188 (188)    MH REPORT (601.93)

Name Value
REPORT NUMBER 188
INSTRUMENT PHI
RPT
|Personal Health Inventory  (PHI)|
|  What is your mission, aspiration, or purpose? What do you live for? What 
|  matters most to you?
|  <*Answer_7773*>
|
|  
|  Self Care: This is where I am now and where I want to be in the following
|             areas of self care.
|
|  Area of Self Care         Where I am Now      Where I Want to Be
|  -----------------         --------------      ------------------
|  Date Given: <.Date_Given.>|  Clinician: <.Staff_Ordered_By.>|  Location: <.Location.>
<*Answer_7772*>
|
| 
|  Reflections
|  -----------
| 
|  Now that you have thought about what matters to you in all of these areas, 
|  what is your vision of your best possible self? What would your life look 
|  like? What kind of activities would you be doing?
|  <*Answer_7774*>
| |  Veteran:  <.Patient_Name_Last_First.>|  SSN: <.Patient_SSN.>|  DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)
|
|  Are there any areas you would like to work on? Where might you start?
|  <*Answer_7775*>
|  Gender: <.Patient_Gender.>|
|  Questions and Answers
|  =====================
|
<*Answer_7771*> 
|