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Staying Healthy Assessment Questionnaires (SHA) 

Age and language-specific SHA questionnaires can be opened by clicking the links below. Currently all questionnaires are available in a PDF format. In the near future, the questionnaires will be available as a fillable PDF forms.

Farsi, and Khmer age-specific SHA questionnaires are available upon request. Please contact the health plan you contract with for copies.

Last modified on: 2/5/2014 2:46 PM