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QUESTION 1In the last 12 hours, how long have you felt nauseated or sick at your stomach? | Not at all | 1 hour or less | 2–3 hours | 4–6 hours | More than 6 hours (Please specify number of hours) |
QUESTION 2In the last 12 hours, have you vomited or thrown up? | I did not throw up | 1–2 times | 3–4 times | 5–6 times | 7 or more times (Please specify number of times) |
QUESTION 3In the last 12 hours, how many times have you had retching or dry heaves without bringing anything up? | No Time | 1–2 times | 3–4 times | 5–6 times | 7 or more (Please specify number of times) |