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Ns/complaints (list in order of importance)? How would you rate your current diet on a scale of 0 to 10 (10 being the healthiest)? 0 1 2 3 4 5 Check the dietary restrictions that apply: Vegan Vegetarian Paleo 6 7 8 Gluten-free Sugar-free 9 10 Dairy-free Other: How wou.
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