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Anemia: __Y __N: Fainting: __Y __N: Respiratory Disease: __Y __N; Angina: __Y __N: Foot or Leg Cramps: __Y __N: Rheumatic Fever: __Y __N; Arthritis: __Y __N: Gout: __Y __N: Shortness of Breath: __Y __N; Artificial Heart Valves/Joints: __Y __N: Headaches: __Y __N: Sinus Problems: __Y __N; ... Retrieve Here
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