EDI - Questionnaire section A: Physical well-being data

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Field Name

Note

Date Available

qa1

Days of absence

 

qa2

Dressed inappropriately

 

qa3

Too tired

 

qa4

Late

 

qa5

Hungry

 

qa6

Washroom

 

qa7

Hand preference

 

qa8

Well coordinated

 

qa9

Proficient at holding pen

 

qa10

Manipulates objects

 

qa11

Climbs stairs

 

qa12

Level of energy

 

qa13

Overall physical

 

 

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Page last revised: November 13, 2013