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Clinical Questionaires

Asthma Review Questionnaire - for patients who are due an annual asthma review.

Please would you answer the questions on the form below and submit it to us.

If your symptoms are deteriorating or you have any concerns, please make an appointment to the respiratory nurse or a doctor as well.

Open the Asthma Annual Review Questionnaire


Anxiety & Depression Assessment

This easy to use patient questionnaire has been validated for use in Primary Care.

It is used by your doctor to monitor the severity of depression and response to treatment.

It can also be used to make a tentative diagnosis of depression.

Anxiety & Depression Assessment


Alcohol Consumption Questionnaire

Please answer the questions in the short questionnaire to enable us to assess your alcohol consumption rate and offer advice if necessary.

Alcohol Consumption Questionnaire


Depression Questionnaire

This easy to use patient questionnaire has been validated for use in Primary Care.
 
It is used by your doctor to monitor the severity of depression and response to treatment.
 
It can also be used to make a tentative diagnosis of depression.

PHQ-9 Depression Assessment Questionnaire

Please note that you will need to contact us yourself if you wish to make an appointment to discuss the results of the survey.


Physical Activity Questionnaire

Physical Activity QuestionnaireThis easy to use patient questionnaire has been validated for use in Primary Care.

It is used by your doctor to assess your level of physical activity.

PHQ9 IconPhysical Activity Questionnaire

 



 
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