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—Please choose an option—ALSAnxietyAnorexiaArthritisBack PainCachexia (Wasting Syndrome)CancerCrohn's DiseaseCyclical Vomiting SyndromeDiabetesEpilepsyGlaucomaHepatitis CHIV/AIDSIrritable Bowel Syndrome (with chronic abdominal pain)Lyme DiseaseMigraineMultiple SclerosisMuscle SpasmsMuscular DystrophyParkinson's DiseasePTSDSevere Chronic PainSevere NauseaSickle Cell AnemiaSpasticityAny Terminal ConditionOther Debilitating Condition of Like, Kind, Or Class
1: Not at all2: Half the time3: All the time
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