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CAUTION: This page needs to be reviewed and categorized.Patient reported feeling [text name="variable_1" default="sample text"] During check-in, patient observed to be [select name="variable_1" value="relaxed|calm|depressed|anxious|restless|tearful|irritable"] and [select name="variable_2" value="relaxed|calm|depressed|anxious|restless|tearful|irritable"] Patient reported [select name="variable_3" value="low, easy to manage|moderate, manageable|moderate, difficult to manage|high, manageable|high, difficult to manage| high, unmanageable"] anxietey.Patient reported [select name="variable_4" value="low, easy to manage|moderate, manageable|moderate, difficult to manage|high, manageable|high, difficult to manage| high, unmanageable"] depression.
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Sandbox Metrics: Structured Data Index 0.8, 5 form elements, 16 boilerplate words, 1 text boxes, 4 drop downs, 5 total clicks
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