|
| Do you have any medical conditions that affect your study at Nishmat?
* |
|
| If so, please detail.
|
|
| Do you have any learning disabilities?
* |
|
| If so, please detail.
|
|
| If you are studying Full Time, please answer the following questions:
|
|
| Are you taking any medications?
|
|
| Please specify
|
|
| Are you under a doctor's care?
|
|
| Please specify
|
|
| Are you receiving mental health counseling?
|
|
| Please specify
|
|
| Are you receiving psychiatric care?
|
|
| Please specify
|
|
