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Wound Care in Naperville, IL by Absolute Integrated Health Centers
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Wound Care Questionnaire
On a Scale of 1-10 how bad do you think your wound or ulcer is?
Has your wound/ulcer been able to heal on its own?
Where is your wound/ulcer located? (Check all that apply)
How often do you get wounds or ulcers?
What best describes your situation? (Check All That Apply)
Your Wound or Ulcer Impacts Quality of Life
You Have Trouble Sleeping
Your Wound Opens Frequently
You Change Plans Because of Your Wound/Ulcer
Even on "Good Days" Your Wound or Ulcer Bothers You
Any Other Info You Wish to Provide?
If you are human, leave this field blank.
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