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At 07:41 PM 6/21/2001 -0700, you wrote:
>
>Email 7
>
>SECTION F:                             MISCELLANEOUS
>
>
>TO ANSWER SECTION F:           CHECK THE CORRECT ANSWER.
>
>Have you ever suffered from drug dependence?   Yes.
>                                                               No.
>
>Have you ever suffered from alcohol dependence?        Yes.
>                                                               No.
>
>Have you ever used Alternative Therapies?      Homeopathy              Massage
>                                                       Reflexology             Acupuncture
>                                                       Reiki                   Other: __________
>
>
>
>
>
>Your basic diet:       High Fiber              Dairy                   High Protein
>                       Vegetarian              Liquid          Low Protein
>
>
>Do you follow a regular exercise program?      Yes.
>                                                       No.
>
>If "Yes", what does it include?        Running                 Bands                                                                   Treadmill                       Step
>Aerobics
>                                               Aerobics                        Tai Chi                                                         Bike                            Toning
>                                               Water Aerobics          Weights                                                         Water Aerobics          Weight Machines
>                                               Other: ___________
>
>Rate your medical care:
>
>Excellent              Good            Fair            Indifferent
>
>Now that you know what you know, approximately how long would you say you
>had noticeable symptoms before you were diagnosed? _______________
>
>List your current medications:
>
>
>
>List your vitamin supplements:
>
>
>
> List any medical appliances you may have to use
>
>
>
>
>

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