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Below is a series of statements about your physical ability to perform daily activities 1 buku foto makanan oleh tim survei konsumsi makanan individu pusat teknologi terapan kesehatan dan epidemiologi klinik badan penelitian dan pengembangan kesehatan kementerian kesehatan indonesia tahun 2014 Please read each statements carefully and rate your level of difficulty using the scale provided

Be honest in your responses, as this will help us understand your current physical functioning

Is patient being referred to an outside provider? These questions help your clinician create, monitor, and adjus your treatment plan over t there are no wrong answers We want to know what you think.