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Shoulder Questionnaire Date of initial evaluation: Date: Name: Age: Occupation: ? Retired ? n.a. Date of injury or date when your pain/condition started: What happened ? Date surgery (if indicated):
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How to fill out the date of initial evaluation:

01
Begin by locating the designated space on the evaluation form where you are required to enter the date of initial evaluation.
02
Take note of the format in which the date is expected to be provided. It could be in the form of mm/dd/yyyy or dd/mm/yyyy depending on your country or organization's standard.
03
Ensure that you have accurate information regarding the exact date of the initial evaluation. This is typically the date when the evaluation process commenced or when the individual being evaluated first entered the program or system.
04
Double-check that you have the correct year, month, and day before filling in the date. It is essential to be accurate to avoid any confusion or potential errors.
05
Use legible handwriting or typing to avoid any misinterpretation of the date. Make sure the characters are clear and easily distinguishable.
06
If you are unsure about the specific date or if it is not applicable, consult with the relevant parties involved in the evaluation process, such as supervisors, administrators, or evaluators.
07
Lastly, ensure that you sign or provide any additional required information along with the date of initial evaluation, if necessary.

Who needs the date of initial evaluation:

01
Those responsible for conducting the evaluation process, such as evaluators, administrators, or supervisors, need the date of initial evaluation to track the progress and development of individuals.
02
The individual being evaluated may also need the date of initial evaluation to keep a record of their evaluation history or to have a reference point for any future assessments or reviews.
03
Institutions, organizations, or agencies that oversee evaluations may require the date of initial evaluation for documentation and compliance purposes. This helps in maintaining accurate records and ensures accountability within the evaluation process.
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The date of initial evaluation is the day when the evaluation process begins.
The responsible party or entity involved in the evaluation process is required to file the date of initial evaluation.
The date of initial evaluation should be filled out accurately and clearly on the appropriate form provided by the relevant authority.
The purpose of the date of initial evaluation is to document the starting point of the evaluation process.
The date of initial evaluation should include the date, time, and location where the evaluation process began.
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