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Medical History
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- Throughout your lifetime, did you feel you were in good or bad health? Did you take extra measures to stay healthy? Was the rest of your family healthy?
- Were you active? Did you eat well? Did you see a doctor regularly?
- Did you have a weight problem? Were you overweight or underweight? Did you try to overcome it? Did you diet or exercise?
- Did you ever have any broken bones? What about mobility problems? Did you have knee, foot, leg, arm or back problems? What was the cause?
- Did you ever have any common illnesses such as the chicken pox or measles?
- Did you ever have problems with your eyesight or hearing? Did you wear glasses or contact lenses? A hearing aid?
- How were your teeth? Did you get many cavities or have teeth pulled? Did you go to the dentist much?
- Were you ever seriously injured? Was it a sports injury? A car accident? Was it another type of accident? Did it happen on the job?
- Did you ever have allergies? To what? Did you get migraines?
- Were you ever hospitalized? What were the circumstances? How long was your stay?
- Did you ever have a serious illness? What was the illness? Cancer? Multiple Sclerosis? Diabetes? H.I.V.? Were you treated? What type of medications, if any, did the doctors prescribe?
- Did any illnesses run in your family? Heart disease? Diabetes? If so, when did you find out that this illness ran in the family? Did this knowledge change your lifestyle? How?
- Did you have a mental illness? Did you seek any treatment? Did your family have a history of mental illness?
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