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2. Was there a specific health concern or disability which prompted you to schedule this appointment?3. During the past month, have you often been bothered by feeling down, depressed, or hopeless?4. Are you in need of home health care?5. Do you have family or neighbors willing to assist you in times of need?\
ReferencesBall, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel's guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Deckx, L., van den Akker, M., Daniels, L., De Jonge, E. T., Bulens, P., Tjan-Heijnen, V. C. G., Buntinx, F. (2015). Geriatric screening tools are of limited value to predict a decline in functional status and quality of life: Results of a cohort study. BMC Family Practice, 16, 1–12. Eiser, R., and Ellis, G., (2007). Viewpoint: Cultural Competence and African AmericanExperience with Health Care: The Case for Specific Content in Cross-Cultural Education.Acad Med, 82:176–183.