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  • Public Health Questionnaire - Mcldet1073

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PUBLIC HEALTH QUESTIONNAIRE Must be completed by ALL persons age 18 and older before boarding the ship; One form per adult; This questionnaire may be reported to the United States Centers for Disease.

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How to fill out the PUBLIC HEALTH QUESTIONNAIRE - Mcldet1073 online

The PUBLIC HEALTH QUESTIONNAIRE - Mcldet1073 is a crucial document that must be completed by all individuals aged 18 and older before boarding a ship. This guide provides a clear and supportive overview of the steps necessary to fill out this essential form online, ensuring your travel plans proceed smoothly.

Follow the steps to complete the questionnaire accurately and efficiently.

  1. Press the ‘Get Form’ button to access the questionnaire and open it in your preferred editor.
  2. Fill in the ship name in the designated field labeled 'SHIP'. This information is essential for identifying your voyage.
  3. Enter your cabin number in the 'CABIN NO' field to ensure accurate allocation of your health information.
  4. Provide the port of departure in the 'PORT' section. This will help facilitate the check-in process.
  5. In the 'Name' field, input your full name. This identifies you as the individual filling out the form.
  6. List the names of all persons under the age of 18 traveling with you in the designated section. You can add up to six names.
  7. Answer the health questions regarding symptoms of diarrhea, fever, recent travel to specific countries, and contact with individuals suspected of having Ebola. Be honest in your responses, as they are critical for public health.
  8. After completing the answers, you must sign to certify that the information provided is true and correct. Date the form accordingly.
  9. Once you've completed all sections accurately, save your changes. You may then choose to download, print, or share the completed form as necessary.

Complete your PUBLIC HEALTH QUESTIONNAIRE - Mcldet1073 online today to ensure a safe and efficient travel experience.

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Scores less than 5 almost always signified the absence of a depressive disorder; scores of 5 to 9 predominantly represented patients with either no depression or subthreshold (i.e., other) depression; scores of 10 to 14 represented a spectrum of patients; and scores of 15 or greater usually indicated major depression.

The PHQ-9 total score ranges from 0 to 27 (scores of 5–9 are classified as mild depression; 10–14 as moderate depression; 15–19 as moderately severe depression; ≥ 20 as severe depression) [30].

0–9 = normal, 10–19 = mild depression, 20–30 = severe depression.

Regarding severity, PHQ-9 comprises five categories, where a cut-off point of 0–4 indicates no depressive symptoms, 5–9 mild depressive symptoms, 10–14 moderate depressive symptoms, 15–19 moderately-severe depressive symptoms, and 20–27 severe depressive symptoms [25].

Interpretation: A PHQ-2 score ranges from 0-6. The authors identified a score of 3 as the optimal cutpoint when using the PHQ-2 to screen for depression. If the score is 3 or greater, major depressive disorder is likely.

The General Health Questionnaire (GHQ) is a self- administered screening questionnaire, designed for use in consulting settings aimed at detecting individuals with a diagnosable psychiatric disorder (Goldberg & Hillier, 1979).

15 Best Health Survey Questions How healthy would you consider yourself on a scale of 1-10? Does your family have any history of hereditary disease? ... Do you have any chronic diseases? Do you take any drugs? Do you drink alcohol? ... Do you smoke? ... How often do you do a health check-up?

The PRIME-MD PQ is a self-administered 1-page questionnaire consisting of 26 yes/no questions about the presence of symptoms and signs during the past month. The questionnaire serves as an initial screen for 5 general groups of mental disorders commonly found in the general population.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
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
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232