Individualized group note
Client arrived [select name="variable_1" value="on time|late|"] for group session [select name="variable_2" value="in person|via telehealth|"]. Client was [select name="orientation" value="alert|lethargic|withdrawn"] and oriented [select name="variable_1" value="x4|x3|x2|x1"], Client [comment memo="how engaged was client in the activity"][select name="variable_12" value="was actively engaged|participated minimally|was attentive to peers and facilitator but did not participate|did not participate|was disruptive|"] in [comment memo="activity (ie. worksheet, film/documentary, role-paly, art activity, etc.)"][text name="group_activity" default=""]. Following the activity, the client was [comment memo="how engaged with client in the discussion"][select name="variable_12" value="was fully engaged|was attentive to peers but did not share|did not participate|was attentive and provided feedback and support however did not provide any personal insights|withdrawn|disruptive"] in the discussion related to [text name="discussion" default=" "][comment memo="discsusion topic"]. Client [select name="sharedyesno" value="shared|declined to share"][textarea name="shared" default="What did client share/contribute to the group"]. Client appeared [select name="response" value="open|guarded|receptive|minimally receptive|unreceptive"] to discussing insights, thoughts, issues, or concerns related to [text name="group_topic" default=" "]. Client's mood was [checkbox name="Mood" value="euthymic|happy|anxious|depressed|agitated|angry|hopeless|excited|fearful|nervous|apathetic|irritable|dysphoric|euphoric"][checkbox memo="Other mood not listed" name="Other" value=""][conditional field="Other" condition="(Other).is('')"][text name="variable_1" default=" "][/conditional] and affect was [checkbox name="affect" value="congruent|blunted|labile|appropriate|inapproropriate|flat"] affect. Writer will [select name="staff" value="follow-up|staff with clinical team|staff with medical provider|assist client|provide support to client| ] [textarea name="followupstaff" default="what are you doing as staff to support client"]. Client will [textarea name="variable_1" default="what is client's homework/commitment? What will client do/work on?"]
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Sandbox Metrics: Structured Data Index 0.63, 24 form elements, 45 boilerplate words, 4 text boxes, 3 text areas, 3 checkboxes, 9 drop downs, 4 comments, 1 conditionals, 37 total clicks
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