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Get Burman Law Client Symptom Questionnaire

Head or Face Neck Seat belt bruising Cuts or bruising on your chest Cuts or bruising on arms Cuts or bruising on legs Other: 2. HEAD INJURIES: (now or at the time of the accident) Were you knocked out or unconscious Headaches Face pain Pupils different sizes Dizziness Difficulty walking Balance problems Room spins Disoriented Confusion Day dreaming Attention problems Hearing problems Change in sense of smell or taste Difficulty speaking Memory problems Very tired or f.

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