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1.
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Any
headaches? How often? How long do headaches last?
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2.
|
Muscle
and Joint pain? How often? How long does it last?
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3.
|
Does
your throat get sore alot?
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4.
|
Do
you have any rashes?
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5.
|
Do
you have diarrhea?
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6.
|
Do
you have any infections?
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7.
|
Do
you have Swollen lymph nodes?
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8.
|
Do
you have Night Sweats?
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9.
|
Do
you have a poor appetite?
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10.
|
Have
you had Rapid weight loss?
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11.
|
Are
you very tired alot?
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12.
|
Do
you sometime have Shortness of breath?
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13.
|
Dry
Cough
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|
14.
|
Do
you have Constant Coughing?
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15.
|
Do
you have any Sores?
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16.
|
Peripheral
Neuropathy -- (numbness, tingling, or burning in hands and feet)?
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17.
|
Do
you suffer from Depression?
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18.
|
When
where you diagnosed with HIV?
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19.
|
Do
you have any trouble dressing, cooking, cleaning?
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20.
|
How
do you spend your days?
|
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21.
|
Have
you spoken to your doctor about why you feel you are not able
to work? and does he agree that you are unable to work for at
least a year because of your illness?
|
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22.
|
Has
your doctor given you any restrictions?
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