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Chamberlain University College of NursingNR443/435/436 Community Health NursingNR443/435/436: Community Windshield Survey FormDirections: Please refer to the Community Windshield Survey Guidelines and grading rubric inyour NR443/435/436 course for specific instructions in order to complete the information below.You are required to use this form for your submission.Drive through the community where you live or work several times. Document yourobservations in order to complete the tables below.Name:1.Date:Community DescriptionName of city or town and state: Wayne Town , Michigan StateName of the street or road where you live or work in this community: WayneNature of this community (rural, suburban, urban): SuburbanBriefly describe your community: The city is one with the highest population in Michigan.In 2010 census, the population was 17,593. The city has a history of transportation andautomotive manufacturing2.Community VitalityQuestionMany SomeFeworNoneDid the people you observed during your drive though appearhealthy?NR443_435_436 Windshield Survey Form11/2018 MM_v.21Chamberlain University College of NursingNR443/435/436 Community Health NursingDid you see those with apparent mental or emotional disabilities?Did you observe people smoking tobacco products?Did you observe people who appear to be under the influence ofDid you see pregnant women? ...


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