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DATE: / / NAME: MAN: Forthefollowingquestions, pleaseindicatewhatpercentsatisfactionyouhaveregardingBOTHofyourSHOULDERS 0×TERRIBLE×Notsatisfiedatall100×GREAT×Completely satisfied (OrchooseANUMBERbetween0and100toshowyoursatisfaction)
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