RRP Form

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Step 1 of 2
How many years have you been in practice?
Did you complete a pediatric otolaryngology fellowship?
Did you complete a laryngology fellowship?

Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit:

Benefit

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Check if used

Benefit

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Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #2

Check if used

Benefit

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Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #3

Check if used

Benefit

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Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #4

Check if used

Benefit

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Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #5

Check if used

Benefit

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Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #6

Check if used

Benefit

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Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #7

Check if used

Benefit

Checkboxes (copy)
Checkboxes (copy) (copy)

Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #8

Check if used

Benefit

Checkboxes (copy)
Checkboxes (copy) (copy)

Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #9

Check if used

Benefit

Checkboxes (copy)
Checkboxes (copy) (copy)

Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #10

Check if used

Benefit

Checkboxes (copy)
Checkboxes (copy) (copy)

Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #11

Check if used

Benefit

Checkboxes (copy)
Checkboxes (copy) (copy)

Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #12

Check if used

Benefit

Checkboxes (copy)
Checkboxes (copy) (copy)

Please check any adjuvant and other treatments for RRP you have used in the past 5 years, and whether you found benefit: #13

Check if used

Benefit

Checkboxes (copy)
Checkboxes (copy) (copy)
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