Am i kind quiz
[PDF File]PHQ-9* Questionnaire for Depression Scoring and ...
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PHQ-9* Questionnaire for Depression Scoring and Interpretation Guide For physician use only Scoring: Count the number (#) of boxes checked in a column. Multiply that number by the value indicated below, then add the subtotal to produce a total score. The possible range is 0-27. Use the table below to interpret the PHQ-9 score.
[PDF File]VAMC SLUMS Examination - School of Medicine
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8. I am going to give you a series of numbers and I would like you to give them to me backwards. For example, if I say 42, you would say 24. 87 649 8537 9. This is a clock face. Please put in the hour markers and the time at ten minutes to eleven o’clock. Hour markers okay Time correct 10. Please place an X in the triangle.
[PDF File]NAME : MONTREAL COGNITIVE ASSESSMENT (MOCA) Education : Date ...
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POINTS TOTAL MEMORY NAMING VISUOSPATIAL / EXECUTIVE ATTENTION LANGUAGE ABSTRACTION DELAYED RECALL ORIENTATION Read list of words, subject must repeat them.
[PDF File]POS-010 Proof of Service of Summons
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I am a California sheriff or marshal and I certify that the foregoing is true and correct. e. I am: (iii) (ii) by mail and acknowledgment of receipt of service. I mailed the documents listed in item 2 to the party, to the address shown in item 4, by first-class mail, postage prepaid, c. (2) from (city):
[PDF File]2018 Form 1040-V - Internal Revenue Service
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Form 1040-V Department of the Treasury Internal Revenue Service. What Is Form 1040-V . It’s a statement you send with your check or money order for any balance due on the “Amount you owe” line of your 2018 Form 1040 or Form 1040NR. Consider Making Your Tax Payment Electronically—It’s Easy. You can make electronic payments online, by ...
[PDF File]Clinical Opiate Withdrawl Scale
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Wesson & Ling Clinical Opiate Withdrawal Scale APPENDIX 1 Clinical Opiate Withdrawal Scale For each item, circle the number that best describes the patient' s signs or symptom.
[PDF File]Montreal Cognitive Assessment (MoCA) Administration and ...
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Montreal Cognitive Assessment (MoCA) Administration and Scoring Instructions The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening inst rument for mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration, executive functions,
[PDF File]Oswestry Low Back Disability Questionnaire
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It is painful to look after myself and I am slow and careful . I need some help but manage most of my personal care : I need help every day in most aspects of self-care . I do not get dressed, I wash with difficulty and stay in bed
[PDF File]2018 Form 5329
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2 Part V Additional Tax on Excess Contributions to Coverdell ESAs. Complete this part if the contributions to your Coverdell ESAs for 2018 were more than is allowable or you had an amount on line 33 of your 2017 Form 5329.
[PDF File]Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist ...
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Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page. As you answer each question, place an X in the box that best describes how you have felt and conducted yourself over the past 6 months. Please give
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