Screening Questionnaire definition

Screening Questionnaire means the questionnaire to be completed by Settlement Class Members to qualify for a Medical Evaluation;
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Examples of Screening Questionnaire in a sentence

  • Please see the Procedure for Staff and Volunteers and the Screening Questionnaire for more detail.

  • Employee Screening Before Entering the WorkplaceA sample Employee Entry Screening Questionnaire is attached as Appendix B.

  • Student Name: Student ID # This TB Screening Questionnaire is used to evaluate your current TB Status.

  • If a student has past history of a positive skin test for tuberculosis, he/she should complete the Tuberculosis (TB) Screening Questionnaire (Appendix F) annually.

  • The TB Screening Questionnaire must be reviewed and signed by a health care provider at UNA University Health Services or by his/her private physician.

  • The REM Sleep Behavior Disorder Screening Questionnaire (RBDSQ) is a 10-item self rated questionnaire to assess sleep-wake disturbances.

  • Once the vessel arrives at the First Port of Arrival (“FPOA”) they are required to then submit the attached Health Screening Questionnaire ( e-mail or phone).

  • Verbal screening utilizing the KBH Mandatory Blood Lead Screening Questionnaire is mandatory at each KBH screen between the ages of six and 72 months.

  • You will also need to complete a TB Symptom Screening Questionnaire annually.

  • Subgrouping low back pain: a comparison of the STarT Back Tool with the Orebro Musculoskeletal Pain Screening Questionnaire.

Related to Screening Questionnaire

  • Questionnaire means the Documentation Information Questionnaire and the responses thereto provided by Borrowers and delivered to Agent.

  • Investor Questionnaire has the meaning set forth in Section 5.8.

  • Collateral Questionnaire means a certificate in form satisfactory to Collateral Agent that provides information with respect to the personal or mixed property of each Credit Party.

  • Notice and Questionnaire means a Notice of Registration Statement and Selling Securityholder Questionnaire substantially in the form of Exhibit A hereto.

  • Selling Shareholder Questionnaire shall have the meaning set forth in Section 3(a).

  • Selling Stockholder Questionnaire shall have the meaning set forth in Section 3(a).

  • Accredited Investor Questionnaire means the Accredited Investor Questionnaire set forth as Exhibit C-1 hereto.

  • Administrative Questionnaire means an Administrative Questionnaire in a form supplied by the Administrative Agent.

  • Urgent care request means a claim relating to an admission, availability of care, continued stay or health care service for which the covered person received emergency services but has not been discharged from a facility, or any Pre-Service Claim or concurrent care claim for medical care or treatment for which application of the time periods for making a regular external review determination:

  • TENDER SPECIFICATION means “Specific conditions, technical specifications, appendices, site information and drawing pertaining to the work in which the tenderers are required to submit their offer. Individual specification number will be assigned to each tender specification.

  • Functional Acknowledgement means an acknowledgement Message by the receiving party’s computer software application which automatically confirms the receipt of a Message at the moment of receipt;

  • TENDER SPECIFICATIONS means the Scope of Work, Special Instructions / Conditions, Technical specifications/requirement , Appendices, Site Information and drawings pertaining to the work and any other relevant reference in the Tender Document for which the Bidder are required to submit their offer.

  • Exhibit F The awarded category pricing from the Contractor’s submitted Price Sheet from 3rd Bid RFP 15-80101507-SA-D

  • Step therapy protocol means a protocol or program that establishes the specific

  • technical specification means a document that prescribes technical requirements to be fulfilled by a product, process or service;

  • Exhibit B means [Vendor]’s Response.

  • Exhibit D means Exhibit D to the Judgment;

  • Exhibit C Form xx Xxxxx B-4, B-5 or B-6 Certificate.................... Exhibit D: (Resexxxx)................................................... Exhibit E: Form of Reverse of Certificates.............................. Exhibit F: Form of Initial Certification of Master Servicer............. Exhibit G: Form of Final Certification of Master Servicer...............

  • Exhibit E means Exhibit E to the Judgment;

  • Friable asbestos material means any material that contains more than 1% asbestos by weight and that can be crumbled, pulverized, or reduced to powder when dry, by hand pressure.

  • Investigational Medicinal Product means the study drug or control material as defined in the Protocol.

  • Completed means the building is fully functioning and all work which was part of the principle contract is complete.

  • Exhibit means any item labeled as an Exhibit in the Solicitation or placed in the Exhibits section of the solicitation.

  • MSAA Indicator Technical Specifications document means, as the context requires, either or both of the document entitled “Multi-Sector Service Accountability Agreement (MSAA) 2019-20 Indicator Technical Specifications November 5, 2018 Version 1.3” and the document entitled “Multi-Sector Service Accountability Agreement (MSAA) 2019-20 Target and Corridor-Setting Guidelines” as they may be amended or replaced from time to time;

  • Cartridge filter means a discrete filter unit containing one or more disposable cartridges that contain both filter paper and activated carbon which trap and remove contaminants from the cleaning solvent.

  • Verbal abuse means, but is not limited to, the use of derogatory terms or names, undue voice volume and rude comments, orders or responses to residents.