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i. Where exactly within the breast does the patient feel the pain?
ii. How long has the patient been experiencing the pain?
iii. Is there any pattern on the frequency of pain?
iv. How long does the pain last?
v. Have you ever had a mammogram? If yes, when was the last one performed?
vi. On a scale of 1-10, how can the patient rate the level of pain severity?
vii. How the pain affects the quality of life of the patient, i.e. sexual activity, work or sleep?
viii. Has the patient ever been involved in an accident or physical activity that would contribute to the breast pain?
ix. Has the patient been using some contraceptives or has there been a recent change in medication?
x. Has the patient had a previous breast physical treatment/ surgery?
xi. How the patient can rate the fitting tightness of their bra on a 1-10 scale.

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