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SCANS - Screening Assessment

SCANS - Screening Assessment

Please complete this form based on how things are going in the past 30 days.  Enter a response for each of the 20 items.  Your responses are confidential and are not shared without your permission. If an item does not apply select "Not Involved" or "No Concerns".  Thank you.
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  • 3
    Rate each item based on how active or involved you have been with it over the past 30 days or so.
    1 of 8
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  • 4
    Rate each item based on how much you have been affected by it over the past 30 days or so.
    1 of 10
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