Please write your address and telephone number in English. (You may copy this information from something you carry with you.) Street Address: City, Zip: Telephone: What are two services provided by your local resettlement agency that help refugees resettle or adjust to life in the U.S.? Be sure to name two specific services that you know your agency provides. a. b. For each health concern listed, indicate whether you should care for it yourself, make an appointment with your doctor’s office, or go to a hospital emergency room. Circle the one best choice on each line. Circle one: What is the best way to care for your concern? Health Concern Make an appointment with Go to a hospital Care for it yourself. Your chest or heart hurts. your doctor’s office. emergency room. Make an appointment with Go to a hospital Care for it yourself. You have a runny nose. your doctor’s office. emergency room. Make an appointment with Go to a hospital You have an earache for Care for it yourself. your doctor’s office. emergency room. three days.
Please write your address and telephone number in English. (You may copy this information from something you carry with you.) Street Address: City, Zip: Telephone: What are two services provided by your local resettlement agency that help refugees resettle or adjust to life in the U.S.? Be sure to name two specific services that you know your agency provides. a. b. For each health concern listed, indicate whether you should care for it yourself, make an appointment with your doctor’s office, or go to a hospital emergency room. Circle the one best choice on each line. Health Concern Circle one: What is the best way to care for your concern? Your chest or heart hurts. Care for it yourself. Make an appointment with your doctor’s office. Go to a hospital emergency room. You have a runny nose. Care for it yourself. Make an appointment with your doctor’s office. Go to a hospital emergency room. You have an earache for three days. Care for it yourself. Make an appointment with your doctor’s office. Go to a hospital emergency room.
Written+version+of+Model+Assessment+-+English+doc.docx