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This questionnaire is required by Washington law for individuals applying for private health insurance coverage starting from October 1, 2009. It is mandatory for those seeking nonsubsidized enrollment
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How to fill out standard health questionnaire
How to fill out Standard Health Questionnaire
01
Begin with your personal information including name, date of birth, and contact details.
02
Provide your medical history, including any chronic conditions or major illnesses.
03
List all medications you are currently taking, including dosages.
04
Complete the family medical history section, noting any hereditary conditions.
05
Answer questions regarding lifestyle habits, such as smoking, alcohol consumption, and exercise.
06
Fill out the section about allergies, detailing any known allergies to medications or environmental factors.
07
Review all sections for accuracy and completeness before submission.
Who needs Standard Health Questionnaire?
01
Individuals seeking medical assessment or treatment.
02
Patients undergoing pre-surgical evaluations.
03
Insurance companies requiring health information for coverage.
04
Healthcare providers assessing overall health status.
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People Also Ask about
What is the general health questionnaire 30 score?
The 30-item General Health Questionnaire (GHQ-30) The minimum obtainable score is 0 and the maximum obtainable score is 90, with higher scores reflecting more declined mental health. Among the several versions of the GHQ, the GHQ-30 is shown to be the most stable and to have the highest validity.
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 general health questionnaire?
The General Health Questionnaire – 28 (GHQ-28) is self-report screening. measure used to detect possible psychological disorder. The GHQ-28 identifies two main concerns: (1) the inability to carry out normal functions; and (2) the appearance of new and distressing phenomena (Goldberg & Hillier, 1979).
What are the 12 items of the general health questionnaire?
The 12-Item General Health Questionnaire (GHQ-12) (Goldberg & Williams, 1988) consists of 12 items, each one assessing the severity of a mental problem over the past few weeks using a 4-point Likert-type scale (from 0 to 3). The score was used to generate a total score ranging from 0 to 36.
What is the general health questionnaire used for?
The General Health Questionnaire (GHQ) is a screening device for identifying minor psychiatric disorders in the general population and within community or non-psychiatric clinical settings such as primary care or general medical out-patients.
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 a PHQ-9 and Gad-7?
The Patient Health Questionnaire—9 (PHQ-9) and the Generalized Anxiety Disorder Questionnaire– 7 (GAD-7) are short screening instruments used for detection of depression and anxiety symptoms in various settings, including general and mental health care as well as the general population.
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.
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What is Standard Health Questionnaire?
The Standard Health Questionnaire is a form used to collect comprehensive health-related information from individuals to assess their health status.
Who is required to file Standard Health Questionnaire?
Individuals applying for certain health services, insurance, or programs may be required to file a Standard Health Questionnaire.
How to fill out Standard Health Questionnaire?
To fill out the Standard Health Questionnaire, individuals should provide accurate and detailed responses to all questions regarding their medical history, current health status, and any relevant lifestyle factors.
What is the purpose of Standard Health Questionnaire?
The purpose of the Standard Health Questionnaire is to gather necessary health information to make informed decisions regarding health services, treatment options, or insurance coverage.
What information must be reported on Standard Health Questionnaire?
The information that must be reported includes personal health history, any current medical conditions, medications being taken, allergies, and family health history.
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