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serv3

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General information

Question text: What is the condition for which you FIRST applied? Please select all that apply.
Answer type: Check boxes
Answer options: 1 Musculoskeletal problems, such as back injuries
2 Cardiovascular conditions, such as heart failure
3 Respiratory illnesses, such as COPD
4 Senses and speech issues, such as vision and hearing loss
5 Neurological disorders, such as multiple sclerosis, Parkinson’s Disease or epilepsy
6 Mental health disorders, such as depression
7 Cancer
8 Other, please specify: ~serv3_other
Label: what condition first applied for
Empty allowed: One-time warning
Error allowed: Not allowed
Multiple instances: No

Data information

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