(Month ______ Day ______ Year ______)
4A. What is your street address? (Ask only if patient does not have a telephone)
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Cairl‚ R.E.‚ Pfeiffer‚ E.‚ Keller‚ D.M‚ et al. (1983). An evaluation of the reliability and validity of the Functional Assessment Inventory. J Am Geriatr Soc‚ 31:607–612..
Lesher‚ E.L.‚ Whelihan‚ W.M. (1986). Reliability of mental status instruments administered to nursing home residents. J Consult Clin Psychol‚ 54:726–727.
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