Name | Value |
---|---|
NAME | STATUS/SCREENING |
CATEGORY | Screening |
IDENT NUMBER | 2 |
INITIAL TIME | 30 |
FOLLOW-UP TIME | 15 |
ASK EVENT LOCATION? | NO |
INDIVIDUAL/GROUP/BOTH | INDIVIDUAL |
ASK PATIENT NAME(S)? | YES |
ASK # COLLATERALS | NO |
ASK FOR PATIENT COMMENT? | YES |