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Demographic Data Sheet Patient Information First: MI: Last: Gender: Male/Female/Transgender Date of Birth (MM/DD/YYY): / / Patient Social Security Number: Home Phone: () Cell Phone: () Work Phone:
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Demographic data sheet is a form used to collect information about the characteristics of a population or specific group of people.
Certain organizations or institutions may be required to file a demographic data sheet, such as government agencies, educational institutions, or businesses.
To fill out a demographic data sheet, you typically need to provide information about age, gender, race, income, education level, and other relevant characteristics of a group.
The purpose of a demographic data sheet is to gather information that can be used for research, planning, policy-making, and decision-making.
Information typically reported on a demographic data sheet includes age, gender, race, income, education level, marital status, and other relevant demographic information.
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