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2014 Behavioral Risk Factor Surveillance System North Dakota January 2014 (CDC Core 12/19/2013)U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Disease Control and Prevention National Center
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How to fill out section 01 health status
01
To fill out section 01 health status, follow these steps:
02
Start by providing your full name and date of birth.
03
Next, indicate whether you have any pre-existing medical conditions or not.
04
If you have any pre-existing medical conditions, detail them in the designated space.
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Provide information on your current medication, if applicable.
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Indicate whether you have any allergies or not.
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If you have any allergies, specify the type and severity of each allergy.
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Lastly, confirm your overall health status by selecting one of the provided options.
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Review your responses for accuracy before submitting the form.
Who needs section 01 health status?
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Section 01 health status is needed by individuals who are required to provide their current health information.
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What is section 01 health status?
Section 01 health status is a part of a form where individuals provide information about their current health condition.
Who is required to file section 01 health status?
Individuals who are filling out the form are required to file section 01 health status.
How to fill out section 01 health status?
Section 01 health status can be filled out by providing accurate information about one's health condition.
What is the purpose of section 01 health status?
The purpose of section 01 health status is to gather information about individuals' health for record-keeping and analysis.
What information must be reported on section 01 health status?
Information such as current health condition, any medical conditions, and medications being taken must be reported on section 01 health status.
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