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  2. 2017
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  5. test health
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Questions marked with a * are required Exit Survey
 
 
 
Option 1
 
Option 2
 
 
 
* Sample Question ?
 
yes
 
no
 
 
 
 
Option 1
 
Option 2

 
 
 
 
Option 1
 
Option 2

 
 
 
* 2. Check the symptoms that you're currently experiencing ?
 
Chest pain
 
Cardiac disease

 
 
 
 
Option 1
 
Option 2
 
Option 3

 
 
 
 
Option 1
 
Option 2
 
Option 3
 
 
 
 
Option 1
 
Option 2
 
Option 3