Demographic templates in word
[DOC File]Demographic Information Sheet - Pepperdine University
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Demographic Information Form. Instructions: Please provide a response for each of the following questions: 1. What is your age? _____ 2. What is you sex? Female ( Male (3. What is your marital status? Single ( Married ( Separated ( Divorced Widowed (4. What is your annual income (or combined annual income if you have a spouse)? ...
[DOCX File]narhc.org
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Notification to significant others will be done by staff based on demographic of client. Suspension of Services . In the event that the emergency results in the inability of the facility being able to continue providing services at the facility, the facility has a plan for continuity of services. ... Record every word spoken by the person ...
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[DOC File]02 – Report Template Case Management
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Service Group B: Case Management. Intensive CASE MANAGEMENT. B-2 Intensive Case Management - This category of services includes Veterans who need substantial assistance to achieve rehabilitation goals and/or those in short term rehabilitation programs, such as certificate training programs, extended evaluation programs, etc. Personal contact must be made on a frequent basis to ensure close ...
[DOC File]SOCIAL ASSESSMENT REPORT/SOCIAL HISTORY
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Bio/Psycho/Social Assessment Report or Social History # of pages . double-spaced Points 2-4 1 point 5+ 2 points A social history report is a professional document that is frequently prepared by social workers in a variety of direct practice settings. This document may be …
[DOC File]Workforce Planning Template
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The plan includes demographic information, analysis of trends, analysis of staffing gaps, and identification of planned actions. The Workforce Plan is used to implement the agency’s strategic plans, address skills imbalances, and develop a strategy to ensure that the agency has a continuous supply of highly skilled, competent workers.
[DOC File]DEMOGRAPHIC AND HEALTH SURVEY
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The [YEAR AND COUNTRY] Demographic and Health Survey is a national sample survey designed to provide information on population, family planning, maternal and child health, child survival, HIV/AIDS and sexually transmitted infections (STIs), reproductive health, and nutrition in [COUNTRY].
[DOC File]CLIENT INTAKE FORM - East Lyme Psych
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CLIENT INTAKE FORM. Please provide the following information for our records. Leave blank any question you would rather not answer, or would prefer to discuss with your therapist. Information you provide here is held to the same standards of confidentiality as our therapy.
[DOC File]Action Research Writing Template - Routledge
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of this section is to combine information about the setting of the action research project and the story behind the project into a smooth narrative that gets the reader engaged in your work’s context; the critical question is also introduced here. This section is usually about three to five pages long.
[DOC File]Annual Report Template-Word
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Relevant demographic profile of the population served Service aim, objectives and expected outcomes Equality and diversity assessment of the service Activity analysis Levels of intervention or dependency Case studies/Service user stories ... Annual Report Template-Word ...
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