• Tree of Life Health Solutions Pediatric Health Questionnaire

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  • In the nursery and the first 4 weeks, were there: Breathing problems?

  • Please markif yourchild's blood relatives have ever had any of the following conditions.

  • During Infancy: Breast/bottle fed?

  • Indicate the age(s) at which your child might have had any of the following:

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  • Should be Empty:
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