Quiz 1

Question 1

1

Answer 1

When or approximately when did it start ?

Question 2

2

Answer 2

Did it begin gradually or suddenly?

Question 3

3

Answer 3

Did anything cause or contribute to the onset ?

Question 4

4

Answer 4

Have you ever had anything like this before?

Question 5

5

Answer 5

Can you point to the exact location of your symptom?

Question 6

6

Answer 6

Does it travel to any other part of your body ?

Question 7

7

Answer 7

Do you have symptoms in any other part of your body ?

Question 8

8

Answer 8

Can you describe the sensation?

Question 9

9

Answer 9

How would you describe the intensity ?

Question 10

10

Answer 10

Has it been constant or does it come and go?

Question 11

10. Has it been constant or does it come and go. A, B, C.

Answer 11

Constant- present 75% of the day or more.
Episodic- tied to a particular event or time of day.
Intermittent: not tied to a particular event or time of day

Question 12

11

Answer 12

Has it been getting better, worse or staying about the same since its start?

Question 13

12

Answer 13

Have you found anything that makes it better?

Question 14

13

Answer 14

Have you found anything that makes it worse?

Question 15

14

Answer 15

Has there been a change in any bodily functions?

Question 16

15

Answer 16

Has it affected your daily activities in any way?

Question 17

16

Answer 17

Have you tried any store bought, prescription, or home remedies?

Question 18

17

Answer 18

Have you sought other professional care for this condition?

Question 19

18

Answer 19

Is there anything else you would like to discuss or you think would be important for me to know?