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Question 1
1
Do you live in the greater Miami or Ft. Lauderdale, Florida region?
This question is required.
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Within 30 miles of the greater Miami or Ft. Lauderdale region.
Key
Y
Yes
Key
N
No
Question 2
2
Do you carry an Epi-pen for emergency treatment of anaphylaxis and/or allergies or reactions to any medications, foods, vaccines, or latex?
This question is required.
*
Key
Y
Yes
Key
N
No