To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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Please rate the following. 0 - "none/no attempt" 1 - very low 2 - low 3 - moderate 4 - high 5 - very high

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Please answer the following questions to help us confirm that you'll follow the guidelines for this medicine.

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