Get Access to World’s largest Template Library & Tools

23+ Health History Questionnaire Templates in PDF | Microsoft Word

The health history questionnaire is a sheet of questions asking about the patient’s health history. The main objective of the health history is to collect the data from the patient so that the guardian of the patient and doctor can create a plan to promote health, address the primary issues, and decreasing the chronic health issues. The questionnaire is all about prior health issues. It contains the questions related to previous health issues. It has the history of your diet, exercise, medications, etc.

23+ Health History Questionnaire Templates in PDF

1. Health History Questionnaire Template

health history questionnaire templatessom.luc.edu
Details
File Format
  • PDF

Size: 43.7 KB

Download Now

2. Health and Medical Questionnaire Template

health and medical questionnaireexerciseismedicine.org
Details
File Format
  • PDF

Size: 144.5 KB

Download Now

3. Simple Health History Questionnaire in PDF

simple health history questionnaireayurvedaacademy.com
Details
File Format
  • PDF

Size: 10.4 MB

Download Now

4. Adult Health History Questionnaire Template

adult health history questionnairefirstphysiciansgroup.com
Details
File Format
  • PDF

Size: 259.5 KB

Download Now

5. Basic Health History Questionnaire Template

basic health history questionnaireurmc.rochester.edu
Details
File Format
  • PDF

Size: 110.7 KB

Download Now

6. Medical Health History Questionnaire Template

medical health history questionnairepeakperformancefitnesstx.com
Details
File Format
  • PDF

Size: 260.2 KB

Download Now

7. Sample Health History Questionnaire in PDF

sample health history questionnaireacefitness.org
Details
File Format
  • PDF

Size: 31.9 KB

Download Now

8. Health History Questionnaire for Wellness

health history questionnaire for wellnessfoh.psc.gov
Details
File Format
  • PDF

Size: 286.9 KB

Download Now

9. Standard Health History Questionnaire in PDF

standard health history questionnairehorizonprimarycare.com
Details
File Format
  • PDF

Size: 642.3 KB

Download Now

10. Family Health History Questionnaire Template

family health history questionnairegeneticalliance.org
Details
File Format
  • PDF

Size: 111.8 KB

Download Now

11. Initial Health History Questionnaire Template

initial health history questionnairest-lukes.org
Details
File Format
  • PDF

Size: 126.3 KB

Download Now

12. Formal Health History Questionnaire Template

formal health history questionnairejsu.edu
Details
File Format
  • PDF

Size: 116.7 KB

Download Now

13. Cancer Health History Questionnaire Template

cancer health history questionnairemed.umich.edu
Details
File Format
  • PDF

Size: 197.5 KB

Download Now

14. Health History Questionnaire in PDF

health history questionnaire in pdfric.edu
Details
File Format
  • PDF

Size: 112.5 KB

Download Now

15. Mental Health History Questionnaire Template

mental health history questionnairemarkspsychiatry.com
Details
File Format
  • PDF

Size: 47.1 KB

Download Now

16. Patient Health History Questionnaire Template

patient health history questionnairesutterhealth.org
Details
File Format
  • PDF

Size: 371.9 KB

Download Now

17. Female Health History Questionnaire Template

female health history questionnairehetrickcenter.com
Details
File Format
  • PDF

Size: 135.2 KB

Download Now

18. Internal Medicine Health History Questionnaire

internal medicine health history questionnairesurprisefamilymedicine.com
Details
File Format
  • PDF

Size: 100.1 KB

Download Now

19. Nutrition Counseling Health History Questionnaire

nutrition health history questionnairecoloradomesa.edu
Details
File Format
  • PDF

Size: 537.1 KB

Download Now

20. Exercise and Health History Questionnaire Template

exercise and health history questionnairethreeshipscrossfit.com
Details
File Format
  • PDF

Size: 38.4 KB

Download Now

21. Confidential Health History Questionnaire Template

confidential health history questionnairepfw.edu
Details
File Format
  • PDF

Size: 147.1 KB

Download Now

22. Male Health History Questionnaire Template

male health history questionnairedrgreghelps.com
Details
File Format
  • PDF

Size: 84.2 KB

Download Now

23. Health History Questionnaire Form Template

health history questionnaire formuth.edu
Details
File Format
  • PDF

Size: 169.0 KB

Download Now

24. Health History Questionnaire Example in PDF

health history questionnaire examplebayareatotalhealth.com
Details
File Format
  • PDF

Size: 93.3 KB

Download Now

How to Create the Health history Questionnaire?

