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Appropriate Conditions Observed (not during Field Sobriety Testing) Falling Needs Support Wobbling Swaying Unsure Sure Falling Staggering Stumbling Swaying Unsure Sure Falling Staggering Hesitant Swaying Unsure Sure No Where were field sobriety tests performed at: On scene / other Horizontal Gaze Nystagmus Contacts Yes No Equal Tracking Yes *Check Approximately the same Pupil Size* One Leg Stand No Total Clues Left Right Total Clues Lake of Smooth Pursuit Dis.

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