128 (128)    MH REPORT (601.93)

Name Value
REPORT NUMBER 128
INSTRUMENT SST-VOI
RPT
.| .| SST - Veteran Outcome Survey ( Initial)| | Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| SSN: <.Patient_SSN.>| 
diagnostic purposes.  Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities and procedures.|  $~
DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)| Gender: <.Patient_Gender.>| | | <.DLL_String.>| | Questions and Answers| | 1. How satisfied are you with the quality of your relationships with 
friends, family, and the other people in your life?|     <*Answer_6861*>| 2. How skilled are you at communicating with other people in your life?|     <*Answer_6862*>| 3. How satisfied are you with 
your involvement in community activities? Community activities include working, volunteering, being a student, or attending clubs and organizations.|     <*Answer_6863*>| 4. How skilled are you at 
interacting with others in community settings? Community settings include a work or volunteer job site, school, or clubs and organizations.|     <*Answer_6864*>| 5. How satisfied are you with your 
relationships with the people who provide your mental health services?|     <*Answer_6865*>| 6. How skilled are you at interacting with your mental health service providers?|     <*Answer_6866*>| 7. 
How would you rate your attendance for scheduled mental health appointments?|     <*Answer_6867*>| 8. How satisfied are you with your overall health and well-being?|     <*Answer_6868*>| 9. How 
skilled are you at managing your overall health and well-being?|     <*Answer_6869*>| To be completed by the clinician at the end of the individual session:||What is the main goal that the Veteran 
would like to reach with the help of Social Skills Training?|     <*Answer_6870*>| | | Information contained in this note is based on a self-report assessment and is not sufficient to use alone for