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The applicant has been treated by a physician in the past 12 months (excluding voluntary annual check ups, pap smears, minor colds and flu, etc) The applicant has been hospitalized in the past 5 years (excluding pregnancy) The applicant has been receiving ongoing medical treatments (excluding regular pap smears, voluntary check-ups, etc) The applicant smokes or uses another form of tobacco The applicant participates in racing, sky diving, hang gliding, mountain climbing or other hazardous activities or occupation(s) Any Other
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