Musculoskeletal & Rheumatology
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pain relief [select name="variable_1" value="20%|40%|60%|80%|90%|100%"] [select name="variable_2" value="No|Yes"] med changes and [select name="variable_4" value="No|Yes"] health changes
He is independent in [select name="variable_3" value="Dressing|toileting|climbing stairs|public transport|managing money|Shopping"]
pain relief med changes and health changes
He is independent in
Result - Copy and paste this output: