Intake Form (English ---> Spanish) Flashcards

1
Q

Patient Data

A

Información del paciente

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Employment Status

A

Situación Laboral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Spouse Data

A

Información de conyuge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Employer Data

A

Información de trabajo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Occupation

A

Posición

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Job Description

A

Tareas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Emergency Contact

A

Contacto de Emergencia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How did you hear about our office?

A

¿Como se enteró de la oficina?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

illness

A

Padecimiento

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Disorder

A

Trastorno

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Disease

A

Enfermedad

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Stroke

A

Derrame Cerebral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Appendectomy

A

Apendicectomía

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Joint Replacement

A

Reemplazo de articulación

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cardiovascular Procedure

A

Procedimiento Cardiovascular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cervical Spine

A

Columna Cervical

17
Q

Lumbar Spine

A

Columna Lumbar

18
Q

Thoracic Spine

A

Columna Torácica

19
Q

Gall Bladder

20
Q

Occasional

A

De vez en cuando

21
Q

Often

22
Q

Never

23
Q

Caffeine use

A

Consumo de cafeína

24
Q

Drink Alcohol

A

Tomar Alcohol

25
Exercise
Ejercicio
26
Chew Tobacco
Masticar tobaco
27
Cigarettes
Cigarrillos
28
Wear Seat Belts
Usar cinturones
29
Heart Disease
Cardiopatía
30
Heavy Equipment Operator
Operador de equipo pesado
31
Food Service Industry
Industria de servicio de comida
32
Light/Medium Manual Labor
Trabajo Manual Ligero/Mediano
33
Numbness
Entumecimiento
34
Burning
Ardiente
35
Stabbing
Punzante
36
Tingling
Hormigueo
37
Dull Ache
Dolor leve