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15Questions
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  • 1
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  • 2
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  • 3
    Hvor vi kan kontakte dig.
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  • 4
    For at vi kan oprette en journal på dig.
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  • 5
    Pick a Date
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  • 6
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  • 7
    Marker hvor det generer dig. Venstre/front & Højre/bag.
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  • 8
    Marker hvor det generer dig. Venstre/front & Højre/bag.
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  • 9
    Gerne så mange detaljer som muligt.
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  • 10
    Hvor ondt har du lige nu? Skub markøren til et tal mellem 1-10 (10 er værst mulige)
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  • 11
    Evt. også uddybende forklaringer.
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  • 12
    Gerne så mange detaljer som muligt.
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    Ok
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    Ok
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  • 13
    Gerne så mange detaljer som muligt.
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    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
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    Ok
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  • 14
    Det er dit ansvar at vi får al medicin med.
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  • 15
    Det er dit ansvar at vi får al medicin med.
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    ImageCreated with Sketch.
    Ok
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  • 16
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  • 17
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  • 18
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  • 19
    Dette gør du med din mus eller finger på skærmen, hvis den et trykfølsom.
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