Written Respiratory Protection Program Template
Coughing that produces phlegm (thick sputum):Yes / No. Coughing that wakes you early in the morning:Yes / No ... Heart failure: Swelling in your legs or feet (not caused by walking): Heart arrhythmia (heart beating irregularly): ... heart trouble, blood pres- sure, and seizures mentioned earlier in this questionnaire, are you taking any other ... ................
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