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Can you give brief introduction about yourself? What is your name? What is your real, birth name? How old are you? Where and when were you born? What is your date of birth? What's your father's name? What's your mother's birth name? Where were they both born? What is your mailing address? How long have you lived at this location? What is your Email address? In case of an emergency what phone number can I use to reach you? In case of an emergency at what email can I reach you? What is the date today? Are you a male or a female? What has been your mailing address from the time of your birth until now? Which language do you use with your parents, relatives, and teachers? Where and when were you born? Where did you go to high school? Where did you go to college? What subjects did you study? What subjects do you study? What books did you use? What books do you use? What is your normal day like? History of the present illness What seems to be the problem? What is the reason for consultation? What is the main reason for your visit today? Location, Quality, Severity, Duration, Timing, Context, Modifying factors, Associated signs & symptoms What seems to be the problem? What is the reason for consultation? When did you first notice the problem? When did the problem begin? How did the problem begin? Where did the problem begin? Does it occur at any specific time of the day, week, month, or situation? Does the problem interfere with your normal functions? How long does the problem last? Does anything help or make the problem worse? Is anything else occurring at the same time? Is the problem constant or variable? What do you think is causing this problem? Why do you think it is the cause of the problem? |