Get Adult Day Services Client Follow-up Assessment Last Name: First Name: Date: Self-rated Health

The Adult Day Services Client Follow-Up Assessment is essential for understanding an individual's health status and quality of life. This guide provides step-by-step instructions to help you complete the form online accurately and confidently.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to access the assessment form and open it in a suitable editing tool.
2. Begin by entering the client’s last name in the designated field. Make sure to spell the name correctly for proper identification.
3. Next, fill in the first name of the client in the appropriate space, ensuring that it matches the provided identification.
4. Enter the current date in the specified format, as this will provide context for the assessment.
5. At the SELF-RATED HEALTH STATUS section, check the box if the client is unable to complete the assessment due to cognitive impairment.
6. Respond to question one by selecting a number from 1 to 5 that best represents the client's overall health. Use the given scale with 5 being 'excellent' and 1 being 'poor'.
7. Move to question two and compare the client’s health to the previous year. Choose from the 5 options provided, ranging from 'much better now' to 'much worse now'.
8. For question three, evaluate the amount of bodily pain experienced in the past four weeks using the 1 to 5 scale.
9. Answer question four regarding the perception of getting sick easier than others by selecting the appropriate number based on the client's feelings.
10. Continue to question five, where the client assesses their health against others they are acquainted with.
11. Proceed to question six, considering the client's expectations about health deterioration. Mark the corresponding selection.
12. Complete question seven by rating the current state of the client’s health as 'excellent' or otherwise.
13. In the comments section, provide any relevant remarks regarding the client's health or any additional information that may be necessary.
14. Once all sections are complete, save the changes to the document online. You will have the option to download, print, or share the completed form as needed.

Complete the Adult Day Services Client Follow-Up Assessment online today for efficient health documentation.