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-1- Heathy Homes: Assessment and Interventions Exercise 4: Virtual Resident Interview This worksheet is to be used in conjunction with the Pediatric Environmental Home Assessment (PEHA) or another assessment tool. For each section, make notes on how the interview and assessment were conducted. Note specific hazards identified on the PEHA or other form. 1. Welcome and Introductions (video) 2. Basement and Exterior (text and images) 3. Kitchen (video and images) 4. Living Room (video and images)

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Page 1: Healthy Housing Solutions - Heathy Homes: …...LIVING ROOM -6- NEIGHBORHOOD BATHROOM -7- '710' Title 16_HHAI_EX4_Resident Interview_Jan2017 Author Cynthia Taylor Created Date 2/1/2017

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Heathy Homes: Assessment and Interventions Exercise 4: Virtual Resident Interview

ThisworksheetistobeusedinconjunctionwiththePediatricEnvironmentalHomeAssessment(PEHA)oranotherassessmenttool.Foreachsection,makenotesonhowtheinterviewandassessmentwereconducted.NotespecifichazardsidentifiedonthePEHAorotherform.1. WelcomeandIntroductions(video)

2. BasementandExterior(textandimages)

3. Kitchen(videoandimages)

4. LivingRoom(videoandimages)

Page 2: Healthy Housing Solutions - Heathy Homes: …...LIVING ROOM -6- NEIGHBORHOOD BATHROOM -7- '710' Title 16_HHAI_EX4_Resident Interview_Jan2017 Author Cynthia Taylor Created Date 2/1/2017

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5. Neighborhood(images)

6. BedroomandBathroom(videoandimages)

7. MedicationReviewandWrap-up(videoandimages)

Page 3: Healthy Housing Solutions - Heathy Homes: …...LIVING ROOM -6- NEIGHBORHOOD BATHROOM -7- '710' Title 16_HHAI_EX4_Resident Interview_Jan2017 Author Cynthia Taylor Created Date 2/1/2017

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BASEMENT

EXTERIOR

KITCHEN

Page 4: Healthy Housing Solutions - Heathy Homes: …...LIVING ROOM -6- NEIGHBORHOOD BATHROOM -7- '710' Title 16_HHAI_EX4_Resident Interview_Jan2017 Author Cynthia Taylor Created Date 2/1/2017

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Page 5: Healthy Housing Solutions - Heathy Homes: …...LIVING ROOM -6- NEIGHBORHOOD BATHROOM -7- '710' Title 16_HHAI_EX4_Resident Interview_Jan2017 Author Cynthia Taylor Created Date 2/1/2017

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LIVING ROOM

Page 6: Healthy Housing Solutions - Heathy Homes: …...LIVING ROOM -6- NEIGHBORHOOD BATHROOM -7- '710' Title 16_HHAI_EX4_Resident Interview_Jan2017 Author Cynthia Taylor Created Date 2/1/2017

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NEIGHBORHOOD

BATHROOM

Page 7: Healthy Housing Solutions - Heathy Homes: …...LIVING ROOM -6- NEIGHBORHOOD BATHROOM -7- '710' Title 16_HHAI_EX4_Resident Interview_Jan2017 Author Cynthia Taylor Created Date 2/1/2017

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