Get the free Tuberculosis Screening Questionnaire

This questionnaire is used by students at Saint Louis University to assess their risk of tuberculosis. It includes questions regarding travel history, vaccination, and any previous tuberculosis infections.

How to fill out tuberculosis screening questionnaire

How to fill out tuberculosis screening questionnaire

1. Obtain the tuberculosis screening questionnaire from a healthcare provider or authorized source.
2. Read the instructions carefully to understand the purpose of the questionnaire.
3. Write down your personal information, including name, date of birth, and contact details.
4. Answer all questions honestly, including details about symptoms, exposure history, and medical history.
5. If necessary, consult with a healthcare professional for clarification on any questions.
6. Review your answers for completeness and accuracy before submission.
7. Submit the completed questionnaire to the designated healthcare provider.

Who needs tuberculosis screening questionnaire?

1. Individuals who have been in contact with someone diagnosed with tuberculosis.
2. People exhibiting symptoms of tuberculosis such as persistent cough, weight loss, or night sweats.
3. Those with a weakened immune system or pre-existing health conditions.
4. Individuals traveling to or from regions with high rates of tuberculosis.
5. Healthcare workers and those in close contact with high-risk populations.

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What is tuberculosis screening questionnaire?

The tuberculosis screening questionnaire is a set of questions that helps determine if an individual has been exposed to tuberculosis (TB) or is at risk of having the disease.

Who is required to file tuberculosis screening questionnaire?

Individuals who are at risk of TB exposure, such as healthcare workers, international travelers, and immigrants from high-prevalence areas, may be required to file a tuberculosis screening questionnaire.

How to fill out tuberculosis screening questionnaire?

To fill out the tuberculosis screening questionnaire, individuals should answer all questions honestly about their exposure history, symptoms, and any previous TB tests or treatments.

What is the purpose of tuberculosis screening questionnaire?

The purpose of the tuberculosis screening questionnaire is to identify individuals who may need further evaluation or testing for tuberculosis to prevent the spread of the disease.

What information must be reported on tuberculosis screening questionnaire?

The information that must be reported includes personal details, health history, symptoms related to TB, exposure history, and any previous TB screening or treatment results.