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Dr. Danenberg's Questionnaire - PART 2
Please answer the questions below to the best of your ability. Thank you!
Email Address
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54. Do you have cold hands?
Yes
No
55. Do you have cold feet?
Yes
No
56. How many hours a week do you spend in the sun?
57. Of those hours in the sun, how many of them are you covered with a sunscreen product?
58. Do you have “stomach issues”?
Yes
No
58b. If yes, please describe:
59. Do you have generalized aches and pains?
Yes
No
59b. If yes, please describe:
60. Do you take Vitamin D3 supplements?
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Yes
No
61. What is your blood level of “25 Hydroxy Vitamin D”?
62. Have you ever taken systemic antibiotics?
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Yes
No
62b. If yes, when? How often? Why were you on systemic antibiotics?
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63. Have you been vaccinated with any of the COVID vaccines?
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Yes
No
63b. If yes, the date of the vaccine shot(s) and which one?
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63c. If yes, have you taken any booster shots?
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63d. If yes, the date(s) and how many boosters?
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