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INTEREST CHECKLIST

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INTEREST CHECKLISTWhat has been your level of interestDo youcurrentlyparticipate inthis activity?Would youlike topursue thisin the future?ActivityIn the past ten yearsIn the past yearStrongSomeNoStrongSomeNoYesNoYesNoGa rdening YardworkSewing/needle workPlaying cardForeign languagesChurch activitiesRadioWalkingCar repairWritingDancingGolfFootballListenin g to popular musicPuzzlesHoliday ActivitiesPets/livestockMoviesListening to classical musicSpeeches/lecturesSwimmingBowlingVis itingMendingCheckers/ChessBarbecuesReadi ngTravelingPartiesWrestlingHousecleaning Model buildingTelevisionConcertsPotteryCopyrig ht 2020 Board of Trustees, University of Illinois. For non-commercial use only. Permission required for all other CHECKLISTContinuedWhat has been your level of interestDo youcurrentlyparticipate inthis activity?

Listening to popular music Puzzles Holiday Activities Pets/livestock Movies Listening to classical music Speeches/lectures Swimming Bowling Visiting Mending Checkers/Chess Barbecues Reading Traveling Parties Wrestling Housecleaning Model building Television Concerts Pottery

  Music

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INTEREST CHECKLIST What has been your level of interest Do you currently participate in this activity? Would you like to pursue this in the future? Activity In the past ten years In the past year Strong Some No Strong Some No Yes No Yes No Gardening Yardwork Sewing/needle work Playing card Foreign languages Church activities Radio Walking Car ...

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OCCUPATIONAL QUESTIONNAIRE - MOHO Web

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Kielhofner, G., & Brinson, M. (1989). Development and evaluation of an aftercare program for young and chronic psychiatrically disabled adults. Occupational Therapy in Mental Health, 9(2), 1-25. Rust, K., Barris, R., & Hooper, F. (1987). Use of the model of human occupation to predict women’s exercise behavior. Occupational Therapy Journal of

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