By Anonymous - June 28, 2016

AHS2
> Hospitalization and History Forms
> HHF6

Biennial Hospitalization Form (VI)

Also known as HHQ6.

Pages

Page 1
Page 2
Page 3
Page 4
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Notes

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

* Page One:

* Recent hospitalization, if there is any
* Recent cancer incidence, if there is any
* Page Two:

* Recent heart diseases, if there is any
* Whether recently diagnosed with Parkinson's, MS, Diabetes
* Whether visited a specialist in the last two years
* Whether visited an alternative medicine provider in the last two years
* Page Three:

* Eating habits
* Page Four:

* Hip fracture
* Present body weight
* Employment status
* Neurology visit

For more hospital form information

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