Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Grille Sega

Get Grille Sega

Comment reprer le niveau de fragilit ? Grille SEGA A Cette grille peut tre complte par toute personne en contact avec une personne ge vivant domicile. Le reprage prcoce de la fragilit chez les personnes.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Grille Sega online

Filling out the Grille Sega form is a crucial step in assessing the fragility of older adults living at home. This guide will provide you with clear instructions on how to efficiently complete the form online.

Follow the steps to fill out the Grille Sega form accurately.

  1. Click the ‘Get Form’ button to obtain the Grille Sega form and open it for editing.
  2. Enter the user's name and first name in the designated fields.
  3. Input the date of birth in the format: day/month/year.
  4. Indicate the living situation of the user by selecting one of the options: living at home, receiving professional help, or residing in a care facility.
  5. Record the number of medications the user takes daily, categorizing them based on how many different substances are used.
  6. Evaluate the user’s mood over the past three months and select whether they have felt anxious, sad, or depressed.
  7. Assess the user’s health perception compared to peers by selecting whether their health is better, equivalent, or worse.
  8. Document any falls the user has experienced in the last six months, noting if any were serious.
  9. Assess the user's nutrition by checking their appetite and weight stability, scoring as needed based on their condition.
  10. Note any associated diseases affecting the user, coding based on the number of illnesses.
  11. Evaluate the user's mobility capabilities regarding standing and walking, scoring their independence.
  12. Determine the user's continence status and record any instances of incontinence.
  13. Assess the user’s ability to take meals independently or the level of assistance required.
  14. Evaluate the user's ability to carry out daily activities and determine the level of assistance needed.
  15. Assess cognitive functions, noting any issues with memory, attention, or concentration.
  16. Calculate the total score from all sections and interpret the results based on the scoring guide.
  17. After completing the form, remember to save your changes, download, print, or share the completed Grille Sega as needed.

Start filling out the Grille Sega form online today to assist with the assessment of fragility in older adults.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

[Screening of frailty in family practice by the...
The objective of this study was to evaluate frailty by the use of the modified SEGA grid...
Learn more
Food Column: On a gluten-free diet? Then head to...
Sep 15, 2015 — ... including Aladdin's, Breadworks, Capital Grille, Pretzel Crazy and...
Learn more
Sega Dreamcast
The Sega Dreamcast, with four controller ports, is a very ... often correspond with the...
Learn more

Related links form

Dl54b Lawton Soccer Club Registration Form U- - Lawtonsoccerclub AC2310 Producer Statement Construction (PS3) General Construction Work - Aucklandcouncil Govt Vantage Medical Group Prior Authorization Form

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Grille Sega
Get form
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Form Packages
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
Form Categories
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
Customer Service
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program