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====Metaphysical Health Assesment Form [MH9s]==== This form is used for checking person's health. {| class="mw-collapsible mw-collapsed wikitable" |- !Paper Markdown: |- | scope="row" | <center><b>[MH9s]: Metaphysical Health Assessment</b></center> Write in by clicking on the yellow spaces. The signature is provided by typing in [percentage symbol]s. You start with a pen, alt click on pda. This operation costs 10 credits. Glory to the Nanotrasen. ---- * Signature: [_____________________________] * Age: [____]; Gender: [___] (F/M/B/N/O/I/G/D); * Species: [_______________]; ID: [_____]; * Job Title: [______________________________] –-- Mental Inpection: CMO, Psychologist and Priest are allowed to perform this inspection, and required to fill in all of the rubrics. * Inspector’s Signature: [_____________________________] * Patient’s Mental State: {0/10} [_______] * Patient’s Spiritual State: {0/10} [_______] * Beliefs: [_________] * Traumas: [_________________________________] * Notes: [___________________________________] [______________________________________________] [______________________________________________] Physical Inspection: A security department member is allowed to perform this inspection, and required to fill in all of the rubrics. * Inspector’s Signature: [_____________________________] * Patient’s skill with guns: {0/10} [_______] * Patient’s overall condition: {0/10} [_______] * Patient’s first impression: {0/10} [_______] * Notes: [___________________________________] [______________________________________________] [______________________________________________] </pre> |} '''NanoTrasen Medical Association - Psychological Evaluation Form''' This form is used for checking person's mental health for submission into Central Command. {| class="mw-collapsible mw-collapsed wikitable" |- !Paper Markdown: |- | scope="row" |# <nowiki><center>NanoTrasen Medical Association</center></nowiki> _<nowiki><center>Vivamus moriendum est</center></nowiki>_ ___ <nowiki>#</nowiki> <nowiki><center>Psychological Evaluation Form</center></nowiki> <nowiki>**</nowiki>To be completed by the Psychologist or Chief Medical Officer** Patient Information: <nowiki>**</nowiki>Name:** [_______________________________________] <nowiki>**</nowiki>Rank/Position:** [_______________________________________] <nowiki>**</nowiki>Department:** [_______________________________________] <nowiki>**</nowiki>Date / Time of Evaluation:*** [_______________] [_________________] ___ <nowiki>**</nowiki>Psychological Assessment:** <nowiki>**</nowiki>1. Overview:** Briefly describe the purpose and context of this evaluation. [_______________________________________] [_______________________________________] [_______________________________________] [_______________________________________] <nowiki>**</nowiki>2. Behavioral Observations:** Provide an assessment of the individual's behavior during routine activities and under stress. Include any notable changes or trends observed. [_______________________________________] [_______________________________________] [_______________________________________] [_______________________________________] <nowiki>**</nowiki>3. Emotional Stability:** Rate the individual's emotional stability on a scale of 1 to 10 (1 being extremely unstable, 10 being exceptionally stable). Provide supporting comments. [_______________________________________] [_______________________________________] [_______________________________________] [_______________________________________] <nowiki>**</nowiki>4. Stress Management:** Evaluate the individual's ability to handle stress and pressure. Provide examples of how they cope with challenging situations. [_______________________________________] [_______________________________________] [_______________________________________] [_______________________________________] <nowiki>**</nowiki>5. Communication Skills:** Assess the individual's communication skills, both verbal and non-verbal. Include observations on their ability to work collaboratively with others. [_______________________________________] [_______________________________________] [_______________________________________] [_______________________________________] <nowiki>**</nowiki>6. Decision-Making Ability:** Evaluate the individual's decision-making skills, considering both routine and critical situations. Highlight any instances of indecisiveness or exceptional judgment. [_______________________________________] [_______________________________________] [_______________________________________] [_______________________________________] <nowiki>**</nowiki>7. Team Interaction:** Describe the individual's interactions within the team. Include observations on leadership, cooperation, and conflict resolution. [_______________________________________] [_______________________________________] [_______________________________________] [_______________________________________] <nowiki>**</nowiki>8. Adaptability:** Assess the individual's adaptability to changing circumstances or unforeseen events. Provide examples of how they handle unexpected challenges. [_______________________________________] [_______________________________________] [_______________________________________] [_______________________________________] <nowiki>**</nowiki>9. Mental Health History:** Inquire about any known mental health history or concerns. If applicable, detail any treatments, medications, or therapy received. [_______________________________________] [_______________________________________] [_______________________________________] [_______________________________________] <nowiki>**</nowiki>10. Recommendations:** Based on the evaluation, provide recommendations for professional development, support, or any necessary interventions. [_______________________________________] [_______________________________________] [_______________________________________] [_______________________________________] <nowiki>**</nowiki>Confidentiality Note:** <nowiki>*</nowiki>This document contains sensitive information and is to be treated with the utmost confidentiality. Access is restricted to authorized personnel involved in the evaluation process.* <nowiki>----</nowiki> <nowiki>**</nowiki>Completed by:** <nowiki>**</nowiki>Name:** [_______________________________________] <nowiki>**</nowiki>Rank/Position:** [_______________________________________] <nowiki>**</nowiki>Signature:** [_______________________________________] <nowiki>**</nowiki>Date / Time:*** [__________________] [_________________] <nowiki>**</nowiki>Approving Chief Medical Officer Stamp** \ \ \ \ |}
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