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FLT Followup Questionnaire

  • Date Format: MM slash DD slash YYYY
  • Assessment of your success with the FirstLine Therapy Program

  • Reduce Stimulant Use:

  • I am currently using:
  • Exercise:

  • Stress Management:

  • If no, please read it and commit to applying its suggestions.
  • Supplement Use:

  • Comments and challenges with the FirstLine Therapy Program

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