Environmental / Social Questions

1. What other health care professionals are currently helping care for you?
2. What are your average daily activities?
3. Any children? Are you single or married (how long), divorced (how long), widowed (how long)?
4. Ethnic background?
5. Finances; home situation (location, suitability, help available, transportation)
6. What do you do for a living?
7. Any inherited diseases?
8. Family’s medical history (include parents, siblings, and children)?
9. Religious attitudes?
10. Schooling?
11. Significant life events?
12. Any pets?
13. Any hobbies?
14. Any recent trips (outside the U.S., within the U.S.)?

©2000,  Neal R. Chamberlain, Ph.D.. All rights reserved.