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More Practice Filling out Forms – Level 3

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1. Watch the video


2. Read the text

Hey, give me a little help on this one.
You forgot your last name.
… What color are my eyes?
Oh, let’s see, height…
Have you ever experienced loss of consciousness, hallucinations, dizzy spells…
Compulsive disorders, fainting, or periods of loss of memory…
Mental illness or narcotic addiction?


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