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health questionnaire

Standardized set of questions used to gather clinical information. Notes: - symptoms reported on questionnaires may not be reported in electronic medical records [1]

Specific

3 Key Questions (3KQ) Alcohol Use Disorders Identification Test (AUDIT) asthma control test (ACT) score; asthma control questionnaire BATHE technique Berlin Questionnaire CAGE questions COPD assessment test general health questionnaire (GHQ) headache impact test (HIT-6) health assessment questionnaire (HAQ) Healthy Heart Score Hearing Handicap Inventory in the Elderly-Screening Version (HHIE-S) Hwalek-Sengstock Elder Abuse Screening Test Kansas City Cardiomyopathy Questionnaire Michigan Alcoholism Screenin Test (MAST) Modified Medical Research Council (MMRC) Dyspnea Scale mood disorder questionnaire Oxford knee score Pfeiffer functional activities questionnaire (FAQ) RAND 36-Item Health Survey 1.0 Questionnaire SAFE questions for domestic violence SCOFF questionnaire Screen for Child Anxiety Related Disorders (SCARED) short portable mental status questionnaire (SPMSQ) simple fitness questions that predict risk of post-operative morbidity vulnerable elders survey-13 (VES-13)

General

clinical procedure

References

  1. Valikodath NG, Newman-Casey PA, Lee PP et al Agreement of Ocular Symptom Reporting Between Patient- Reported Outcomes and Medical Records. JAMA Ophthalmol. Published online January 26, 2017. PMID: 28125754 http://jamanetwork.com/journals/jamaophthalmology/fullarticle/2598419