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1 appendix B. Preventive Health Study Survey Questionnaire Hello, my name is ___, and I'm calling on behalf of the U. S. Department of Defense. The Department has contracted with Rugby Analytics to
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How to fill out preventive services self-administered questionnaire
How to fill out preventive services self-administered questionnaire
01
Read the instructions carefully before beginning to fill out the questionnaire.
02
Answer each question truthfully and to the best of your ability.
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Use a pen or pencil to fill out the questionnaire neatly.
04
If unsure about a question, ask for clarification or skip it if allowed.
05
Review your answers before submitting the questionnaire.
Who needs preventive services self-administered questionnaire?
01
Individuals who want to assess their current health status and identify potential risk factors.
02
Healthcare providers who want to gather information about a patient's health habits and history.
03
Employers who want to promote wellness initiatives in the workplace.
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What is preventive services self-administered questionnaire?
Preventive services self-administered questionnaire is a tool used to assess an individual's preventive healthcare needs and behaviors.
Who is required to file preventive services self-administered questionnaire?
All individuals eligible for preventive services are required to complete and file the questionnaire.
How to fill out preventive services self-administered questionnaire?
The questionnaire can be filled out online or on paper, following the instructions provided by the healthcare provider.
What is the purpose of preventive services self-administered questionnaire?
The purpose of the questionnaire is to gather information about an individual's health status, risk factors, and compliance with preventive healthcare recommendations.
What information must be reported on preventive services self-administered questionnaire?
The questionnaire typically includes questions about medical history, lifestyle habits, and family health history.
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