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!!!!Allergy Questionnaire!! Name:___ D.O.B.___Age___! ! Date___ M___ F___ Occupation___! !Do You have any of these systems? (Check all that apply)! ___Cough! ! ! ___Runny Nose! ! ! ___Wheezing! !
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How to fill out nose eyes ears
01
To fill out the nose, start by shaping a small ball of clay into an oval.
02
Attach the oval shape to the face where the nose should be placed.
03
Use a tool to create nostrils by making two small indents on either side of the nose.
04
To fill out the eyes, roll two small balls of clay and place them on the face where the eyes should be located.
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Use a tool to create eye sockets around the clay balls.
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Fill out the ears by shaping two small pieces of clay into ear shapes and attaching them to the sides of the head.
Who needs nose eyes ears?
01
Humans and most animals need nose, eyes, and ears to function properly and interact with the world around them.
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