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Health and physical education
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
How would you rate your overall health?
Excellent
Good
Fair
Poor
2
Do you have any chronic health conditions (e.g.,asthma, diabetes)?
Yes (please specify the name)
No
3
Do you take any regular medicine due to health reasons
Yes
No
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