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Get Name: D

*********************** I. How old were you when you started having periods? 2. What day or year did you have your last period? Was it nonnal? DYes 3. How many days does your period nonnally last? How many days between periods? Describe your menstral flow- Check One: 5. 6. 7. 8. 9. Have you ever had a sexually transmitted disease? DYes 12. 13. 14. 15. 16. No If yes, please check which and give date or year of onset: Gonorrhea ----''''' Syphillis Chlamydia.

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