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Name: Date: Please answer all questions as best you can. It is designed to give us information as to how your pain has affected your ability to manage in everyday life. Please answer every section.
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Mark one box only is a designation on a form or document indicating that only one option should be selected.
Individuals or entities filling out a form or document that specifies the option to select only one choice.
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The purpose is to ensure clarity and prevent ambiguity by limiting the selection to only one option.
The specific information required will vary depending on the form or document in question.
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