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This document contains a survey about hemophilia. It begins with demographic questions about gender, age, education level, and whether the respondent or any family members have hemophilia. The main part of the survey consists of 15 multiple choice questions about hemophilia, including what it is, whether it is inherited, the different types, its symptoms, treatment options, and risk factors. The questions cover topics like whether hemophilia is more common in males, if it can cause death, and typical locations of bleeding episodes in hemophiliac patients.
