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Record of Grantee Meetings
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Resources

Individual Assessment

Summary

Patient Information Sheet English/Spanish (PDF)

This one-page English/Spanish-language assessment tool is a quick form for patients to complete. It provides demographic and background information. One good use might be in an office waiting room or other similar settings.

Author site: Open Door Health Center I 2003

Related Links

  • For other tools related to general program administration: Click here
  • For other tools on multiple self management behaviors: Click here
  • For other tools written in Spanish: Click here
  • For more assessment tools: Go back

The Diabetes Initiative was a national program of the Robert Wood Johnson Foundation from 2002 to 2009.
Archived in 2009, this site is a repository for information and resources gathered over the course of the Initiative.
© 2002-2009 The Diabetes Initiative, a national program of the Robert Wood Johnson Foundation®
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