By Anonymous - June 28, 2016

AHS2
> Hospitalization and History Forms
> HHF4

Biennial Hospitalization Form (IV)

Also known as HHQ4.

Pages

Page 1
Page 2
Page 3
Page 4
|

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 diseases, if there is any
* Whether recently visited the primary care doctor

* Page Three:

* The size of the meals and snacks
* Present body weight
* Whether renting or owning where you live
* Whether diagnosed with gall stones, COPD, atrial fibrillation, emphysema, Asthma, Osteoporosis, Depression

* Page Four:

* Whether having had coronary by-pass surgery since 2001
* Current church membership

For more hospital form information

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