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Hypoglycemia Survey
Original Forms

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These are the forms that have been released between Jan. 1997 and Feb. 1998.
The forms below are for background info only, they can not be submitted anymore.
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Original Forms
1. Diets Diets Form 
  • 1.1 - Intro / Diet Types
  • 1.2 - Diet Content
  • 1.3 - Daily Habits
  • 1.4 - Sweeteners
    		•
    2. Symptoms Symptoms Form 
  • 2.1 - Intro / Cardio-Vascular / Ears / Eating Habits / Emotional-Mood
  • 2.2 - Endocrine / Energy / Eyes / Gastro-Intestinal
  • 2.3 - Head / Immune System / Med History / Mental Functioning
  • 2.4 - Mouth-Throat / Musculo-Skeletal / Neurological
  • 2.5 - Reproductive-Urinary / Respiratory
  • 2.6 - Skin / Symptom Relief / Temperament
    		•
    3. Treatment Treatment Form 
  • 3.1 - General / Conventional Medicine
  • 3.2 - Alternative Medicine / Evaluation
  • 3.3 - Exercise
  • 3.4 - Supplements #1
  • 3.5 - Supplements #2
  • 3.6 - Supplements #3
    		•
    4. Diagnosis Diagnosis Form 
  • 4.1 - General 
  • 4.2 - Testing
  • 4.3 - Glucose Tolerance Test / Food Diary
  • 4.4 - Blood Glucose Meter / Treatment / Health Cost & Coverage
    		•
    5. Quality 
    of Life    		 Quality-of-Life Form 
  • 5.1 - General / Education-School
  • 5.2 - Employment
  • 5.3 - Personality & Behavior / Dependence / Work-Social Life-Travel
    		•
     
    Last update: 29-dec-98 by Lars Idema

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