Step 1: Create the Questionnaire in Word

You must create the questionnaire in the word document. In this, you can create and edit when required. After making the document, you can easily save it on your computer. The word document is mostly preferable for this kind of work.

Step 2: Make Columns and spaces.

You can make columns and spaces in the questionnaire. You add these columns to write the answers by the respondent. The document must contain the columns to put the response in it.

Step 3: Use bold letters in Headings

Then you can use the bold headings in the questionnaire. The highlighted letters put the impact on the patient filling up the document.

Step 4: Add specific questions

You must then add the data in the questionnaire. The data must be health-related. Ask things about the patient’s health history.

Step 5: Ask the Respondent to Fill

You must ask the respondent or the patient to fill the questionnaire. The patient must fill the questions that are accurate and true. The patient must not put the wrong information on it.

What is the use of the Health History Questionnaire?

The health history questionnaire is all about the questions like what are your previous medication, then what are the diet plan given to you, etc. The respondent answers the health-related questions. The doctors and the practitioners get the idea of treating you. By studying the previous medical history, the doctors have the idea of adopting a treatment for the patient. The hospital gives you the questionnaire to fill at the time of admission in the health center. The hospitals use the record of the patient to start the treatment. When they have the patient’s health information with them, it becomes quite easy for the doctors to formulate the medication.

The questionnaire assists both the patient and the doctor who is going to treat. There is a different form of data, both subjective and the other is objective. It is the data that the patient provides. And the objective information is what the doctors get after examining. When you have the previous record of the patient, then it becomes easy to diagnose.

How is the health history questionnaire look?

The health sector flourishes and develops if crucial steps take place. Giving the respondent to fill the questionnaire is an important step. It assists in improving science and medication. The patient must help the doctor in treating them. And by the use of the questionnaire, the patient is helping to medicate them. These questionnaires are the records that are kept intact with the hospital.

The health history questionnaire is just like the other questionnaire. It has the name of the respondent, age, sex, and other biographical details. You write about the reason for seeking care and history. You also write about if you have any family history of the disease. Therefore, you must have a health history questionnaire in the hospital and health centers.

