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1
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Do you, as a window cleaner, experience or suffer from some type of pain from repetitive movement?
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2
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Where is the pain you experience?
| Back |
| Shoulders |
| Wrists and Hands |
| Neck |
| More than one of the above |
| None of the above |
| I do not experience pain |
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3
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Do you receive any type of treatment for your symptoms?
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4
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Who you receive treatment from?
| Doctor |
| Chiropractor |
| Massage Therapist |
| Other |
| I do not receive treatment |
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5
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Do you find that ergonomic tools ease daily repetitive movement in your hands and wrists?
| Yes |
| No |
| I do not use ergonomic tools |
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6
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Do you wear sunscreen every day to work?
| Yes |
| No |
| Sometimes |
| Only in summer months |
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7
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Have you ever been treated for skin problems due to sun exposure?
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8
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Have you been diagnosed with skin cancer or melanoma due to high occupational sun exposure?
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9
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If it is ok for us to contact you for an interview, please include your contact information.
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