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Food Allergies
Do you have any food allergies?
If yes, which foods are you allergic to?
When did you first experience an allergic reaction to these foods?
Have you been diagnosed by a doctor?
Do you carry an epinephrine auto-injector (EpiPen)?
Have you ever had to use your EpiPen?
Do certain foods cause more severe reactions than others?
If yes, which foods cause the most severe reactions?
Have you experienced any unexpected or unusual reactions to foods?
If yes, please describe the reaction: