Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Hypertension Interview Form
Document related concepts
no text concepts found
Transcript
Hypertension Interview Form Interviewer: _____________________________________________ Date: _________________ Interview Subject Name: _________________________________________________________ Relationship to you: ________________________________________ Age: ________________ Have you ever tested positive for high blood pressure? _________________________________ Are you presently on any medication for blood pressure management? _____________________ If yes, what medications are you presently taking? _____________________________________ ______________________________________________________________________________ Do you take any medications for conditions other than hypertension? ______________________ Did you discuss possible drug interactions with your doctor? ____________________________ Have you noticed any changes, good or bad, as a result of your medication? If so, what? ______ ______________________________________________________________________________ Do you have a family history of hypertension? If so, who in your family had been diagnosed? ______________________________________________________________________________ What future problems might you expect to have due to hypertension? ______________________ ______________________________________________________________________________ How have you changed your life/habits because of having hypertension? ___________________ ______________________________________________________________________________ Have you discussed the genetic and lifestyle contributors of hypertension with your children? If yes, what did you tell them? If no, do you plan to and what will you say? ___________________ ______________________________________________________________________________ ______________________________________________________________________________ How often do you have your blood pressure checked? __________________________________
