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Comprehensive Toxicity Questionnaire

Congratulations on taking action to find out about your health! Please rate each symptom based on how you have been feeling in the past 30 days. Your progress through the survey can be seen in the progress bar at the top of the page. Once we receive your results, we'll compile them and let you know your score and what it means. This is a manual process, so please allow 2-3 days for your results to be emailed to you.

Step 1 of 9

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  • 1. Please enter some basic details so that we can contact you with your results.

  • 2. Gastrointestinal