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24Questions
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  • Dansk
  • English (UK)
  • 1
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  • 2
    Så modtager du en kopi af din besvarelse.
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  • 3
    For at vi kan oprette en journal på dig.
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  • 4
    Hvor vi kan kontakte dig, hvis vi har yderligere spørgsmål.
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  • 5
    Arbejdsstillingen er ofte bidragende til smertetilstande.
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  • 6
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  • 7
    Har du ikke en præcis dato.. så bare circa omkring.
    Pick a Date
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  • 8
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  • 9
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  • 10
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  • 11
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  • 12
    Marker hvor det generer dig. Venstre/front & Højre/bag.
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  • 13
    Marker hvor det generer dig. Venstre/front & Højre/bag.
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  • 14
    Evt. også uddybende forklaringer. Er der tidspunkter i døgnet hvor smerterne er værst?
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  • 15
    Gerne så mange detaljer som muligt.
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  • 16
    Hvor ondt har du lige nu? Skub markøren til et tal mellem 1-10 (10 er værst mulige)
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  • 17
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  • 18
    Gerne så mange detaljer som muligt.
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  • 19
    Gerne så mange detaljer som muligt.
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  • 20
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  • 21
    Tidligere undersøgelser kan indhentes hvis du giver samtykke hertil (Anfør om det er ok).
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  • 22
    Det er dit ansvar at vi får alle oplysninger med..
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  • 23
    Det er dit ansvar at vi får alle oplysninger med..
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  • 24
    Det er dit ansvar at vi får al medicin med.
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  • 25
    Det er dit ansvar at vi får al information med.
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  • 26
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  • 27
    Dette gør du med din mus eller finger på skærmen, hvis den et trykfølsom.
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