5. Qualifying the Health [Script]

Question 1

So that I can…

Any major issues

Answer 1

So that I can figure out what you qualify for, let me ask you [Client Name], do you have any history of:
* Heart
* Kidney
* Liver
* Or any lung issues?

How about any history of:
* Cancer
* COPD
* Diabetes
* Heart Attack
* Or Stroke?

Question 2

How long ago…

Any additional questions

Answer 2

H, K, L, L: How long ago? Are you still being treated for that?
Cancer: More than one instance? How long ago?
COPD: Are you on oxygen or use inhalers?
Diabetes: Do you take insulin? At what age did you start? Do you have neuropathy?
Heart Attack: How long ago? Do you have CHF?
Stroke: Do you need HH or can you do all your ADL’s? Cane or walker?

Question 3

Are you currently…

Any medications

Answer 3

Are you currently on, or prescribed any medications?

What do you take them for?

Question 4

How tall are…

Height, weight and tobacco

Answer 4

How tall are you?

How much do you want to weigh today?

Do you use tobacco?