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At 6:30 PM on November 24, 2010, I spotted you at Shan,
5060 N Sheridan Chicago, Illinois 60640, with a cleft lip. Why didn't you get this cleft lip treated? __________________________________________________________________ How old are you? __________________________________________________________________ What is your name? __________________________________________________________________ Has it caused any problems for you up to now? __________________________________________________________________ Has it affected you daily activities? __________________________________________________________________ Has it affected your speech? __________________________________________________________________ Has it affected your relationships? __________________________________________________________________ Has it affected you gaining skills and knowledge? __________________________________________________________________ What problems did you face up to now due to cleft lip? __________________________________________________________________ What are your skills and knowledge? __________________________________________________________________ What had you hoped to be? __________________________________________________________________ Why couldn't you accomplish what you imagined? __________________________________________________________________ Did you every try to get this medical condition treated? __________________________________________________________________ How many medical doctors have you seen up to now for this medical condition? __________________________________________________________________ What did the medical doctors recommend? __________________________________________________________________ Why didn't it get the desired required outcome? __________________________________________________________________ Do you have any other medical condition? __________________________________________________________________ How many brothers and sisters do you have? __________________________________________________________________ Do you have brothers and sisters with a similar medical condition? __________________________________________________________________ Would you like to get this medical condition treated? __________________________________________________________________ |