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Get Initial Functional Assessment Questionnaire Spanish - Gillettechildrens
Al (651)2293868. 1. Nombre del paciente: Patient s Name: Nombre Apellido First Last 2. Fecha del an lisis: 3. Fecha de hoy: 4. Su relaci n con el paciente: Soy el paciente I am the patient Madre del paciente Patient s mother 5. Grado del paciente en la escuela: Patient s grade in school No v a la escuela Not in school Pre-escolar o guarder a Pre-school or daycare Kindergarten 6. 1 Padre del paciente Pat.
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PROGRAMA FAQ
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The Gillette Functional Assessment Questionnaire (FAQ) is a self or proxy-report measure that includes a ten-level classification of ambulatory function (FAQ Walking Scale), and 22 functional locomotor activities rated on a five-level Likert difficulty scale (FAQ 22-item skill set).
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