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    Type(s) of intervention(s)

    1. How many times have you been operated on before? Please write them down with the date.

    2. Have you ever had a serious illness? Have you experienced any discomfort that would require you to stay in hospital for a long time?

    3. What medicines have you been using for a long time or have you recently stopped using?

    4. Are you allergic to any medication or substance?

    5. How many cigarettes do you smoke per day? How many years have you been smoking?

    6. How often do you drink alcohol per week?

    7. What medicines are you currently using?