GENERAL SURVEY

Complete a general survey on your client, including all areas below.  Document in paragraph form using medical terminology and abbreviations as appropriate.

 

Gender-

 

 

Race-

 

 

Age-

 

 

Distress-

 

 

Body Type-

 

 

Posture-

 

 

Gait-

 

 

Body Movements-

 

 

Hygiene and Grooming-

 

 

Dress-

 

 

Body Odor-

 

 

Affect and Mood-

 

 

Speech-

 

 

Client Abuse-

 

 

Substance Abuse-

 

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