By Anonymous - June 28, 2016

AHS2
> Hospitalization and History Forms
> HHF3

Biennial Hospitalization History Form (III)/(III)a

Also known as HHQ3.

Notes

3/3A difference: Page 4
- added "never used" for Q12a

Pages

Page 1
Page 2
Page 3
Page 4
|
Page 1A
Page 2A
Page 3A
Page 4A
|

Notes

In this questionnaire, we asked the participants about the followings:

* Page One:

* Recent hospitalization, if there is any

* Page Two:

* Recent cancer incidence, if there is any
* Recent heart attack incidence, if there is any

* Page Three:

* Fractures, if there is any
* Recently diagnosed with cardiovascular and/or neurologic disorders
* Dietary habits in different ages

* Page Four:

* Whether taking Aspirin or other NSAIDs

For more hospital form information

https://wiki.ahs2.org/hhf:start