212 (212)    MH REPORT (601.93)

|Well-Being Signs (WBS)
|   Gender: <.Patient_Gender.>
|  
|   WBS Average Score: <*Answer_7771*>
|  
|  
|Questions and Answers:
|
|   Over the past 3 months what percentage of the time have you been:
|  
|   1.  Fully satisfied with how things are going in these aspects of life?
|  
|       <*Answer_8692*>
|   2.  Regularly involved in all aspects of life that are important to you?
|       <*Answer_8693*>
|   3.  Functioning your best in aspects of life that you do participate in?
|       <*Answer_8694*>
|  
|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.
|   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.>)