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THE LIFESTYLE AND CLINICAL
SURVEY: A MEDICAL HISTORY
QUESTIONNAIRE
Tracie C. Collins, MD, MPH, Kimberly J. OM alley, PhD,
Nancy J. Petersen, PhD, and Maria E. SuarezAlmazor, MD, Recognizing the limitations
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What is form lifestyle and clinical?
Form lifestyle and clinical is a document used to gather information about an individual's lifestyle habits and medical history.
Who is required to file form lifestyle and clinical?
Individuals who are undergoing medical treatment or participating in a clinical study are required to file form lifestyle and clinical.
How to fill out form lifestyle and clinical?
Form lifestyle and clinical can be filled out either online or in person with the assistance of a healthcare provider or research coordinator.
What is the purpose of form lifestyle and clinical?
The purpose of form lifestyle and clinical is to collect data on an individual's lifestyle choices and medical background in order to better understand their health status.
What information must be reported on form lifestyle and clinical?
Information such as smoking habits, alcohol consumption, exercise routine, medical conditions, medications, and family medical history must be reported on form lifestyle and clinical.
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