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TREATMENT OUTCOMES PROFILE

INTERVIEW DATE DD EXIT / MM / YYYY SEX MALE FEMALE TREATMENT STAGE START REVIEW POST-TREATMENT 0-7 0-7 0-7 0-7 0-7 0-7 0-7 0-7 0-7 0-7 0-7 0-7 0-7 0-7 0-7 f. CLIENT’S RATING: PHYSICAL HEALTH 0-7 0-7 0-7 0-7 0-28 Includes ready-made and hand-rolled cigarettes, cannabis joints

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  Interview, Exit

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