- 11/27/17 - 1 form, 17 itemgroups, 156 items, 2 languages
Itemgroups: Personal data, Work history, Former occupations, Current occupation, Working conditions, Working capacity, medical examinations, Work-related stress factors, Work-related sources of irritation, Personal living conditions, diseases in the family, Medical history, Surgeries, dental/medical treatment, Vaccination, Current medication, Miscellaneous

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