gout Osteoarthritisaheumatoid Arthritis TMJ Cysts Bursitis Plantar Fascitis Tendonitis Torticollis Whiplash Syndrome Carpal Tunnel Syndrome Sciatica Thoracic Outlet Syndrome Headache Leg Pain Arm Pain/shoulder Pain Low Back Pain Mid Back Pain Hip Pain Other
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Pneumonia Sinusitis Asthma Trouble Breathing Dizziness Other
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Anemia Hemophilia Hypertension Low Blood Pressure Raynaud's Disease Varicose Veins Heart Condition Blood Clots/phlebitis Diabetes Other
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Ulcers Irritable Bowel Syndrome Colitis Gallstones Hepatitis Crohn's Disease Diarrhea Gas/bloating Indigestion Other
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Fungal Infections Acne Impetigo Dermatitis/eczema Psoriasis Open Wound Or Sore Rashes Warts/moles Athletes Foot Other
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ALS Multiple Sclerosis Parkinson's Disease Bell's Palsy Neuritis Spinal Cord Injury Stroke Trigeminal Neuralgia Seizure Disorders Numbness/tingling/twitching Other
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Insomnia Anxiety/panic Attacks PMS Grief Process Cancer Substance Abuse Pregnancy Chronic Fatigue Hiv/aids Lupus Kidney Disease Bladder Infection Postoperative Situation Edema Other
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