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[PDF File]Generalized Anxiety Disorder 7-item (GAD-7) scale
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www.sleepmedicine.com OHIOSLEEPMEDICINEINSTITUTE CENTER OF SLEEP MEDICINE EXCELLENCE TM 4975 Bradenton Avenue, Dublin Ohio 43017 T 614.766.0773
[PDF File]APPLICATION FOR 10-POINT VETERAN PREFERENCE (TO BE …
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Your Social Security Number (SSN) is needed to keep our records accurate, because other people may have the same name and birth date. Public Law 104-134 (April 26, 1996) asks Federal agencies to use this number to help identify individuals in agency records. Giving us your SSN or …
[PDF File]STOP-BANG Sleep Apnea Questionnaire
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navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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Page 2 of 2 4. Gait with vertical head turns _____ Instructions: Begin walking at your normal pace. When I tell you to “look up,” keep walking straight, but tip your head up. Keep looking up until I tell you, “look down,” then keep walking straight and tip your head
[PDF File]Dynamic Gait Index
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Rating Clinician-rated Administration time10–15 minutes Main purposeTo assess the severity of symptoms of anxiety PopulationAdults,adolescents and children Commentary The HAM-A was one of the first rating scales developed to measure the severity of anxiety symptoms, and is still
[PDF File]ASSESSMENT Timed Up & Go (TUG) - Centers for Disease ...
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Generalized Anxiety Disorder 7-item (GAD-7) scale Over the last 2 weeks, how often have you been bothered by the following problems? Not at all sure
[PDF File]Declaration for Federal Employment* OMB No. 3206-0182
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ASSESSMENT Purpose: To assess mobility Equipment: A stopwatch Directions: Patients wear their regular footwear and can use a walking aid, if needed. Begin by having the patient sit back in a standard arm chair and identify a line 3 meters, or 10 feet away, on the floor. 2 On the word “Go,” begin timing. 3 Stop timing after patient sits back ...
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1. CTCAE 4.03 Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 Published: May 28, 2009 (v4.03: June 14, 2010) U.S.DEPARTMENT OF HEALTH AND HUMAN SERVICES
[PDF File]Hamilton Anxiety Rating Scale (HAM-A)
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operations across the spectrum of conflict and the information needed by senior leaders to make strategic and operational-level decisions, developed during the planning process has evolved. This update to JP 5-0 ensures all our operations benefit from the …
[PDF File]Common Terminology Criteria for Adverse Events (CTCAE)
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gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of ... • An official citation, document, or discharge certificate, issued by a branch of the Armed Forces, showing the award to the veteran of the Purple ...
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