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Health Status QuestionnaireName: Date: Physical State: Rate the following on a frequency scale of 1 to 5. (1Never 2Rarely 3Occasionally 4Regularly 5Constantly). 1. Presence of physical pain (neck/backache,
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01
Open the Health Status Questionnaire Word document.
02
Read the instructions carefully.
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Provide accurate and complete information in each section of the questionnaire.
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Answer all the questions truthfully.
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Who needs health status questionnaire word?
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Individuals who are required to provide their health status information.
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