Vaping Injury Questionairre

Error message

  • Deprecated function: Creation of dynamic property MergeQuery::$condition is deprecated in MergeQuery->__construct() (line 1357 of /home2/slegali9/public_html/hayes-lorenzen/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1887 of /home2/slegali9/public_html/hayes-lorenzen/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1887 of /home2/slegali9/public_html/hayes-lorenzen/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1887 of /home2/slegali9/public_html/hayes-lorenzen/includes/database/query.inc).
  • Deprecated function: Creation of dynamic property DatabaseCondition::$stringVersion is deprecated in DatabaseCondition->compile() (line 1887 of /home2/slegali9/public_html/hayes-lorenzen/includes/database/query.inc).
 
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(If you are completing this questionnaire on behalf of another or someone who has passed away, please provide the information requested for the individual who suffered the injuries)