More in Questionnaire Templates

12+ Tax Return Questionnaire Templates in PDF | MS Word10+ Confidential Business Questionnaire Templates in PDF
10+ Teacher Questionnaire Templates in PDF | MS Word | MS excel9+ Business Analysis Questionnaire Templates in PDF | MS Word
5+ Client Onboarding Questionnaire Templates in PDF | MS Word10+ Initial Health Questionnaire Templates in MS Word | PDF
7+ Workshop Evaluation Questionnaire Templates in MS Word | PDF10+ Food Frequency Questionnaire Templates in PDF | MS word
10+ Risk Evaluation Questionnaire Templates in PDF | MS Word22+ Stakeholder Questionnaire Templates in PDF | MS Word | MS Excel
10+ Assessment Experience Questionnaire Templates in PDF | MS Word | MS excel11+ Physical Activity Questionnaire Templates in PDF | MS Word
10+ Teacher Appreciation Questionnaire Templates in PDF | MS Word10+ Return to Work Questionnaire Templates in PDF
20+ Website Questionnaire Templates in PDF | MS Word9+ Supplier Evaluation Questionnaire Templates in MS Word | PDF
23+ Fitness Questionnaire Templates in MS Word | PDF20+ Risk Assessment Questionnaire Templates in Google Docs | MS Word | Pages | PDF
9+ Leadership Assessment Questionnaire Templates in PDF4+ Employee Engagement Questionnaire Templates in PDF | MS Word
26+ Client Questionnaire Templates in PDF | MS Word10+ Cosmetics Questionnaire Templates in PDF
9+ Workplace Assessment Questionnaire Templates in MS Word | PDF19+ Needs Assessment Questionnaire Templates in Google Docs | MS Word | Pages | PDF
5+ Wages Questionnaire Templates in PDF | MS Word5+ Fitness Assessment Questionnaire Templates in PDF | MS Word
10+ Adult Health Questionnaire Templates in PDF | MS Word10+ Quality Assessment Questionnaire Templates in PDF | MS Excel
21+ Assessment Questionnaire Templates in Google Docs | MS Word | Pages | PDF10+ New Client Questionnaire Templates in PDF | MS Word
10+ Bookkeeping Questionnaire Templates in PDF19+ Demographic Questionnaire Templates in PDF | Microsoft Word
10+ Personal Questionnaire Templates in PDF | Microsoft Word12+ Product Questionnaire Templates in PDF | Microsoft Word
15+ Exit Interview Questionnaire Templates in PDF | Microsoft Word17+ Free Motivation Questionnaire Templates in PDF | Microsoft Word
11+ Patient Health Questionnaire Templates in PDF | Microsoft Word24+ Underwriting Questionnaire Templates in PDF | Microsoft Word
23+ Health History Questionnaire Templates in PDF | Microsoft Word10+ Health Care Questionnaire Templates in PDF | DOC
10+ Client Onboarding Checklist Templates in Google Docs | Word | Pages | PDF | Numbers | Excel11+ Bio Questionnaire Templates in PDF | DOC
9+ Accredited Investor Questionnaire Templates in PDF7+ Hospitality Questionnaire Templates in PDF | DOC
FREE 10+ Screening Questionnaire Templates in PDF | MS Word10+ Travel Agent Questionnaire Templates in PDF | MS word
8+ Trainee’s Feedback Questionnaire Templates in PDF | DOC4+ Customer Awareness Questionnaire Templates in PDF | DOC
11+ Investment Questionnaire Templates in PDF | DOC10+ Charity Questionnaire Templates in PDF | DOC
4+ Student Internship Questionnaire Templates in PDF | DOC10+ Internship Questionnaire Templates in PDF | DOC
8+ Internet Questionnaire Templates in PDF | DOCFREE 8+ Vendor Security Questionnaire Templates in MS Word | PDF
4+ Stakeholder Analysis Questionnaire Templates in PDF9+ Family History Questionnaire Templates in PDF | DOC
10+ Employee Health Questionnaire Templates in PDF | DOC6+ Student Survey Questionnaire Templates in PDF | DOC
10+ Health Screening Questionnaire Templates in PDF | DOC6+ Job Satisfaction Questionnaire Templates in PDF | DOC
15+ Promotion Questionnaire Templates in PDF | DOC19+ Feedback Questionnaire Templates in PDF | Microsoft Word
9+ Stress Assessment Questionnaire Templates in PDF14+ Travel Questionnaire Templates in Google Docs | Word | Pages | Numbers | PDF
7+ Customer Service Questionnaire Templates in PDF | Microsoft Word6+ Constructing Survey Questionnaire Templates in PDF | Microsoft Word
21+ Quality Questionnaire Templates in PDF | Microsoft Word6+ Market Research Questionnaire Templates in PDF | Microsoft Word
9+ Market Survey Questionnaire Templates in PDF | DOCFREE 14+ Consultant Questionnaire Templates in PDF | MS Word
14+ Interview Questionnaire Templates in Google Docs | Pages | Word | PDF15+ Survey Questionnaire Templates in Google Docs | Word | Pages | PDF
9+ Small Business Questionnaire Templates in PDF18+ Restaurant Questionnaire Templates in PDF
bottom banner