The document provides instructions for a 2 page questionnaire to gather cultural information from patients/clients. The questionnaire should address cultural components such as religion, traditions, family, food, language, and traditional healthcare practices. The requirements specify that the questionnaire must be 2 pages in length.

1. Instructions
-2 page questionnaire for your patients / clients to
The questions should address cultural components such as:
religion, traditions, family, food, language, and traditional
healthcare practices.
Requirements
–2 pages in length