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Kansas Wesleyan University Tuberculosis (TB) Screening Questionnaire for New and International Students 2014 Name: Student ID #: Phone Number: () About this form: Tuberculosis, also known as TB, is
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How to fill out tuberculosis tb screening questionnaire

How to fill out a tuberculosis (TB) screening questionnaire:
01
Start by carefully reading the questionnaire. Understand the purpose and the specific questions being asked.
02
Gather any necessary information or documents that may be required to complete the questionnaire accurately. This may include your medical history, previous TB test results, and any relevant contact information.
03
Answer each question truthfully and to the best of your knowledge. Provide accurate details about your personal and medical history as requested. Remember that your responses will help healthcare professionals determine your risk of tuberculosis.
04
If you are unsure about any question or need clarification, don't hesitate to seek assistance from a healthcare provider, nurse, or a specialist who can provide guidance.
05
Double-check your responses for accuracy and completeness before submitting the questionnaire. Any mistakes or missing information can affect the accuracy of the assessment.
06
Make sure to sign and date the questionnaire as instructed. This verifies that you have completed it honestly and willingly.
Who needs a tuberculosis (TB) screening questionnaire:
01
Individuals who have been in contact with someone diagnosed with active tuberculosis. This includes close family members, friends, or co-workers who have spent significant time in close proximity to an infected person.
02
People with symptoms or signs suggestive of tuberculosis, such as persistent cough, chest pain, fatigue, weight loss, or night sweats.
03
Individuals who are at high risk for tuberculosis due to factors like compromised immune system, living or working in crowded environments (e.g., correctional facilities, homeless shelters), or traveling to areas with a high TB prevalence.
It is important to note that the specific guidelines for who needs a TB screening questionnaire may vary by region or country. Consulting with a healthcare professional or following the recommendations from local health authorities is essential to determine if you require a TB screening questionnaire.
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What is tuberculosis tb screening questionnaire?
The tuberculosis TB screening questionnaire is a form used to assess an individual's risk of tuberculosis infection.
Who is required to file tuberculosis tb screening questionnaire?
Individuals who are at risk of tuberculosis infection or are in close contact with someone who has tuberculosis may be required to file the screening questionnaire.
How to fill out tuberculosis tb screening questionnaire?
The questionnaire typically requires information about an individual's medical history, recent travels, and exposure to tuberculosis.
What is the purpose of tuberculosis tb screening questionnaire?
The purpose of the questionnaire is to identify individuals who may be at risk of tuberculosis infection and take appropriate measures to prevent its spread.
What information must be reported on tuberculosis tb screening questionnaire?
Information such as medical history, recent travels, and exposure to tuberculosis must be reported on the screening questionnaire.
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