117 (117)    MH REPORT (601.93)

.| .| Beck Hopelessness Scale| | 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) 2001 Aaron T. Beck. Reproduced, adapted and translated with permission of 
Publisher NCR 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. $~