Forms And Family Funcions

utilized for   the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused   functional assessment. The questionnaire must include three   open-ended, family-focused questions to assess functional health   patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

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