Self Assessment Form for Dosette Box

Self Assessment Form for Dosette Box

  • SELF ASSESSMENT FORM FOR DOSETTE BOX

    Do you have any routines to help you remember to take or use your medicines?
    Do you have a medicine box at home that you fill with your daily medications?
    Do you have any problems with opening or closing medicine containers?
    DO YOU HAVE ANY PROBLEMS GETTING MEDICINES OUT OF CONTAINERS?
    DO YOU TAKE OR USE ALL OF YOUR MEDICINE ACCORDING TO THE INSTRUCTIONS?
    CAN YOU READ THE INSTRUCTIONS ON YOUR MEDICINE PACKET?
    DO YOU KNOW WHAT YOU TAKE YOUR MEDICINE FOR ?
    DO YOU SOMETIMES FORGET TO TAKE YOUR MEDICINES?
    DOES ANYONE HELP YOU MANAGE DAILY TASKS(EG.WASHING)
    I CONFIRM THAT THE INFORMATION PROVIDED IS TO THE BEST OF MY ABILITY
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Page last reviewed: 15 June 2020