CHAT Tool - Offender Health Research Network
CHAT Tool - Offender Health Research Network
CHAT Tool - Offender Health Research Network
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Tick No or Yes as appropriate for each question and include additional notes No Yes<br />
ANXIETY<br />
(look for symptoms in the past 2 months)<br />
Do you worry about things over and over again<br />
If Yes, is there anything that has been particularly troubling you in the last month<br />
Do you sometimes worry about things before they have happened<br />
Do you worry so much that you cannot relax<br />
Surname:<br />
DOB:<br />
Forenames:<br />
NHS Number:<br />
<strong>CHAT</strong> <strong>Tool</strong> Secure Estate (Version 3 - June 2013)<br />
70 | P age
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