Module 5 Assignment
Community Health Informant
Submit this appellation by 08:00 AM Saturday of Module 5.
|Name: | |Date: | |
|Selected County, plead: | |
Record the data you collect into the following tables. The tables will thunder as you type.
|National Health Objective: |
| |
|Date and age interview was conducted. Note if it is phone or face-to-face. |
| |
|Provide outline description of person interviewed (e.g. person with disease, family member, care provider, etc.).
|
| |
|Assessment Criteria |Findings (Interviewee) | demand to Address: What do you (Interviewer) feel |
| | |needs addressed in your community? |
|Individuals description of his/her roles | | |
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