Occupational Justice Health Questionnaire
Instructions: (For Part I to IV) Tick column 2 if client or community is able to meet the right listed in column 1. Tick one or more of columns 3-6 if client or community is unable according to the reason(s) stated. [For Part V]. Tick one or more if occupational injustice results from the community issues listed below.
Client
Location
Age/Sex *
Date *
MM
/
DD
/
YYYY
Recovery Status
Interviewer *
I. Basic Needs (WHO)
Peace
Comment
Education
Comment
Food
Comment
Family Income
Comment
Social Equity
Comment
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