Is he falling for me
[PDF File]Sport concussion assessment tool - 5th edition
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give your best effort. First, tell me what happened?” Mark Y for correct answer / N for incorrect What venue are we at today? Y N Which half is it now? Y N Who scored last in this match? Y N What team did you play last week / game? Y N Did your team win the last game? Y N Note: Appropriate sport-specific questions may be substituted. STEP 4 ...
[PDF File]Hamilton Anxiety Rating Scale (HAM-A)
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to which he/she has these conditions. Select one of the five responses for each of the fourteen questions. 0 = Not present, 1 = Mild, 2 = Moderate, 3 = Severe, 4 = Very severe. ... Difficulty in falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors. 5 …
[PDF File]Epworth Sleepiness Scale
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Epworth Sleepiness Scale Name: _____ Today’s date: _____ Your age (Yrs): _____ Your sex (Male = M, Female = F): _____ How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you haven’t done some of these things recently try ...
[PDF File]SELF-IDENTIFICATION OF DISABILITY
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U.S. Office of Personnel Management SF 256 Revised October 2016 Previous editions not usable Definition An individual with a disability: A person who (1) has a physical or mental impairment which substantially limits one or
[PDF File]PennDOT - Pennsylvania Point System Fact Sheet
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PennDOT maintains a driving record for every licensed driver in Pennsylvania. Points are added to a driving record when a driver is found guilty of certain driving (moving) violations. The purpose of the point system is to help to improve driving habits and to ensure safe driving.
[PDF File]Ages & Stages Questionnaires 9 Month Questionnaire
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(without falling or flopping down)? 6. Does your baby walk beside furniture while holding on with only one hand? FINE MOTOR 1. Does your baby pick up a small toy with only ... When you dress your baby, does he push his arm through a sleeve once his arm is started in the hole of the sleeve? 6. When you hold out your hand and ask for her toy ...
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit …
[PDF File]PTSD CheckList – Civilian Version (PCL-C)
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PTSD CheckList – Civilian Version (PCL-C) The PCL is a standardized self-report rating scale for PTSD comprising 17 items that correspond to
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