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ADULT PHYSICAL HEALTH QUESTIONNAIRE

www.tmphysiciannetwork.org

Alcohol Screening Test Please mark your answer. Points are posted next to your answer. Add up total at bottom of section. 1. How often do you have a drink containing alcohol? !Never (0.0) !Monthly or less (0.5) !2-4 times a month (1.0) 3 times a …

  Health, Screening, Questionnaire, Physical, Adults, Alcohols, Alcohol screening, Adult physical health questionnaire

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