Name: RA
Age: 65
Gender: Male
Ethnic origin: AA
ASK --- Is there anyone here with you?
ASK --- Marital status:
ASK --- Usual or past occupation:
ASK --- Present occupation:
Address: Skip for this case study
Phone Number: Skip for this case study
Birth date: Skip for this case study
Birth place: Skip for this case study
Subscribe to:
Post Comments (Atom)
3 comments:
maybe we should ask about working conditions in present occupation too?
Absolutely - we also need to know if he smokes and/or is around others that do.
- Working conditions - see Present Health section
- Smokes? See Functional section
Post a Comment