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Es No Do you have a heart condition? Have you had a heart attack? When? Have you had chest pain? How often? Do you have a pacemaker or implanted defibrillator? Do you have high blood pressure? Have you ever had a stroke? When? Do you have asthma, bronchitis, or any other breathing problem? Do you experience shortness of breath? Do you (or did you) smoke? Packs/day: Number of years: Date you quit: Have you recently had a cold or the flu? Do you have diabetes? Do you have a thyroid condition? Do.

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