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HEALTH QUESTIONNAIRE (Page 1 of 4) Canadian International School of Beijing Form CIS060414HQR1 Application# Registration# Student # Grade at CIS Student Information (This section shall be completed
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How to fill out health questionnaire page 1:

01
Start by reading the instructions carefully. Make sure you understand the purpose of the questionnaire and what information is being requested.
02
Begin by providing your personal information. This may include your full name, date of birth, gender, and contact information such as your address and phone number.
03
Move on to the medical history section. Answer all the questions accurately and honestly. This may involve providing information about any past illnesses, surgeries, or ongoing medical conditions.
04
If you are currently taking any medications, make sure to list them in the relevant section. Include the name of the medication, dosage, and frequency of use.
05
Pay attention to any questions related to allergies. If you have any known allergies, specify what you are allergic to and the reaction it causes.
06
If you have any family history of medical conditions, indicate them in the appropriate section. This may include conditions such as heart disease, diabetes, cancer, or mental health disorders.
07
Some health questionnaires may also inquire about your lifestyle habits. Answer questions regarding your exercise routine, smoking or alcohol consumption, and dietary preferences if applicable.
08
Once you have completed all the sections of the health questionnaire, review your answers to ensure they are accurate and complete. Make any necessary corrections before submitting the form.

Who needs health questionnaire page 1:

01
Individuals seeking medical care: Health questionnaires are commonly used by healthcare providers to gather essential information about a patient's medical history and current health status. Individuals visiting a doctor, dentist, or any healthcare professional may be required to fill out health questionnaires.
02
Insurance applicants: When applying for health insurance coverage, insurance companies often require individuals to complete health questionnaires. This helps the insurer assess the applicant's health risks and determine appropriate coverage and premiums.
03
Employers and organizations: Some employers and organizations may request employees or members to fill out health questionnaires as part of their wellness programs or occupational health assessments. This information can assist in identifying potential health risks within the workforce and designing intervention strategies.
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