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PLEASE ANSWER ALL QUESTIONS & APPLICABLE GENDER QUESTIONS BY CHECKING YES OR NO ARE YOU: Yes No 1. Feeling healthy and well today? 2. Currently, taking an antibiotic? 3. Currently, taking any other

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Anyone who is required to provide specific information or complete a questionnaire needs to answer all questions. This could include applicants for a job, students applying for admission, individuals seeking financial aid, companies filling out compliance forms, etc.

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