First Name
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Last Name
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What Does It STOP You From Doing?
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How Long Have You Suffered or Worried?
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Haven't - this is prevention not cure
1-2 weeks
2-4 weeks
1-3 months
Seems like too long (years)
What Is Your Location?
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What Is Your Location?
East Dunbartonshire
North Lanarkshire
Glasgow
Milngavie
Bearsden
Kirkintilloch
Paisley
Other
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