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Preapproved OMB No.09200904 Exp. Date11/30/2014(affix label here) Patient ID NumberSiteSubsiteSequential RESEARCH Health Questionnaire Young Adult Version (age 18 and older) The purpose of this questionnaire
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Who needs cohort s3health questionnaire?

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Individuals participating in the s3health cohort study.
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Patients seeking to assess their health status and contribute to research.
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Cohort s3health questionnaire is a survey that collects health information from a group of individuals within a specific population.
Healthcare providers and organizations are required to file cohort s3health questionnaire.
To fill out the cohort s3health questionnaire, individuals must provide accurate health information as requested in the survey form.
The purpose of cohort s3health questionnaire is to gather data on the health status and trends within a specific population for research and analysis purposes.
Information such as medical history, current health conditions, lifestyle choices, and demographic details must be reported on cohort s3health questionnaire.
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