Subjective Intake information

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Across
  1. 1. age
  2. 4. current assistive device
  3. 7. favorite recreational activity
  4. 9. complications in the hospital
  5. 11. type of pain
  6. 12. living situation
Down
  1. 2. occupation
  2. 3. social support
  3. 5. medications (one)
  4. 6. number of stairs
  5. 8. any pets
  6. 10. number of days in hospital