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6000 University Avenue, Suite 315 West Des Moines, Iowa 50266 (515) 2256673 phone (515) 2256574 fax ALL AREAS NEED TO BE FILLED OUT COMPLETELY Patient Name: Last First Street: City: State: Zip: Home
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How to fill out updated demographic info sheet
How to fill out an updated demographic info sheet:
01
Start by carefully reading the instructions provided on the form to understand what information is required.
02
Begin by filling in your personal details, such as your name, address, contact number, and email address.
03
Provide information about your age, gender, and marital status, if applicable.
04
Indicate your educational background, including your highest level of education attained and any relevant certifications or degrees.
05
Provide details about your employment status, including your current job title, employer name, and address.
06
If the form requests information about your household, provide accurate details about the number of people living with you and their relationship to you.
07
If the form asks for information about your income or financial status, be honest and provide accurate figures to the best of your knowledge.
08
If the form includes a section for additional comments or any other relevant information, use this space to provide any necessary explanations or details.
09
Review your completed form for any errors or missing information before submitting it.
Who needs an updated demographic info sheet:
01
Companies or organizations that want to collect accurate and up-to-date demographic data about their customers, clients, or target audience may require individuals to fill out an updated demographic info sheet.
02
Government agencies or research institutions conducting surveys or studies may use updated demographic info sheets to gather information for statistical analysis.
03
Healthcare providers or medical facilities may ask patients to fill out updated demographic info sheets to ensure they have the most accurate and current information for record-keeping and healthcare purposes.
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