114 (114)    MH REPORT (601.93)

Name Value
REPORT NUMBER 114
INSTRUMENT BAI
RPT
.|     .|     Beck Anxiety Inventory|     |     Date Given: <.Date_Given.>|     Clinician: <.Staff_Ordered_By.>|     Location: <.Location.>|     |     Veteran: <.Patient_Name_Last_First.>|     SSN: 
<.Patient_SSN.>|     DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)|     Gender: <.Patient_Gender.>|     |     |     <*Answer_999999999999*>|     |     Copyright (c) 1993 NCS Pearson, Inc. T. Beck. 
Reproduced, adapted and translated with permission of Publisher NCS Pearson, Inc. All rights reserved.|    |     Information contained in this note is based on a self-report assessment and is not 
sufficient to use alone for diagnostic purposes.  Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities and procedures.|          $~