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This document is a health questionnaire for pre-participation in sports at Arizona State University, including medical history and physical examination details.
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How to fill out health questionnaire - students
How to fill out Health Questionnaire
01
Start with your personal information: Enter your full name, date of birth, and contact details.
02
Provide medical history: List any past medical conditions, surgeries, and ongoing treatments.
03
Include family medical history: Note any hereditary conditions or diseases present in your family.
04
Detail current medications: Write down all medications you are currently taking, including dosage and frequency.
05
Answer dietary and lifestyle questions: Describe your diet, exercise habits, and any substance use.
06
Address mental health: Answer questions regarding your mental health status and any past psychological treatments.
07
Review your answers: Double-check all the information to ensure accuracy before submission.
Who needs Health Questionnaire?
01
Individuals seeking healthcare services or medical assessments.
02
Patients undergoing surgery or medical procedures.
03
Participants in clinical trials or health studies.
04
Employees required to complete health questionnaires for occupational health assessments.
05
Individuals applying for health insurance or disability benefits.
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People Also Ask about
What is the PHQ-9 in English?
Patient Health Questionnaire-9 (PHQ-9) ShareThe PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.
What do PHQ and GAD stand for?
The Patient Health Questionnaire 9-item depression scale (PHQ-9) and 7-item Generalized Anxiety Disorder scale (GAD-7) are among the best validated and most commonly used depression and anxiety measures, respectively.
What questions are on the health questionnaire?
Health Questionnaire with Core Healthcare Assessment Questions Do you have any chronic diseases? Yes. No. Do you have any hereditary conditions/diseases? High blood pressure. Diabetes. Are you habitual to drugs and alcohol? Yes to both. Only to drugs.
What is the 12 item general health questionnaire?
The 12-Item General Health Questionnaire (GHQ-12) is the most extensively used screening instrument for common mental disorders, in addition to being a more general measure of psychiatric well-being.
Is the PHQ-9 translated?
The Patient Health Questionnaire 9-item depression scale (PHQ-9) and 7-item Generalized Anxiety Disorder scale (GAD-7) are among the best validated and most commonly used depression and anxiety measures, respectively.
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What is Health Questionnaire?
A Health Questionnaire is a form used to collect information about an individual's health status, medical history, and lifestyle factors.
Who is required to file Health Questionnaire?
Individuals applying for certain jobs, health insurance, or participating in wellness programs may be required to file a Health Questionnaire.
How to fill out Health Questionnaire?
To fill out a Health Questionnaire, provide accurate and honest responses to the questions about your health history, medical conditions, medications, and lifestyle habits.
What is the purpose of Health Questionnaire?
The purpose of a Health Questionnaire is to assess an individual's health risks, determine eligibility for programs, and provide necessary information for personalized healthcare.
What information must be reported on Health Questionnaire?
Information such as personal identification details, medical history, current medications, allergies, and lifestyle factors like smoking and exercise habits must be reported.
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