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Get UT Needs Assessment Questionnaire (NAQ) Tool 2015-2024

Ports D. Safety Supports E. Behavior Supports F. Prescribed Medical Treatments G. Caregiver & Home Environment H. Desired/Needed Services U. Urgent Need (Rev 9/5/2015) Page 1 Utah Division of Services for People With Disabilities Needs Assessment Questionnaire (NAQ) Note: Please consult the accompanying manual for more guidance on understanding the intent of questions. Identifiers for Pilot Test Client Initials Client Date of Birth Current Waiting List Score Date of Most Recent Wait List.

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