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Gastrointestinal cancer / Gram-negative bacteria / Helicobacter pylori / Proteobacteria / Stomach cancer / Gastroesophageal reflux disease / Infection / Yes and no / Health effects of wine / Medicine / Health / Gastroenterology


Health Questionnaire – [insert community research project name] Date: Day __ __ Month __ __ Year __ __ __ __ Interviewer Name: _______________________________________ Participant Name: ______________________________
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Document Date: 2014-05-13 12:38:53


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File Size: 463,44 KB

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Facility

Health Centre/Nursing Station / Regional Hospital / Nursing station / What hospital / /

IndustryTerm

difficulty swallowing solid food / food pipe / food / /

Organization

Regional Hospital / Learning Center / Health Centre / /

Person

Justin Cheung / Aunt / /

Position

Interpreter / Nurse / /

Product

Advil / /

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