Client's
Narne
Address
Date
of
Examination
1.
Appearance
Age:
Sex:
Civil
status:
2.
Mavement
and
behavior
Gait
(manner
of
walking
Posture:
Coordination:
Eye
contact:
Facial
expresions:
3.
Affect-
emotional
respanse
to
an
event
lack
of
emotions/averTeaction
narmal
4.
Mood-
sad/
hapgy/angry/
afraid/
anxious/ther
5.
Spesch
M.S.E.
"rohume
af
the
vaice:
"rate
ar
speed
af
speech
"the
length
of
answers
to
the
questions:
the
agpropristeness
af
the
ansWers:
"clarity
of
the
answers:
