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Uterine Fibroid-Liberty Study
Uterine Fibroid-Liberty Study
Name
First
Last
Phone
Email
Female 18 to 50 years of age?
*
Yes
No
Has been diagnosed with or has symptoms of uterine fibroids?
*
Yes
No
Experiences heavy menstrual bleeding monthly?
*
Yes
No
Is not planning surgery in the next 12 months?
*
Yes
No