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sa1s3.patientpop.com · (0) Never (1) Less than monthly (2) Monthly (3) Weekly (4) Daily or almost daily 5) How often during the last year have you failed to do what was normally

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Page 1: sa1s3.patientpop.com · (0) Never (1) Less than monthly (2) Monthly (3) Weekly (4) Daily or almost daily 5) How often during the last year have you failed to do what was normally
Page 2: sa1s3.patientpop.com · (0) Never (1) Less than monthly (2) Monthly (3) Weekly (4) Daily or almost daily 5) How often during the last year have you failed to do what was normally
Page 3: sa1s3.patientpop.com · (0) Never (1) Less than monthly (2) Monthly (3) Weekly (4) Daily or almost daily 5) How often during the last year have you failed to do what was normally
Page 4: sa1s3.patientpop.com · (0) Never (1) Less than monthly (2) Monthly (3) Weekly (4) Daily or almost daily 5) How often during the last year have you failed to do what was normally
Page 5: sa1s3.patientpop.com · (0) Never (1) Less than monthly (2) Monthly (3) Weekly (4) Daily or almost daily 5) How often during the last year have you failed to do what was normally
Page 6: sa1s3.patientpop.com · (0) Never (1) Less than monthly (2) Monthly (3) Weekly (4) Daily or almost daily 5) How often during the last year have you failed to do what was normally
Page 7: sa1s3.patientpop.com · (0) Never (1) Less than monthly (2) Monthly (3) Weekly (4) Daily or almost daily 5) How often during the last year have you failed to do what was normally
Page 8: sa1s3.patientpop.com · (0) Never (1) Less than monthly (2) Monthly (3) Weekly (4) Daily or almost daily 5) How often during the last year have you failed to do what was normally