FAOMASH

Question 1

FAOMASH stands for

Answer 1

Family medical history, Associated problems, Other problems, Medications, Allergies, Surgeries, Hospitalizations

Question 2

F stands for

Answer 2

Family medical history

Question 3

First A stands for

Answer 3

Associated problems

Question 4

O stands for

Answer 4

Other problems

Question 5

M stands for

Answer 5

Medications

Question 6

Second A stands for

Answer 6

Associated problems

Question 7

S stands for

Answer 7

Surgeries

Question 8

H stands for

Answer 8

Hospitalizations

Question 9

F question

Answer 9

Do any major diseases run in your family that you are aware of such as stroke, diabetes, heart disease, high blood pressure etc?

Question 10

First A question

Answer 10

Is your current pain/problem causing or associated with any other problems?

Question 11

O questions

Answer 11

Do you have any other problems/health issues not associated with your current problem?

Question 12

M questions

Answer 12

Are you currently on any medications (over the counter or prescribed)? Are you taking any supplements? Are you taking any recreational drugs?

Question 13

Second A question

Answer 13

Do you have any current or past allergies? Are you allergic to anything (bee stings, latex, food, medicines etc)?

Question 14

S question

Answer 14

Please tell me about any and all surgeries you have had.

Question 15

H question

Answer 15

Have you ever been hospitalized for any reason? If so what for?