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大学生心理健康调查问卷(UPI)(College Students Mental Health Questionnaire (UPI))
大学生心理健康调查问卷(UPI)(College Students Mental Health Questionnaire (UPI))
College Students Mental Health Questionnaire (UPI), you want to print the document is: College Students Psychological Health Survey (UPI) print this article
College Students Mental Health Questionnaire (UPI)
Author: anonymous fan: DXY hits: 1662
The contents are listed in the Handbook of behavioral medicine (Chinese medicine, Chinese medicine, electronic audio and video publishing house)
A review of the Handbook of behavioral medicine scales
Date: 2004 _____ month _____ day
Personal information
Name: date of birth: Nationality: ___________ ___________ _________
Primary school is located in ____________ __________ Province, city (county)
High school graduation time: ____________________ high school is located in ________________
Number: ______________ Department: Department of professional __________ ________
English: ______________ address: ________ floor __________ No.
Family situation
Present address: ________________________________
Father: ____ Occupation: ________ Education: _________ health: _________
Mother: ____ Occupation: ________ Education: _________ health: _________
Your past medical history
nothing
Dystocia, premature birth, pneumonia, hepatitis, tuberculosis
Encephalitis, meningitis, convulsion, head trauma
Other: ____________ (please fill in)
Do you have any mental health problems in your next of kin? (illness, poisoning, suicide, unaccounted for, etc)
If so, they are: (parents, brothers, grandparents, uncles, aunts, cousins, cousins)
Interest hobby Specialty: ___________________________________
Have you had a psychological test?
When did you have any psychological tests?:
Intelligence test test time _____________ years
Personality inventory test time _____________ years
Other name: ________________ test time ___________ years
Motivation for admission: (multiple choice, unlimited number)
1, in order to revitalize China
2, in order to social development, human progress
3, want to lea
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