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MAJOR DEPRESSION SYMPTOM CHECKLIST Name: Age Date: I. Emotional Domain Symptoms: IV: History Severe Moderate Mild 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1. In your
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Gather the necessary information - Before filling out the form, make sure you have the required details. Find a reliable source of information, such as your identification or personal records, to accurately provide your name, age, and date of birth.
02
Start with your name - In the designated field, write your full name as it appears on your identification documents. Avoid using nicknames or aliases unless specifically instructed otherwise.
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Enter your age - Look for the section in the form that requests your age or date of birth. If asked to provide your age directly, enter the number that represents your current age. If you need to provide your date of birth, proceed to the next step.
04
Provide your date of birth - In the appropriate fields, enter your date of birth. This typically includes the month, day, and year of your birth. Make sure to follow the specified format (e.g., MM/DD/YYYY or DD/MM/YYYY) and double-check for any potential errors.
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Review and confirm - After providing all the necessary information, carefully review your entries to ensure accuracy and completeness. Incorrect or incomplete details could lead to complications or delays in processing the form.
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Submit the form - Once you are confident that all the information is correct, proceed to submit the form as instructed. It may be sent electronically or physically, depending on the specific requirements of the form.

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Schools and educational institutions - When enrolling in a new school or program, it is common for registration forms to require your name, age, and date of birth. Educational institutions need this information to verify your identity and determine your eligibility.
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Employers - On job applications or employment forms, it is common to be asked for your name, age, and date of birth. Employers may need this information for various purposes, including background checks, payroll administration, or compliance with legal requirements.
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